Bariatric Surgery Things You Should Be Aware Of

Bariatric Surgery Things You Should Be Aware Of When all other measures fail to control morbid obesity, weight loss surgery is a source of hope to the overweight. American doctors perform weight loss surgery over 140,000 times a year. The oldest form of weight loss surgery is the most familiar, stomach stapling. In this 30-year-old procedure, most of the stomach is sliced and then stapled shut. After the procedure, only a small pouch remains. Shrinking the stomach so it can only hold half a cup of food makes it easier to feel full. In fact, most people who have weight loss surgery feel full after eating the amount of food that you could put on a coffee saucer. It becomes impossible to eat more than two quarter-cup servings (about 50 grams altogether) of anything at a single meal. Weight loss follows calorie restriction. The newer and now more common form of weight loss surgery, the Roux-en-Y gastric bypass, also makes the stomach surgically smaller. In this procedure, however, the stomach is not dissected and stapled shut. In this newer form of weight loss surgery, the stomach is cut and sutured, or sewn, and the intestines are moved so that the end of the stomach is connected farther down the intestine. This procedure leaves a smaller stomach that fills more quickly. It also leaves a shorter length of intestine to absorb fats (and other nutrients) from the smaller amounts of food that are eaten. With this form of weight loss surgery, you dont just eat less. Your intestines absorb less of the food you do eat. Roux-en-Y bariatric surgery produces quicker and more significant weight loss than just stapling or banding the stomach. Theres also a third approach to weight loss surgery, the lap band. The benefit of the lap band is that the weight loss surgery to install it can be laparoscopic, that is, done through an incision as little as one inch (25 mm) wide. Lap band surgery can even be an outpatient procedure, with the patient going home the same day. After lap band surgery, many patients go back to work in three to four days and resume all normal activities (except eating) within a week. The other gastric bypass procedures require a minimum of four days in the hospital and six to eight weeks before resuming an active lifestyle. Another advantage of lap band surgery is a much lower risk of infection. Lap band surgery goes around the stomach, not into the stomach. The bacteria in the stomach do not leak into other parts of the body, and the risk of infection is greatly reduced. Lap band surgery is much less painful than the other procedures. And since pain in the muscles is so much less, patients are very unli kely to develop pneumonia or other breathing problems. The disadvantage of lap band bariatric surgery is that not everyone can have it. The FDA at one time required that recipients of lap band bariatric procedures be at least 18 and no more than 50 years of age. Its also utterly essential not to be allergic to the material used to make the band. And if you overeat after you have a lap band in place, the effect is a little like pulling a napkin through a napkin ring. Too much food can stretch the band so that it damages the stomach. Lap band surgery is easier, but requires more discipline. There is no form of weight loss surgery that is a complete cure for obesity all by itself. Lifetime attention to diet and exercise are still necessary. But successful weight loss surgery can give you the boost you need to regain control of your life and become truly, lastingly, healthily thin. The Promise and Potential of Fat Surgery When Diets Fail When all other measures fail to control morbid obesity, weight loss surgery or fat surgery is a source of hope to the overweight. American doctors perform surgical procedures to make weight loss easier well over 100,000 times a year. The oldest form of fat surgery is the most familiar, stomach stapling. In this well-established procedure, most of the stomach is sliced and then stapled shut. After this form of fat surgery, only a small pouch of the stomach remains connected to the esophagus. The newly resized stomach can only hold half a cup of food. Having a smaller stomach makes it easier to feel full. In fact, most people who have fat surgery feel full after eating the amount of food that you could put on a coffee saucer. It becomes impossible to eat more than two quarter-cup servings (about 50 grams altogether) of anything at a single meal. Weight loss naturally follows. Stomach stapling is the oldest form of fat surgery, an d you can probably find a physician in your area who has a lot of experience doing it. In fact, you should only consider physicians and hospitals who have performed at least 100 operations. You dont want your doctors training to be performed on you. Other procedures are little harder to arrange. The newer form of stomach reduction, the Roux-en-Y gastric bypass, also makes the stomach surgically smaller. In this procedure, however, the stomach is not dissected and stapled shut. Instead, after the stomachs size is reduced, it is reattached to the small intestine at a lower point. Roux-en-Y fat surgery leaves a smaller stomach that fills more quickly. It also leaves a shorter length of intestine to absorb fats (and other nutrients) from the smaller amounts of food that are eaten. With this form of fat surgery, you dont just eat less. Your intestines absorb less of the food you do eat. Roux-en-Y bariatric surgery produces quicker and more significant weight loss than just stapling or banding the stomach. Theres also a third approach to fat surgery, the lap band. The benefit of the lap band is that the weight loss surgery to install it can be laparoscopic. The entire fat surgery can be done through an incision as little as one inch (25 mm) wide. Lap band surgery can even be an outpatient procedure, so you can go home the same day. After lap band surgery, many patients go back to work in three to four days and resume all normal activities (except eating) within a week. The other forms of fat surgery require a minimum of four days in the hospital and six to eight weeks before resuming an active lifestyle. You may be asking, Why just shrink the stomach? Wouldnt it be simpler just to surgically remove all the fat? This procedure, called lipectomy, actually exists. Liposuction has the same effect. The problem with both lipectomy and liposuction is that high blood pressure, high cholesterol, and high blood sugars dont go down just because fat is removed from the body. Only the process of di eting seems to have this effect. There is no form of fat surgery that is a complete cure for obesity all by itself. Lifetime attention to diet and exercise are still necessary. But successful weight loss surgery can give you the boost you need to regain control of your life and become truly, lastingly, healthily thin.

Regulation in the United States Essay Example | Topics and Well Written Essays - 500 words

Regulation in the United States - Essay Example With regulations, business people can conduct transactions without damaging the environment and people’s health. Regulations ensure that the products produced are of top quality and user-friendly (Vogel and David 146). In essence, were it not for regulations, control of some disease and illicit business behaviors would have been very challenging. Government regulations have enhanced steady growth of infant industries and business enterprises in the United States. For instance, government control on foreign trade aid in preventing excessive importation of products from other countries in order to secure local market for the infant industries. In addition, regulations assist in shielding small business from unhealthy competition and misuse by already established enterprises. For instance, the United States patents and trademarks office shields business innovations and particular products from infringement by opponents. Essentially, regulations form a reliable benchmark for smaller business to expand without unhealthy interruptions. Government regulations are sometimes tailored to raise revenue required to run government programs and projects. For instance, revenue raised through taxation and fines paid by people and businesses that fail to comply with the established regulations, is used for development programs. Generally, regulations play a key role in bringing developments close to the poor citizens. Business enterprises incur huge expenses to remain in compliance with the government regulations (Vogel and David 265). In addition, companies are forced to change methods of operation in order to comply with new and the existing regulations. The additional expenses that companies incur in fulfilling the requirements outlined in government regulations is passed to the consumer through increased prices. Consequently, the cost of living rises, making it difficult for poor people to survive. Some regulations such as tariff barriers and increased quota system

LAN Essay Example | Topics and Well Written Essays - 2000 words

LAN - Essay Example The justification of the selected computing devices and the network equipment is required. The second step includes the network design. The design will clearly identify, floor connections, office connections, servers, workstations, printers, scanners and cable types. The third step is to implement a Wide Area Network (WAN) to connect other locations or Internet connectivity. 2 Network Pre requisites 2.1 First Floor The first floor includes Administration, Staff Office and the technical staff. The staff office will access the file server which is the ‘Students notes distribution server’ for uploading notes. Students are facilitated at the same time for downloading the notes. The lecturers will connect their laptops with the wireless access points installed equipped with the new 802.11n technology. Since the requirement of high bandwidth multimedia transmission is increasing, improving the (QoS) (Quality of service) is essential. A comprehensive illustration of Quality of services is available on network dictionary as â€Å"Quality of Service (QoS) refers to the ability of a network to provide higher priority services, including dedicated bandwidth, controlled jitter and latency (required by some real-time and interactive traffic), and improved loss characteristics, to selected network traffic over various WAN, LAN and MAN technologies.†.Keeping this in mind a new technology 8.2.11n is introduced by the IEEE (Kuo 2008). For keeping the network robust and efficient 802.11n protocol provides comprehensive support for voice and video services (Cai, Ling et al. 2009). These wireless access points are connected with a Cisco switch. For providing security, Virtual local area network (VLAN) is the best match for this scenario. The VLAN will split all domains for better administration, management and security. VLAN uses encryption techniques for transmitting data over the network. Access policy list is configured in the router for defining the rou tes. The router processes the data packets based on parameters. Internet protocol and subnet is the composition of the router to handle the routes on the destination. The policy for lecturers is to access to the file server, printers and email server. In this way, data transmission from the educational domain is secured. No one can determine the wireless network because only lecturer Internet protocol pool is allowed to communicate. If anyone tries to access the wireless network from outside, he or she is prompted to enter the Wired Equivalent Privacy key (WEP). A good illustration of WEP is available in the network dictionary which says † Wired Equivalent Privacy (WEP) is a security protocol, specified in the IEEE Wireless Fidelity (Wi-Fi) standard, 802.11b, that is designed to provide a wireless local area network (WLAN) with a level of security and privacy comparable to what is usually expected of a wired LAN.† WEP provides security by an encryption algorithm. No one in the school can access the wireless network or the lecturers system. An additional Cisco switch installation has been proposed. Although one access point within a range of approximately 200 feet is enough for connecting 253 laptops. The staff can access the printer on the network. The printer is shared on the network and is visible at â€Å"My network places† in case of Microsoft operating systems. The requirement for the administrative staff is to access the email server,

Coca-Cola Company vs. PepsiCo, Inc Essay Example | Topics and Well Written Essays - 1500 words

Coca-Cola Company vs. PepsiCo, Inc - Essay Example The two companies have set some pension plans that have had many effects on the companies’ level of investment and risk while also, it affects their levels of sale and production of products. These plans are aimed at benefiting their retired employees while each company uses a quite different approach from the other. The two companies have developed strong public relations across many nations that assist them in linking customers to their company. The International Financial Report Standard (IFRS) has been a significant unit within the management of funds on the pension plan. It helps the companies realize whether the scheme of pension plan brings a loss or a profit for the company. The companies can therefore classify the pension plans as either assets or liabilities according to the IFRS report. It also enables the companies determine whether they have overfunded or underfunded the pension plan. In 2009, the coca-cola company held a third position among the companies that ha ve adopted a cash balance report meant to cater for the pension plan schemes (Diebold, 2010).   The coca-cola executive managers rejected the use of a constitutional approach in funding pension plans. As a result, there were minimized risks to the coca-cola company. Additionally, the company secured more benefits to the employees in comparison to year 2008. Following this actions, the company reported $31.9 billion in revenue operation, which was a higher value compared to $28.9 billion in the preceding year. On the other hand, because of the plan, mobility of the workforce went up while the career benefits accumulated from the plan increased compared to the preceding approach that dealt with pension plan. During the same year, 2009, Pepsi Co Company, through the assistance of the International Financial Report Standard (IFRS), developed a method of offering a final salary pension to the new employees. These were meant to benefit its workers and their family members upon their ret irement. This plan included medical fees among other benefits for the retired employee and is differently calculated. This method required a high quality pension scheme capable of securing the retirement of both the present and the newly employed workers. Up to date, the method is still applied in the company (Warfield et al. 2012). However, the method posed a higher risk to the Pepsi Company and brought in a decline of the total sales of Pepsi as compared to the year 2008. At Pepsi Company, Pension plans cover full time employees while their benefits are determined on the bases of either years of service for the worker, or a combination of service or the years of service. Retirees are eligible for life and medical insurance benefits upon meeting a specific age and service requirements. Their share of the pension costs is capped at certain dollar amounts on bases of years of service. The expected return on the pension plan assets is based on the company’s investment strategy on the pension plan as well as on their expectations for their long-term rates of return. In calculating their funding levels and capital gains in the pension plans, a market-related valuation method that realizes investment loses or gains for the securities included in their equity allocations. With complete reliance to the Financial Report Standard (IFRS), the company ensures that the amount of funds allocated for the pension plan does not exceed the expected gains. This is

How to Reduce the Radiation Risk in CT Scan through Various Methods Essay

How to Reduce the Radiation Risk in CT Scan through Various Methods - Essay Example After attending classes at the university, I will get an opportunity of observing and practicing in CT scan at Perth Metropolitan Hospital. Perhaps, the most  important advance in diagnostic radiology over the years has been the use of CT. However, when as compared to conventional radiography, CT involves much higher doses. The widely prevalent practice of using CT as a screening technique even for minor complaints like a headache has added to the controversy.   Due to all these concerns, there is a pressing concern to incorporate various safety measures and techniques to avoid excess radiation dose from CT scanning. This is one of the reasons that I am composing this reflective journal, which would explore the methods to reduce radiation risk from CT scans. It is a well-known fact that the CT equipment produces radiation doses that are higher than those of conventional x-ray types of equipment. Since the CT scan operator directly controls technical factors such as x-ray tube voltage, the tube current, and rotation time, which directly affect the radiation dose, the scan operator plays an important role in the whole process. Radiation exposure (expressed in coulombs per kilogram) is defined as the total charge produced in dry air when all electrons liberated by photons in a unit mass of air are completely stopped in air. The absorbed dose, effective  dose, and CT dose index (CTDI) are some of the measures, which are used to describe the radiation dose delivered  by CT scanning. The absorbed dose is the energy absorbed per unit of mass and  is measured in grays (Gy). One gray equals 1 joule of radiation  energy absorbed per kilogram. The level of risk  to an organ in the body from radiation is determined mainly by the organ dose (or distribution  of dose in the organ). The effective dose is expressed  in sieverts (Sv).

Project Mangement Paper Essay Example | Topics and Well Written Essays - 1000 words

Project Mangement Paper - Essay Example The project management has been defined by many researchers such as Crawford, Pollack and England (2006), Georgieva and Allan (2008), Kwak and Anbari (2008) and Pfeffer (2010), but still there is no single concrete definition for it. However, Dr. Denis Petersen (2009) described project management as the way by which an organisation accomplishes the goal of completing its projects on time. The project is defined as a venture in which financial, human and material sources are combined together in an organised way to perform work that has a unique scope along with a particular set of specifications that have some time and cost constraints (Smyth and Morris, 2007). Malhotra, Majchrzak and Benson (2007) rightly stated that the main aim of the project is to acquire a change that is beneficial for the organisation and that it is defined and measured by setting both qualitative and quantitative objectives. According to Pinto and Slevin (1998) cited by Georgieva and Allan (2008), project mana gement can be best described as the management of a project which has the following characteristics: a beginning and an end, i.e. specific time for completion; a predetermined goal or set of goals; and a set of interrelated activities and a limited budget. In order to manage the projects well, it is important to have good project managers. The project managers are the leaders who have to ensure that everything regarding the project is properly sequenced and planned out –i.e. the issues of raw materials, human resources and finances need to be addressed beforehand. The primary duties of the project manager are building the best team for the project, co-ordinating with the team members, establishing vision and communicating it to the team members, establishing realistic goals, motivating the team members to perform effectively, and encouraging people to stretch while communicating appropriately with each other (Peterson, 2009). Nine Key Skills and Managerial Elements As regards the duration of A3 HindHead project, it can be said that the project management team has considered all the factors of the project: time, cost and quality. Although the project had been in pipeline since 1970s, the right time to control the traffic on the bridge came in 2011. The most important elements considered in the project management of the aforementioned situation are the project’s scope, time, cost, workforce and the procurement for the project. The foremost aspect that needs to be considered is the scope of the project. The project manager needs to first identify the aims, goals and objectives of the clients. It is important to have clarity about the vision of the project; once the vision is clear, the direction will be well-set and goals will be achieved within the agreed time period. Along with the scope of the project, it is important to identify the cost and time limitations, i.e. when the project should be completed, how the project’s progress will be me asured and what will be done to ensure that the obstacles are tackled. Likewise, the budget designing is important so that the project manager has ample ideas about the financial constraints the client faces. Simultaneously, the project manager has to ensure that the workforce is well-motivated and has a clear understanding about the goals and objectives to be attained. For the project manager, it is important to motivate the workforce, especially the workers, so that they perform all the

Change and continuity in contemporary business Essay

Change and continuity in contemporary business - Essay Example While the individuals working for the company in different locations are likely to come from different cultures, and ethical, just and fair culture of the company itself can only be established with good HR policies and effective HR management (Hollinshead and Leat, 1995). In the simplest terms and as reported by Baldwin (2007) individuals around the world as well as those in industrialised nations are seeking justice for all concerned parties. On the other hand, the business objective for globalisation and the use of techniques such as outsourcing of production or development work is intrinsically linked to the practice of getting maximum value from human assets which are distributed across the world working under the umbrella of a single company (Ozbilgin, 2005). Historically, the differences between those who seek justice for workers and those who are used to exploiting cheaper labour across the world will sooner or later face a clash (Faulkner, D. 2002). This clash can be called a culture clash between corporate needs and the humanistic approach taken by those who support the idea of international development. The cultural differences were largely ignored and it was thought that the culture of the country where business was being done would prevail while the culture of the country where the parent company was located would not matter as much (Kamoche, 1996). However, recent evaluations have shown that culture conflicts might need to be actively countered and could even be used to motivate workers around the world rather than put them in conflict (Bartlett & Ghoshal, 1998). The primary basis for this cultural clash, which is important for managers to understand, is the difference in the standard of living to which people in developed as well as developing nations may be used to (Block, 1999). Workers in Britain as well as many other western countries tend to place great value on their leisure time and have enjoyed a relatively high