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    INTERVENTIONAL THERAPIES FOR TYPE II DIABETES. SUMMARY OF THE LONDON 2015 INTERNATIONAL DIABETES SURGERY SUMMIT AND CONSENSUS CONFERENCE

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    Metabolic or bariatric surgery may be more effective than standard medical treatments for the long-term control of type 2 diabetes in obese patients, according to recently published studies. Various studies have shown that bariatric surgery can result in dramatic improvement of type-2 diabetes in obese patients, usually on short-term follow-up. Recent studies, from which one randomized controlled trial, have shown same promising results on long-term control of type 2 diabetes. New research suggests that obese patients with type 2 diabetes, especially those with recent disease onset, should be prioritized for obesity surgery over those without type 2 diabetes, including considering overall costs of healthcare. Even if some patients see a reversal of diabetes after surgery, they need fewer expensive diabetes medications or treatment for complications in the future. Diabetes organizations recently developed guidelines that integrate medical and surgical therapies in a rational treatment algorithm for T2DM. Specific goals include providing guidance for the selection of surgical candidates and for the use of diabetes-specific measures in the preoperative work-up and follow-up of patients. An extensive review of the recent literature is analysed and presented

    Chirurgia bariatrică în tratamentul sindroamelor obstructive în somn. Bariatric surgery in the treatment of obstructive sleep apnea syndromes

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    CAPITOL1-Elemente de fiziologie și fiziopatologie a somnului (Raluca Enache, Dorin Sarafoleanu),CAPITOL2-Etiologia tulburărilor respiratorii în somn(Raluca Enache, Dorin Sarafoleanu), CAPITOL3-Explorarea clinico-paraclinică a pacientului cu tulburări respiratorii în somn (Elena Pătrașcu, Ionuț Tănase), CAPITOL4-Tratamentul chirurgical ORL al tulburărilor respiratorii în somn (Codruț Sarafoleanu, Claudiu Manea), CAPITOL5-Particularități ale sindroamelor obstructive în somn la copii(Dan Cristian Gheorghe), CAPITOL6-Terapia prin ventilație non-nvazivă(Ionuț Tănase, Elena Pătrașcu), CAPITOL7-Dispozitive protetice și chirurgia maxilo-facială în tratamentul sindroamelor obstructive în somn(Codruț Sarafoleanu, Ion Nicolescu), CAPITOL8-Chirurgia bariatrică în tratamentul sindroamelor obstructive în somn(Cristian Boru), CAPITOL9-Aspecte anestezice la pacienții cu tulburări respiratorii în somn(Luminița Cociu)

    Mini gastric bypass with 4k technology as treatment of morbid obesity in patient with ventriculoperitoneal shunt

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    Ventriculoperitoneal (VP) shunt placement is used to treat idiopathic intracranial pressure. Obesity is a risk factor related to shunt migration, dislodgement, and subsequent failure due to increased intraabdominal pressure. Minigastric bypass consists in both restrictive and malabsorbative mechanisms, and indications to this procedure as an efficient primary and redo procedure are increasing lately. Technology can always improve the surgical act, and 4K vision is spreading in many operating rooms. Laparoscopic approach is subject to continuous change. Ultrahigh definition is the next development in video technology, it delivers fourfold more detail than full high definition resulting in improved fine detail, increased texture, and an almost photographic emulsion of smoothness of the image. New 4K ultrahigh-definition technology might remove the current need for the use of polarised glasses. We present the laparoscopic one anastomosis gastric bypass, done with the new 4K technology, as primary bariatric procedure for morbid obese patient with VP shunt

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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