Volume 2 Issue 1
A Novel Method of Creation of Pneumoperitoneum for Re-Look Surgery
Abdulzahra A Hussain FRCS*, Ihsan AlShoek FRCS, Shamsi S El-Hasani FRCS
Laparoscopy has an established role in the management of critically ill patients and especially those with sepsis or systemic inflammatory response syndrome (SIRS) because of gastrointestinal anastomotic leaks. High Body Mass Index (BMI) patients who develop leaks frequently require repeat laparoscopy for assessing progression of the abdominal pathology and sepsis and for peritoneal lavage. Pneumoperitoneum induction in these patients is challenging and surgeons are either using open Hasson’s technique or blind Veress’s needle. Hasson’s technique may take longer time and result in a relatively large wound in obese patients (compared to Veress’s needle technique), while Veress’s needle is a blind technique with a risk of visceral injury.
Eliciting Preferences for Small Change Strategies in Project SCALE (Small Changes and Lasting Effects) a Behavioral Weight Loss Intervention Trial
Erica Phillips MD MS*, Erida Castro-Rivas MD , Janey C. Peterson Ed.D MS, Carla Boutin-Foster MD MS, Laura Winter Falk PhD, Carol M. Devine PhD, Elaine Wethington PhD, Brian Wansink PhD
Racial and ethnic minority populations experience a disproportionate burden of obesity and its health related complications. Developing practical interventions at relatively low cost that result in sustainable weight loss in these vulnerable populations is crucial. The objective of this study was to explore how Black and Latino adults perceive of a small change approach to weight loss using one of thirteen tested strategies to reduce caloric intake.
Overweight, Obesity, Perfluorooctanic Acid Exposure and Cardiovascular Risk Factors in an Appalachian Pediatric Population with Diabetes
Katelynn Dodd MPH, Pamela J Murray MD HP, Andrea Fischl PhD, Tina Costacou PhD, Baqiyyah Conway PhD*
There is evidence that children and adolescents from rural populations display greater rates of obesity than their urban counterparts. Childhood obesity has been linked with pediatric Type 2 diabetes; however in recent years, pediatric obesity in Type 1 diabetes is becoming increasingly apparent. Associated with both types of diabetes and obesity among children are elevated rates of traditional cardiovascular disease risk factors, such as dyslipidemia, atherosclerosis, hypertension, and metabolic syndrome.