BACKGROUND: Bariatric surgery is an effective weight loss treatment modality for people with morbid obesity, however, there may be a negative impact on postoperative bone health. This review summarizes changes of different bone mineral density dual-energy x-ray absorptiometry measurements, with specific attention to the laparoscopic sleeve gastrectomy and the roux-en-y gastric bypass. METHODS: PubMed and the Cochrane Library searches yielded 156 articles published before November 2017. The articles were evaluated based on the following inclusion criteria: focus on laparoscopic sleeve gastrectomy or roux-en-y gastric bypass and bone health, written in English, full-length article, studied participants for one-to-two years, and included statistical measurements. RESULTS: Of the 156 studies that were initially screened, 16 full-length articles were included in the final analysis. The articles described a lower loss of bone density at the lumbar spine, femoral neck, forearm, and total hip after laparoscopic sleeve gastrectomy when compared to roux-en-y gastric bypass, however, these studies lack statistical power due to the small sample sizes of less than 10 participants. CONCLUSION: The number of bariatric surgeries continues to increase worldwide, however, the literature provides limited studies that evaluate the effects of bariatric surgery on bone health, more than two-years postoperative. Further study is necessary to determine the mechanisms of bone loss after bariatric surgery, with great attention to differences in bone health between sexes.

Submitted by Edineia Teixeira (edineia.teixeira@unioeste.br) on 2017-12-18T17:12:18Z No. of bitstreams: 2 Angélica_capelassi2016.pdf: 1330041 bytes, checksum: 1450f27720ae9da87b224a8f974b2a87 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-12-18T17:12:18Z (GMT). No. of bitstreams: 2 Angélica_capelassi2016.pdf: 1330041 bytes, checksum: 1450f27720ae9da87b224a8f974b2a87 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-06-24 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Obesity is a risk factor in the development of many diseases such as diabetes and hypertension. In addition, it is associated with the development of diseases in the gastrointestinal tract (GIT) such as gastroesophageal reflux and gastritis. Bariatric surgery has proved to be the only effective long-term treatment modality sustained effects for the treatment of morbid obesity and its comorbidities. Studies have shown that bariatric procedures affect the morphology and function of the GIT. Few studies have investigated the effects of sleeve gastrectomy (SG), a restrictive technique that reduces the size of the stomach on the GIT. Thus, our objective was to analyze the effect of SG on gastric histopathology and the morphology of the small intestine (duodenum, jejunum and ileum) in obese rats fed a cafeteria diet. For this study, 8-week-old Wistar rats were divided into two groups: control (CTL), which received standard diet, and cafeteria (CAF), which received cafeteria diet to induce obesity. After two months, the CAF group underwent pseudo-surgery (CAF PS) or sleeve gastrectomy (CAF SG). At three months after surgery obesity was verified and stomach, duodenum, jejunum and ileum were collected and analyzed. Body weight and retroperitoneal and perigonadal fat pads were higher in CAF PS animals compared to the CTL. The SG did not influence these parameters. Regarding the morphology of the stomach, we observed that the CTL animals showed normal morphology of this organ, while the CAF PS animals showed changes in the gastric mucosa with the presence of hyperemia, mild inflammatory infiltrate and diffuse in the mucosa and submucosa, as well as mild erosion of the gastric mucosa and atrophy. The SG exacerbated changes in the stomach. CAF SG animals showed severe erosion of the gastric mucosa, edema, moderate and diffuse inflammatory infiltrate in the mucosa and submucosa, as well as atrophy of the muscular layer and the body of the mucosa. In relation to morphometry of the small intestine, no changes were found in the duodenum, jejunum and ileum of CAF PS and CTL animals. However, CAF SG animals showed increase in total thickness of the duodenum, as well as increase in the thickness of the mucosa and submucosa layer and villi. The jejunum and ileum showed no change. In the summary cafeteria diet causes changes in the gastric mucosa without changing the small intestine. The SG, three months after the procedure, exacerbates gastric alterations and promotes changes in the duodenum morphometry. / A obesidade é um fator de risco para o desenvolvimento de várias doenças, tais como diabetes e hipertensão. Além disso, está associada com o desenvolvimento de doenças no trato gastrointestinal (TGI), como refluxo gastroesofágico e gastrite. A cirurgia bariátrica tem provado ser a única modalidade de tratamento eficaz com efeitos sustentados por longo prazo para o tratamento da obesidade mórbida e suas comorbidades. Estudos demonstram que os procedimentos bariátricos alteram a morfologia e o funcionamento do TGI. Poucos estudos investigam os efeitos da gastrectomia vertical (GV), uma técnica restritiva que reduz o tamanho do estômago, sobre o TGI. Dessa forma, nosso objetivo foi analisar o efeito da GV sobre a histopatologia gástrica e a morfologia do intestino delgado (duodeno, jejuno e íleo) em ratos obesos pela dieta de cafeteria. Para este trabalho, ratos Wistar com 8 semanas de vida foram divididos em dois grupos: controle (CTL), que recebeu dieta padrão, e cafeteria (CAF), que recebeu dieta de cafeteria para indução da obesidade. Após dois meses, o grupo CAF foi submetido à pseudo-cirurgia (CAF PC) ou à gastrectomia vertical (CAF GV). Três meses após o procedimento cirúrgico foi realizada a avaliação da obesidade e o estômago, duodeno, jejuno e íleo foram coletados e analisados. O peso corporal e o peso das gorduras retroperitonial e perigonadal foi maior nos animais CAF PC em comparação com os CTL. A GV não influenciou estes parâmetros. Em relação a morfologia do estômago, observamos que os animais CTL apresentaram morfologia normal desse órgão, enquanto os animais CAF PC apresentaram alterações na mucosa gástrica com presença de hiperemia, infiltrado inflamatório leve e difuso na mucosa e submucosa, bem como.leve erosão da mucosa gástrica e atrofia. A GV exacerbou as alterações no estômago. Os animais CAF GV apresentaram erosão intensa da mucosa gástrica, edema, infiltrado inflamatório moderado e difuso na mucosa e submucosa, bem como atrofia da camada muscular e da mucosa do órgão. Em relação a morfometria do intestino delgado, nenhuma alteração foi encontrada no duodeno, jejuno e íleo entre os animais CAF PC e CTL. Entretanto, os animais CAF GV apresentaram aumento da espessura total do duodeno, bem como, aumento na espessura da camada mucosa e submucosa e na altura das vilosidades. O jejuno e o íleo não apresentaram modificações. Assim, concluímos que, a dieta de cafeteria promove alterações na mucosa gástrica sem modificar o intestino delgado. A GV, três meses após o procedimento, exacerba as alterações gástricas e promove modificações na morfometria do duodeno

The aim of this thesis called Design of bar-feeder for CNC lathe is research about workpiece handling and bar feeders. But the most important aim is design of bar feeder by chosen parameters. The first part of thesis includes description of different types of workpiece handling. The second part is formed by bar feeders description and distribution and possibly construction solution. In the last part is performed choice of parameters for designed bar feeder and design of short bar feeder construction itself.

Obesity in the United States has increased to epidemic numbers over the last decade. Practitioners need to reverse the trend. To address the problem of depression in obesity, a practice guideline from a bariatric clinic for under-served populations was proposed to an expert panel. The Spell Out on First Use (PHQ-9) screening is a valid and reliable self-screening tool to assist the practitioner in determining the level of depression if any. The PHQ-9 has nine questions. No formal screening existed at the bariatric clinic, and the practice guideline (with algorithm and revised workflow) was proposed for use at the clinic. The expert panel consisted of the medical director, a surgeon, a psychiatrist, and a nurse practitioner at the clinic. The expert panel reviewed the materials and made one recommendation: to implement the PHQ-9 upon intake when the patient is being admitted to the program, and the panel recommends administering PHQ-9 prior to assessment by practitioners All panel members were in agreement about full implementation of the practice guideline, provided that an educational program on the revised workflow in the clinic was first presented. The expert panel also reviewed and approved the algorithm and the treatment pathways identified for patients to use in the practice after the results of the PHQ-9 are compiled. It is expected that use of the depression screening tool and recommended guidelines in the bariatric clinic will result in more effective treatment for the patients and thus better outcomes-a significant positive social change.

Yes / Over the previous two decades, a notable array of space exploration missions have been initiated with the primary aim of facilitating the return of both humans and robots from Earth to the moon. The significance of these endeavors cannot be emphasized enough as numerous entities, both public and private, from across the globe have invested substantial resources into this pursuit. Researchers have committed their efforts to addressing the challenges linked to lunar communication. Even with all of these efforts, only a few of the many suggested designs for communication and antennas on the moon have been evaluated and compared. These designs have also not been shared with the scientific community. To bridge this gap in the existing body of knowledge, this paper conducts a thorough review of lunar surface communication and the diverse antenna designs employed in lunar communication systems. This paper provides a summary of the findings presented in lunar surface communication research while also outlining the assorted challenges that impact lunar communication. Apart from various antenna designs reported in this field, based on their intended usage, two additional classifications are introduced: (a) mission-based antennas-utilized in actual lunar missions-and (b) research-based antennas-employed solely for research purposes. Given the critical need to comprehend and predict lunar conditions and antenna behaviors within those conditions, this review holds immense significance. Its relevance is particularly pronounced in light of the numerous upcoming lunar missions that have been announced. / This work is part of the “Performance Evaluation of Lunar Rashid Rover Communication System” research project, supported by the University of Dubai.

No description available.

Yes / A novel prestressed precast reinforced concrete (RC) beam-column joint, composed of prestressed tendons, stiffened steel sleeves, and high-strength bolts, having improved self-centring ability and assembly efficiency is proposed in this paper. Four prestressed precast RC joints assembled by steel sleeves and one cast-in-place RC joint were tested under cyclic loading to investigate the seismic response of the proposed joint. The main parameters studied are the axial compression ratio of columns, stirrup ratio in the core area of the proposed joint and effective prestress of tendons. The energy dissipation capacity, bearing capacity, and self-centring ability of the prestressed precast RC beam-column joints assembled by steel sleeves are higher than those measured for the cast-in-place RC joint. For the prestressed precast RC joints assembled by steel sleeves, both yield and ultimate displacements increase with the increase of the axial compression ratio, stirrup ratio and effective prestress, but the ductility decreases with the increase of the axial compression ratio and effective prestress. The increasing of axial compression ratio can lead to an increase in the energy dissipation capacity, shear capacity and residual displacement. Finally, formulae to predict the shear capacity of prestressed precast RC joint assembled by steel sleeves are proposed, being in good agreement with the experimental results. / The authors would like to thank the financial support provided by the Natural Science Foundation of Jiangsu Province, China (BK20201436), the Open Foundation of Jiangsu Province Engineering Research Center of Prefabricated Building and Intelligent Construction (2021), the Blue Project Youth Academic Leader of Colleges and Universities in Jiangsu Province (2020) and the Postgraduate Research & Practice Innovation Program of Jiangsu Province, China (KYCX21_3225).

(EN) Research in the field of obesity, diabetes mellitus and their complications in recent years is increasingly focused on pathophysiological mechanisms of their onset and potential prevention and treatment. The aim of the present work was to evaluate the effects of two different interventions - sleeve gastrectomy and physical activity - on anthropometric, biochemical, hormonal parameters and mRNA expression of proinflammatory factors in subcutaneous adipose tissue along with mRNA expression in peripheral blood monocytes in patients who underwent sleeve gastrectomy. A total of 15 obese women with hypertension were included into the physical activity study. These patients underwent a 3-month training program, which included 30 minutes of aerobic exercise three times a week. 13 obese women were included into sleeve gastrectomy study and were followed-up for 2 years after surgery. Our results indicate that in both studies obese groups had at baseline significantly increased mRNA expression of proinflammatory cytokines, adipokines, chemokines and chemokine receptors relative to control groups. Both interventions decreased body weight and low-grade inflammation. Physical activity had no significant effect on blood pressure, lipid profile and mRNA expression of the components of the renin-...

Syftet med studien är att försöka lösa passformsproblem på trikåmodeller till dam som har en förlängd axel. Studien skrivs i samarbete med ett stort svenskt klädföretag och undersöker ett problem som företaget själva har identifierat. Problemet gäller passformen på några av företagets trikåmodeller till dam som alla har en förlängd axel och en lösare passform. Passformsproblemen som trikåmodellerna upplevs ha uppstår vid just axeln, ärmhålet och överärmsvidden. Inom forskning och litteratur saknas det information kring passformsproblem och åtgärder vid konstruktion av trikåplagg med en förlängd axel. I dagsläget har inte företaget tid att själva testa och utveckla trikåmodellerna och studien har därför fokuserat på att försöka lösa problemet med passformen åt dem. För att uppnå syftet har en experimentell metod använts. Denna har utförts via digital mönsterkonstruktion, uppsömnad av provplagg och verifierats genom avprovningar på provpersoner och på provdocka. Resultatet av studien visar att en medel- till hög ärmkulle behövs till plagg med en förlängd axel för att uppnå en god passform på ärmen och kring ärmhålet. / The purpose of the study is to try to solve fit problems on women’s jersey models with a dropped shoulder. The study is written in collaboration with a large Swedish clothing company and investigates a problem that the company itself has identified. The problem concerns the fit of some of the company's jersey sweaters for ladies, each with a dropped shoulder and a looser fit. The fit problems that the jersey models are having occurred at the shoulder, the armhole and bicep. In research and literature there is no information about fitting problems and how to adjust the construction of jersey garments with a dropped shoulder. At present, the company does not have time to test and develop the jersey models, and the study has therefore focused on trying to solve the problem of the fit for them. To achieve the aim, an experimental method has been used. This has been done through CAD-based pattern construction, sewing test prototypes and verified by fittings on human fitting models and on a dummy. The result of the study shows that a medium to high sleeve crown is needed for clothes with an extended shoulder to achieve good fit on the sleeve and around the armhole.

The master’s thesis submits a technological project of production of splined sleeve used in automotive as a component of propeller shaft. The part is made of steel ČSN 11 523 by bulk forming technology in an annual production series of 20 000 pieces. Production process was designed in four operations, after the second operation there was recrystallization annealing included for regeneration of plasticity before following extrusion. There were made technological calculations for these production operations. Operations were projected to be done by common one-operation press machines available in local manufacturing facility. For all the operations were designed functional tools and tools setups. In conclusion, there was performed technical-economic evaluation. As emerged from this evaluation the final amount of total production costs for one piece is 131,- Kč. When 9 393 pieces are produced, the production series reaches to the break-even point and then the profit starts to be generated.