Psychological Morbidity in Students of Medical College and Science and Art College Students - A Comparative Study

Considering the importance of quality of life in medical students we have conducted a cross sectional & descriptive study on screening of mental illness of 60 medical students of prefinal year and comparing it with 60 students of third year of Science and Art College. Students were selected via random sampling. GHQ-12 was used as a screening tool and after obtaining scores students were graded in 3 categories - individuals screened positive for psychological morbidity were of Grades 2 and 3 and individuals screened negative for psychological morbidity were of Grade 1 and they were compared according to college, gender & residence. Students screened positive for psychological morbidity as per GHQ-12 were found higher in medical college (87%) as compared to Science and Art College (45%) and a statistically significant association was found between psychological morbidity and medical students. Psychological morbidity was not significantly associated with residence and gender

Patient experiences of adjusting to life in the first two years after bariatric surgery: a qualitative study

Background: There is a limited amount of research into the experiences of those who have undergone bariatric surgery, and how this impacts on their everyday lives and social interactions. Methods Semi-structured interviews were carried out with 18 participants (11 female, 7 male) who had undergone permanent bariatric surgical procedures 5-24 months prior to interview at a large NHS hospital in North East England. Constructivist grounded theory was used, with a constant comparative analytic framework. Results Participants conceptualised social encounters after bariatric surgery as being underpinned by risk. Their attitudes towards social situations guided their actions in the context of social interaction. Three profiles of attitudes towards risk were constructed: Risk Accepters, Risk Contenders and Risk Challengers. These profiles were based on participant-reported narratives of their experiences in the first two years post-surgically Conclusions The social complexities occurring as a consequence of bariatric surgery require adjustments to patients’ lives. Participants reported that the social aspects of bariatric surgery do not appear to be widely understood by those who have had bariatric surgery. The three risk attitude profiles that emerged from our data offer an understanding of ways in which patients adjust to life and can be used reflexively by healthcare professionals in the support of patients both pre- and post-operatively

Criteria for Inclusion of Newer Bariatric and Metabolic Procedures into the Mainstream: a Survey of 396 Bariatric Surgeons

BACKGROUND: There is currently no consensus on the criteria for inclusion of new bariatric procedures into routine clinical practice. This study canvasses bariatric surgeons in an attempt to define these criteria. METHODS: Bariatric Surgeons from around the world were invited to participate in a questionnaire-based survey on SurveyMonkey ®. RESULTS: 396 bariatric surgeons, 337 International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) members, took the survey. Five clinical studies conducted under the strict monitoring of an Institutional Review Board would satisfy most surgeons (67.7 %, n = 266). When asked regarding the number of patients in these studies, a cumulative number of 500 patients would satisfy 64.5 % (n = 255) of the surgeons. Most respondents regarded endorsement by their national society and IFSO as 'very important' or 'extremely important'. An overwhelming 74.4 % (n = 294) felt that every new procedure should undergo a randomized comparison against one of the established alternatives like Roux-en-Y Gastric Bypass or Sleeve Gastrectomy. CONCLUSION: Evaluation of a new bariatric procedure in at least 5 adequately supervised clinical studies (four of which must be randomized comparisons with one of the existing alternatives) reporting at least 5 years results on a minimum of 500 patients would satisfy majority of bariatric surgeons for the inclusion of a new bariatric procedure into clinical practice. The findings of this survey are simply aimed at starting a discussion on this topic and cannot be used to influence the ground reality until an international consensus can be reached amongst experts.info:eu-repo/semantics/publishedVersio

Zinc deficiency after gastric bypass for morbid obesity: a systematic review

The final publication is available at Springer via http://dx.doi.org/10.1007/s11695-016-2474-8 Up to 50% of patients have zinc deficiency before bariatric surgery.Roux-en-Y gastric bypass (RYGB) is the commonest bariatric procedure worldwide. It can further exacerbate zinc deieciency by reducing intake as well as absorption. The British Obesity and Metabolic Surgery Society therefore, recommends that zinc level should be monitored routinely following gastric bypass. However the American guidance does not recommend such monitoring for all RYGB patients and reserves it for patients with 'specific findings' This review concludes that clinically relevant zinc deficiency is rare after RYGB Routine monitoring of zinc levels is hence unnecessary for asymptomatic patients after RYGB and should be reserved for patients with skin lesions, hair loss, pica, disgeusia, hypogonadism, or erectile dysfunction in male patients and unexplained iron deficiency anaemia

A survey of bariatric surgical and reproductive health professionals' knowledge and provision of contraception to reproductive-aged bariatric surgical patients

BACKGROUND: Over 80 % of bariatric surgical patients are women with obesity in their reproductive years. Obesity adversely affects fertility; the rapid weight loss following bariatric surgery can increase fecundity. Current guidelines recommend avoiding pregnancy for up to 24 months following surgery, but little is known about current contraceptive care of women who undergo bariatric surgery. Two surveys were undertaken with bariatric surgical and contraceptive practitioners in England to establish current contraceptive practices in both groups. METHODS: Two anonymous on-line surveys were sent to all 382 members of the British Obesity and Metabolic Surgery Society (BOMSS) and an estimated 300 contraceptive practitioners in the North East of England. RESULTS: The BOMSS survey elicited a response rate of 17 % (n = 65), mainly from bariatric surgeons (n = 24 (36 %)). Most respondents (97 %) acknowledged the need to educate patients, but contraceptive information was only provided by 7 % (n = 4) of respondents in bariatric surgical clinics. Less than half of respondents were confident discussing contraception, and the majority requested further training, guidance and communication with contraceptive practitioners. The majority of respondents to the contraceptive practitioner survey were general practitioners (28 %, n = 20). Three quarters of respondents reported little knowledge of bariatric surgery, and many reported not seeing women with obesity requiring contraception before (66 %, n = 45) or after surgery (71 %, n = 49). CONCLUSIONS: There is a need to increase knowledge levels of contraception within bariatric surgical teams and to understand why, despite increasing levels of bariatric surgery, women do not seem to be appearing for advice in contraceptive settings

Ascertaining the place of social media and technology for bariatric patient support: what do allied health practitioners think?

Abstract Background There is an increasing presence of patient-led social media, mobile apps and patient support technology, but little is known about the role of these in the support of bariatric surgery patients in the UK. This study aimed to seek the views of allied health professionals (AHPs) working in bariatric surgical teams to understand their current perceptions of the role of social media, mobile apps and patient-support technology within bariatric surgery in the UK. Methods A confidential, printed survey was distributed to the AHPs at the British Obesity and Metabolic Surgery Society (BOMSS) 7th Annual Scientific Conference in January 2016. An email to AHPs who did not attend the conference was sent requesting voluntary participation in the same survey on-line through Survey Monkey® within two weeks of the conference. Results 95 responses in total were received, which was a 71% response rate (n= 134). Responses were from Nurses (34%, n= 46), Dietitians (32%, n=32), Psychologists (16%, n=12) and 1 Nutritionist, 1 Physiotherapist, 1 Patient Advocate, 1 surgeon and 9 respondents did not fill in their title. Conclusion The use of social media and mobile apps by patients is increasing, with AHPs concerned about misinformation; advice may differ from what is given in clinic. Technologies, e.g. telehealth and videoconferencing are not widely used in bariatric surgery in the UK. AHPs are unclear about the role of technologies for bariatric surgical patient support. Further discussions are needed to understand the potential of technology with AHPS supporting/facilitating patients as this becomes more commonplace

Minimising Haemorrhagic Complications with Bariatric Surgery

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Response surface optimization for development of Dragon fruit based ready to serve drink

Dragon fruit based ready to serve drink (RTS) was formulated using dragon fruit (60-80% v/v), grape juice (0-10% v/v) and sugar syrup (2-6% v/v). The juice concentrations were optimized using response surface methodology (RSM) following box-behnken design (BBD) for obtaining blended RTS drink with higher functional and nutritional characteristics like total soluble solid (TSS), titratable acidity, ascorbic acid content, total phenol content, colour and sensory evaluation. Results showed that there was significant (P<0.01) effect of incorporating grape juice and sugar syrup which further improved the organoleptic properties of the blended RTS.Optimum juice percentages obtained for the best blend formulation were,dragon fruit (70%), grape juice (5%) and sugar syrup (3%), respectively. The beverage was observed to be acceptable in terms of its nutritional value and overall acceptability