The Experts below are selected from a list of 120 Experts worldwide ranked by ideXlab platform

Sangeeta R Kashyap - One of the best experts on this subject based on the ideXlab platform.

  • type 2 diabetes treatment in the Patient with Obesity
    Endocrinology and Metabolism Clinics of North America, 2016
    Co-Authors: Steven K Malin, Sangeeta R Kashyap
    Abstract:

    Lifestyle modification is the cornerstone treatment of type 2 diabetes in the obese Patient, and is highly effective at promoting glucose regulation. However, many individuals struggle over time to maintain optimal glycemic control and/or body weight with lifestyle modification. Therefore, additional therapeutic approaches are needed. Pharmacologic interventions have shown promising results for Obesity-related diabetes complications. Not surprisingly though lifestyle modification and pharmacology may become ineffective for treating diabetes over time. Bariatric surgery is considered by some, but not all, to be the most effective and durable treatment for combating Obesity. In fact many Patients with type 2 diabetes have normalized glucose concentrations within days postoperation. Taken together, treatment of Obesity in the Patient with type 2 diabetes requires a multi-faceted approach.

Steven K Malin - One of the best experts on this subject based on the ideXlab platform.

  • type 2 diabetes treatment in the Patient with Obesity
    Endocrinology and Metabolism Clinics of North America, 2016
    Co-Authors: Steven K Malin, Sangeeta R Kashyap
    Abstract:

    Lifestyle modification is the cornerstone treatment of type 2 diabetes in the obese Patient, and is highly effective at promoting glucose regulation. However, many individuals struggle over time to maintain optimal glycemic control and/or body weight with lifestyle modification. Therefore, additional therapeutic approaches are needed. Pharmacologic interventions have shown promising results for Obesity-related diabetes complications. Not surprisingly though lifestyle modification and pharmacology may become ineffective for treating diabetes over time. Bariatric surgery is considered by some, but not all, to be the most effective and durable treatment for combating Obesity. In fact many Patients with type 2 diabetes have normalized glucose concentrations within days postoperation. Taken together, treatment of Obesity in the Patient with type 2 diabetes requires a multi-faceted approach.

Antonio M Esquinas - One of the best experts on this subject based on the ideXlab platform.

  • noninvasive ventilation in the critically ill Patient with Obesity hypoventilation syndrome a review
    Journal of Intensive Care Medicine, 2017
    Co-Authors: Telma Sequeira, Ahmed S Bahammam, Antonio M Esquinas
    Abstract:

    Obesity is a global epidemic that adversely affects respiratory physiology. Sleep-disordered breathing and Obesity hypoventilation syndrome (OHS) are among the most common pulmonary complications related to Obesity class III. Patients with OHS may present with acute hypercapnic respiratory failure (AHRF) that necessitates immediate noninvasive ventilation (NIV) or invasive ventilation and intensive care unit (ICU) monitoring. The OHS is underrecognized as a cause of AHRF. The management of mechanical ventilation in obese ICU Patients is one of the most challenging problems facing respirologists, intensivists, and anesthesiologists. The treatment of AHRF in Patients with OHS should aim to improve alveolar ventilation with better alveolar gas exchange, as well as maintaining a patent upper airway, which is ideally achieved through NIV. Treatment with NIV is associated with improvement in blood gases and lung mechanics and may reduce hospital admissions and morbidity. In this review, we will address 3 main i...

Hellas Cena - One of the best experts on this subject based on the ideXlab platform.

  • nutritional management of a Patient with Obesity and pulmonary embolism a case report
    Nutrition Journal, 2016
    Co-Authors: Maria Luisa Fonte, Lauren Fietchner, Matteo Manuelli, Hellas Cena
    Abstract:

    The aim of this case report is to discuss the issue of nutritional therapy in Patients taking warfarin. Patients are often prescribed vitamin K free diets without nutritional counseling, leading to possible health consequences. A 52-year-old woman with Obesity and hypertension was prescribed a low calorie diet by her family doctor in an effort to promote weight loss. After a pulmonary embolism, she was placed on anticoagulant therapy and on hospital discharge she was prescribed a vitamin K free diet to avoid interactions. Given poor control of her anticoagulant therapy, she was referred to our Nutritional Unit outPatients’ service. This case illustrates the importance of a thorough medical nutrition assessment in the management of Patients with Obesity and the need for a change in the dietary approach of nutritional therapy in the management of vitamin K anticoagulant therapy. In Patients taking warfarin, evidence suggest that the aim of nutritional therapy should be to keep dietary intake of vitamin K constant.

Melanie Babcock - One of the best experts on this subject based on the ideXlab platform.

  • molecular characterization of an interstitial deletion of 1p31 3 in a Patient with Obesity and psychiatric illness and a review of the literature
    American Journal of Medical Genetics Part A, 2011
    Co-Authors: Marilena Petti, Joy Samanich, Qiulu Pan, Chih Kang Huang, Jana Reinmund, Sadaf Farooqi, Bernice E Morrow, Melanie Babcock
    Abstract:

    We report on the clinical and array-based characterization of an interstitial 1p31.3 deletion in a 15-year-old male Patient with Obesity, behavioral problems including multiple psychiatric diagnoses, mild intellectual impairment, facial dysmorphism, and a strong family history of psychiatric illness. The deletion breakpoints were determined by molecular karyotyping, revealing a 3.2 Mb excision. Patients previously reported with hemizygous deletions including this cytogenetic band had intellectual impairment and some facial features that overlap with our Patient's phenotype. However, their deletions were larger, encompassing several cytogenetic bands, making this case the smallest deletion to date that we are aware of sharing these phenotypic characteristics. There are 17 genes that map to the interval. Two genes within the interval, LEPR and PDE4B, are interesting candidates for these phenotypes because of their potential role in Obesity and psychiatric illness, respectively. Identification of the smaller deletion underscores the importance of combining clinical investigation and array comparative genomic hybridization analysis for appropriate diagnosis, genetic counseling and potentially for prenatal diagnosis. © 2011 Wiley-Liss, Inc.