81. Rural Nurse Organization Clinic Digital Library Obesity English Spanish; Morbid Obesity English Spanish; Obesity Hypoventilation Syndrome (pickwickian syndrome) English Spanish http://ruralnurseorganization-dl.slis.ua.edu/patientinfo/endocrinology/obesity.h

Patient/Family Resources by Topic: Endocrinology Obesity Patient/Family Resources Pediatrics Spanish Miscellaneous See also: General Endocrinology Patient/Family Resources Obesity Prevention and Screening Resources Obesity Clinical Resources American Academy of Family Physicians (familydoctor.org): Homepage Health Topics: List of documents Weight Loss Medicines: Access document American Medical Association: Homepage JAMA Patient Page: List of documents Obesity: English Spanish (PDF) Bariatric Surgery: Access document (PDF) American Medical Association (MEDEM): Homepage Public Education Brochures: List of documents Are You Obese?: Access document Maintaining a Healthy Weight: Access document MedlinePlus Medical Encyclopedia: Table of contents Obesity: English Spanish Morbid Obesity: English Spanish Obesity Hypoventilation Syndrome (Pickwickian Syndrome): English Spanish Merck Manual - Second Home Edition Table of contents Section 12. Disorders of Nutrition and Metabolism: Table of contents Chapter 156. Obesity: Access document Pediatrics American Academy of Family Physicians (familydoctor.org):

82. Dallas Morning News | News For Dallas, Texas | JobCenter pickwickian syndrome Kyphoscoliosis Chest trauma. Critical conditions and emergencies Aspiration Near drowning Carbon monoxide poisoning and smoke http://www.dallasnews.com/sharedcontent/careers/pulse2/070105ccwcCareersPulseCME

JobCenter Dallas, Texas Customize Make This Your Home Page E-mail Newsletters MySpecialsDirect ... Your Thoughts The most jobs in DFW from The Dallas Morning News, plus jobs listings directly from local employers! JOB CATEGORIES Multiple selections are allowed. All Admitting Specialist Dental Hygienist Dental Assistant Dental Laboratory Technician Dietitian Charge Nurse Personal/Home Care Giver Massage Therapist Medical Assistant Medical Receptionist Medical Technician Mental Health Professional Nursing Assistant Nurse Nurse RN Licensed Practical Nurse Advanced Practice Nurse Nursing Director Occupational Therapist Chiropractor Optician Pharmacist Physical Therapist Physician Respiratory Therapist Speech Pathologist Hospice Care Giver Certified Coding Specialist Medical Transcriptionist Allied Health Professional Healthcare Imaging Professional Rehabilitation Professional Social Work Professional KEYWORDS: Enter keywords that describe your skills, experiences and/or interests. Separate words with spaces. Continuing Education: 'I can't breathe!'

83. Morbid Obesity, Difficulty Breathing, Drowsiness Our patient had what is quaintly called pickwickian syndrome, so named after a character in Charles Dickens s Pickwick Papers. Those with this syndrome, http://www2.chinadaily.com.cn/en/doc/2003-10/16/content_272682.htm

84. GASNet Anesthesiology: Sleep Apnea Syndromes pickwickian syndrome is related to morbid obesity, and refers to severe chronic obstructive sleep apnea leading to cor pulmonale. http://gasnet.med.yale.edu/gta/chapters/sleep-apnea_br.php

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85. Cause Of Hair Loss pickwickian syndrome describes the severe sleep apnea, hypercapnia, and daytime somnolence that may occur in very obese patients, but again would not by http://republika.pl/zopoth/cause_of_hair_loss.html

cause of hair loss free viagra samples zenegra online pharmacy without prescription zenegra softtabs ... refinance home mortgage marketing cause of hair loss American Academy of Family Physicians SEARCH Advanced Search MEMBERS Physician® > Vol. 68/No. 1 (July 1, 2003) American Family Physician Photo Quiz Obesity and Daytime Sleepiness Figure 1. FIGURE 1. Figure 2. FIGURE 2. A 17-year-old mentally retarded, morbidly obese teenager had a long history of sleep apnea, with excessive daytime sleepiness and loud snoring. On physical examination, notable findings included a height of 141 cm (56.4 in, well below the 5th percentile for age) and weight of 170 kg (374 lb, far greater than the 95th percentile for age). Abnormal facial features included strabismus, narrow nose, thin upper lip, down-turned mouth, viscous saliva, and dental caries (Figure 1). The patient habitually picked at her skin. Brilliant Green, an antiseptic dye, had been applied to multiple excoriations of the skin. Her skin and hair were lighter in color than those of other members of her family. Massive lymphedema of the lower extremities and small

86. Journal Of Perianesthesia Nursing Online Frequently, morbidly obese persons develop pickwickian syndrome, which is alveolar hypoventilation involving sleep apnea.2 pickwickian syndrome, http://www.aspan.org/JOPAN/assessing_quaility_of_life.htm

Continuing education Assessing quality of life in gastric bypass clients Margaret Voelker, RN, MN CLICK HERE TO TAKE POST TEST Sections Abstract Definition of obesity Prevalence Factors of morbid obesity ... Publishing and Reprint Information Abstract TOP Obesity is currently an epidemic in the United States. Gastric bypass surgery has been a topic of increased interest in the last two decades. Some hospitals started intestinal bypass surgeries in the late 1960s. Gastric bypass has been in the media in the last couple of years because certain popular magazines have reported a variety of actresses obtaining resectional gastric bypass (RGB) surgery. However, little long-term research (greater than 5 years) has been done with a view of quality of life issues surrounding gastric bypass. This article explores the long-term effects of obesity and RGB surgery. The barriers to obesity and quality of life are also investigated in this review. Objectives GASTRIC BYPASS SURGERY has been a topic of increased interest in the last two decades and has been the topic of much media discussion in the last couple of years. A multifaceted, multidisciplinary approach to the management of the perioperative patient is the key to a successful surgery and continued weight loss. This article provides a background to obesity in the United States and an overview of bariatric surgical procedures. Phase-specific perioperative care is also addressed. Definition of obesity TOP Kral In Greek

87. Bariatric Surgery - Heart Disease - Weight Loss pickwickian syndrome This syndrome was named after a character in one of Charles The three clinical components of pickwickian syndrome are day time http://www.ringsurf.com/info/Health_and_Lifestyle/Weight_Loss/Bariatric_Surgery/

RING SURF -MARKET IT -FIND IT Home Help Contact Us Advertise on RingSurf ... Log In Menu Send us your Article Dentistry Plastic Surgery Weight Loss Other Considerations The benefits of bariatric surgery range from helping control ailments like heart disease and respiratory problems to lower back pain. For the many Americans who suffer from morbid obesity, the chances of controlling or eliminating any weight-related problems could be difficult when faced with fad diets and get-fit-quick alternatives that rob you of your money instead of adding value to your life. Very often, the only way an obese person can help regain a healthy life (and prevent health-related complications) is via bariatric surgery – the leading and most effective weight loss treatment available to those have a body mass index over 40 kg/m2. When people who suffer from obesity of this magnitude, the chance of developing heart and respiratory problems, and other muscle weaknesses is greatly heightened. But bariatric surgery can help people make the proper lifestyle changes to control these potential disadvantages. Aside from the major potential ailments that exist for people who are overweight or obese, there are other lesser known conditions that, with bariatric surgery and healthy lifestyle choices, can be controlled and/or eliminated:

88. Community Hospital Anderson What is pickwickian syndrome? A serious, potentially life threatening condition present in many severely obese individuals; Characterized by heavy snoring http://www.communityanderson.com/services/sleep_disorder.asp

Welcome About Us Services Breast Health ... Contact Us Sleep Disorders Center Snoring is not a laughing matter. You or your spouse may be suffering from a sleep-related breathing disorder. For more than 16 years, Community Anderson's Sleep Lab has been available for the testing and treatment of three major sleep disorders - sleep apnea, Pickwickian Syndrome and Upper Airway Resistance Syndrome. These conditions are potentially life-threatening and can cause extreme daytime fatigue. Sleep-related breathing conditions can steal hours of productive sleep away every night. These conditions are also known to increase the risk of car accidents and emotional distress. What is Obstructive sleep Apnea? A serious, potentially life-threatening condition Affects up to 4% of all males and 2% of all females, especially those women post-menopause Results in excessive daytime sleepiness, morning headaches, irritability and depression Can lead to accidents while driving or at the workplace What is Pickwickian Syndrome?

89. SleepHelpUSA-Home especially a particular form referred to as pickwickian syndrome. The pickwickian syndrome may be defined as hypoventilation due to obesity. http://sleephelpusa.com/snoring.phtml

Snoring Sleep Apnea Symptoms Risks ... Sleep tips Snoring What a simple, funny thing that snoring is. Kids think that it is something funny that daddy does. Wives, may even joke to their friends about how loud their husbands snore. It affects approximately 44% of men and 30% of women. The snoring sound occurs when there is upper airway resistance that is caused by the narrowing of the airway passage between the free edge of the soft palate and the back of the tongue. The free edge of the soft palate will vibrate as the air passes over it causing the snoring sound. While most snoring is normal, there is one kind of snoring that can have serious effects...... Sleep Apnea . Sleep apnea can have several different symptoms and can cause many problems. It can even be fatal, if left untreated, especially a particular form referred to as Pickwickian Syndrome The Pickwickian syndrome may be defined as hypoventilation Go here and take our Sleep Quiz to see if you are at risk for sleep apnea.

90. HealthCyberMap: Nutritional And Metabolic Diseases And Immunity Disorders (s) pickwickian syndrome......Resource Title pickwickian syndrome Type/ Category Fact Sheet Language en ICD9-CM Subject http://healthcybermap.semanticweb.org/bodyviewer/nutritional.asp?Page=8

91. Cyberounds (R) Conferences Geriatrics Sleep Apnea hypoventilation as pickwickian syndrome, after the fictional character with the pickwickian syndrome and described all three types of apneas. http://www.cyberounds.com/conf/geriatrics/2000-03-05/

92. Cause Of Death Database By ICD-9-CM 0088, A, 3, pickwickian syndrome clinical, by history, 278.8. 0088, D, 3, pickwickian syndrome clinical, 278.8 http://www.ustur.wsu.edu/databases/display_COD1.php?page=5&rowsPerPage=200

93. Table Of Recorded Diseases By Case No. 0088, A, 3, pickwickian syndrome clinical, by history, 278.8. 0088, A, 3, Atherosclerosis, moderate, coronary arteries, 414.0, 3 http://www.ustur.wsu.edu/databases/display_COD.php?page=5&rowsPerPage=200

94. Faculty Senate Minutes - April 28, 2005 Meeting of the pickwickian syndrome and for his classic studies of diving mammals. Professor Rosenberg explained the nature of the pickwickian syndrome. http://news-service.stanford.edu/news/2005/may4/minutes-050405.html

Stanford Report, May 4, 2005 Faculty Senate minutes - April 28, 2005 meeting TO THE MEMBERS OF THE ACADEMIC COUNCIL THIRTY-SEVENTH SENATE Report No. 11 SUMMARY OF ACTIONS, April 28 At its meeting on Thursday, April 28, 2005, the Thirty-seventh Senate of the Academic Council heard reports but took no actions. EDWARD D. HARRIS Academic Secretary to the University Minutes, APRIL 28 I. Call to Order Chairman Polhemus gaveled the meeting to order at 3:20, saying, "Welcome to the third meeting in the spring quarter of the 37th Senate. I remind you to look at the flowers that are planted around the campus as you walk or drive on the roads. Appreciate how lucky we are to have the kind of care that goes into keeping our surroundings beautiful." President Hennessy was quick to add, "And stop to thank one of the grounds keepers that does this work, because they're the ones that really make it possible for us to enjoy this natural beauty!" II. Approval of Minutes of Senate meeting on April 14, 2005 (SenD#5725) The minutes of the Senate meeting of April 14th (SenD#5725) were approved without comment, and are available for perusal at http://

95. David M. Rapoport M.D. Reversal of the pickwickian syndrome by longterm use of nocturnal nasal-airway pressure .New England journal of medicine.1982;307931 ( J0020298) http://www.med.nyu.edu/pubs/rapopd01.html

Home Patient Care Education Research at NYU ... Contact Info Related Websites Medicine (Pulmonary Disease) NYU Sleep Disorders Center Update this Profile E-mail Page ... Calendars David M. Rapoport M.D. Associate Professor Department of Medicine (Pulmonary Disease) Member of NYU Sleep Disorders Center Publications Ayappa I; Rapaport BS; Norman RG; Rapoport DM."Immediate consequences of respiratory events in sleep disordered breathing". Sleep medicine Norman, R; Scott, MA; Ayappa, I; Natelson, BH; Rapoport, DM."Sleep fragmentation/continuity measured by survival curve analysis [Abstract]". Sleep Rapoport, DM; Ayappa, I; Norman, RG."Caveat emptor - Because you get what you ask for". Sleep Zafar S; Ayappa I; Norman RG; Krieger AC; Walsleben JA; Rapoport DM."Choice of oximeter affects apnea-hypopnea index". Chest Ayappa, Indu; Norman, Robert G; Suryadevara, Madhu; Rapoport, David M."Comparison of Limited Monitoring Using a Nasal-Cannula Flow Signal to Full Polysomnography in Sleep-Disordered Breathing". Sleep Ayappa I; Norman RG; Suryadevara M; Rapoport DM."Comparison of limited monitoring using a nasal-cannula flow signal to full polysomnography in sleep-disordered breathing".

96. Syndrome D'apnée Du Sommeil De L'adulte Translate this page Bruwell C, Robin ED, Whaley RD, Bic Kelmann AG Extreme obesity associated with alveolar hypoventilation. A pickwickian syndrome. Am J Med 1956, 21, 811-818. http://sommeil.univ-lyon1.fr/articles/onen/apnee/sommaire.html

S.H. Onen Journal du Jeune Praticien TABLE DES MATIERES SH ONEN Ses articles sur le serveur IMPRESSION Version imprimable (Tout l'article dans une seule page) SAS dr f. onen** s.h. onen *pr d. robert*** Consultations des troubles du sommeil CMPA CHU de Clermont Ferrand BP 69 63003 Clermont Ferrand REFERENCES Aldrich MS, Chauncey JB. Are morning headaches part of obstructive sleep apnea syndrome ? Arch Intern Med 1990, 150, 1265 1267. Bruwell C, Robin E.D, Whaley R.D, Bic Kelmann A.G. Extreme obesity associated with alveolar hypoventilation. A pickwickian syndrome. Am J Med 1956, 21, 811-818. Chabolle F., Fleury B., Habege E., Meyerb, Chouard C. Durieux P., Neuxirca F. Fujita S., Conway W.A., Zorick F., Roth T.S. Surgical correction of anatomic abnormalities in obstructive sleep apnea: uvulopatol pharyngoplasty. Otolaryngol Head Neck Surg 1981, 89, 923-934. Gastaut H, Tassinari C.A., Duron B. Gould G.A., Whyte K.F., Rhind G.B., Airlie M.A.A., Catterall J.R., Sophiro C.M., Douglas N.J. The sleep hypopnea syndrome. Am Rev Respir Dis 1988, 137, 895-898. Guilleminault C., Tilkian A.G., Dement W.C.

97. ENW: Outsize Patients --A Big Nursing Challenge! Obesity Hypoventilation Syndrome (pickwickian syndrome), at the extreme end of the spectrum of obesity related breathing problems, comprises awake http://www.enw.org/Obese.htm

Outsize Patients a big nursing challenge! by Tom Trimble, RN About this article: This article is intended to introduce the Emergency Nurse to issues and problems in caring for obese and morbidly obese patients in the Emergency Department setting. It is in no way intended as criticism or denigration of obese persons. The suggestions are intended as possible or practical solutions for problems which may occur; use of them must be considered in relation to local resources, regulations, and policies and not in any manner or circumstance which may be unsafe. The basis of this article (other than as referenced) is the clinical observations and experience, education and training, of a working Emergency Nurse and former Paramedic who is sympathetic to the needs of obese patients. Our completely and specifically applies to all and any part of this article. "Can you come out and help us unload this patient? We’ve got a four hundred pounder." This request from an EMT, or as an early report by radio, may be the only warning of some sizeable nursing issues to arise. Patients who exceed ordinary parameters of stature or weight may require understanding of their special issues, availability of special beds or equipment, and their size may confound examination or make treatment more complicated, and airway problems may be difficult.

98. Bibliography Extreme obesity associated with alveolar hypoventilation a pickwickian syndrome. studies of abnormal night sleep and the pickwickian syndrome. http://www.apneos.com/bibliography.html

Home Products Sleep Apnea President Taft ... Physicians Bibliography Other Historicals Company Contact Us Site Map ... announcement Bibliography This is the bibliography for the journal article mentioned on the main scholars' page Adams N, Strauss M, Schluchter M, et al. Relation of measures of sleep-disordered breathing to neuropsychological functioning. Am J Respir Crit Care Med 2001; 163:1626-31 Anderson JI. A Mountain of Misery: an Intimate History of William Howard Taft. PhD dissertation, Department of History: University of California Los Angeles, 1973; 208 Anderson JI. William Howard Taft: An Intimate History. New York: W. W. Norton, 1981 Anonymous. Clinical Society of London: Friday, February 8th, 1889. Br Med J 1889; i:358-359 Anonymous. "Dinner to Secretary of War William H. Taft and Dr. William Osler given by Mr. William A. Marburg, Saturday the eleventh of March, One thousand nine hundred and five, Maryland Club, Baltimore." In the papers of William Howard Kelly, MD, in the Alan M. Chesney Medical Archives of the Johns Hopkins Medical Institutions, Baltimore, MD., 1905 Anonymous. Mr. Taft on diet loses 70 pounds. New York Times. December 12, 1913; page A1

99. View Written Summary: Anesthesiology, 44:22 pickwickian syndrome combination of sleep apnea and obesityhypoventilation syndrome Understand the causes and characteristics of pickwickian syndrome, http://www.audio-digest.org/pages/htmlos/09135.43.4244243983213151188/AN4422

Volume 44, Issue 22 November 21, 2002 The following is an abstracted summary, not a verbatim transcript, of the lectures/discussions on this audio program. If, after reviewing the summary, you would like to hear the contents and earn CME/CE credit, simply use your browser's back button to return to the order page and add this program to your cart. You will receive by mail the one-hour audiocassette or audio CD, a hard copy of the written summary (including a 10-question test), and a CME/CE response form. Anesthesiology Program Info Anesthesiology Accreditation Info OBESITY Raul L. Zimmerman, MD, Clinical Assistant Professor, University of South Florida College of Medicine, Tampa, Co-Director, Halifax Medical Center Weight Management Program, and Program Director, Halifax Medical Center Family Practice Residency Program, Daytona Beach, Florida Introduction: challenges include understanding etiology and physiology, recognizing medical and psychologic consequences,identifying patients at risk, understanding current epidemic, public and provider attitudes, treatment, reimbursementfor treatment Mortality and morbidity: approximately 300,000 premature deaths per year attributed to obesity; 61% of type 2 diabetes directly caused by obesity, 25% of hypertension, 30% of gallbladder disease, 25% to 40% of asthma, approximately 95% of sleep apnea

100. Untitled Document The eponym pickwickian syndrome became popular a half century later (Burwell CS, Robin ED, Whaley RD, Bickelmann AG. Extreme obesity associated with http://mcgovern.library.tmc.edu/OslersWeb/1902Exam/Question 03b.htm

Back to the hyperlinked 1902 exam View page 439 in Principles and Practice of Medicine (click the "back" button on your browser to come back to this page) "Corpulence, an excessive development of the bodily fat - an 'oily dropsy,' in the words of Lord Byron - is a condition for which we are consulted in three groups of cases." Notes: With regard to Byron, see references to J. Smith and E.Y. Lovall in: Tigertt, W.D. Annotated answers to the 1902 examination on Osler's Principles and Practice of Medicine. Annals of Internal Medicine 79:460-472, 1973. Osler also wrote: "An extraordinary phenomenon seen occasionally in excessively fat young persons is an uncontrollable tendency to sleep." In the 6th edition he specifically referred to Dickens's Pickwick: "An extraordinary phenomenon in excessively fat young persons is an uncontrollable tendency to sleep - like the fat boy in Pickwick. I have seen one instance of it." (Dickens, Charles. The Posthumous Papers of the Pickwick Club The eponym "Pickwickian syndrome" became popular a half century later (Burwell CS, Robin ED, Whaley RD, Bickelmann AG. Extreme obesity associated with alveolar hypoventilation - a Pickwickian syndrome. Am J Med 21:811-818, 1956).

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