Search

Aim: The therapeutic model for severe obesity includes bariatric surgery, representing the safest way to keep weight down and to prevent relapses. The selection of patients for the most suitable type of surgery implies multidisciplinary approach (nutritionist, dietist, clinical psychologist and surgeon). The intragastric balloon may represent a relatively invasive method to help the medical team to select and prepare severely obese patients for restrictive bariatric surgery., Methods: In our study we considered 48 severely obese patients: initial weight 111+/-14.8 kg, BMI 43+/-5.02, excess weight 77.47+/-16.14%. These patients have been treated with intragastric balloon (BIB) filled to a volume of 500 cc for 6 months. We considered variations induced by BIB treatment on a number of parameters--clinical, anthropometric, food intake, partition of nourishing elements and psychological and psychometric data., Results: At the end of the treatment the patients showed significant reductions of excess weight (67.35+/-20.19%), of weight (103.4+/-16.72 kg) and food intake, without modification of the items in the EDI2 test, but with important motivational support for a change in life style between the beginning and the end of the treatment, clearly resulting from the medical, dietist and clinical-psychological follow-up., Conclusions: BIB is a relatively invasive means capable of modifying eating habits in the short term; it induces weight loss, may help to reduce the anaesthesiological risk and to foster a change in the patient's behaviour. In our experience treatment with BIB is useful from the educational point of view and can be used to select patients for bariatric surgery only within a multidisciplinary team. Further clinical studies are necessary.

Knowledge of the incidence of haemodynamic imbalance syndromes and consequent pathologies in growing children at various ages may be a useful aid to the preventive measures that make for effective treatment of the organs involved in the psychological and physical development of school children. The oscillation between haemodynamic balance and imbalance was monitored in 849 subjects aged 3-18 on the basis of periods of absence relatable to the biorhytmic cycle of each pupil within the daily and seasonable rhythm. The survey identifies the instruments that facilitate natural haemodynamic balance and reduce desynchronising stimuli.

In 25 heroin addicts examined an initial alteration in microcirculatory homeostasis was found ond held to be responsible for the addiction. As in other cases it is thought possible to use the chronobiological course of haemodynamic balance and imbalance as a biological marker for prevention and treatment.

The annual sequence of sickness leaves was studied in 162 industrial workers with a high absenteeism level. An investigation of the swings in haemodynamic balance, and imbalances linked to alternations in vessel constriction and dilation throughout the biorhythmic cycle influenced by the alternation of night and day, hot and cold seasons, showed that each period of sick leave coincided with each period of haemodynamic balance caused by particular shifts. It was thus possible to identify groups of workers with syndromic sub groups whose performance was affected by night work and particular seasons. For optimal shift-worker deployment it is therefore suggested that workers should be assigned to shifts to which they are biologically suited.