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Effects of Bariatric Surgery in Early- and Adult-Onset Obesity in the Prospective Controlled Swedish Obese Subjects Study

OBJECTIVE

Bariatric surgery is an effective treatment for obesity, but it is unknown if outcomes differ between adults with early- versus adult-onset obesity. We investigated how obesity status at 20 years of age affects outcomes after bariatric surgery later in life.

RESEARCH DESIGN AND METHODS

The Swedish Obese Subjects study is a prospective matched study performed at 25 surgical departments and 480 primary health care centers. Participants aged 37–60 years with BMI ≥34 kg/m2 (men) or ≥38 kg/m2 (women) were recruited between 1987 and 2001; 2,007 participants received bariatric surgery and 2,040 usual care. Self-reported body weight at 20 years of age was used to stratify patients into subgroups with normal BMI (<25 kg/m2), overweight (BMI 25–29.9 kg/m2), or obesity (BMI ≥30 kg/m2). Body weight, energy intake, and type 2 diabetes status were examined over 10 years, and incidence of cardiovascular and microvascular disease was determined over up to 26 years using data from health registers.

RESULTS

There were small but statistically significant differences in reduction of body weight among the subgroups after bariatric surgery (interaction P = 0.032), with the largest reductions among those with obesity aged 20 years. Bariatric surgery increased type 2 diabetes remission (odds ratios 4.51, 4.90, and 5.58 in subgroups with normal BMI, overweight, or obesity at 20 years of age, respectively; interaction P = 0.951), reduced type 2 diabetes incidence (odds ratios 0.15, 0.13, and 0.15, respectively; interaction P = 0.972), and reduced microvascular complications independent of obesity status at 20 years of age (interaction P = 0.650). The association between bariatric surgery and cardiovascular disease was similar in the subgroups (interaction P = 0.674). Surgical complications were similar in the subgroups.

CONCLUSIONS

The treatment benefits of bariatric surgery in adults are similar regardless of obesity status at 20 years of age.




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The Latest in a Season of Protests: N.C. Teachers Will Rally on Wednesday

Thousands of teachers will head to the state capital on Wednesday to call for a nearly $10,000 raise over four years and an increase to per-pupil spending.




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Tennessee voucher program challenge heads to court Wednesday




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Tennessee voucher program challenge heads to court Wednesday




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Tennessee voucher program challenge heads to court Wednesday




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Synergistic genetic biocontrol options for common carp (Cyprinus carpio) / Claus Wedekind.




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Ein Beitrag zur Anatomie der Doppeldaumen / von Alexander Swedelin.

Dorpat : Schnakenburg, 1883.




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The dynastic marriage of William of Orange and Mary Stuart: above, they are brought together before a bust of Hercules; below, their wedding in London on 4 November 1677. Etching by R. de Hooghe, 1678.

[The Netherlands] : [Romeyn de Hooghe?], [1678?]




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Sharks' Marcus Sorensen still skating, keeping routine while in Sweden

Marcus Sorensen is using his connections in Sweden to stay ready in case the NHL season resumes.




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Wedding photographs of William Thomas Cadell and Anne Macansh set in Harriet Scott graphic




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Sustainable digital communities : 15th International Conference, iConference 2020, Boras, Sweden, March 23–26, 2020, Proceedings

iConference (Conference) (15th : 2020 : Boras, Sweden)
9783030436872




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Item 01: Autograph letter signed, from Hume, Appin, to William E. Riley, concerning an account for money owed by Riley, 4 September 1834




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Wednesday, April 28, 2010: J.O.M.B w/The Girls




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NASA Projects Slowed by COVID-19, but New Mars Rover Perseveres

If Perseverance doesn’t launch this year, it will have to wait until 2022




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Kenora OPP identify 18-year-old struck, killed by train Wednesday

Ontario Provincial Police (OPP) have identified the person struck and killed by a train in Kenora on Wednesday as 18-year-old Tyrease Payash, of Kenora.



  • News/Canada/Thunder Bay

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Enrichment of Fully Packaged Virions in Column-Purified Recombinant Adeno-Associated Virus (rAAV) Preparations by Iodixanol Gradient Centrifugation Followed by Anion-Exchange Column Chromatography

This rapid and efficient method to prepare highly purified recombinant adeno-associated viruses (rAAVs) is based on binding of negatively charged rAAV capsids to an anion-exchange resin that is pH dependent.




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Royal Academy of Engineering INWED Leadership event




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Democracy Now! 2020-04-29 Wednesday

President Trump lashes out at the U.S. Postal Service. His attacks could threaten voting by mail; We look at the impact of the coronavirus on schools, universities, students, parents and teachers, and who is at the table to shape what happens next.




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Democracy Now! 2020-05-06 Wednesday

As President Trump starts to reopen the country, Pulitzer Prize-winning science writer Laurie Garrett predicts the pandemic will last at least 36 months; Did a former Green Beret mastermind a failed coup attempt in Venezuela? Two Americans were arrested.




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India’s lavish weddings go online in virus lockdown – South China Morning Post

India's lavish weddings go online in virus lockdown  South China Morning Post



  • IMC News Feed

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Vancouver to run 'micro-wedding' pilot project this summer

The space near City Hall will allow weddings celebrations with up to 10 people.



  • News/Canada/British Columbia

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Woman at centre of deadly drugstore stabbing could be allowed to live in community: review board

A woman found not criminally responsible for fatally stabbing a stranger in the heart at the makeup counter of a Toronto drugstore five years ago could ultimately be allowed to live in the community if the mental health facility where she is staying decides she can, the Ontario Review Board says.



  • News/Canada/Toronto

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Zimbabwe: Prospects from a Flawed Election




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Is Sweden Doing It Right?

The Swedes aren’t battling the coronavirus with broad lockdowns.




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OM Sweden and OM Ireland team up over Easter

OM Sweden joined OM Ireland for outreach over the Easter holiday in Carlow town.




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This is how God showed His power

Martin (Argentina) wasn’t sure whether short-term missions was his idea or God’s—until he went on an unforgettable 14-day outreach to Panama.




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Swindon's Swedish adventure

We follow Swindon Town Football in the Community Under-17 girls on their journey from England to the Gothia Cup in Sweden.




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Clubs existing on borrowed money are on borrowed time

IT’S becoming a real bore that our main sporting authorities, particularly the Scottish Football Association, the Scottish Professional Football League and the Scottish Rugby Union, continue to get in a fankle over the way to end the 2019-20 season.




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Coronavirus: Dumbarton police station temporarily closed after staff member showed symptoms

Dumbarton police station has temporarily closed after a member of staff showed symptoms of Covid-19.




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Boris Johnson: UK needs 'same spirit of national endeavour' to defeat virus as WW2 veterans showed to defeat Hitler

BORIS Johnson has said Britain needs the "same spirit of national endeavour" to defeat the coronavirus as Second World War veterans demonstrated to topple Adolf Hitler.




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Coronavirus in Scotland: Testing strategy to be reviewed amid care worker reports

THE SCOTTISH Government is reviewing its Covid-19 testing strategy after the Deputy First Minster has been left “frustrated” by reports home care workers have been told to travel to the other side of Scotland for tests.




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Music: Swedish Philharmonia/Martin, Usher Hall, Edinburgh, four stars

Music




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Janey Godley: 'Women my age are told we don’t know how to work the internet but I showed these kids how it’s done'

Brian Beacom




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Epidemiology and Trends of Necrotizing Enterocolitis in Sweden: 1987-2009

The incidence of necrotizing enterocolitis (NEC), a devastating condition in neonates, varies geographically and with time. Although the most consistent risk factors are prematurity and low birth weight, it has not been convincingly shown to increase in the postsurfactant era.

The incidence of NEC, especially among the highly premature but also in more mature groups, has increased in recent decades, concurrent with dramatically improved early infant survival. Seasonal variation of NEC suggests environmental etiological factors. (Read the full article)




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Remission and Persistence of Asthma Followed From 7 to 19 Years of Age

The natural history of asthma during adolescence is dynamic because both remission and relapse are common. Remission has consistently been associated with mild asthma and the absence of sensitization.

One in 5 children with asthma remitted from age 7 to 19. Remission was defined as no wheezing and no medication for ≥3 years and was inversely related to female gender, sensitization to furred animals, and asthma severity at baseline. (Read the full article)




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Ophthalmic Outcomes of Congenital Toxoplasmosis Followed Until Adolescence

In children with congenital toxoplasmosis, ocular lesions can be detected and may relapse after birth despite pre- and postnatal treatment. Long-term ocular outcome beyond puberty and associated prognostic factors are unknown due to limited follow-up.

Our study in 477 patients with treated congenital toxoplasmosis who were followed up to 22 years indicated that new ocular lesions can be detected well into adolescence (with a cumulative probability at 18 years of almost 50%), but they rarely cause severe visual impairment. (Read the full article)




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Sweden beat favourites, Behringer saves Germany

Lisa Dahlkvist's penalty won Sweden an Olympic shoot-out against favourites the United States, and Germany forged on, but France did not make it to the last four.




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Germany to meet Sweden in Olympic final

The Olympic women's football final will be an all-European affair after Sweden ousted hosts Brazil on penalties and Germany beat Canada in Tuesday's semi-finals.




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Olympic final in numbers: Sweden v Germany

History overwhelmingly favours Germany against Sweden on Friday, but in Pia Sundhage, Sweden are led by a coach bidding for a third successive Olympic gold.




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Germany see off Sweden for Olympic gold

Silvia Neid brought down the curtain on her 11-year reign as Nationalelf coach triumphantly as Germany overcame a spirited Sweden side 2-1 to win their first Olympic title.




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Sweden reaps HatTrick benefits

How the UEFA HatTrick scheme has helped build new stadia and training facilities in Sweden.




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Central African Republic: the flawed international response

The United Nations Security Council decided on 10 April to deploy a peacekeeping mission in the Central African Republic (CAR) which will take over the mission of the African Union (MISCA), which itself succeeded the mission of the Economic Community of Central African States (MICOPAX).




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Tennessee voucher program challenge heads to court Wednesday




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Statue of Christ carrying the cross will process Holy Wednesday in Caracas

CNA Staff, Apr 2, 2020 / 02:50 pm (CNA).- The statue of the Nazarene of Saint Paul will be processed April 8 through the streets of Caracas to help the faithful observe Holy Week.

It will be atop a popemobile used by St. John Paul II when he visited the country in 1985.

According to local tradition, the striking image was brought to Caracas from Seville in 1674. The wooden sculpture depicts Christ dressed in an ornately embroidered purple robe carrying his cross.

According to accounts, the image was processed in the city with prayers during a plague that broke out in Caracas in 1696, and the devotional act was credited with ending the pestilence.

The image was originally kept in a church dedicated to Saint Paul the Hermit, whose intercession was attributed to ending a plague in 1579. The wooden sculpture is now reserved in Saint Teresa Basilica, as Saint Paul’s church was demolished and replaced with a municipal theater by an anticlerical president in 1881.

The procession is held annually on Holy Wednesday.

Cardinal Baltazar Enrique Porras Cardozo, Archbishop of Merida and apostolic administrator of Caracas, said the “route will cover a great part of the city for veneration by its devotees,” and asked for understanding as the route itself has not yet been finalized and will be announced later.

According to local media, the prelate said in a letter that the image should be transported in accordance with safety and hygiene regulations to avoid spreading the coronavirus.

Porras said that the image should not be carried by people but transported by vehicle only and there should be another vehicle for a priest and assistant along with sound equipment for the prayers.

The archdiocese said that parishes can join the initiative and organize such a procession in their own areas as long as they observe the proper health precautions.

Finally, the archdiocese asked the faithful devotees of the Nazarene of Saint Paul to offer their prayers from their homes and to wait for the end of the coronavirus lockdown to visit the image in Saint Teresa Basilica.




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European football stands united against COVID-19 crisis: Sweden

  • Allsvenskan clubs place staff at disposal of local efforts to deal with impact of COVID-19




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NGA Ed. Committee Favors State Leeway in a Renewed ESEA

The National Governor's Association wants Congress to give states lots of running room when it comes to crafting their accountability plans, according to an interim proposal outlining NGA's priorities for reauthorization of the Elementary and Secondary Education Act.




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Fin24.com | WATCH: Gwede Mantashe says it's a balanced budget

Economic growth prospects are better and Finance Minister Malusi Gigaba has made the right choices about where to spend the money, says ANC national chair Gwede Mantashe.




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Denmark, Sweden, Swizterland, Croatia win play-offs

Denmark overwhelmed Ireland to claim Europe's last FIFA World Cup berth after Sweden ousted Italy to follow Switzerland and Croatia through.




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Germany draw Sweden, England meet Belgium, Iberian derby

Holders Germany will face Mexico, Sweden and South Korea at the World Cup finals, with all-European group contests as England meet Belgium, and Spain play Portugal.




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Swallowed AirPod Still Works After...Retrieval

If this was a review, these AirPods would definitely earn a passing grade.