left ventricular function in adult nigerians with central obesity



Left Ventricular Function in Adult Nigerians with Central Obesity Left Ventricular Function in Adult Nigerians with Central Obesity Новинка

Left Ventricular Function in Adult Nigerians with Central Obesity

Obesity has assumed epidemic proportions around the world. The consequences are cardiovascular disease, type 2 diabetes mellitus, dyslipidemia and malignancies. Mortality and morbidity however vary with the distribution of body fat, the highest risk being linked to excess visceral fat (central obesity). Central obesity is associated with Left Ventricular Hypertrophy, diastolic and occasionally systolic dysfunction, as well as dyslipidemias. Left Ventricular Hypertrophy is an independent risk factor for myocardial infarction, stroke, arrhythmias, and sudden death. It is therefore necessary to know to what extent central obesity is responsible for Left Ventricular Hypertrophy and which measures are implicated.
Hypertension in Obese Adolescents: Role of Abdominal Adiposity Hypertension in Obese Adolescents: Role of Abdominal Adiposity Новинка

Hypertension in Obese Adolescents: Role of Abdominal Adiposity

Obesity has become an increasingly important medical problem in children and adolescents. Many of the outcomes associated with obesity that were previously thought of as diseases of adults are now affecting children as well. Outcomes related to childhood obesity include hypertension, type 2 diabetes mellitus, dyslipidemia, left ventricular hypertrophy, nonalcoholic steatohepatitis, obstructive sleep apnea, and orthopedic problems (such as slipped capital-femoral epiphysis), as well as social and psychological problems. Very few investigators have explored the role of central adiposity in predicting perioperative complications. We have previously shown that central adiposity (indicated by neck circumference [NC]) is associated with increased risk of perioperative respiratory adverse events in children
Co-relation of BP with BMI and WHR in middle aged males Co-relation of BP with BMI and WHR in middle aged males Новинка

Co-relation of BP with BMI and WHR in middle aged males

Incidence of obesity is on the rise in developed as well as developing countries. In India we find high incidence of central obesity. It is well documented risk factor for cardiovascular morbidity. Hypertension being one of them. In our study we tried to explore relationship between various parameters of obesity and blood pressure in males and found positive correlation between waist to hip ratio with blood pressure based on our findings, WHR seems to be a better predictor for risk of hypertension over other obesity parameters.
Left Ventricular Thrombus in Acute Anterior Wall Myocardial Infarction Left Ventricular Thrombus in Acute Anterior Wall Myocardial Infarction Новинка

Left Ventricular Thrombus in Acute Anterior Wall Myocardial Infarction

Acute Myocardial Infarction is one of the leading causes of cardiovascular deaths. Left ventricular thrombus is a frequent and potentially dangerous complication of acute myocardial infarction, and is associated with increased risk of systemic embolization and higher mortality rates after acute myocardial infarction. Mural thrombosis with embolism typically occurs in the setting of a large (especially anterior) ST segment elevation acute MI. Thus, in patients with anterior ST segment elevation acute MI and in other high-risk patients, echocardiography should be performed during hospitalization to detect LV thrombus. This work is designed to highlight the magnitude of left ventricular thrombus in patients suffering from acute anterior myocardial infarction. The results of this study can be used to guide future recommendations for importance of diagnosis of this complication and guide treatment strategies in the post infarct patients, because significant frequency of left ventricular thrombus warrant early diagnosis and management of this prognostically life threatening, yet silent complication of myocardial infarction.
Study Of Autonomic Function and Reaction Time in Obese Study Of Autonomic Function and Reaction Time in Obese Новинка

Study Of Autonomic Function and Reaction Time in Obese

The key goal of this book is to provide insight about the effect of obesity on the central and peripheral nervous system by using autonomic function tests and reaction time studies. It would cater to medical students and health professionals. Important features: * Effect of obesity on autonomic function test * Effect of obesity on auditory reaction time * Effect of obesity on visual reaction time * Methods to do autonomic function tests and reaction time studies * Emphasizes on understanding the fact that abnormal autonomic function and reaction time predisposes obese to future cardiovascular and neurological complications
G6PD Activity and Deficiency in a Selected Population of Nigerians G6PD Activity and Deficiency in a Selected Population of Nigerians Новинка

G6PD Activity and Deficiency in a Selected Population of Nigerians

Much of what is known about G6PD activity in Nigerians is obtainable from studies done in the 70s from the South-western part of the country. Very little academic information is available from the North-central region of Nigeria. Are there marked differences in the proportion of Nigerians with low activity of this enzyme from different geographic locations, and does it always translate to bad news when one is diagnosed of having G6PD deficiency? This book therefore provides new information about the activity and deficiency of G6PD in Nigerians resident in the North-central city of Jos,Plateau State of Nigeria, the problems associated with G6PD deficiency and how they present, benefits provided by the enzyme deficiency, what individuals who are G6PD deficient need to avoid and interactions of G6PD deficiency with other clinical conditions also very prevalent in our locality. The presentations and discussion should be useful to people pursuing a haematology course at the undergraduate and postgraduate levels,other medical professionals in tropical and subtropical regions, or anyone else interested in issues concerning G6PD.
Diastolic left ventricular function - invasive assessment Diastolic left ventricular function - invasive assessment Новинка

Diastolic left ventricular function - invasive assessment

During the last years the echocardiography was approved as the most useful method for analysis of the diastolic left ventricular (LV) function in routine practice. However, for an assessment of the tau constant of isovolumic LV relaxation, the mural stresses and the diastolic myocardial stiffness (requiring a LV pressure measurement), the direct invasive evaluation remains a “gold standard”. Moreover, no universal method is available for a complete analysis of the diastolic LV function. An invasive method for a complex quantitative assessment of the different phases of the LV diastole, including authentic elaborations of the authors, has been presented in this monograph. Using this method, the extent of the diastolic dysfunction has been evaluated in patients with a chronic forms of ischaemic heart disease: with and without LV hypertrophy in stable angina, with a preserved and reduced global ejection fraction after a myocardial infarction. The monograph is mainly directed to post-graduate students of cardiology – to expand their knowledge and practical capabilities for research, study and assessment of the LV diastolic function, and also for invasive and clinical cardiologists.
Case Finding for Hypertension in Young Adult Patients in Nigeria Case Finding for Hypertension in Young Adult Patients in Nigeria Новинка

Case Finding for Hypertension in Young Adult Patients in Nigeria

This hospital-based research work was carried out to find undetected cases of hypertension in young adult Nigerians, attending a missionary hospital in Nigeria for the first time. The participants included young adult Nigerians aged between 18 and 44 years. Pregnant females and known hypertensive patients were excluded from the study. The hospital prevalence of hypertension, the associated significant risk factors and the presence of complications of hypertension were determined in the study.
Echocardiographic evaluation of right ventricular functions Echocardiographic evaluation of right ventricular functions Новинка

Echocardiographic evaluation of right ventricular functions

Echocardiographers mostly concentrate on evaluation of left ventricular functions. Importance of right ventricular functions has been recognised over last decade. There is , however , no easily available consolidated literature for use of beginners in echocardiography . This monograph has been written with an aim to provide the details at one place . This monograph should be useful for echocardiography technicians and clinicians trying to learn echocardiography .
A Study Of Platelet Function In Experimental Obesity A Study Of Platelet Function In Experimental Obesity Новинка

A Study Of Platelet Function In Experimental Obesity

Obesity is a complex multifactor disease characterized by excessive accumulation of adipose tissue that may impair health. The prevalence of obesity is rapidly reaching epidemic properties in developed nations. Monosodium glutamate, the sodium salt of glutamic acid is a food additive used as a flavoring agent for enhancing taste, may be associated with increased risk of overweight in humans This work was planned in order to assess the effect of obesity induced by high fat diet and monosodium glutamate (MSG) on platelet aggregation.
Impact of obesity on school age children Impact of obesity on school age children Новинка

Impact of obesity on school age children

Obesity can be considered as a chronic disorder of energy imbalance, in which a long-term excess of energy intake over expenditure leads to the storage of that excess energy as adipose tissue. This study aimed to investigate whether childhood obesity in primary school girls affects the levels of measured hormones, peptides and neurotransmitters as well as their cognitive function and to study the relationships between the measured biochemical parameters and cognitive function in those girls. Childhood obesity represents a serious health problem. Obesity could induce a disturbance in the levels of the vital hormones especially GH and IGF-1. In addition, obese status in girls at this young age is associated with worse cognitive function which reflects the impact of obesity on educational achievement and learning ability in these girls. This may afford an aid in manipulating childhood obesity and developing strategies for treatment of this disease.
Qsar studies NPY Y1 antagonists for the treatment of obesity Qsar studies NPY Y1 antagonists for the treatment of obesity Новинка

Qsar studies NPY Y1 antagonists for the treatment of obesity

Obesity is one of the most serious public health problems of the 21st century, increasing prevalence in adults and children [1]. The central nervous system (CNS) [2] has developed an interconnected circuitry to keep us fed and in an sufficient nutritional state. One of these results is that an energy-dense environment favors the development of obesity. Neuropeptide Y (NPY) is a 36 amino acid peptide which is widely distributed in both the central nervous system and in peripheral neurones and has a range of biological actions such as control of food intake and body weight. In recent year, there have been many researches with NPY receptor subtypes (Y1, Y2, Y4, Y5 and Y6) to treat human obesity in literature. In this study, quantitative structure activity relationship (QSAR) studies have been performed with a series of carbazole derivatives [6] as NPY Y1 antagonists (Figure 1) to elucidate the role of NPY Y1 receptor and evaluate the potential of such agents to treat obesity in man. I would like to thank Natalia Tutelea for her help and support and LAP LAMBERT Academic Publishing for converting my study into a book.
Overweight and obesity among adolescents in Ahmedabad, India Overweight and obesity among adolescents in Ahmedabad, India Новинка

Overweight and obesity among adolescents in Ahmedabad, India

Prevalence of overweight and obesity is increasing not only among adult but also among adolescents. Not much information is available regarding prevalence of overweight and obesity among adolescents in a developing country like India. This work was done in Ahmedabad, a city in India. The book can provide valuable information to researchers regarding prevalence and risk factors for overweight and obesity among adolescents in a developing country.
Adipocytokines as a Link between Obesity and Type 2 Diabetes Adipocytokines as a Link between Obesity and Type 2 Diabetes Новинка

Adipocytokines as a Link between Obesity and Type 2 Diabetes

Obesity is a condition in which excess body fat may put a person at the risk of developing insulin resistance and type 2 diabetes mellitus. With the growing prevalence of obesity, scientific interest in the biology of adipose tissue [which is the body's largest reserve of fuel] has been extended to the secretory products of adipocytes. In recent years, a line of evidence has demonstrated a much more complex function of adipose tissue, as an endocrine organ that releases hormones into the blood stream to take part in their potential implication in insulin resistance, obesity and diabetes. These adipocytes' specific proteins include adiponectin, leptin and resistin. This study aimed to assess the effect of modest weight loss on serum adipocytokines' changes and hence discover their role as a link between obesity and insulin resistance diabetes.
An Analytical study of Overweight and Obesity among school children An Analytical study of Overweight and Obesity among school children Новинка

An Analytical study of Overweight and Obesity among school children

The prevalence of obesity is increasing globally; with nearly half a billion of the world’s population now considered to be overweight or obese. The obesity epidemic is related both to dietary factors and to an increasing sedentary life style. Obesity has significant co-morbidities and there are associated with substantial healthcare and social costs. The health impact of increasing prevalence of obesity among children is a serious concern. Heart diseases and diabetes were rare among children and young adult in the previous century but today supposed to be the disease of the elderly; there diseases are frequently occurring in the younger generation. This study has thus highlighted the need to not only improve the awareness on prevention of obesity among children but need to motivate them to practice healthy life style is utmost essential.
Hypertension and Left Ventricular Hypertrophy in Primary Care Hypertension and Left Ventricular Hypertrophy in Primary Care Новинка

Hypertension and Left Ventricular Hypertrophy in Primary Care

This book compiles the findings from a study that examined the prevalence of LVH and its predictors among patient with hypertension. This study also examined the sensitivity and specificity of the Sokolow-Lyon voltage and Cornell product criteria in diagnosing left ventricular hypertrophy in the primary care against the gold standard echocardiography method. The preferred method of LVH assessment by patients is reported. By having this knowledge on the sensitivity and specificity of the different ECG criteria and the predictors of LVH will definitely help us in identifying the at-risk group to be targeted for further evaluation by echocardiography, particularly when health resources are limited.
Cardiovascular Magnetic Resonance for the Assessment of Viability Cardiovascular Magnetic Resonance for the Assessment of Viability Новинка

Cardiovascular Magnetic Resonance for the Assessment of Viability

The main goal of this dissertation was to assess prospectively the value of two cardiovascular magnetic resonance methodises (the transmural extent of an late gadolinium enhancement and the contractile reserve during low dose dobutamine administration) as predictors of left ventricular segmental and global functional recovery in patients with left ventricular systolic dysfunction undergoing surgical or percutaneous revascularisation. Taking into account previous studies, revascularisation of the viable myocardium results in an improvement of patient’s symptoms and prognosis. This finding emphasized the need for and importance of noninvasive tests to quantify the amount of viable myocardium in patients with left ventricular dysfunction in order to define the optimal management strategy. On the basis of the original research described in the dissertation, the diagnostic value of different cardiovascular magnetic resonance based viability prediction methods was assessed. On the basis of the research results the optimal viability assessment algorithm was created and has been successfully used in routine clinical practice.
New insights in the assessment of right ventricular function New insights in the assessment of right ventricular function Новинка

New insights in the assessment of right ventricular function

The right ventricle is a three dimensional (3D) complex structure of a crescent shaped cavity wrapped around the left ventricle. It consists of three compartments namely, the inflow tract (inlet), the outflow tract (outlet) and apex. There is a contraction time delay between the compartments in order to allow blood to flow through the wide angle between the inlet and outlet. The clinical literature has shown the right ventricle to be a sensitive predictor of exercise tolerance and also a major determinant of clinical symptoms in patients with heart failure. This book gives a clear understanding of the physiology of the right ventricle in three groups of patients 1) Patients with previous heart attack; 2) patients with severe aortic valve narrowing (aortic stenosis) before and six months after valve replacement and 3) patients with raised pulmonary circulation pressure (pulmonary hypertension). We used advanced echocardiography technologies such as 3D, Speckle tracking (analysis of speckle motion of the heart muscle) as well as already used measures to demonstrate right ventricular function in terms of structure and timing changes in each disease condition.
Moral reasoning of Nigerians Moral reasoning of Nigerians Новинка

Moral reasoning of Nigerians

An empirical investigation of moral reasoning of adult Nigerians using the philosophical-psychological paradigm of Boyce and Jensen and considering the influence of religion, personality and occupation. The personality dimensions investigated are extraversion, neuroticism, psychotisicim, and lie scale.Findings revealed significant influence of religion, personality and occupation on adult Nigerians' ethical considerations.
Effect of nebivolol,carvedilol and metoprolol on doxorubicin-cardiotox Effect of nebivolol,carvedilol and metoprolol on doxorubicin-cardiotox Новинка

Effect of nebivolol,carvedilol and metoprolol on doxorubicin-cardiotox

A comparative study of cardio protective activity of nebivolol, carvedilol and metoprolol was carried out on doxorubicin-induced cardiac toxicity in rats. The degree of protection was assessed both in vivo by short axis echocardiography measuring ejection fraction (EF), fractional shortening (FS), left ventricular systolic diameter (LVSD) and left ventricular diastolic diameter (LVDD) and in vitro by measuring the inotropic and the chronotropic responses to isoproterenol. Also histopathlogical study was done. This study revealed that there is a significant improvement of cardiac functions in rats treated with ?-blockers and there is no significant difference between carvedilol and nebivolol whereas nebivolol has the best histopathological score for improvement cardiac toxicity.
A Role of Visceral Adipose and Gastric Tissue in Metabolic Syndrome A Role of Visceral Adipose and Gastric Tissue in Metabolic Syndrome Новинка

A Role of Visceral Adipose and Gastric Tissue in Metabolic Syndrome

Globally, obesity has reached epidemic proportions. Several co-morbidities co-exist with obesity and affect multiple peripheral tissues. Non-alcoholic fatty liver disease (NAFLD) is the leading cause of obesity associated chronic liver disease in the US. The molecular mechanisms underlying the development and the progression of NAFLD remain poorly understood. Stomach is an important endocrine organ that produces a number of bioactive peptides with important roles in the metabolism of energy. Stomach is located in the vicinity of the liver, but so far it has been largely neglected as an organ with potentially important role in obesity and associated NAFLD. This study provides the evidence for the contribution of the stomach-specific expression changes in a number of molecules previously implicated in inflammation and energy homeostasis to the pathogenesis of obesity-associated NAFLD. In contrast to white adipose tissue (WAT), brown adipose tissue (BAT) has the unique ability to dissipate energy by mitochondrial “uncoupling” facultatively. In this study, the expression of brown adipocyte-specific genes was assessed as quantitative indicator of BAT activity in adipose of adult humans.
Noninvasive Assessment of Cardiac Function Noninvasive Assessment of Cardiac Function Новинка

Noninvasive Assessment of Cardiac Function

Studies showing the exercise test responses among Black diabetics are few with a dearth of data on patients with hypertension and diabetes,quite common among Nigerians. This study looked at cardiac function including systolic and diastolic parameters by echocardiographic method, in patients with diabetes, considered the effect of DM alone and DM and hypertension on these parameters as well as looked at those echocardiographic parameters that may be used to predict exercise capacity in this population of patients.
Developing Networks in Obesity using Text Mining Developing Networks in Obesity using Text Mining Новинка

Developing Networks in Obesity using Text Mining

Obesity is a global epidemic affecting over 1.5 billion people and is one of the risk factors for several diseases such as Type 2 diabetes mellitus and hypertension. Despite measures taken by public health authorities to control obesity, number of people affected with obesity and its related disorders are increasing at alarming rate. It is imperative therefore to understand the molecular pathophysiology of obesity prior to undertaking any containment measures. This book summarizes our research work for developing a system with the capability to mine an extensive corpus of scientific articles and produce a network of genes implicated in a given disease. The system has been developed taking Obesity as a test case. The constructed network holds a central place in understanding the pathophysiology of Obesity and will serve as an important tool for the identification of drug targets. This work has been further extended to seven other obesity related disorders (Diabetes Mellitus II, Cholelithiasis, Hypertension, Hyperlipidemia, Polycystic Ovarian Syndrome, Osteoarthritis and Fatty Liver) and four control sets (Rheumatoid Arthritis, Contact Dermatitis, Asthma and Urticaria).
Potential application of herbal medicine in treatment of obesity Potential application of herbal medicine in treatment of obesity Новинка

Potential application of herbal medicine in treatment of obesity

Obesity is a global epidemic associated with high morbidity and mortality. Therapeutic strategies include synthetic drugs and surgery, which may entail high costs and serious complications. The use of Herbal medicine has increased, based on reliability, safety, and cost. Recently, Herbal medicine agents offer an alternative approach for treatment of obesity through different mechanisms. Herbal medicinal agents with anti-obesity potential could aid in developing a botanical drugs to treat obesity.
Hormonal key players for obesity in Children with Down Syndrome Hormonal key players for obesity in Children with Down Syndrome Новинка

Hormonal key players for obesity in Children with Down Syndrome

Down syndrome (DS) is the most common chromosomal anomaly among live born infants, occurring at a frequency of one in 700 live births. Individuals with DS are at increased risk for several endocrinological conditions, including hypothyroidism, growth retardation, diabetes mellitus, and obesity. The reason for the increased risk of obesity in DS individuals is unclear, but several mechanisms have been suggested, including a decreased resting metabolic rate and differences in physical activity patterns. Obesity and related morbidity and mortality are emerging as important long term consequences, with the increase in the life expectancy of people with DS. Adipokines such as leptin, which is a hormone secreted by adipocytes, acting in the hypothalamus to suppress appetite and regulate body weight, have been implicated in the pathophysiology of obesity. Leptin is a hormone secreted by adipocytes, acting in the hypothalamus to suppress appetite and regulate body weight. In this book we tried to highlight the hormonal key players for the development of obesity in children with Down syndrome.
Prevalence and Characteristic Features of Metabolic Syndrome Prevalence and Characteristic Features of Metabolic Syndrome Новинка

Prevalence and Characteristic Features of Metabolic Syndrome

Metabolic syndrome(MS)is a cluster of diseases each of which carries grave risk for severe vascular events. There is paucity of report on the presence and features of MS among Nigerians and Africans with type 2 diabetes mellitus(DM). The study determined the prevalence of MS among Nigerians with type 2 diabetes mellitus, the clinical and biochemical features of MS among patients with type 2 diabetes mellitus. The relationship between MS and the control of diabetes mellitus and blood pressure was also evaluated. Four hundred and eight patients with type 2 diabetes mellitus attending the medical outpatient department of the Lagos University Teaching Hospital (LUTH), Lagos were screened for the prevalence of MS. Out of 408 patients with type 2 diabetes mellitus screened for MS, 210 (51.5%)had MS.Patients with MS were older than those without MS. The prevalence of MS among Nigerians with type 2 DM is high, and the family history of triad of obesity, hypertension and most frequent component of MS is truncal obesity. Control of hypertension was poor among patient with MS.
Left Ventricular Rupture Left Ventricular Rupture Новинка

Left Ventricular Rupture

I am presenting a review of some cases of left ventricular rupture in Mansoura university Hospitals;Egypt and King Faisal Specialist Hospital and Research Centre; Jeddah;Saudi Arabia. I referred to some international experiences published in that field especially the New York University experience to reduce the left ventricular tear during mitral valve surgery. I presented the incidences, aetiology, pathogenesis, 5 different types of ruptures, diagnosis and presentation and some basic for successful repair of the tear which may be closure of the full extent of the tear, placement of sutures into healthy myocardium and not into the injured oedematous tissue in the immediate vicinity of the tear, and sparing the left circumflex coronary artery and its major marginal branches, removal of the prostehesis and accurate identification of the site of tear. All repairs should be done on Cardiopulmonary bypass. The difficulties of the different methods of treatment are presented in details. I described internal and external approach, auto-transplantations and a new algorithm of management.
Surgery for Left Ventricular Aneurysm Surgery for Left Ventricular Aneurysm Новинка

Surgery for Left Ventricular Aneurysm

Left ventricular aneurysm (LVA) is a rare yet serious complication of myocardial infarction. Though LVA occasionally occurs in congenital, infective, connective tissue and traumatic heart disease, myocardial infarction remains the most frequent cause. The main therapeutic option for LVA is surgery; however, the best surgical technique (linear vs. patch closure) is still controversial. This book presents a retrospective study of thirty six true post myocardial infarction LVAs managed surgically in 3 Iraqi cardiac surgical centers over 12 years with a literature review. Patch ventriculoplasty was the most frequently employed technique while myocardial revascularization rate exceeded 90%. The study is a preliminary work on this disease in Iraq hopefully it would be followed by others with longer follow-up. Despite the small number of patients and the low ejection fraction in most of them, the short-term outcome was good and close to the international standard. We share many other authors their belief that reconstruction of LVA should be combined with myocardial revascularization particularly in the presence of graftable left anterior descending artery following repair.
Educational Programs Improves Quality of Life of University Students Educational Programs Improves Quality of Life of University Students Новинка

Educational Programs Improves Quality of Life of University Students

Overweight & obesity is one of the leading preventable causes of death worldwide. As the rates of adult and childhood obesity increasing, authorities views overweight & obesity is one of the most serious public health problem of the 21st century. Overweight & obesity became common in university students and it may affects their Quality of Life. In this book we evaluated the effect of an educational program on improving quality of life of overweight & obese university students' in the Gaza Strip using Quasi-experimental. We assessed the overweight & obese university students knowledge', attitudes and practices towards overweight & obesity, then we developed and implemented a health education program to improve the quality of life of overweight & obese university students'.
Obesity and Body Composition in Three Endogamous Population of Andhra Pradesh Obesity and Body Composition in Three Endogamous Population of Andhra Pradesh Новинка

Obesity and Body Composition in Three Endogamous Population of Andhra Pradesh

It was found that there is a significant increase in overweight and obesity among men and women in India during last two decades. So attention should be paid on overweight and obesity coexisting with under nutrition at the national level. Several general and health problems were found significantly higher among overweight and obese men and women compared to normal men and women, therefore obese peoples should be given special attention by health providers and policy makers. There is an urgent need to recognize the gravity of the problem of obesity and therefore incorporate it in the general health system. A healthy lifestyle should be promoted to tackle this emerging health threat. Governments in many developing countries with high levels of under nutrition and high prevalence of communicable diseases have paid little attention to the problems of overweight and obesity. Now, with a rapidly growing obesity epidemic and associated chronic diseases the situation is beginning to change. Health care providers and policy makers need to appreciate this important and emerging problem of obesity and pay more attention to develop effective policies and programmes to prevent obesity.
Berkley Berkley Fricassee Adult Cat Menu Poultry&Chicken Fillet with Herbs in Sauce №6 Berkley Berkley Fricassee Adult Cat Menu Poultry&Chicken Fillet with Herbs in Sauce №6 Новинка

Berkley Berkley Fricassee Adult Cat Menu Poultry&Chicken Fillet with Herbs in Sauce №6

Влажный корм паучи Berkley Fricassee Adult Cat Menu Poultry&Chicken Fillet with Herbs in Sauce №6 - полнорационное консервированное питание для взрослых кошек всех пород
Effect of maternal obesity on pregnancy outcome in Gaza governorate Effect of maternal obesity on pregnancy outcome in Gaza governorate Новинка

Effect of maternal obesity on pregnancy outcome in Gaza governorate

Obesity is a major public health problem. It can be defined as an excess accumulation of body fat cells. Obesity is considered the fifth leading risk for global death. At least 2.8 million adults die each year as a result of being overweight or obese. Maternal obesity affect the health of mother in pregnancy and developing fetus that adversely increase risk of gestational diabetes, preeclampsia toxemia, macrosomic baby and birth defect. this study aimed to reveal the effect of maternal obesity on pregnancy outcome. The study found some factors that are associated with adverse maternal outcome. Increasing in obesity degree will risk of hypertensive disorder, gestational diabetes; and having macrosomic new born.the study provides possible intervention strategies that could contribute to reduce effect of maternal obesity on pregnancy outcome.
Bernhard Meier Current Best Practice in Interventional Cardiology Bernhard Meier Current Best Practice in Interventional Cardiology Новинка

Bernhard Meier Current Best Practice in Interventional Cardiology

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Current Best Practice in Interventional Cardiology addresses the questions which challenge clinicians involved with interventional procedures. Helpfully organized into four sections, the text addresses; coronary artery disease, non-coronary interventions, left ventricular failure and the latest advances in imaging technologies, and provides authoritative guidance on the current recommendations for best practice. Containing contributions from an international team of opinion leaders, this new book reviews the key advances in equipment, techniques and therapeutics and is an accessible reference for all hospital-based specialists.
Сухой корм PRO PLAN Duo Delice Adult Rich in Beef with Rice с говядиной и рисом для собак 10кг (12202614) Сухой корм PRO PLAN Duo Delice Adult Rich in Beef with Rice с говядиной и рисом для собак 10кг (12202614) Новинка

Сухой корм PRO PLAN Duo Delice Adult Rich in Beef with Rice с говядиной и рисом для собак 10кг (12202614)

Pro Plan Duo Delice Adult Rich in Beef with Rice - Duo Delice – это сочетание хрустящих крокетов и мягких кусочков, которое так нравится собакам. Говядина/курица/лосось в качестве основного ингредиента и тщательно подобранные остальные составляющие обеспечат здоровье и благополучие Вашей собаки.
Сухой корм PRO PLAN Duo Delice Adult Rich in Chicken with Rice с курицей и рисом для собак 10кг (12176333) Сухой корм PRO PLAN Duo Delice Adult Rich in Chicken with Rice с курицей и рисом для собак 10кг (12176333) Новинка

Сухой корм PRO PLAN Duo Delice Adult Rich in Chicken with Rice с курицей и рисом для собак 10кг (12176333)

Pro Plan Duo Delice Adult Rich in Chicken with Rice - Duo Delice – это сочетание хрустящих крокетов и мягких кусочков, которое так нравится собакам. Говядина/курица/лосось в качестве основного ингредиента и тщательно подобранные остальные составляющие обеспечат здоровье и благополучие Вашей собаки.
Сухой корм PRO PLAN Duo Delice Adult Rich in Salmon with Rice с лососем и рисом для собак 10кг (12202615) Сухой корм PRO PLAN Duo Delice Adult Rich in Salmon with Rice с лососем и рисом для собак 10кг (12202615) Новинка

Сухой корм PRO PLAN Duo Delice Adult Rich in Salmon with Rice с лососем и рисом для собак 10кг (12202615)

Pro Plan Duo Delice Adult Rich in Salmon with Rice - Duo Delice – это сочетание хрустящих крокетов и мягких кусочков, которое так нравится собакам. Говядина/курица/лосось в качестве основного ингредиента и тщательно подобранные остальные составляющие обеспечат здоровье и благополучие Вашей собаки.
Reference Values for Obesity in Children and Adolescents of Nigeria Reference Values for Obesity in Children and Adolescents of Nigeria Новинка

Reference Values for Obesity in Children and Adolescents of Nigeria

Body Mass Index (BMI),waist circumference, hip circumference and waist to hip ratio have been used as pointers to obesity/overweight. These are usually interpretable with defined norms, and or reference values. Obesity/overweight is defined to predict health risks, and provide comparisons between populations. Several of these definitions exist for many countries, and scarcely for Nigeria. Heredity,environment,culture, race,ethnicity,are some factors affecting somatotype, which is described in terms of distribution of body composition, size and type. Somatotype is important in the definition of overweight/obesity, and therefore its reference values and norms. Measures of obesity in children and teenagers’ are therefore different from that of adult population, and internationally. This study provided data on BMI, waist circumference, waist to hip ratio, waist to height ratio, and presented reference values for obesity among Nigeria children, and adolescents. We reported that waist circumference revealed the highest percentage of obesity.
Cystatin C as a reliable marker for metabolic syndrome nephropathy Cystatin C as a reliable marker for metabolic syndrome nephropathy Новинка

Cystatin C as a reliable marker for metabolic syndrome nephropathy

Metabolic syndrome is associated with other risk factors and is associated with cardiovascular disease. Obesity is a risk factor for chronic kidney disease (CKD) . Perception mechanisms linking obesity and chronic kidney disease are important not only of the social health burden of both conditions, but also, due to novel insights into the underlying mechanisms may lead to new strategies to treat or prevent chronic kidney disease and its associated comorbidities. More developed countries are facing an obesity epidemic and growing.experience rapid increase in the prevalence because this age group experienced the greatest burden of chronic kidney disease (CKD), and cardiovascular disease, malignancy, that each of them may be aggravated with obesity. Obesity is almost certainly indirectly contributes to chronic kidney disease due to associates with many major CKD risk factors such as diabetes, high blood pressure, and atherosclerosis. Cystatin C has recently been shown as an accurate indicator of glomerular filtration rate with benefits than serum creatinine . Glomerular filtration rate is the best overall index of renal function in health and disease.
On how obesity links with osteoarthritis On how obesity links with osteoarthritis Новинка

On how obesity links with osteoarthritis

Osteoarthritis is a major health problem and obesity is one of the most important risk factors. This book describes research on the possible pathophysiology of osteoarthritis due to excess of fat tissue: do metabolic factors play a role? and what will happen to osteoarthritis progression when obesity is present together with another important risk factor (i.e. joint malalignment)? Moreover, other hot topics in osteoarthritis research are discussed, such as: which structures cause pain in knee osteoarthritis? and what are the risk factors to have worsening of lower limb osteoarthritis?
Appetite dysregulation and Obesity in Western Countries Appetite dysregulation and Obesity in Western Countries Новинка

Appetite dysregulation and Obesity in Western Countries

Obesity in many Western Countries has cost communities billions of dollars. Improving the health of community members by dietary restriction, anti-obese foods and physical activity has become important to maintain weight loss. Over weight individuals have numerous health conditions that include heart disease, depression, hypertension, hypercholesterolemia and diabetes. Interests in low fat diets and anti-obese drugs on brain function that determines the body fat metabolism and energy expenditure has become important to the correction of numerous metabolic diseases associated with obesity. The excess intake of calories and the poor body metabolism has become a community problem. The balance between the consumption of calories and the metabolism of calories is controlled by the brain with appetite control regulated by interactions between the gut, adipose tissue and the brain. Early in life brain endocrine disorders such as hormone imbalances leads to appetite dysregulation with overeating. In obesity the abnormal metabolism of sugars and fats by the the liver and other tissues leads to hypercholesterolemia and heart disease.
Selection of artificial teeth Selection of artificial teeth Новинка

Selection of artificial teeth

Many attempts have been made to establish methods for estimating the width of artificial maxillary central incisors using anatomical landmarks, but one cannot depend on one particular method for this purpose. This study helps us to provide a guideline along with other methods for determining this relationship. The purpose of the study was to determine whether a relationship exists between the width of philtrum and mesio-distal width of maxillary central incisors in males and females for selection of anterior teeth. Width of philtrum was relatively less in females as compared to males.The combined mesio-distal width of maxillary central incisors was always greater than the width of philtrum in both the sex. The mean mesio-distal width of maxillary central incisor was 8.71mm and 8.72mm on right and left respectively in males. While in females the mean mesio-distal width of maxillary central incisor was 8.30mm on right and 8.28mm on left. The restoration of contour of philtrum is important esthetic requirement. The measurement of its width may provide a valuable guide in determination of the width of maxillary central incisor.
Паучи PRO PLAN Nutri Savour Adult Cat Chunks with Turkey in Jelly кусочки в желе с индейкой для кошек 85г (12286804) Паучи PRO PLAN Nutri Savour Adult Cat Chunks with Turkey in Jelly кусочки в желе с индейкой для кошек 85г (12286804) Новинка

Паучи PRO PLAN Nutri Savour Adult Cat Chunks with Turkey in Jelly кусочки в желе с индейкой для кошек 85г (12286804)

Pro Plan Nutri Savour Adult Cat Chunks with Turkey in Jelly - Предназначен для взрослых кошек от 1 года. Стимулирует работу мочевыводящего тракта. Pro Plan® Adult для взрослых кошек содержит сбалансированный комплекс питательных веществ, включая витамины и минералы со вкусом, который так нравится кошкам. Новый влажный корм приготовлен с заботой нашими экспертами компании Purina®, Pro Plan® Adult для взрослых кошек сделан из мясных или рыбных кусочков в аппетитном желе. Информация с сайта производителя
Паучи PRO PLAN Adult Cat Chunks with Lamb in Jelly кусочки в желе с ягненком для кошек 85г (12287095) Паучи PRO PLAN Adult Cat Chunks with Lamb in Jelly кусочки в желе с ягненком для кошек 85г (12287095) Новинка

Паучи PRO PLAN Adult Cat Chunks with Lamb in Jelly кусочки в желе с ягненком для кошек 85г (12287095)

Pro Plan Adult Cat Chunks with Lamb in Jelly - Предназначен для взрослых кошек от 1 года. Pro Plan® Adult для взрослых кошек содержит сбалансированный комплекс питательных веществ, включая витамины и минералы со вкусом, который так нравится кошкам. Новый влажный корм приготовлен с заботой нашими экспертами компании Purina®, Pro Plan® Adult для взрослых кошек сделан из мясных или рыбных кусочков в аппетитном желе. Информация с сайта производителя
Паучи Animonda Rafine Adult with Poultry in Cream Sauce с домашней птицей в сливочном соусе для кошек 100г (83792) Паучи Animonda Rafine Adult with Poultry in Cream Sauce с домашней птицей в сливочном соусе для кошек 100г (83792) Новинка

Паучи Animonda Rafine Adult with Poultry in Cream Sauce с домашней птицей в сливочном соусе для кошек 100г (83792)

Паучи Animonda Rafine Adult – корма супер-премиум класса для кошек. Это истинный «кулинарный восторг» для Вашего домашнего охотника! Ваш питомец не останется равнодушным к этим нежнейшим кусочкам мяса в подливке, приготовленным по особому рецепту. Консервы Анимонда Рафине Суп отличаются настоящим немецким качеством, безумно аппетиты, имеют отличную поедаемость и содержат только лучшие и качественные ингредиенты. Информация с сайта производителя Состав и ингредиенты Мясо и мясные продукты (домашняя птица 15%),молоко и молочные продукты (молоко 2%), злаки, минералы. Анализ Белок 8%, жир 5%, клетчатка 0,3%, зола 2%, влажность 81%.
Obesity Prevention for Children Obesity Prevention for Children Новинка

Obesity Prevention for Children

Childhood obesity continues to be a major health problem in the United States. The statistics are frightening nearly two out of three children who are obese as they enter kindergarten will remain obese as teenagers, and most of those will end up obese adults. Dr. Alvin Eden, a practicing pediatrician for many years, has put his knowledge and experience in dealing with this epidemic in Obesity Prevention in Children, an authoritative resource for anyone raising kids. Recipes and meal plans have been designed by leading nutritionist Sari Greaves.
Purina PRO PLAN Purina Pro Plan Duo Delice Small Adult сanine rich in Salmon with Rice dry - 2.5 кг Purina PRO PLAN Purina Pro Plan Duo Delice Small Adult сanine rich in Salmon with Rice dry - 2.5 кг Новинка

Purina PRO PLAN Purina Pro Plan Duo Delice Small Adult сanine rich in Salmon with Rice dry - 2.5 кг

Корм сухой полнорационный для взрослых собак мелких и карликовых пород, с лососем и рисом.
Berkley Berkley Fricassee Adult Cat Menu Lamb&Beef with Chicken Fillet and Herbs in Sauce №5 Berkley Berkley Fricassee Adult Cat Menu Lamb&Beef with Chicken Fillet and Herbs in Sauce №5 Новинка

Berkley Berkley Fricassee Adult Cat Menu Lamb&Beef with Chicken Fillet and Herbs in Sauce №5

Влажный корм Berkley Fricassee Adult Cat Menu Lamb&Beef with Chicken Fillet and Herbs in Sauce №5 - полнорационное консервированное питание для взрослых кошек всех пород
Berkley Berkley Fricassee Adult Cat Menu Rabbit&Beef with Chicken Fillet and Herbs in Sauce №4 Berkley Berkley Fricassee Adult Cat Menu Rabbit&Beef with Chicken Fillet and Herbs in Sauce №4 Новинка

Berkley Berkley Fricassee Adult Cat Menu Rabbit&Beef with Chicken Fillet and Herbs in Sauce №4

Влажный корм паучи Berkley Fricassee Adult Cat Menu Rabbit&Beef with Chicken Fillet and Herbs in Sauce №4 - полнорационное консервированное питание для взрослых кошек всех пород
Berkley Berkley Fricassee Adult Cat Menu Turkey & Lamb with Berries in natural Jelly № 4 Berkley Berkley Fricassee Adult Cat Menu Turkey & Lamb with Berries in natural Jelly № 4 Новинка

Berkley Berkley Fricassee Adult Cat Menu Turkey & Lamb with Berries in natural Jelly № 4

Влажный корм паучи Berkley Fricassee Adult Cat Menu Turkey & Lamb with Berries in natural Jelly № 4 - полнорационное консервированное питание для котят всех пород
Сухой корм PRO PLAN Duo Delice Adult Rich in Salmon with Rice с лососем и рисом для собак 2,5кг (12202613) Сухой корм PRO PLAN Duo Delice Adult Rich in Salmon with Rice с лососем и рисом для собак 2,5кг (12202613) Новинка

Сухой корм PRO PLAN Duo Delice Adult Rich in Salmon with Rice с лососем и рисом для собак 2,5кг (12202613)

Pro Plan Duo Delice Adult Rich in Salmon with Rice - Duo Delice – это сочетание хрустящих крокетов и мягких кусочков, которое так нравится собакам. Говядина/курица/лосось в качестве основного ингредиента и тщательно подобранные остальные составляющие обеспечат здоровье и благополучие Вашей собаки.
Сухой корм PRO PLAN Duo Delice Adult Rich in Beef with Rice с говядиной и рисом для собак 2,5кг (12202612) Сухой корм PRO PLAN Duo Delice Adult Rich in Beef with Rice с говядиной и рисом для собак 2,5кг (12202612) Новинка

Сухой корм PRO PLAN Duo Delice Adult Rich in Beef with Rice с говядиной и рисом для собак 2,5кг (12202612)

Pro Plan Duo Delice Adult Rich in Beef with Rice - Duo Delice – это сочетание хрустящих крокетов и мягких кусочков, которое так нравится собакам. Говядина/курица/лосось в качестве основного ингредиента и тщательно подобранные остальные составляющие обеспечат здоровье и благополучие Вашей собаки.

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Globally, obesity has reached epidemic proportions. Several co-morbidities co-exist with obesity and affect multiple peripheral tissues. Non-alcoholic fatty liver disease (NAFLD) is the leading cause of obesity associated chronic liver disease in the US. The molecular mechanisms underlying the development and the progression of NAFLD remain poorly understood. Stomach is an important endocrine organ that produces a number of bioactive peptides with important roles in the metabolism of energy. Stomach is located in the vicinity of the liver, but so far it has been largely neglected as an organ with potentially important role in obesity and associated NAFLD. This study provides the evidence for the contribution of the stomach-specific expression changes in a number of molecules previously implicated in inflammation and energy homeostasis to the pathogenesis of obesity-associated NAFLD. In contrast to white adipose tissue (WAT), brown adipose tissue (BAT) has the unique ability to dissipate energy by mitochondrial “uncoupling” facultatively. In this study, the expression of brown adipocyte-specific genes was assessed as quantitative indicator of BAT activity in adipose of adult humans.
Продажа left ventricular function in adult nigerians with central obesity лучших цены всего мира
Посредством этого сайта магазина - каталога товаров мы очень легко осуществляем продажу left ventricular function in adult nigerians with central obesity у одного из интернет-магазинов проверенных фирм. Определитесь с вашими предпочтениями один интернет-магазин, с лучшей ценой продукта. Прочитав рекомендации по продаже left ventricular function in adult nigerians with central obesity легко охарактеризовать производителя как превосходную и доступную фирму.