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Sos obese

There will also be looking in the mirror in disgust, terror to measure your waist or the despair of not finding a dress size. But being obese is not just a cosmetic problem, is a disease. And the numbers, as always, speak for themselves: Thirty percent of Lombard is overweight, one in ten is obese. Not only that. Every year in our region, about 8,500 deaths, about 10 percent is due to obesity: 23 deaths per day for this problem. Why are so many diseases, more or less serious, related to being overweight: diabetes, hypertension, ischemic heart disease, breathing disorders, certain cancers, stroke and cardiovascular disease in general. Lombardy, in this sense, is not among the Italian regions most at risk, but among overweight people (30.1 per cent of the population) and obese (8.6 percent) are still around four million.
alarm because of what it is - experts say - is launched by Sio, the Italian Society of Obesity. Michele Carruba, director of the Center for Studies and Research on Obesity of the University of Milan, does not mince words: "We are facing a real public health emergency office, not only as individuals. Just think that in Italy will spend about 22.8 billion annually for obesity-related conditions and more than half of these resources if they go in the costs of hospitalization, " that for admissions. "The diseases caused by overweight leads to a significant reduction in the quality of life and increased mortality risk," says Fabrizio Muratori, Sio national secretary and manager of the Complex Endocrinology, Niguarda Hospital, "an example of the importance just think of the phenomenon that 80 percent of patients with type 2 diabetes are obese. "
The solution? Rather than stick to the drugs and put in the hands of plastic surgeon is better run for cover before. And the key word is prevention. Therefore, after a national tour that touched various stages around Italy, including Lombardy arrives the campaign "Give weight to the weight," sponsored by the Institute of Health and Sio: free visits in clinics set up within some specific Ipercoop. It starts tomorrow and after Novate in Cremona and Milan, 20, 21, 27 and March 28 in Mantua, 3:04 April in Cremona. All persons between 18 and 75 years are overweight or suspicion will have two doctors and some nurses for a free check up will include: monitoring of blood counts, blood pressure, waist circumference, body mass index The assessment of fat distribution in relation to lean body mass and then a test on the psychological behavior towards food.
However, even at home you can do something. How to tell if the phenomenon is not really overt, if you are obese or not. Or even just overweight. Just calculate the body mass index: weight divided by the square of your height and you're done. If the result is equal to or greater than thirty is obese. Example: A person sixty-five feet high, weighing 85 pounds is among them. Or you can measure your waist: for women the limit is 88 cm for men 102. Beware of crash dieting and hit and run by the dietitian, warns Michael Barichella who teaches at the School of Specialization in Food Science from the University. It takes perseverance in treating the disease: "Obesity is a chronic disease that requires treatment that continues over time, because once stopped, it often tends to recover the lost weight. A key role in this sense has to play the family doctor. " No "diets DIY, then. Better check before you go to be no longer pass through the doors.

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The effect Brunetta also comes ASL

"Brunette? Holy now: it has proven to be, after Lourdes, the true healing of the population. " He jokes - but not too much - the Director-General Emilio ASL Milano 2 Triaca when he speaks of the result that the Minister for Public Administration and Innovation has been absenteeism of public officials. The health company led by him, in fact, is among the most prominent examples of the effect Brunetta: according to the ministry, between December 2007 and the same month of 2008 absences were down 67.6 percent. The ASL has done even better in the province of Pavia, with a reduction of 74.3 percent. Jewels of Lombardy, the south-east Milan and Pavia are among the top five of Italy: Fifth the first, third the second. Emilio
Triaca, however, puts the facts straight: "We were virtuous even before, although I must say, those who stay at home a few more days after the flu, is now coming to work before. " Then he rattles off the figures: the total days of sick leave, 506 in December 2007, have now become 164. Same music when comparing the months of October and November: 786 to 320 and 683 against 228. Reduced even the events of sick leave exceeding ten days in October 2007 had 21 against the ten of 2008, to November 23 to 10, to Dec. 15 against six. All for a total number of employees, including medical staff and technical-administrative staff, an increase: 603 last year compared to 588 in 2007. In short, it ensures Triaca, "we were never in any case, a gang of drifters." The reason is simple: people in small countries murmurs. "As a healthcare covering a territory of small towns, there is a strong element of social control: Many of our employees are known in the country. Twenty percent of the clients of the health system, in fact, have friends, relatives or acquaintances of our staff. " In essence, pretending to be sick or stay at home for nothing is not easy in a place a few thousand souls, where everyone knows who you are and what you do. The ASL Milano 2 has a catchment area of \u200b\u200b580 thousand people and covers 68 municipalities in the south and east of Milan. Even in Pavia
Brunetta has been successful: "The decision of the Minister has declined especially absences of one day - says the Managing Director Camille Stone ASL -. Disincentives economic specified in the requirements have obviously worked as a deterrent. It 's also true, however, that in 2007 we had 14 employees, each, have carried out an average of absences of 21 days and a half, for a total of 301 days. Apart from this, she left a big slice. " But the data on the total days away from your desk speaks for itself: in December 2007 were 567 in 2008 are now 162. All this for even a slight decrease of employees: seven in less than 717 of 2007.

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The surgeon robot

Opera with four arms and with a precision that are the envy at the best luminary of the operating room. Hospital bag arrived yesterday the "Da Vinci S" the first robot surgeon owned by a public hospital in Lombardy. The device, which currently represents the most advanced system on the market for robotic surgery, has already been tried in the OPS of Urology and, today, also will be available to the ENT Clinic and the Obstetric and Gynecologic Clinic. In practice, among many other possibilities, will work with prostate cancer, larynx and uterine. But how does the robot? Nothing devilish, it's all very simple: there are four arms included in laparoscopy (a technique that allows it to operate without "open" abdomen) in the patient's body, connected to a console command before which the surgeon is seated. That has to do that maneuver the robot's arms with two handles. It looks like a video game, actually works with precision. The instruments operated by the machine have negligible size (3-4 mm) and allow to exploit the techniques of minimally invasive surgery. The advantages, says Gabor Franco, Head of the Unit of Urology at the Sacco and "investigator" of this technology after nearly eighty operations are different, "Minor bleeding, pain almost absent, a hospital stay of four days against average Classic a week and, above all, a quick return to everyday activities. " An example: In patients operated on for prostate cancer, seventy percent recovered continence after a month, Ninety percent after one year. In addition, compared to traditional laparoscopy, "allow a three-dimensional vision and greater statiticità. In short, the robot has a steady hand and compared to traditional "closed-air" moves to 360 degrees, as in an operation to open abdomen. The disadvantages? "In the beginning is not easy to get familiar, because it is less tactile sense, but it's only a matter of habit." The price of all this technology, then, is not great: a kind of gadgets cost a million six hundred thousand euro, financed by Pirellone. Not only that, any work done with the "Da Vinci" costs € 2,500 to the hospital. For this operation will be entrusted to the robot in a year, no more than 150 selected cases, depending on need and urgency. The costs, however high, however, will be amortized by sharing instrument between the various hospital departments. Of these surgical
machines, in Lombardy there are already, in addition to Sacco, four: the Niguarda Hospital in St. Joseph, European Institute of Oncology, San Raffaele. But the bag is the only public buildings to purchasing it. Italy is the second country in the world after the United States, for used because with 32 prototypes. For the City Councillor for Health Gianpaolo Landi di Chiavenna attention to robotic surgery "makes Milan a center of eccelleza health and medicine," especially emphasizes the prof. Emilio Trabucchi, director of Onco-Surgery Department of Gastroenterology-bag, "with regard to improving the quality of life of patients. And in this sense, the Lombardy Region is one that ensures the best services for less. "