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Although the patients in the high-risk group represent less than 3% of the total, they represent 8% of deaths. Factors to consider are: A greater than 50 body mass index. In this scale, the measure of body fat based on weight and height of the person above 30 is already considered as obesity. Masculine gender. Men are more likely than women to suffer from hypertension, diabetes and metabolic disorders, which add to the risk of the surgery itself.

Advanced age. Over 45 patients have a high risk of dying after bariatric surgery. Hypertension. Patients with hypertension or high blood pressure, regularly have problems of the heart, or chronic inflammation of the blood vessels, increasing the risk of surgery. Risk of pulmonary embolism.

Patients who have risk of developing a stroke or pulmonary embolism, a blood clot in the lungs, a higher risk of death with the surgery. When talk to patients about Bariatric Surgery, we can cite national averages in terms of risks, but it is not very useful when a patient in specific is sitting in front of me, says DeMaria. Many physicians and patient come as an option bariatric surgery only when other means to lose weight have failed. However, our system shows that this strategy may need to be reconsidered. For patients with high risk, DeMaria says that the best method is to lose some weight before the surgery. As an alternative, surgeons can make a series of smaller, and therefore less risky, during that time procedures. Goodbye obesity have a tool of electronic consultation that considered above and can help you decide which of the surgeries to lose weight is your best option. This e-consultation is free and confidential. Greetings, Dr. Hector Bernal Bypass Gastrico Sobre the author: Hector Bernal is a surgeon specialist in metabolic surgery and obesity Professor titular at the school of Medicine of the Autonomous University of Chihuahua in Chihuahua Mexico original author and source of the article.

From a conscious point of view we perhaps do not understand the occurrence of certain events and the conclusion of many people is that we are exposed to forces and conditions outside us so it is impossible to have control of our own lives. As we began to study various spiritual materials go understanding that things that happen to us are intimately linked with our own essence, when we give account of this we begin to understand some of the reasons why certain circumstances come into our lives. In the book I am happy. I am Andrew Corentt Rico speaks to us that everything in life is directed by causality and not by chance, i.e. all circumstances has its causes, through the reading of this book will learn the steps necessary to be the cause of good situations in our life, it is easy to notice it, our look around people who lead more balanced lives in all sensesWhy? Because such persons either a conscious or unconscious way have sown wonderful ideas in their lives and therefore harvest of Similarly, through the book I’m happy, I’m rich you’ll learn how to organize your life in an efficient manner so benefit you every event. Now is the time in which you must assess your life and begin to take control of its own be, if something you do not like you much reaches its life is because you created it as well and may be due to the following situations: 1. you believe in pain and problems: many times we create conditions of suffering in our lives without justified reasonThis can happen because sometimes we feed our minds with negative information. 2. Something negative helps you transform it: this aspect at the end becomes positive, for example we see the case in which people consciously want to change but have failed and in that sense go through a hard experience that helps to bring about a real change of life, then the illusion of temporary pain if it makes sense, but beware, you must never associate the pain with the changebecause there is something more powerful to do so and is love.

But, it happens to us, are still in circulation, and maybe for some more time, and then must do a rearrangement of our experiential loads, to continue venturing us to life. They mean these substantial mutations that we must shed all acquired in our past overboard? Do involves the new time, that we must set aside all contributed by the generations that preceded us? In my opinion, there has been a new opportunity to rearrange our loads, ensuring all the lessons and in the earlier stages of our personal existence, as the contributions of previous generations. Everything would seem to indicate that the world began to change, with Perestroika, the wars and the fall of the Berlin wall. The announcement of the Perestroika (indicator that the Soviet Union was beginning its disappearance) corresponded you in Argentina, the Decree of demonopolization, signed by President Alfonsin, a proposal from the then Minister Terragno. The fall of the Berlin wall, coincided with the inauguration of President Menem and from there started all public policy, aimed at adapting to the new global circumstances.

This attitude was as Menemtroika. By the combination of global and local circumstances, it is becoming clear that, with the Menemtroika, somewhat abruptly, closes a stage of Argentine life that perhaps can be traced back in the presidencies of Sarmiento or Avellaneda, and particularly in the work of the Colonel Olascoaga, all of them associated with the campaigns to the desert. It is our opinion that between those events and 1914, with the outbreak of the great war (World War I), were launched and/or all alternatives were projected to make progress to the country. What came next, until the advent of the Menemtroika, this very linked to this founding time, though this assertion may to be repugnant to more than one. But here we are facing a new stage of mankind which provisionally referred to as the knowledge and information society.

Corporate social responsibility, refers to the commitment that has the company with all its stakeholders, is to respond to employee, customer, supplier, to the community through strategic plans so that these plans will become a competitive advantage for the business that develops. Now well, some say it is not philanthropy and is not only the compliance of laws does but won’t love to make things right for the welfare of the other, taking as a basis, duty through legislation a way to begin to be socially responsible? i.e. do love and legislation will not be the starting point to be socially responsible?, discard them it seems absurd to me. State, as all institutions that possess the authority and power to establish the rules that govern a society has the duty to enact and promote laws, rules and regulations for the collective welfare, of course company must meet them because that is a duty, not an option. Without the rules they had not laws, therefore the anarchy Albert and discard the compassion, love and the will that emanates from philanthropy, serious yet more anarchic and immoral, what if I agree, it is that you must manage this legislation those wanting to do, i.e. Design competitive strategic plans, which translates into sustainable accountable plans, all these plans revolve to the social environment and curbing them would be ambiguousregulate the social through certifiable standards would not be suitable is like telling the company, so far, taking into account another factor that these rules, most are designed for large corporations that happens to SMEs or family companies that are socially responsible from their radius of action? , here emerges the newest norm ISO 26,000 which has joined opinions such as: according to Camacho…in no time the ISO 26000 refers to what is efficient use, which could lead to confusion and interpretations wrong..-Employers considered that the text is too complex and difficult to read and that it does not apply to all types of organizations and is clearly focused on large companies, another comment did the President of accion RSE, Janet Sprohnle, who openly stated that the ISO 26000 is socially irresponsible most I have seen., his stance is based on thatin his view, Social responsibility is a theme of all and not only to the employer, I still do not see where are the regulations for people who are within a company.