Eldo E Frezza

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..However, fractal geometry is a more powerful means of quantifying the spatial complexity of real objects...

..We investigated its immunolocalisation in specimens of nervous system (NS) malignancies, in order to establish its usefulness as a target for tumour-vaccine strategies...

..Another way for surgeons to evaluate their practice is to calculate income and expenses for two years, then calculate the variance between the two years and the percentage of variance to see where they stand...

..Determining salary compensation for general surgeons is very complex for both private and academic-based physician practices. In this paper, the development of a plan for private practice general surgeons will be addressed...

..The goal of any manager is a group of satisfied employees who enjoy their work and make appropriately recognized contributions...

..Posited was the notion that adding crural repair to LAGB would enable this procedure to be offered to patients desiring bariatric surgery who had hiatal hernias...

..From this comparison, an economic model was derived that evaluated, for the state of New Mexico, the cost of obesity in terms of lost business output, employment, and income...

..Because multiple charges are common in bariatric clinics, they are especially at risk for this problem. In this article, we discuss internal control measures to avoid embezzlement...

..Pulmonary embolism is a leading cause of death for bariatric patients. Numerous regimens have been proposed, but a comprehensive, simple approach is lacking. This study provides a simple, easily implemented prophylaxis regimen...

..A receptor agonist, exendin-4, with a longer biological half-life than GLP-1, has been tried. Subcutaneous injection of exendin-4 or continuous IV injection of GLP-1 warrants further research and investigation...

..Lymphoepithelial cyst of the pancreas is a lesion that comprises a stratified squamous epithelial lining atop dense lymphoid tissue...

..Surgery is an effective long-term therapeutic option for morbid obese patients. Although bariatric surgery's amelioration of medical ailments is well established, its nonphysical benefits have not been as well documented...

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..Effective cost reduction strategies require effective analyses of charges...

..Pay schemes may be developed to improve the retention of highly productive surgeons in the academic environment...

..Because endoscopic removal would be less invasive than laparotomy, a technique for the endoscopic removal of the suture was devised. Presented are the results of 6 patients who underwent this procedure...

..05). For every 1 kg/mm(2) increase in BMI, there was on average a 0.07 mm Hg increase in opening pressure. Increases in BMI are associated with increases in intraabdominal pressure...

..Acid lowering procedures such as highly selective vagotomy (HSV) have not yet been fully evaluated as an adjunctive treatment. NFHSV was evaluated in GERD...

..By offering a variety of services, this will enhance not only the quality of care provided, but also the number of patients who will take advantage of your services, including bariatric surgery...

..The local environment must always be kept in mind...

..Further clinical and experimental studies are necessary to further elucidate the etiology and to define all possible contributing factors for a full understanding of this fastest-growing disease of the new century...

..We know very little about the action of incretins in diabetes. We will assess the interaction between the secretion of incretins and bariatric surgery for the cure of diabetes...

..The types of bariatric and the associated operations performed by academic and private surgeons were surveyed...

..We also outline therapeutic plan options...

..Trauma increases the chance of having DVT. Low molecular weight heparin or heparin is a safe and extremely effective method of preventing DVT in high-risk trauma patients...

..Conversely, physicians and public health authorities should consider both exercise and obesity when designing colon cancer screening protocols. Morphometric cut offs should be adjusted, if possible, for age, sex, ethnicity, and height...

..These profits will allow for needed personnel to be hired, covering the costs, and avoiding loss of income and time due to unwarranted cancellations...

..If the surgeon follows the 6 steps described, he/she should meet less disappointment, as in our experience that went from 50% to 90% success because of better communication with insurance and more appropriate paperwork...

..We combined laparoscopic adjustable gastric banding (LAGB) and laparoscopic partial gastrectomy into a single procedure (GBSR)...

..In a retrospective study, we evaluated the effect of the laparoscopic SG (LSG) on excess weight loss during 1 year of follow-up using a 29F endoscope instead of a bougie...

..An animal model would be of great use to establish the safety and efficacy of laparoscopic hepatectomy...

..In addition, we observed no evidence of autoimmunity after histologic examination of the tissue sections adding to the safety profile of our approach...

..Cytoreduction treatment of liver tumor and the vaccine might be the future of the treatment of primary and secondary liver tumor...

..Evaluated in this report are the experiences of patients who underwent LSG, a restrictive procedure, as a rescue procedure for failed LAGB...

..When SKOV-3 tumor cells were administered intravenously the mice developed primarily lung tumor foci. This model makes it possible to evaluate new immunotherapeutic strategies for the treatment of human OC based on the biomarker Sp17...

..15). Steatosis and a positive viral serology did not increase the risk of death. Male gender, increased age, and cirrhosis increased the risk of death; increased steatosis and positive viral serologic studies did not...

..Laparoscopic sleeve gastrectomy (LSG) is an increasingly used bariatric surgical procedure...

..This study evaluate which is the role of the stomach with respect to blood glucose levels (BG) and percent excess weight loss (EWL) over the 18 months after restrictive procedures in morbid obese diabetic patients...

..The current standard of care is to perform a postoperative gastrographin study. This study evaluated a series of patients to determine the usefulness of this routine procedure...

..To obviate this difficulty, we inserted the linear stapler from the stomach's greater curvature, using a double-stapled anastomosis that minimized the need for hand suturing...

..We believe that laparoscopy may emerge as a useful adjunct in the treatment of patients with flank trauma. We present an algorithm for the management of penetrating flank trauma...

..Although many groups have reported their experience with an anterior approach, only a few have done so with a posterior approach. This paper compares the approaches, analyzing their potential benefits and pitfalls...

..The purpose was to investigate the presence/rate of expression of PTTG-1 in multiple myeloma patients...

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..Our goal is to establish a new treatment for solid liver tumors based on the concept of cytoreduction, and propose an innovative algorithm...

..Ghrelin may play a role in the weight loss associated with LSG, but is unlikely to be the sole reason for its success...

..Chyle duct injury secondary to blunt trauma is a rare finding. The use of CT imaging can identify this injury. Laparoscopy can confirm the injury. Open ligation of the injured duct is the best treatment...

..Bariatric surgery safely and effectively improves and may improve or eliminate obesity-related hypertension. More data need to be collected to substantiate the same results over periods of time longer than 3 years...

..He was hemodynamically stable. He underwent a laparoscopic splenectomy shortly after arrival. The patient's renal injury was managed nonoperatively, and he was discharged home with no complications and has remained well...

..The disadvantages include the risk of stapling complications and its irreversibility...

..05). Surgeons' character, equipment, and staffing of the facility were ranked extremely important, whereas training of the surgeon or the appearance of the facility was not...

..In light of these findings, radiotherapy combined with immunotherapy might be considered in relapsing patients after receiving the standard treatment...

..For this reason, treating obesity is more than a reduction of excess fat; it is also the treatment of obesity's comorbidities, many of which will some day be treated by drugs that counteract derangements induced by adipokine excesses...

..6% to 20%. The only complication was asymptomatic hyponatremia in one patient. CONCLUSIONS: Intravenous ethanol is a viable option for AWS prophylaxis when administered in a systematic protocol...

..9 billion for a discount rate of 3%, $5.0 billion for a discount rate of 5%, and $1.3 billion for a discount rate of 10%. Potential benefits to the South Plains economy of performing bariatric surgery more than outweigh its costs...

..The advantage of this approach is that it eliminates the risks associated with placement of the patient in the lithotomy position...

..In addition, ischemia and neuropathy are independent risk factors for infection. More coordinated efforts are needed to create better grading schemes and therapeutic protocols...

..If the results suggested by this case are confirmed in a large series, omental flaps should be considered as options of first choice in the management of sternal wound dehiscence...

..CONCLUSION: Use of warmed CO2 insufflation had a significant impact on TCS, TWS and TN. This impacts the ergonometrics of the OR, allowing more time for the personnel and surgeons to concentrate on the surgery...