Obesity is big business and as a result, so are bariatric surgeries. They are a popular fail safe for people who believe they lack the mental resolve to eat less but is it really the most cost effective way to treat obesity now that health care is government controlled?
Writing in both
BMJ and
JAMA, David Arterburn, MD, MPH, weighs the evidence on the benefits and risks of the various types of this surgery. It s critical that we find effective and cost-effective ways to treat severe obesity, said Dr. Arterburn, an associate investigator at Group Health Research Institute, a Group Health physician, and an affiliate associate professor of medicine at the University of Washington School of Medicine.
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It has high-quality haptics. It doesn t feel quite as sophisticated as the Apple Watch s Taptic Engine, but it s much closer to that than the cheap, monotone, and buzzy vibrations you ll feel from early phones and smartwatches. Similar to Apple s, you ll feel a wide variety of subtle gradations in the haptics: pulsing, jabbing, gentle vibrating, and so on. It s much more than buzz on, buzz off.
Another nice bonus: Unless you lift your wrist right up to your ear, the vibrations are silent and won t disturb you or anyone around you.
The iPhone app includes seven modes, each with adjustable time and intensity
Sleep and Renew
It has high-quality haptics. It doesn t feel quite as sophisticated as the Apple Watch s Taptic Engine, but it s much closer to that than the cheap, monotone, and buzzy vibrations you ll feel from early phones and smartwatches. Similar to Apple s, you ll feel a wide variety of subtle gradations in the haptics: pulsing, jabbing, gentle vibrating, and so on. It s much more than buzz on, buzz off.
Another nice bonus: Unless you lift your wrist right up to your ear, the vibrations are silent and won t disturb you or anyone around you.
The iPhone app includes seven modes, each with adjustable time and intensity
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Long-term severe complications were similar with laparoscopic lavage and primary resection in perforated purulent diverticulitis patients, researchers reported, although recurrence was more frequent after lavage.
At a median follow-up of just under 5 years, new results from the ongoing SCANDIV trial showed no difference in severe complications (primary outcome) or in mortality, quality of life (QoL), and functional outcomes (secondary outcomes) between treatment groups, according to Najia Azhar, MD, of Skåne University Hospital in Malmö, Sweden, and colleagues.
Severe complications occurred in 36% (n=26/73) in the laparoscopic lavage group and 35% (n=24/69) in the resection group (
P=0.92), they stated in