Gastric banding outcomes are better if patients participate in the support groupDejan Dinevski
, Brane Breznikar
, Gregor Kunst
, Barbara Rožej
, 2012, izvirni znanstveni članek
Opis: Introduction: We analyzed our first five years of performing gastric bandings.We monitored weight reduction in patients with regard to their participation in the support group. Based on our experience, gastric banding is successful only with thorough assessment and treatment before surgery, as well as methodical, professional support after it. Those who participated in the support group more often had a greater weight reduction than those who were present less frequently.
Patients and methods: We performed 264 gastric bandings between May 2005 and May 2010 (66.5% of all bariatric procedures). Onaverage, patients were 41.0 years old and had a BMI of 42.4 kg/m2. There were 224 female (84.8%) and 40 male patients (15.2%). We followed 192 patientsfor more than one year. 155 patients (80.7%) were evaluated with BAROS. We excluded patients with hormonal disorders and other pathologies preoperatively. Because gastric banding is not suitable for every patient, we made a thorough psychological evaluation of the patients before the procedure.We offered preoperative and postoperative psychological and dietary support when needed.
Results: Patients lost on average 23.4 kg, 31.4 kg and 33.7 kg after the 1st, 2nd and 3rd year, respectively (EWL average of 50.3%, 65.6% and 69.8%, respectively). We monitored the resolution of comorbidities and complications. Both the "comorbidity" and "without comorbidity" groups achieved a grade of "good" on the BAROS quality of life scale (4.85 and 2.64 respectively). Given the Pearson coefficient of r = 0.58 (p < 0.001), we concluded that there is a "moderate to strong" correlation between the number of visits in the support group and EWL.
Conclusions: Weight reduction is greater when patients participate in the support group after bariatric surgery.
Ključne besede: bariatric surgery, morbid obesity, gastric banding, support group, comorbidities
Objavljeno: 10.07.2015; Ogledov: 182; Prenosov: 0
Polno besedilo (587,06 KB)
Modelling of the risk factors and chronic diseases that influence the development of serious health complicationsMaja Atanasijević-Kunc
, Jože Drinovec
, Simona Ručigaj
, Aleš Mrhar
, 2008, izvirni znanstveni članek
Opis: Background: Some chronic diseases, like diabetes type 2 and hypertension, and risk factors, such as obesity, hypercholesterolemia, and smoking, are strongly correlated with the potential development of serious health complications that can threaten a patient's life or significantly influence the quality of life, while at the same time representing an enormous economic burden. Such complications include, for example, stroke, coronary heart disease, peripheralarterial vascular disease, end-stage renal disease and congestive heart failure.
Methods: For a quantitative evaluation of the mentioned patient groups, the age distribution and an estimation of the treatment expenses a dynamic mathematical model was developed, where special attention was devoted to its structure, as it should enable the sequential construction and representation of different forms of data information. The model was realized in the Matlab program package with the Simulink Toolbox.
Conclusions: A dynamic mathematical model is described that enables the observation of patients (in percentage terms) with diabetes type 2 and obesity, as well as those who smoke, have hypercholesterolemia and hypertension and all possible combinations of these problems, related to their age. Taking into account the Slovenian demographic data and annual treatment expenses, we were able to quantitatively evaluate these factors, not only in Slovenia but also in other developed regions where the demographic and economic situations are similar. It is also possible to extend the model to patients with serious complications, also taking into account the population dynamics, which is the goal of the next steps in our investigation.
Regarding the presented results, it is estimated that from a group of a million people, those requiring treatment for diabetes type 2 cost as much as € 19.5 millions per year, since the treatment of one patient for one year is € 355. If all the sufferers requiring such treatment were located, as a consequence of more systematic medical examinations, an additional € 16 millions would be needed.
In this group of one million people, as many as 40 % are expected to develop hypercholesterolemia, of which 26 % are diagnosed and treated adequately. The annual cost for the treatment of one patient is 313, which means that for a group of a million people the costs would be € 82 millions per year. An additional € 43.5 millions would be needed if all the sufferers with hypercholesterolemia were treated.
Another chronic disease is hypertension. The annual cost for treating one patient is estimated to be €
271, and so for a group of a million people the treatment costs would be € 69.5 millions. If this were extended to include so far undiscovered sufferers with this chronic disease an additional € 14.5 millions would be needed.
Ključne besede: modelling, simulation, diabetes type 2, obesity, smoking, hypercholesterolemia, hypertension
Objavljeno: 28.03.2017; Ogledov: 55; Prenosov: 2
Polno besedilo (1,10 MB)
Obesity discrimination in the recruitment process: "You're not hired!"Stuart Flint
, Martin Čadek
, Sonia Codreanu
, Vanja Ivić
, Colene Zomer
, Amalia Gomoiu
, 2016, izvirni znanstveni članek
Opis: Previous literature reports that obese persons are discriminated in the workplace. Evidence suggests that obese people are perceived as having less leadership potential, and in comparison to normal weight peers, are expected to be less successful. This study examined whether obese people are discriminated against when applying for employment. Three hypotheses were offered in line with previous research: (1) obese people are less likely to be assessed positively on personnel suitability than normal weight people; (2) obese people in active employment are more likely to be discriminated against than people in non-active employment; and (3) obese women are more likely to be discriminated against than obese men. 181 Participants were sampled from sedentary, standing, manual and heavy manual occupations. Participants rated hypothetical candidates on their suitability for employment. Employees also completed measures of implicit and explicit attitudes toward obesity. MANOVA was conducted to examine if obese candidates were discriminated against during the recruitment procedure. Results demonstrated that participants rated obese candidates as less suitable compared with normal weight candidates and when the weight status of the candidate was not revealed for work across the four workplace groups. Participant gender and weight status also impacted perceptions of candidates’ suitability for work and discrimination toward obese candidates was higher in participants from more physically demanding occupations. The study findings contribute to evidence that obese people are discriminated against in the hiring process and support calls for policy development.
Ključne besede: psychology, obesity, discrimination, workplace, implicit, explicit
Objavljeno: 10.07.2017; Ogledov: 78; Prenosov: 2
Polno besedilo (419,19 KB)
Obesity discrimination in the workplace: “You’re hired!”Stuart Flint
, Sonia Codreanu
, Amalia Gomoiu
, Martin Čadek
, Vanja Ivić
, Colene Zomer
, Peter Walton
, 2015, drugi članki ali sestavki
Opis: The purpose of this study is to first identify whether obese people are discriminated against when hiring employees. Employees of workforces that vary due to the physical demand of their job, will rate hypo- thetical applicants on their suitability for employment using Likert-type responses to a range of ques- tions. Applicants’ curriculum vitae will be manipulated by weight status and gender. Implicit and explicit attitudes towards obese people will also be examined using existing measures with strong psychometric properties as reported in extant research. Second, using focus group discussions with employees of either sedentary or physically active workforces, this study will explore why and in what ways obese people are discriminated against in the workplace.
Ključne besede: obesity, discrimination, workplace, implicit, explicit
Objavljeno: 09.08.2017; Ogledov: 31; Prenosov: 0
Polno besedilo (371,52 KB)