Mechanism of bariatric and metabolic surgery: beyond surgeons, gastroenterologists and endocrinologists.
Mechanism of bariatric and metabolic surgery: beyond surgeons, gastroenterologists and endocrinologists. Rev Esp Enferm Dig. 2020 Feb 21;112: Authors: Valentí V, Cienfuegos JA, Becerril Mañas S, Frühbeck G Abstract Bariatric-metabolic surgery is the safest, most effective and long-lasting treatment for obesity and its associated co-morbidities, whether they be metabolic (type 2 diabetes, hyperlipidemia non-alcoholic fatty liver disease) or cardiovascular (myocardial infarction, stroke). Due to the obesity pandemic, bariatric-metabolic surgery is the second most frequent intra-abdominal procedure and the gastroenterologist and the surgeon must be aware of the physiologic changes caused by the anatomic reconfiguration following surgery. Among the mechanisms of action, independent of the loss of weight and fat tissue, surgery leads to the release of gut hormones related to carbohydrate metabolism (the rapid and continuous release of insulin), appetite and degree of satiety (glucagon-like peptide 1, peptide Y-Y, grhelin). As a result, indications for surgery have been extended to earlier disease stages. Apart from the neurohormonal effects, changes in the metabolism of biliary acids and the microbiota have also been reported. The aim of this review is to describe the physiologic changes caused by bariatric-metabolic surgery. PMID: 32081018 [PubMed - as supplied by publisher]
NCPA - National Community Pharmacists Association Founded in 1898, the National Community Pharmacists Association is the voice for independent pharmacy, representing 21,000 pharmacies and employing more than 250,000 individuals nationwide. ncpa.org PBMs practice prescription drug price gouging during pandemic | Opinion We’ve been calling for comprehensive PBM reform in Pennsylvania. www.pennlive.com ...
Never a bad time to dump on the cmg a -holes KKR-Backed Envision Withholds Doctor Pay as Routine Care Slows Envision Healthcare Corp., one of the biggest medical providers backed by private equity, is withholding some pay for doctors and contemplating salary cuts amid the coronavirus pandemic. www.bloomberg.com
Hey everyone! I'm sure everyone can relate to this, but COVID-19 messed up a lot of plans I had for this semester and this summer. I had a very steady food pantry thing going that I really enjoyed, but since my school closed and I had to leave the state, that obviously ain't happening anymore... at least until next year. Does anyone have any ideas what to do during the pandemic in terms of volunteering? I really wanna do something useful because sitting at home doing homework all day makes... Volunteering during pandemic?
The FDA advises against metformin use in hepatic impairment because of the risk of inducing lactic acidosis. Is this warning warranted?Alimentary Pharmacology &Therapeutics
Doctors at University Hospital of Brooklyn, New York, explain the dire need for ventilators in the battle against the coronavirus pandemic. CNN's Miguel Marquez reports.
There are only a handful of states in the country where food aid recipients can buy groceries online
Reporting on N95 masks and other PPE being exported out of the U.S. —at a time when medical professionals desperately need them—continues to uncover new information and insights into why this has been happening as the pandemic continues.
CONCLUSIONS These results indicate that GDLP against T2DM-induced hepatic steatosis, oxidative stress, and inflammation by improving the Nrf2/HO-1 signaling pathway in db/db mice, suggesting the GDLP may serve as an effective strategy for in fatty liver treatment. PMID: 32245940 [PubMed - as supplied by publisher]
They are our friends, our neighbors; people of renown, and just regular people. "Sunday Morning" takes a moment to remember just a few of the victims of the COVID-19 pandemic.
Conclusions: Craniomaxillofacial metastases, usually with multiple visceral or axial skeleton lesions, have an ominous prognosis. Multidisciplinary management could benefit the patient status and lead to more favourable outcomes. There are exceptional cases of long-term survival.RESUMEN Objetivo: Estudio descriptivo retrospectivo de 21 casos de met ástasis en tejidos blandos orales y/o huesos maxilares. Material y métodos: Revisión a 12 años de actas de nuestro departamento, excluyendo procesos linfoproliferativos, metástasis cutáneas, glándulas salivales, otros huesos crane...
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