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(eg, 5 to 7 kg over ve years) but gastric bypass patients commonly maintain 80% to 90% of their initial (ie, rst year) weight losses (Balsiger et al, 2000) Bariatric surgery entails both greater risks and greater bene ts than alternative treatments of obesity The risks associated with surgery can include postoperative complications, micronutrient de ciencies, and late postoperative depression (National Institutes of Health, 1992) Among surgeons and centers experienced in these surgical procedures, mortality associated with bariatric surgery is approximately 05% (L Sj strom et al, 1995) These risks should be considered in light of the documented bene ts of bariatric surgery Gastric bypass reduces or eliminates the major comorbid conditions experienced by severely obese patients.

Table 15.2 shows the recognition rates for method 2. It could be shown that grasps with distinct maxima and minima in their ni patterns can be recognized better than grasps without this feature. Reliable grasps are also robust against variations in the time span of an unknown test grasp compared to the time span of the respective model grasp. Our results show that this method can handle a temporal difference up to 20%. The rst group

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Signi cant improvements in hypertension, diabetes, dyslipidemia, asthma, and sleep apnea are seen in the majority of patients affected by these conditions (Kral, 1995; Long et al, 1994; NIH, 1992) Moreover, a nonrandomized study showed a signi cantly lower mortality rate among morbidly obese diabetic patients who underwent gastric bypass surgery compared to a matched group who did not (MacDonald et al, 1997) Bariatric surgery also appears to prevent the development of serious diseases that commonly occur in morbidly obese patients L Sj strom et al (1995) documented a three to fourfold reduction in risk for hypertension and a 14-fold reduction in the risk for diabetes Finally, it should be noted that signi cant improvements in quality of life routinely accompany the large weight losses achieved by bariatric surgery patients (NIH, 1992).

Rather than starting out with a large request and then appearing to make a concession by making a smaller request, the foot-in-the-door specialist begins with a minor request that is unlikely to meet with resistance After securing committing with this request, the in uence agent ups the ante by making a far more costly request that is consistent with the initial request Because of commitment concerns, it can be very dif cult at this point for the target to refuse compliance A series of clever eld experiments (Freedman & Fraser, 1966) provide compelling evidence for the effectiveness of this tactic In one study, suburban housewives were contacted and asked to do something that most of them (78%) refused to do: allow a team of six men from a consumer group to come into their respective homes for 2 hours to enumerate and classify all the household products you have.

There s no way to undo these commands short of restoring the database from a backup, so take care not to delete pings with a phrase that may appear in legitimately submitted TrackBacks. As stated earlier, to minimize the risk of deleting the wrong pings, a SELECT command can be tried first with the spam-hunting WHERE clause, as in this example command:

STRATEGIES TO IMPROVE LONG-TERM OUTCOME With the exception of surgery, virtually all treatments for obesity show limited long-term effectiveness Indeed, after reviewing the outcome of all nonsurgical treatments of obesity, the Institute of Medicine (Thomas, 1995) concluded that those who complete weight-loss programs lose approximately 10% of their body weight, only to regain two thirds of it back within one year and almost all of it back within 5 years (p 1) What accounts for such disappointing outcomes Poor maintenance of weight loss seems to stem from a complex interaction of physiological, environmental, and psychological factors Physiological factors, such as reduced metabolic rate (Dulloo & Jacquet, 1998; Ravussin & Swinburn, 1993), adaptive thermogenesis (Leibel, Rosenbaum, & Hirsch, 1995; Stock, 1999), and increased adipose tissue lipoprotein lipase activity (Kern, 1997; Kern, Ong, Saffari, & Carty,.

We nd a genius, or an insane person, a criminal, or a problem child before us, and we desire to know how he came to be what he is. Then the best we can do is to adopt a substitute for the genetic method, by reconstructing his history as well as we can from his memory, the memories of his acquaintances, and such records as may have been preserved. This case history method has obvious disadvantages, but, as obviously, it is the only way to make a start towards answering certain important questions. (Woodworth, 1929, p. 8)

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