Ppt on obesity management protocols

Health and Medical Research Family Survey of the Greater Plains Collaborative (GPC) “The Obesity Project” “The GPC Obesity Project” “The Family Survey”

% to <85% inclusive Adult-18.25 to <25 inclusive Overweight Pediatric-85% to <95% inclusive Adult-25 to <30 inclusive Obese Pediatric-≥95% inclusive Adult-≥30 inclusive If inadequate patients to fill all bins, you are permitted to meet “Quota” for 1000 responses/ to Informatics Team when data complete Study Documents Protocol Survey 1 (Invitation Letter) Survey 2 (Questionnaire) Thank you note 1, 2 and 3 – template only, can be tweaked or use your own Data management tool (Excel) – we will provide, but/


Define obesity as BMI>30. An exploration of problems for the obese woman in Obstetrics and Gynaecology for Primary Care Specialists Epidemiology Science.

up in service is first 2 years then annual nutritional status and appropriate supplementation as a shared care protocol with GPs Post -bariatric surgery: Nutritional deficiency and problems : don’t conceive for 12- 18 / and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery Sept 2014 – - Obesity: identification, assessment and management of overweight and obesity in children, young people and adults NICE cg 189 Nov 2014 – Photo images creative commons/


PART III: TREATMENT PLANNING PROTOCOLS AND CONCEPTS Palliative Radiotherapy 01.1. BRAIN METS Therapeutic Considerations Patient population. Brain metastasis—single.

loss, neurocognitive decline, behavioral change ■ Radiation necrosis ■ Sensorineural hearing loss, cataracts Clinical Protocol References Tsao MN, et al. Radiotherapeutic and surgical management for brain metastasis(es): an ASTRO evidence-based guideline. Pract. Radiat. Oncol. 2012;/intake, 142 contaminated injections, 144 diet, 143 environmental air pollution and household smoke exposure, 144 obesity, 142-143 physical activity, 143 sexual practices, 143 smoking, 142 RTOG recursive partitioning analysis, 208/


PROTOCOL UPDATE ALABAMA EMS PROTOCOLS PARAMEDIC EDITION 5 JUNE, 2010 UPDATE 1.

needle may be too short to reach the muscle in some obese patients The Epipen can still be used but its needle may be too short to reach the muscle in some obese patients 6 CARDIAC ARREST 4.8 Under Physical Assessment, Part B/and the calls for EMS support overwhelm resources to manage all calls. When the Governor proclaims a state of emergency, the Alabama Public Health Department (ADPH) Office of EMS & Trauma (OEMS&T) will activate this protocol to provide authorization for the adjustment in the prehospital/


2012 SEMDSA Guideline for the Management of Type 2 Diabetes Mellitus Aslam Amod 1st FCPSA Congress 19 May 2012, Cape Town.

Weight neutral (promotes less weight gain when combined with other agents). Proven reduction in CV events and mortality in obese subjects (primary endpoint in UKPDS). Metformin-XR has better GI tolerability (is preferred to switching to another class)./insulin 8-hourly TPN – IV insulin infusion (infusion protocol), or – 50% TDD added to TPN as regular insulin, and 50% given as basal – Calculate TDD : 1u/10g carbohydrate In-hospital management: critically ill patients Insulin infusion preferred if facilities /


PROTOCOL UPDATE ALABAMA EMS PROTOCOLS PARAMEDIC EDITION 5 JUNE, 2010 UPDATE 1.

its needle may be too short to reach the muscle in some obese patients The Epipen can still be used but its needle may be too short to reach the muscle in some obese patients 6 CARDIAC ARREST 4.8 Under “Physical Assessment, Part B”/and the calls for EMS support overwhelm resources to manage all calls. When the Governor proclaims a state of emergency, the Alabama Public Health Department (ADPH) Office of EMS & Trauma (OEMS&T) will activate this protocol to provide authorization for the adjustment in the /


Pediatric Obesity: Provider Skill Sets for Improved Care Scott Gee, MD Kaiser Permanente February 18, 2010 French Camp, CA.

the motivation of the family, the presence of risk factors and the degree of obesity.  Prevention Plus  Structured Weight Management  Comprehensive, Multidisciplinary Intervention  Tertiary Care Intervention  Families progress to the / experience in childhood obesity  Frequency often weekly group sessions for 8-12 weeks with follow up  Stage 4 - Tertiary Care Intervention (for select children only when provided by experienced programs with established clinical or research protocols)  Medications -/


Perioperative Management of Obstructive Sleep Apnea BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine.

third postoperative night compared to the first postoperative night or preoperatively. Perioperative Management Plan Anesthesiologists should work with surgeons to develop a protocol whereby patients in whom the possibility of OSA is suspected on clinical/narcotics), encephalopathy, anesthetics, or even sleep itself). Respiratory Arrest in the Hospital Mechanical obstruction may be related to obesity, airway swelling / masses, or placement in the supine position. The challenge is to identify patients at risk/


Approaches to Obesity Prevention and Treatment at School-Based Health Centers Matt Haemer MD Assistant Professor in Pediatrics Section of Nutrition CU.

. Training in clinical obesity care (comorbidities) 2. Training in counseling – MI 3. Technology-support for screening, counseling, and community resource referral B.Community-Based Treatment 1. Multidisciplinary 2. Delivered by trained local staff 3. At a School or Recreation Center 39 Intervention Overview 1. Clinical information system  HeartSmart screening/counseling system 2. Decision support  Training: Comorbidity Management and Referral laboratory protocols, counseling prompts/


Measuring and Managing Healthy Living Bioelectric Impedance Analysis Advanced Edition.

Impedance Analyzers have received FDA clearance to measure: Measuring and Managing Healthy Living Proper BIA Protocol Measuring and Managing Healthy Living Proper BIA protocol Remove sock, stocking, jewelry, and any other metal objects from/ for obese children) Mexican Adults (Male & Female ) Native Americans Obese (BMI > 30 ) African American (Obese ) Athletic HIV All Body Types (BMI adjustable) Measuring and Managing Healthy Living Lifestyle Factor Upgrades: Food & Fitness Measuring and Managing Healthy /


Childhood Obesity and the Modern Lifestyle: Implications for Future Generations.

. Promote the use of national guidelines and standard protocols by health care providers for the management of obesity. Assess co-morbidities. Raise the issues of overweight or obesity, or inappropriate weight gain even when overweight is /regard to behavior change and BMI improvement. Lack of parent involvement and behavioral therapy. School Based Weight Management Interventions * Obesity Research. 2003;11:1313-1324 Barriers to Care Dysfunctional family situation Medical model – individual patient vs/


Perioperative Management of Obstructive Sleep Apnea BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine.

third postoperative night compared to the first postoperative night or preoperatively. Perioperative Management Plan Anesthesiologists should work with surgeons to develop a protocol whereby patients in whom the possibility of OSA is suspected on clinical/narcotics), encephalopathy, anesthetics, or even sleep itself). Respiratory Arrest in the Hospital Mechanical obstruction may be related to obesity, airway swelling / masses, or placement in the supine position. The challenge is to identify patients at risk/


1 Working Toward Zero Infection Rate Maureen Spencer, RN, MEd, CIC Infection Control Manager New England Baptist Hospital, Boston, Mass

Orthopedic surgeons (Joint, Spine) & Anesthesia Managers from infection control, healthcare quality, facilities and environmental services Managers from infection control, healthcare quality, facilities and/outcomes Fact: Poor patient hygiene and nutrition can impact surgical outcomes 41 Obesity and Surgical Incision Incision collects fluid – serum, blood – growth medium/ $110.00 $36.39 $50.15 $61-$99 58 Treatment Protocol Treatment Protocol 5-day application of intranasal 2% mupirocin - applied twice daily -/


National University Community Research Institute (NUCRI) PRAGMA 18 Cyberinfrastructure for CHOIS a Global Health initiative for obesity surveillance and.

trained for appropriate use of EHR CI in Healthcare Management National University Community Research Institute (NUCRI) PRAGMA 18 National University Community Research Institute (NUCRI) PRAGMA 18 Obesity – a Global Concern U.S. National Health / (NUCRI) PRAGMA 18 http://nucri.nu.edu/obesity/index.php National University Community Research Institute (NUCRI) PRAGMA 18 Portal User Interface Grid Resource Broker Service Grid and Web Protocols Information and Data Services Database Service Database HPC or/


Pulmonary Embolism: Current Concepts in Diagnosis and Management

She smokes half a pack per day. On exam, she is tachycardic, tachypneic, obese and anxious-appearing, with an oxygen saturation of 93% on RA. She has mild /CT. Case: Patient No. 2 The patient is started on a weight-based protocol of intravenous unfractionated heparin and admitted to a telemetry floor. That evening, the / performed and reveals bilateral PE. Case: Patient No. 3 How should we manage this patient? Primary v. Secondary Therapy Primary therapy: Thrombolysis Open surgical embolectomy Catheter-/


Very Low Calorie Diets (VLCDs) in Clinical Practice

How to Use the VLCD with Supplements - Discover how to safely use the Very Low Calorie Diet when treating obesity and chronic diseases. Learn about the efficacy of meal replacements and different protocols. Recognize lifestyle modification and behavioral change as the cornerstone of obesity management Joan Temmerman, MD, MS, FAAFP, CNS Medical Bariatrician, IU Health Bariatric & Medical Weight Loss Assistant Professor of Clinical Medicine/


Cognitive Behavioural Interventions in Weight Management

. (Treatment Improvement Protocol [TIP] series no. 35). Rockville, MD: Center for Substance Abuse Treatment McGuire et al.Int J Obes Relat Metab Disorder 1998;22:572. National Institute for Health and Clinical Excellence (NICE). (2006). Obesity: the prevention, identification, assessment, and management of overweight and obesity in adults and children. London: NICE. Resnicow, K. & Blackburn, D. (2005). Motivational Interviewing in Medical Settings. Obesity Management, 1 (4/


STEATO-HEPATITIS IN OBESE PATIENTS SUBMITTED TO BARIATRIC SURGERY (BS): UTILITY OF CONTRAST-ENHANCED US WITH TIME- INTENSITY CURVES (CEUS-TIS) FOR DIAGNOSIS:

NASH, both for prognosis and for indentifying potential candidates for future treatment protocols[2].2 Surgeons ’ evaluation could not identify NASH individuals. Routine liver/ fatty liver disease and nonalcoholic steatohepatitis: Selected practical issues in their evaluation and management. Hepatology 2009, 49(1):306-317. 3.Charlton MR: Fibrosing NASH: / are not useful for discriminating simple steatosis from steato-hepatitis in obese patients. Only CEUS –TIS may help to establishing the diagnosis of/


Pediatric Obesity Kerry K. Sease, MD, MPH Medical Director, New Impact

protocols) Medications - sibutramine, orlistat Very-low-calorie diets Weight control surgery - gastric bypass or banding/sleeve gastrectomy (Childhood Obesity Action Network, NICHQ, 2007) (Childhood Obesity Action Network, NICHQ, 2007) Modifiable risk factors (Childhood Obesity / Rimm & Masters, 1979 Source: Stafford RS. Farhat JH. Misra B. Schoenfeld DA. National patterns of physician activities related to obesity management. Archives of Family Medicine. 9(7):631-8, 2000 FM (n = 74) Peds (n = 213) Poor 11%/


Stress Management: Phytotherapeutic Strategies for Adrenal Health Angela Hywood ND (Australia) B App Sc (Naturopathy); Dip Bot Med; Dip Hom; Dip NFM Member.

Protein catabolism Manufacture of Cortisol under Stress Elevated cortisol is associated with: Anxiety Insulin resistance Obesity Osteoporosis Sex hormone imbalance Onset insomnia Accelerated aging Immune suppression Adrenal Hormones Involved in the Stress/  Gravimetric40%  UV3% by Bulgarian method Raw herb results  Fruit0.5%  Aerial parts3.5% Stress Management Protocol Simplified Treatment and Maintenance Strategy Withania Complex tablets (3 to 4 per day)  Ideal for either parasympathetic or /


Understanding Obesity Bias & Its Consequences Susan Reinhardt, RN, BSN Javier Font, EMT-P, EMPT-P.

Health Bariatric Surgery Program Prevalence of Obesity in Trauma % J Am College Surg, May 2007, 1056-61 Assessment Challenges Respiratory Compromised mechanics of respiration Difficult auscultation, airway management, positioning Cardiology Cardiac structure and function/ crew configuration, share resources 10 Tips for Transporting Obese Patients 1. Always treat obese patient with dignity 2. Establish a system to safely handle bariatric transports: write protocols so crew knows what to do. Practice for these/


Drill of the Month Developed by Gloria Bizjak Assessing and Managing Stroke Patients.

EMTs will follow acceptable Maryland Medical practice and Maryland Medical Protocols for Emergency Medical Providers. Drill of the Month3 Assessing and Managing Stroke Patients Overview Stroke Risk Factors Stroke Risk Factors Stroke / trans fat, cholesterol  High in sodium increases blood pressure  High calorie intake contributes to obesity –Physical inactivity (sedentary living), obesity Drill of the Month13 Stroke Risk Factors Treatable or controllable risk factors Treatable or controllable risk factors/


Anti-Obesity Surgery Joint Hospital Surgical Grand Round 17 th May 2008 Dr. YuhMeei Cheng Department of Surgery United Christian Hospital.

syndrome Obesity Management Aim Loose weight Minimize complication Improve self image Improve quality of life Management – Approach Dieticians Physiotherapists Clinical Psychologists/ Psychiatrists Endocrinologists Bariatric Surgeons Multidisciplinary Obesity Management Lifestyle /no universal protocols yet. Thank you 5-6 June 2008 References Bariatric Surgery: Asia-Pacific Perspective, W-J Lee, Obesity Surgery 15, 2005, 751-57 Consensus Conference Statement: Bariatric surgery for morbid obesity: Health /


The Obesity Epidemic: This is your Life Block 10 April, 2004 Arlo Kahn, M.D. UAMS Dept. of Family and Preventive Medicine Arkansas Center for Health Improvement.

of foundations and other funding agencies Accomplish population based longitudinal assessments: Age, race, poverty, rural/urban, physical activity (Childhood obesity “Framingham” study) Challenges Obtain accurate measurements of 450,000 kids in <1 year Develop and implement standardized protocols (equipment, technique, recording) Maintain confidentiality and avoid stigmatizing children Manage the data Develop and deliver health letter to parents Educate healthcare providers in how to/


Venous Thromboembolism (VTE) Prevention and Anticoagulation Management -Part 1: Thromboembolism & National Patient Safety Goal 3E Pharmacy Education.

& pre- mixed IV’s –Warfarin is dispensed for each individual patient with established monitoring –Use approved protocols for the initiation & maintenance of anticoagulation therapy National Patient Safety Goal 3E Requires that all JCAHO accredited /management program d.Nutrition Services is notified of all patient’s receiving warfarin e.all of the above f.none of the above g.a, c and d only h.b, c and d only Post-Test Questions 2. Which are risk factors for VTE development? a. increase mobility, obesity/


CAP Module 4 - Difficult Airway Management (GHEMS_April2015)

that may predict a potentially difficult airway. These include among others; obesity, micrognathia, evidence of previous head and neck surgery or irradiation, presence/Management (GHEMS_April2015) Combitube Protocol PROC-120 CAP Module 4 - Difficult Airway Management (GHEMS_April2015) Eschmann Catheter Protocol PROC-100 CAP Module 4 - Difficult Airway Management (GHEMS_April2015) Surgical Cricothyrotomy Protocol PROC-290 CAP Module 4 - Difficult Airway Management (GHEMS_April2015) Airway Management/


ANDRIA M. KEATING, RD INTERN CAPSTONE PROJECT PRECEPTOR: ALLIE E. HUBBARD, RD Optimum Nutritional Management of Hospitalized Pediatric Oncology Patients:

underweight Older children (>1 year): Use BMR table multiplied by additional factors: Appropriate weight for height: BMR x 1.6 Obese: BMR x 1.3 Sedentary with 5% weight loss: BMR x 1.4-1.6 10% weight loss from usual/of the health care professionals identified the lack of protocols regarding the initiation of nutrition support as a barrier to initiating and optimizing nutritional support delivery. The data from our study suggests nutrition management is not consistently being carried out per those guidelines/


Blueprint PrinciplesBenefitsRequirements Whole system approach, esp. for smoking, alcohol and obesity Co-ordinated campaigns across health, social care,

Blueprint PrinciplesBenefitsRequirements Whole system approach, esp. for smoking, alcohol and obesity Co-ordinated campaigns across health, social care, general public work, with consistent messages /care Discuss with people at what point to seek further help Qualified and sufficiently senior staff answering phones Call centres and call management protocols Clinical governance Call handlers know what local services are available and when Call handlers can direct people (and potentially GPs/lead clinicians/


Module 1 : INNOVATING NEW HEALTHY FOODS FOR THE OBESITY CRISIS.

OF LIFE HIGH BLOOD PRESSURE CORONARY HEART DISEASE OBESITY THE CHALLENGE OF OBESITY IN THE EU Obesity is a major public health problem in Europe,/independent retailers. He subcontracted the manufacture to his recipes and strict protocol. In early 2015, Conor reassessed the business and is assessing /, Phytosterols, Fibre, Antioxidants Cardiovascular Diseases Herbal Extracts, Fibre, Proteins, Fatty Acids Weight Management Omega-3, Antioxidants, Amino Acids Cognitive Minerals, Vitamins, Omega-3, Protein, Amino /


Strength in Numbers in the Kitchen: Innovative Group Visits for Childhood Obesity Suki Tepperberg MD, MPH Assistant Professor Boston University Department.

Health Center Learning Objectives  Participants will be able to assess patients in their practice for overweight and obesity and offer high quality medical care and advice to assist families in the promotion of healthy weight /and fasting glucose/HgA1c, and BUN/ creatinine Laboratory Evaluation: Expert recommendations Stage 2: Structured Weight Management Protocol PCP highly trained in weight management or PCP with help: HWC team Plan for balanced macronutrient diet Plan for balanced macronutrient diet /


Making difficult decisions - Obesity Treatment Eddie Coyle Jane Bray Sara Davies David Cline Jennifer Armstrong Heather Knox.

: Bariatric surgery ‘Ante’ and ‘post’ Bariatric with the surgical service Clear pre and post assessment and management protocols Concentrate in centres with at least 2 surgeons with minimum of 20 cases each per year with networking Audit/ groups Health and equity impact assessment cont. Recommendations Communication strategy – to reduce stigma and discrimination around obesity Equity of access to services required across Scotland including rural/remote Careful patient selection to reduce adverse outcomes/


Bariatric Surgery vs. Intensive Medical Therapy in Obese Diabetic Patients: 3-Year Outcome Bariatric Surgery vs. Intensive Medical Therapy in Obese Diabetic.

management with diet and lifestyle counseling per ADA clinical care guidelines* Insulin sensitizers, GLP-1 agonists, sulfonylureas and multiple insulin injections utilized to target HbA1c ≤6% Insulin sensitizers, GLP-1 agonists, sulfonylureas and multiple insulin injections utilized to target HbA1c ≤6% Scheduled visits with nutrition, psychology and endocrinology per protocol/a treatment option for patients with uncontrolled T2DM and moderate to severe obesity (BMI > 30 Kg/M 2 ) with results durable through /


Obesity treated strategy and clinical practice in psychiatric disease related obesity 中國醫藥大學附設醫院 精神醫學部 黃介良

Association of Clinical Endocrinologists, North American Association for the Study of Obesity: ADA/APA/AACE/NAASO Consensus on Antipsychotic Drugs and Obesity and Diabetes: Monitoring Protocol Diabetes Care. 27:596-601, 2004 Start 4 wks8 wks12/healthy choices regarding nutrition, tobacco use, exercise, implications of psychotropic drugs teach /support wellness self-management skills teach /support decision making skills motivational interviewing techniques Implement a physical health Wellness approach that /


1 ECRN: Assessment Based Management; Thoracic & Abdominal Trauma; Neurological Considerations Condell Medical Center EMS System 2006 Site Code: #10-7214-E-1206.

assessment Garbage in = garbage out Patients depend on us for medical assessment/ management and not determination of social standing or "likability" 7 Factors Affecting Assessment and/ should not be placed over clothing Arm should be maintained at heart level Obese arm? Wrap cuff around forearm; place stethoscope over radial pulse area 17 /access for fluid resuscitation 20 ml/kg normal saline (Routine Trauma Care Protocol) carefully administer fluids to avoid worsening the edema and congestion of pulmonary/


Decrease of cOgnitive decline, malnutRition and sedEntariness by elderly empowerment in lifestyle Management and social Inclusion – DOREMI FP7-ICT-2013-10.

by elderly empowerment in lifestyle Management and social Inclusion – / causes of morbidity and premature mortality, among them obesity, hypertension, and mental disorders. These programs are addressing Malnutrition (obesity/abnormal diet lifestyle), Sedentariness, and Cognitive decline, the/and data by authorized and specialized personnel  Respect of all SPIRIT 2013 Statements* *Defining Standard Protocol Items for Clinical Trials. Annals of Internal Medicine 2013 & partners … Baseline 10 days Training 15/


Module 1 : INNOVATING NEW HEALTHY FOODS FOR THE OBESITY CRISIS.

global health crisis—nearly 30% of the global population was considered overweight or obese in 2013—and consumers are attempting to take charge of their health. Nearly /blood cells. This enzyme decomposes superoxide radicals in the body into a more manageable form, thereby helping to slow down the aging process. chlorophyll http://fullgrass.hu/ and independent retailers. He subcontracted the manufacture to his recipes and strict protocol. In early 2015, Conor reassessed the business and is assessing a new/


1 ECRN: Assessment Based Management; Thoracic & Abdominal Trauma; Neurological Considerations Condell Medical Center EMS System 2006 Site Code: #10-7214-E-1206.

assessment Garbage in = garbage out Patients depend on us for medical assessment/ management and not determination of social standing or "likability" 7 Factors Affecting Assessment and/ should not be placed over clothing Arm should be maintained at heart level Obese arm? Wrap cuff around forearm; place stethoscope over radial pulse area 17 /access for fluid resuscitation 20 ml/kg normal saline (Routine Trauma Care Protocol) carefully administer fluids to avoid worsening the edema and congestion of pulmonary/


1. Managing Employee Risk and Controlling Workers Comp Panelists: Mary Lynn Curran, Willis, Facilitator Caitlin Franklin, Brookdale John R. Anderson,

Compensation Why such significant issue for senior living Alarming trends –Aging Workforce –Obesity Epidemic MMSEA Impact on Claims 4 What is workers compensation Legal concept to protect/costs 21 MMSEA Impact on WC claims Employers have to start developing protocols NOW to deal with employees that will be MSA eligible over / of explicit criteria to determine the medial necessity of treatment. Management of PBMs (Pharmacy Benefit Managers): a third party that contracts with pharmacies to negotiate discounts/


APPROACH TO GALL STONE DISEASE IN OBESITY Dr Girish juneja Head of surgery deptt. Specialist laparobariatric surgeon Al Noor Hospital, abu dhabi, uae.

Protocols of fobi et al 2. Do not look for problems 3. Treat to test Management I.The most aggressive is the concomitant cholecystectomy for all patients this prevents the potential complication of future gallstones and a second surgery, Recent reports shows no significant increase in-- morbidity It may reduce cost Poor sensitivity of USG in obese/ cholycestectomy In formulating policy regarding the investigations & management of the gallbladder in obesity we must incorporate recognition of the likelihood of/


Obesity: The Bariatric Challenge Chad S Lewis, MD Emergency Medicine Resident Albany Medical Center.

BPExcessive tissue impeding access for giving fluids, taking BP Mobilization of manpowerMobilization of manpower Managing airwaysManaging airways Pulse oximetryPulse oximetry Airway Difficulties with intubation and BVMDifficulties with intubation and /protocolsWrite protocols Practice runsPractice runs Assigned staff member to specialize in bariatric transfersAssigned staff member to specialize in bariatric transfers Locate obese patients, preplan for future plans to each patients houseLocate obese patients,/


Part 1: Frustrated with Obesity Management? 5210 & Motivational Interviewing to the Rescue! Jamie Jeffrey, MD, FAAP Medical Director, Children’s Medicine.

Obesity Management? 5210 & Motivational Interviewing to the Rescue! Jamie Jeffrey, MD, FAAP Medical Director, Children’s Medicine Center & HealthyKids Pediatric Weight Management Program Clinical Associate Professor, WVU-Charleston Project Director, KEYS 4 HealthyKids Objectives 1. Pediatric Policy Guidelines and 5210 for Prevention and Treatment of Pediatric Overweight/Obesity/ FLP 2. CMP (FBS, ALT/AST) The 15 minute Obesity Prevention Protocol Step 1-Assessment Step 1-Assessment Step 2-Agenda Setting Step /


PRACTICAL APPROACHES TO CRISIS MANAGEMENT IN OBSTETRIC ANESTHESIA

USA and UK For Safe Anaesthesia Practice Checklists & Charts Crisis Management Tips & Tricks for Anaesthesia Checklists to improve maternal safety Surgical / – to correlate with signature list in maternity case notes Action Protocol Continue observations as before White Only Continue observations as before Inform / problems to next pregnancy like placenta accreta (massive bleeding) Other pregnancy-related problems Morbidly obese parturients… BMI increases (BMI >40> 50 > 60) More airway/ventilation problems! /


Obesity in Plastic Surgery Lip Teh Plastic Surgery December 2006.

to the inherent complications seen with obese patients. Obesity and Body Contouring Shermak (PRS /Obesity and Body Contouring Shermak (PRS Sept 2006) Obesity and Body Contouring Summary Significant increase in incidence of local wound complications Some evidence that incidence of local complications in body contouring operations remain unchanged despite weight loss. Obesity in Plastic Surgery Conclusions Increase in risk of general and local complications following surgery Protocols are required in managing/


The Institute of Management Consultants of India Healthcare Challenges & Opportunities March 2006 Tilak Shankar Management Solutions.

35(1)(2) of Income Tax Act, Section 25 Company Hospital Management Hospital Management MarketingMarketing Strategic PlanningStrategic Planning Finance & AdministrationFinance & Administration ITIT HRHR MaterialsMaterials/Protocols for clinical trials Consumer protection act (private hospitals ) Consumer protection act (private hospitals ) India - an Epidemiological Transition Geriatric (7 – 8 % of population) Cataract, prostate, depression, cardio-vascular, arthritis, adult on-set diabetes Life style Obesity/


Copyright 2015. Adarsh K. Gupta, DO, MS, FACOFP. Latest Obesity Stats Women aged 20-74 Trends in overweight, obesity, and extreme obesity among women.

are your goals now? ” Copyright 2015. Adarsh K. Gupta, DO, MS, FACOFP Weighing Protocol  It is a very sensitive aspect of patient care related to obese patients  Weight scale preferably should have wide base  Select a scale that measures in excess of/ 45 degrees Copyright 2015. Adarsh K. Gupta, DO, MS, FACOFP Emergency Unit in Hosp  Obese patients present unique challenges in terms of o Airway management, o Vascular access, o Advanced imaging, and o Even patient comfort in the emergency department  It/


General Practice and Primary Health Care Academic Centre Enhanced General Practice Management of Diabetes Starting insulin in general practice Jo-Anne.

with permission from The Royal Australian College of General Practitioners from: General practice management of type 2 diabetes. Melbourne: RACGP, 2014. Treating to target and /level of education  No experience with treatment  Not wanting to give to obese patients because insulin would result in further weight gain  Belief that a /Equipment Education GP and PN/CDE willing to work with each other In practice protocol Expert back up and local referral networks eg. CDE, endocrinologist Confidence! What’/


INVESTIGATION AND MANAGEMENT OF OBESITY Dr Ogunwale O.O. MBBS Lagos Snr Registrar EDM Div. LUTH.

Hyperuricaemia Cholithiasis Depression & Eating Disorders CONCLUSION Obesity is basically a clinical diagnosis More about body fat than weight Hx & PE very important to evaluate co- morbidities and Cx Management primarily non-pharmacological Multidisciplinary Benefits of Rx /itm/Harpenden-Professional-Skinfold- Caliper-/320795435670 Accessed Dec 4, 2013 REFERENCES http://www.fitnessgram.net/protocols/skinfolds.pdf Accessed Dec 6,2013 Sagittal Diameter http://www.myhealthywaist.org/evaluating-cmr/clinical-/


Titration Protocols BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine.

Defaults A choice of disease-specific preset values, based on commonly-used clinical values for obstructive, restrictive, obesity hypoventilation and normal lung mechanics. Advanced settings are optimized so medical staff can focus on fine-tuning primary settings/ surgeons to develop a protocol whereby patients in whom the possibility of OSA is suspected on clinical grounds are evaluated long enough before the day of surgery to allow preparation of a perioperative management plan. The recommendations go/


Effective weight management programmes for adults with learning disabilities Dr Craig Melville Senior Lecturer in Learning Disabilities Psychiatry

.A., Jones, N., Pert, C., Boyle, S., Murray, H., Tobin, J., Gray, F. and Hankey, C.R. (2015) A single-blind, pilot randomised trial of a weight management intervention for adults with intellectual disabilities and obesity: study protocol. Pilot and Feasibility Studies 1, 5 Jones, N., Melville, C.A., Tobin, J. and Gray F. (2015) A retrospective evaluation of an adapted group weight/


The German “S3-Guidelines of the German Society of Digestive and Metabolic Diseases” from 2009 (4) recommend the following protocol for HP associated gastroduodenal.

reveal a positive result then second line eradication can be performed and re-tested for success. A NEW PROTOCOL FOR THE PREOPERATIVE MANAGEMENT OF H. PYLORI IN BARIATRIC SURGICAL PATIENTS IN GERMANY Introduction As the role of routine upper endoscopy prior /be a risk factor for postoperative marginal ulcer following gastric bypass surgery (9). The German “S3-Guideline for Surgery of Obesity” from 2010 does not clearly recommend testing for HP prior to bariatric surgery (3). It neither comments on whether /


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