Effects of a comprehensive bariatric program implementation on 30-day readmission and 30-day ER/infusion clinic visit rates due to dehydration

Background: Program accreditation requires adherence to MBSAQIP standards to assist patient in making needed changes to his/her diet and lifestyle. However, literature provides conflicting information regarding the value of a comprehensive bariatric program accreditation and its effects on 30-day readmission and 30-day ER/infusion clinic visit due to dehydration development. Objectives: To examine the effects of implementing a comprehensive bariatric surgical program on 30-day readmission rates, and 30-day emergency room (ER) and infusion clinic visit rates due to dehydration for bariatric surgical patients. Methods: Our study was a retrospective separate sample pre-post intervention chart review. The data were collected before and after implementing a comprehensive bariatric program using a convenience sample of 180 adult patients (age ≥18) that had bariatric surgery at an acute care hospital. We conducted Chi-square analyses with significance levels set at 0.05. Results: Among the 180 patients, majority had laparoscopic gastric bypass (n=112, 62.2%). Among the 180 patients, 55 (31%) were in the pre-intervention and 125 (69%) were in the postintervention group. A total of 7 (3.9%) had 30-day readmission. Significantly more patients (n=5, 9.1%) in the pre-intervention group had 30-day readmission compared to those in the postintervention group (n=2, 1.6%; X2=5.73, p=0.03). Among the 180 patients, 8 (4.4%) had 30-day ER/infusion clinic visit due to dehydration. No difference was found in 30-day ER/infusion clinic visit between the pre-intervention (n=5, 9.1%) and the post-intervention groups (n=3, 2.4%; X2=4.03, p=0.06). Conclusion: Implementation of comprehensive bariatric program was effective in lowering 30- day readmission rate

Effect of Physical and Flexibility Exercise on Plasma Levels of Some Liver Enzymes and Biomolecules of Young Nigerian Adults

Purpose: To evaluate the effect of physical and flexibility exercise on plasma levels of some liver enzymes and biomolecules of young Nigerian adults.Methods: Participants were subjected to a 2-h daily continuous physical and flexibility exercise for 6 weeks. Pre- and post-exercise blood samples were obtained and the effect of exercise on plasma levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), gamma glutamyl transferase (GGT), total protein, albumin and bilirubin, were determined.Results: AST and LDH values increased significantly (p ˂ 0.05) in males, while only AST values increased significantly (p ˂ 0.05) in females post-exercise. ALT, ALP, GGT and bilirubin values for both sexes were not significantly (p˃0.05) altered post-exercise. Post-exercise values of total protein and albumin decreased significantly (p ˂ 0.05) in males, but not in females.Conclusion: The 6-week physical and flexibility exercise did not substantially affect the plasma levels of some liver enzymes and the composition of other biomolecules.Keywords: Physical and flexibility exercise, Liver enzymes, Biochemical profil

Brandt, Berg and Militarisation in Nigeria

SUMMARY Nigeria's increasing militarisation is partly a consequence of the government's programme for economic recovery. This programme, influenced by the World Bank model of structural adjustment, aims at ensuring the conditions for long?run capitalist development, by actively seeking the participation of foreign capital. To earn the confidence of foreign capital and control the social consequences of an austerity package an authoritarian government is required. SOMMAIRE Brandt, Berg et la militarisation au Nigéria La militarisation croissante du Nigéria est grandement due au programme gouvernemental pour le redressement économique. Ce programme, influencé par le modèle de la Banque Mondiale d'adjustement structurel, a pour but d'assurer les conditions de développement capitaliste à long terme, en recherchant activement la participation du capital étranger. Afin d'avoir la confiance du capital étranger et de contrôler les conséquences sociales d'un programme d'austérité, un gouvernement authoritaire est obligatoire. RESUMEN Brandt, Berg y la militarización en Nigeria La creciente militarización de Nigeria se debe, en parte, al programa de recuperación económica del gobierno. Este programa — influenciado por el modelo de ajuste estructural del Banco Mundial — tiene como objectivo asegurar condiciones de desarrollo capitalista de largo plazo, mediante una búsqueda activa de la participación del capital extranjero. Se requiere un gobierno autoritario para obtener la confianza del capital extranjero y el control de las consecuencias sociales de un plan de austeridad

Asset Management Corporation of Nigeria Guidelines No.1 of 2010

terms of operation for AMCO

Public statement on the recapitalization of eight nigerian banks

official summary of joint recapitalization efforts by the CBN and AMCO

Guidance Notes on Regulatory Capital

CBN-issued guidelines on minimum capital levels for licensed banks

Further Update On The Recapitalization Of Wema Bank

Wema Bank\u27s successful status as applicant for banking licens

Annual report 2011

CBN annual report analyzing the functions of the central bank in 201

Update on the recapitalization of Unity Bank plc and Wema Bank plc

announcement that Unity and Wema banks reached regulatory minimum capital requirement

Annual economic report for 2013

CBN draft report analyzing the Nigerian economy in 201