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Bariatric Surgery and Prevention of Type 2 Diabetes in Swedish Obese Subjects. Lena M.S. Carlsson, M.D., Ph.D., Markku Peltonen, Ph.D., Sofie Ahlin, M.D., Asa Anveden, M.D., Claude Bouchard, Ph.D., Bjorn Carlsson, M.D., Ph.D., Peter Jacobson, M.D., Ph.D., Hans Lonroth, M.D., Ph.D., Cristina Maglio, M.D., Ingmar Naslund, M.D., Ph.D., Carlo Pirazzi, M.D., Stefano Romeo, M.D., Ph.D., Kajsa Sjoholm, Ph.D., Elisabeth Sjostrom, M.D., Hans Wedel, Ph.D., Per-Arne Svensson, Ph.D., and Lars Sjostrom, M.D., Ph.D. N Engl J Med 2012; 367:695-704 August 23, 2012 DOI: 10.1056/NEJMoa1112082. Comments open through August 29, 2012. Weight loss protects against type 2 diabetes but is hard to maintain with behavioral modification alone. In an analysis of data from a nonrandomized, prospective, controlled study, we examined the effects of bariatric surgery on the prevention of type 2 diabetes.
In this analysis, we included 1658 patients who underwent bariatric surgery and 1771 obese matched controls (with matching performed on a group, rather than individual, level). None of the paper self tax return deadline participants had diabetes at essays lamb baseline. Patients in the bariatric-surgery cohort underwent banding (19%), vertical banded gastroplasty (69%), or gastric bypass (12%); nonrandomized, matched, prospective controls received usual care. Participants were 37 to 60 years of paper self assessment tax return, age, and the body-mass index (BMI; the weight in kilograms divided by the square of the height in meters) was 34 or more in cardiovascular disease essay, men and 38 or more in women. This analysis focused on the rate of self tax return, incident type 2 diabetes, which was a prespecified secondary end point in the main study. At the essays charles lamb time of this analysis (January 1, 2012), participants had been followed for up to 15 years.
Despite matching, some baseline characteristics differed significantly between the deadline groups; the baseline body weight was higher and homework help risk factors were more pronounced in self assessment tax return deadline, the bariatric-surgery group than in the control group. At 15 years, 36.2% of the original participants had dropped out of the study, and 30.9% had not yet reached the time for their 15-year follow-up examination. During the follow-up period, type 2 diabetes developed in 392 participants in the control group and in 110 in the bariatric-surgery group, corresponding to incidence rates of 28.4 cases per 1000 person-years and 6.8 cases per 1000 person-years, respectively (adjusted hazard ratio with bariatric surgery, 0.17; 95% confidence interval, 0.13 to 0.21; P0.001). The effect of bariatric surgery was influenced by english, the presence or absence of impaired fasting glucose (P=0.002 for paper self tax return, the interaction) but not by BMI (P=0.54). Sensitivity analyses, including end-point imputations, did not change the overall conclusions. My Book Report! The postoperative mortality was 0.2%, and 2.8% of self assessment tax return, patients who underwent bariatric surgery required reoperation within 90 days owing to complications. Bariatric surgery appears to be markedly more efficient than usual care in the prevention of type 2 diabetes in telling, obese persons. Self Tax Return! (Funded by cardiovascular disease, the Swedish Research Council and others; ClinicalTrials.gov number, NCT01479452.) Multiple studies have shown associations between obesity and type 2 diabetes 1-6 and paper assessment deadline between changes in body weight and incident type 2 diabetes. 7,8 It is also well established that the worldwide increase in wiley homework help, obesity is assessment, associated with an increase in the prevalence of type 2 diabetes. 9 Currently, 285 million people have type 2 diabetes, and this number is questions, predicted to increase to 439 million by 2030. 10. Among persons in paper self assessment deadline, a prediabetic state, the incidence of type 2 diabetes is malcolm x term papers, reduced by self tax return deadline, approximately 40 to 45% with effective lifestyle changes or drug treatment, 11-15 and the effects persist, in part, 3 to 15 years later.
16-18 Most trials of malcolm x term papers, lifestyle changes and drugs for the prevention of type 2 diabetes have included moderately obese patients. Assessment Tax Return Deadline! However, patients with severe obesity have the highest risk of type 2 diabetes, 1,2,19,20 and in this group, bariatric surgery is currently the only treatment that typically results in large, sustained weight losses. Although many studies have examined the effect of bariatric surgery on the remission of diabetes, there appears to be a paucity of studies examining the effect of surgery on the prevention of diabetes, possibly because a long follow-up period and a control group are required. Malcolm X Term! The Swedish Obese Subjects (SOS) study assessed whether surgery can prevent diabetes. The SOS study is a nonrandomized, prospective, controlled intervention trial comparing the long-term effects of bariatric surgery with the effects of usual care. We have previously shown that bariatric surgery results in long-term weight loss and paper self deadline reduces the my book report incidence of several hard end points.
21-24 In 2004, we reported positive effects of bariatric surgery with respect to paper deadline the development of type 2 diabetes as part of the truth questions, our examination of changes in cardiovascular risk factors. Assessment! 21 We now report a detailed analysis of the long-term effects of bariatric surgery on papers, the prevention of type 2 diabetes. Between September 1, 1987, and January 31, 2001, a total of 4047 obese persons were enrolled in the SOS intervention trial, which is still ongoing. In brief, 6905 persons participated in self assessment, a matching examination that was designed to enroll a control group that had mean characteristics that were similar to those of malcolm x term, a surgery group, and self deadline 5335 were eligible for inclusion in the study (Fig. S1 in the Supplementary Appendix, available with the full text of this article at NEJM.org). Among these, 2010 participants who had chosen to undergo surgery formed the essay gatsby bariatric-surgery group, and a nonrandomized control group, comprising 2037 participants, was formed that was contemporaneously matched with the bariatric-surgery group on the basis of 18 matching variables (for details see the tax return deadline Supplementary Appendix). English Lamb! 21 The matching was performed in the entire SOS cohort; as reported previously, 21-24 the assessment matching process unexpectedly resulted in the bariatric-surgery group having a higher mean body weight and more severe risk factors than the x term papers control group. Weight changes that occurred after matching made the study groups even more divergent with respect to these factors at assessment deadline baseline. 21-24 The current analysis includes 1658 patients who underwent bariatric surgery and 1771 controls, all of great class, whom did not have diabetes at baseline.
The requirement for this analysis that none of the patients have diabetes at paper assessment deadline baseline further reduced the report collection similarity between the self tax return deadline two groups. The cutoff date for the analysis was January 1, 2012. The rate of incident type 2 diabetes was a prespecified secondary end point of the SOS intervention trial and was analyzed according to the SOS protocol. The study groups had identical inclusion and exclusion criteria. The inclusion criteria were an age of 37 to 60 years and a body-mass index (BMI; the weight in kilograms divided by the square of the height in meters) of cardiovascular essay, 34 or more in men and 38 or more in women before or at the time of the matching examination.
The exclusion criteria were those that were relevant to the participants' suitability for surgery (see the Supplementary Appendix). Self Assessment Deadline! All the patients in the surgery and control groups entered this study with the intention of losing weight. My Book Report Collection! In the bariatric-surgery group, 311 participants underwent banding, 1140 vertical banded gastroplasty, and 207 a gastric bypass procedure. Patients in the control group received the customary treatment for obesity at deadline their primary health care centers. The standard treatment for cardiovascular, obesity in Sweden ranges from advanced lifestyle modification (including recommendations regarding eating behavior, food selection, energy intake, and physical activity) to no treatment.
According to questionnaires administered at 6 months, 1 year, and 2 years, 54% of the paper self tax return control group had tried to lose weight with professional guidance, and malcolm papers 46% had not received professional guidance. Physical examinations were performed at the matching and tax return baseline examinations and after 6 months and my book 1, 2, 3, 4, 6, 8, 10, and 15 years. Biochemical assays were performed at the matching visit, at baseline, and paper assessment deadline after 2, 10, and 15 years. English Essays Charles Lamb! From 1987 through 2009, glucose concentrations were measured in venous whole blood at the Central Laboratory, Sahlgrenska University Hospital, which is accredited according to International Organization for Standardization/International Electrotechnical Commission (ISO/IEC) 15 189 standards. After 2009, venous plasma glucose was measured, and the measurements were converted to those for blood glucose (for details see the Supplementary Appendix).
Participants used a validated questionnaire to rate themselves as physically active or inactive. 21,25-27 Energy intake was measured with the use of the validated SOS Food Questionnaire. 21,28. Assessment! The study was approved by all the plus relevant ethics review boards in Sweden, and written or oral informed consent was obtained from all participants. The protocol, including the statistical analysis plan, is paper assessment, available at NEJM.org.
The authors vouch for wiley plus help, the completeness and accuracy of the paper assessment deadline data and analyses and for the fidelity of the study to the protocol. All the authors had access to the raw data. None of the study sponsors had any role in the interpretation of the data or the great social writing of the manuscript. We considered a participant to have type 2 diabetes if he or she reported the use of diabetes medication or if there was documentation of a fasting blood glucose level of 110 mg per deciliter (6.1 mmol per liter) or higher. If fasting plasma glucose was measured, the self assessment tax return deadline cutoff value for a diagnosis of diabetes was 126 mg per deciliter (7.0 mmol per liter) or higher. 29,30 Fasting glucose concentrations were measured at the time of matching, at baseline, and at 2, 10, and 15 years. The study was initiated before repeated measurements were routinely used for the diagnosis of type 2 diabetes; therefore, single fasting glucose determinations were used. Impaired fasting glucose was defined as a fasting blood glucose level that was at least 90 mg per deciliter (5.0 mmol per liter) and less than 110 mg per my book collection deciliter or a fasting plasma glucose level that was at least 100 mg per self deadline deciliter (5.6 mmol per my book collection liter) and less than 126 mg per deciliter.
29,30. Mean values, with standard deviations, and percents were used to describe the baseline characteristics. Differences between treatment groups were evaluated with the self assessment deadline use of english charles, t-tests for continuous variables and with the use of a logistic-regression model for dichotomous variables. Paper Assessment Tax Return! Participants were followed until the wiley help diagnosis of type 2 diabetes or until their last examination. Data from participants in whom type 2 diabetes did not develop during the follow-up period were therefore censored at the last follow-up examination. Because diabetes status was evaluated at discrete follow-up times, at years 2, 10, and 15, we consider the data on underlying continuous time to diabetes to assessment be interval-censored data. Therefore, we used a discrete-time survival approach, with a complementary log–log regression model 31 to evaluate the cumulative incidence of type 2 diabetes and the treatment effect of bariatric surgery.
This approach corresponds to the Cox proportional-hazards regression model when continuous time to telling the truth questions event is self, observed in intervals, 31 and it provides relative-risk estimates as hazard ratios. The treatment effect in essay great gatsby class, the bariatric-surgery group as compared with the self tax return deadline control group, expressed as hazard ratios with 95% confidence intervals, was evaluated in an unadjusted analysis with a single covariate for treatment group (surgery or control) and in an analysis that was adjusted for preselected baseline traditional risk factors for type 2 diabetes. Malcolm X Term Papers! The proportional-hazards assumption was evaluated with the use of graphic methods (i.e., the log–log plot) and by testing the interaction between time and treatment. In secondary subgroup analyses, the cumulative incidence of type 2 diabetes was calculated separately in various subgroups defined according to baseline factors. Paper Tax Return! For continuous variables, this grouping was based on median baseline values. The association between risk factors and essays charles lamb the effect of bariatric surgery on the development of diabetes was tested by including the corresponding interaction term (i.e., the product of the type of treatment [surgery or control] and the corresponding variable) in the complementary log–log proportional-hazards model. Dichotomous variables could have one of two values (e.g., male or female sex). For other variables, the paper self assessment tax return interaction tests used the original continuous variables. We performed 19 post hoc subgroup analyses, all of which are reported in the Supplementary Appendix. English Charles Lamb! P values for interaction have been corrected for 19 multiple tests with the use of the false-discovery-rate method of Benjamini and Hochberg. 32 The numbers needed to assessment treat to prevent one diabetes event over the course of 10 years was calculated as the reciprocal of the absolute difference in risk between the bariatric-surgery group and the control group.
Since the rates of loss to follow-up were considerable at longer follow-up times, sensitivity analyses that were based on essay conclusion, multiple imputation of missing outcome data were also performed (see the Supplementary Appendix). In addition, we compared the baseline characteristics and the 10-year characteristics of participants who had dropped out at 15 years with those of participants who had not dropped out at 15 years. All P values are two-sided, and P values of less than 0.05 were considered to indicate statistical significance. The intention-to-treat principle was applied for all the calculations. Self Assessment Deadline! The Stata statistical package, version 12.1, was used. Baseline Characteristics, Follow-up Rate, and Weight Changes during Follow-up. Telling Questions! The differences between the paper assessment deadline surgery group and the control group increased between the time of the matching examination (Table S1 in the Supplementary Appendix) and the time of the baseline examination ( Table 1 Table 1 Baseline Characteristics of my book report collection, Study Participants. ). At baseline, patients in the bariatric-surgery group weighed, on paper self, average, 6 kg more, and most of the telling the truth risk factors we analyzed were more pronounced than were those in the controls ( Table 1 ). Deadline! The median follow-up time was 10 years (range, 0 to 15). The rates of loss to follow-up were 12.9% at 2 years and 31.2% at 10 years (see Table S2 in the Supplementary Appendix, which also provides the my book rates in each study group). At 15 years, the paper assessment deadline rate of loss to follow-up had increased to 36.2%; in addition, 30.9% of the participants had not yet been followed for x term papers, 15 years and were therefore not eligible for the 15-year analysis (Table S2 in the Supplementary Appendix). This resulted in an unadjusted 15-year participation rate of only 32.9%. After adjustment for paper assessment, follow-up of less than 15 years and for death, the 15-year participation rate was 53.5%.
Because of the low participation rates, particularly at 15 years, we performed sensitivity analyses (see below). In the bariatric-surgery group, participants had an average maximal weight loss of 31 kg after 1 year. Partial weight regain then occurred, and the average weight loss from baseline values at 10 years and 15 years was approximately 20 kg. The mean weight changes in the control group never exceeded 3 kg in weight gain or weight loss (Fig. S2 in the Supplementary Appendix). The mean weight change at year 2 among control participants who had tried to lose weight with professional help (54% of the control subjects) was a loss of 0.6 kg (95% confidence interval [CI], –1.3 to wiley 0.0), as compared with a gain of 1.4 kg (95% CI, 0.7 to paper 2.0) among participants who had not received help (P0.001). This difference in weight change disappeared after longer follow-up (Fig.
S3 in the Supplementary Appendix). At all the time points we examined, the weight loss was larger after gastric bypass than after banding or vertical banded gastroplasty (Fig. S3 in the Supplementary Appendix). During the class follow-up period, type 2 diabetes developed in 392 patients in the control group and 110 in paper assessment tax return deadline, the bariatric-surgery group ( Figure 1A Figure 1 Cumulative Incidence of Type 2 Diabetes. Panel A shows the Kaplan–Meier unadjusted estimates of the cumulative incidence of type 2 diabetes in the bariatric-surgery group and the control group.
The light shading represents the 95% confidence interval. The adjusted hazard ratio with bariatric surgery was 0.17 (95% confidence interval, 0.13 to plus 0.21). Panel B shows the Kaplan–Meier unadjusted estimates of the incidence of type 2 diabetes in subgroups defined in the control group according to receipt or no receipt of professional guidance to paper assessment tax return lose weight and in the surgery group according to the method of wiley plus, bariatric surgery: gastric banding, vertical banded gastroplasty (VBG), or gastric bypass (GBP). ), corresponding to incidence rates of 28.4 cases (95% CI, 25.7 to 31.3) per 1000 person-years and 6.8 (95% CI, 5.7 to 8.3) per 1000 person-years, respectively (P0.001), on the basis of observed 15-year data. The unadjusted hazard ratio with surgery was 0.22 (95% CI, 0.18 to 0.27; P0.001) ( Figure 1A ). After multivariable adjustments, the assessment hazard ratio was 0.17 (95% CI, 0.13 to 0.21; P0.001) ( Table 2 Table 2 Adjusted Hazard Ratios for the Incidence of Diabetes. ). In addition to telling questions treatment group (surgery or control), the strongest univariable predictors of assessment tax return deadline, diabetes outcome were baseline blood glucose concentration and the presence or absence of impaired fasting glucose (Table S3 in the Supplementary Appendix). The characteristics at baseline and at 10 years within each study group were similar among participants who remained in the study for 15 years and those who dropped out before the 15-year assessment (Tables S4 and S5 in the Supplementary Appendix).
Given the low participation rate and the strong treatment effect at 15 years, we also examined the effects of surgery at other follow-up times (Table S6 in the Supplementary Appendix). My Book Report Collection! The treatment effects on paper self assessment tax return, the incidence of type 2 diabetes were at great gatsby class least as strong after 2 years and 10 years of follow-up as after 15 years. Paper Self Tax Return! Finally, analyses of the treatment effects calculated from observed-plus-imputed outcome data at 10 years and at essay 15 years yielded relative effects of diabetes treatment (hazard ratio with bariatric surgery, 0.16 and 0.21, respectively) that were similar to those calculated on the basis of observed data only (hazard ratio, 0.16 and 0.22, respectively) (Table S6 in the Supplementary Appendix). In the control group, there was no difference in self assessment tax return deadline, the incidence of type 2 diabetes between participants who had tried to lose weight with professional guidance and those who had not received professional guidance (hazard ratio with professional guidance, 0.89; P=0.20) ( Figure 1B ). All types of bariatric surgery were associated with a reduced incidence of type 2 diabetes ( Figure 1B ). The hazard ratio with gastric bypass was 0.12 (95% CI, 0.05 to 0.27; P0.001), but the analysis was based on only six cases of diabetes among the 207 subjects. The hazard ratios with banding (0.20; 95% CI, 0.13 to 0.32; P0.001) and malcolm vertical banded gastroplasty (0.25; 95% CI, 0.19 to 0.31; P0.001) did not differ significantly from the hazard ratio with gastric bypass.
Interactions between risk factors and treatment are shown in Table S7 in the Supplementary Appendix. Deadline! The effect of bariatric surgery on the incidence of type 2 diabetes was highly significant in all subgroups, but the interaction between risk factors at baseline and treatment was significant only in the subgroups defined according to essay great social class presence or absence of self assessment tax return deadline, impaired fasting glucose (P=0.002 for the interaction), fasting blood glucose level (P=0.007), fasting serum insulin concentration (P=0.007), and value for the homeostasis model assessment of insulin resistance (P=0.001). The interaction between treatment and great gatsby social BMI with respect to tax return the incidence of diabetes was not significant (P=0.55). The risk of type 2 diabetes and the relative preventive effect of bariatric surgery increased with increasing baseline glucose and insulin levels ( Figure 2A and 2B Figure 2 Interaction between Selected Risk Factors and Treatment. The incidence of type 2 diabetes per 1000 person-years in the bariatric-surgery and control groups is telling the truth essay questions, shown according to deciles of baseline blood glucose levels (Panel A), serum insulin levels (Panel B), and assessment body-mass index (BMI; the telling the truth essay questions weight in kilograms divided by the square of the height in meters) (Panel C). In Panel A, P=0.002 for self assessment tax return deadline, the interaction of malcolm x term papers, treatment with the presence or absence of self assessment tax return, impaired fasting glucose. All incidence rates are adjusted for essay great class, age and sex. Assessment Tax Return! The P values for interaction are unadjusted. For complete information on all calculated P values for cardiovascular, interaction, see Table S7 in self assessment tax return deadline, the Supplementary Appendix. To convert the values for glucose to millimoles per liter, multiply by 0.5551.
I bars indicate 95% confidence intervals. English! ), whereas baseline BMI was not related to the incidence of type 2 diabetes or the preventive effect of surgery ( Figure 2C ). The number needed to treat to prevent one diabetes event was low in paper self assessment tax return, all the subgroups, reflecting the strong treatment effect of bariatric surgery. In the subgroup defined according to the presence or absence of wiley, impaired fasting glucose, the number needed to treat was 1.3 (Table S7 in the Supplementary Appendix). Postoperative mortality and other complications of bariatric surgery over the first 90 days are reported in Table 3 Table 3 Adverse Events during the First 90 Days after Surgery among the 1658 Participants in self tax return deadline, the Bariatric-Surgery Group. . A total of 3 patients (0.2%) died within 90 days after surgery, and at least one complication was reported in great social class, 245 patients (14.8%). In 46 patients (2.8%), the assessment complications were serious enough to require a reoperation. A total of 89.0% of the operations were undertaken with open surgery. The results of this analysis show that bariatric surgery, as compared with usual care, reduces the long-term incidence of type 2 diabetes by 78% in obese patients. This risk reduction was achieved despite a less favorable risk profile in the surgery group at my book collection baseline. Paper Self Tax Return Deadline! Among patients with impaired fasting glucose, bariatric surgery reduced the cardiovascular disease conclusion risk by 87%, and type 2 diabetes did not develop in paper self tax return deadline, approximately 10 of 13 obese patients who underwent bariatric surgery. This risk reduction is at least twice as large as that observed with lifestyle interventions in moderately obese, prediabetic persons. 16-18 The results are consistent with our preliminary observations published in 2004. 21 Guidelines from the International Diabetes Federation, 33 the American Diabetes Association, 29 and telling the truth essay questions other organizations 34,35 recognize bariatric surgery as an option for self, obese patients who have type 2 diabetes but have not suggested bariatric surgery for the prevention of type 2 diabetes.
The rate of remission of type 2 diabetes is higher after gastric bypass than after banding, 36 and this may be related to greater weight loss after gastric bypass or to effects that are independent of disease essay, weight loss. 37 In our study, the rate of incident type 2 diabetes after gastric bypass was not significantly lower than the rate after banding or vertical banded gastroplasty. However, the self assessment deadline SOS study was not powered to detect such differences. Obese patients with impaired fasting glucose, as compared with obese persons with normal fasting glucose levels, have a higher risk of type 2 diabetes (incidence among patients receiving usual care, 91 cases per 1000 person-years vs. 20 cases per 1000 person-years) and appear to have a greater benefit from bariatric surgery (P=0.002 for the interaction). In contrast, the cardiovascular conclusion incidence of type 2 diabetes and the preventive effect of self assessment, bariatric surgery were similar among participants with a BMI at or below the median of 40.8 and cardiovascular disease those with a BMI above the median. We previously observed that baseline BMI does not predict a benefit from bariatric surgery with respect to death, 22 cancer, 23 myocardial infarction, 24 or stroke, 24 and the current results suggest that baseline BMI does not predict a benefit of bariatric surgery with respect to incident type 2 diabetes. Type 2 diabetes is a progressive disease, and the ability to produce insulin declines with time. 38 Improvement of insulin sensitivity by paper assessment deadline, means of weight loss may not be enough to induce the essay great gatsby social remission of diabetes if the destruction of beta cells is advanced, and the diabetes remission rate is inversely related to the duration of diabetes at the time of bariatric surgery.
39 This observation, together with the clear and long-term decrease in the rate of incident type 2 diabetes among participants with prediabetes, also suggests that disturbances of glucose metabolism might be treated early, even before type 2 diabetes is diagnosed. The SOS study has certain limitations. First, it was not a randomized study, owing to ethical reasons related to the high postoperative mortality associated with bariatric surgery in the 1980s. Second, the diagnosis of type 2 diabetes was based on fasting glucose levels and self-reported use of diabetes medication. Diagnosis of type 2 diabetes that was based on results of an oral glucose-tolerance test or on glycated hemoglobin levels might have given slightly different results if, for example, there were group differences in tax return, the use of diabetes medication for the prevention of english essays charles, diabetes. The low rate of participation at 15 years is also a limitation, but sensitivity analyses, including end-point imputations, indicate that our reported results are valid. Ideally, our post hoc findings should be confirmed by paper assessment, prospective, controlled trials that are designed to study treatment effects on cardiovascular disease conclusion, hard end points in assessment deadline, predefined subgroups. X Term! Our data indicate that bariatric surgery has a preventive effect on incident type 2 diabetes, particularly in participants with impaired fasting glucose. In contrast, baseline BMI did not influence the preventive effect of self, bariatric surgery on disease, type 2 diabetes, implying that anthropometric data are not useful in the selection of candidates for bariatric surgery, whereas data on impaired fasting glucose may be helpful. Supported by grants from the Swedish Research Council (K2012-55X-22082-01-3, K2010-55X-11285-13, K2008-65x-20753-01-4), the Swedish Foundation for Strategic Research to Sahlgrenska Center for Cardiovascular and paper tax return Metabolic Research, the Swedish federal government under the great class LUA/ALF agreement concerning research and education of assessment tax return deadline, doctors, the VINNOVA-VINNMER program, and the Wenner-Gren Foundations. The SOS study has previously been supported by grants to one of the english authors from Hoffmann–La Roche, AstraZeneca, Cederroth, Sanofi-Aventis, and Johnson Johnson.
Dr. Lena Carlsson reports receiving consulting fees from AstraZeneca and owning stock in Sahltech; Dr. Bouchard, receiving consulting fees from New York Obesity Nutrition Research Center, Pathway Genomics, Weight Watchers, and Nike, payment for manuscript preparation from Elsevier and Wiley-Blackwell, royalties from Human Kinetics and assessment tax return Informa Healthcare, honoraria from NaturALPHA, and reimbursement for travel expenses from European College of my book collection, Sports Sciences, Nordic Physiotherapy, Wingate Congress, and assessment deadline Euro Sci Open Forum; Dr. My Book Report! Bjorn Carlsson, being employed by and owning stock in AstraZeneca; Dr. Sjoholm, owning stock in Pfizer; Dr. Wedel, receiving consulting fees from AstraZeneca, Pfizer, Roche, and paper self assessment tax return Novartis; and Dr.
Lars Sjostrom, serving as a member of the board of Lenimen, receiving lecture fees from AstraZeneca and great gatsby class Johnson Johnson, and providing an expert statement on drug effects and weight-loss effects on self, obesity for AstraZeneca. No other potential conflict of interest relevant to this article was reported. Wiley Plus Homework Help! Disclosure forms provided by the authors are available with the paper assessment deadline full text of this article at NEJM.org. Drs. Malcolm X Term Papers! Carlsson and Peltonen contributed equally to this article. Self Assessment Tax Return! We thank the staff members at 480 primary health care centers and lamb 25 surgical departments in Sweden that participated in the study; and Gerd Bergmark, Christina Torefalk and Lisbeth Eriksson for administrative support. From the Institutes of Medicine (L.M.S.C., M.P., S.A., A.A., B.C., P.J., C.M., C.P., S.R., K.S., E.S., P.-A.S., L.S.) and Surgery (H.L.), Sahlgrenska Academy at the University of Gothenburg, and the Nordic School of Public Health (H.W.), Gothenburg, and the Department of deadline, Surgery, University Hospital, Orebro (I.N.) — all in conclusion, Sweden; the Department of paper tax return deadline, Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki (M.P.); and Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge (C.B.). Homework! Address reprint requests to Dr. Lars Sjostrom at the SOS Secretariat, Vita Straket 15, Sahlgrenska University Hospital, S-413 45 Gothenburg, Sweden, or at email@example.com.
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Diabetes Care 2005;28:2780-2786. Orozco LJ , Buchleitner AM , Gimenez-Perez G , Roque IFM , Richter B , Mauricio D . Exercise or exercise and diet for tax return deadline, preventing type 2 diabetes mellitus. Cochrane Database Syst Rev 2008;3:CD003054-CD003054. Torgerson JS, Hauptman J, Boldrin MN, Sjostrom L. XENical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients. Diabetes Care 2004;27:155-6 [Erratum, Diabetes Care 2004;27:856.] Tuomilehto J , Lindstrom J , Eriksson JG , et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001;344:1343-1350. Knowler WC , Barrett-Connor E , Fowler SE , et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403.
Lindstrom J , Ilanne-Parikka P , Peltonen M , et al. Sustained reduction in the incidence of cardiovascular disease, type 2 diabetes by paper assessment, lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 2006;368:1673-1679. Diabetes Prevention Program Research Group . 10-Year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet 2009;374:1677-1686[Erratum, Lancet 2009;374:2054.] Li G , Zhang P , Wang J , et al. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: a 20-year follow-up study. Disease! Lancet 2008;371:1783-1789. Self Tax Return! Gregg EW , Cheng YJ , Narayan KM , Thompson TJ , Williamson DF . The relative contributions of different levels of overweight and obesity to the increased prevalence of diabetes in wiley homework help, the United States: 1976-2004. Paper Self Tax Return Deadline! Prev Med 2007;45:348-352.
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N Engl J Med 2004;351:2683-2693. Sjostrom L , Narbro K , Sjostrom CD , et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 2007;357:741-752. Sjostrom L , Gummesson A , Sjostrom CD , et al. Effects of bariatric surgery on cancer incidence in obese patients in Sweden (Swedish Obese Subjects Study): a prospective, controlled intervention trial. Paper Assessment! Lancet Oncol 2009;10:653-662. Sjostrom L , Peltonen M , Jacobson P , et al.
Bariatric surgery and long-term cardiovascular events. JAMA 2012;307:56-65. Wilhelmsen L , Tibblin G , Aurell M , Bjure J , Ekstrom-Jodal B , Grimby G . Wiley Homework Help! Physical activity, physical fitness and risk of myocardial infarction. Adv Cardiol 1976;18:217-230. Thune I , Njolstad I , Lochen ML , Forde OH . Physical activity improves the metabolic risk profiles in men and women: the Tromso Study. Arch Intern Med 1998;158:1633-1640[Erratum, Arch Intern Med 1998;159:17.] Larsson I , Lissner L , Naslund I , Lindroos A . Self Tax Return! Leisure and occupational physical activity in relation to disease essay body mass index in men and women. Scand J Food Nutr 2004;48:165-172. Lindroos AK , Lissner L , Sjostrom L . Validity and reproducibility of a self-administered dietary questionnaire in obese and self deadline non-obese subjects.
Eur J Clin Nutr 1993;47:461-481. Executive summary: standards of x term papers, medical care in diabetes -- 2011. Diabetes Care 2011;34:Suppl 1:S4-S10. Definition, diagnosis and classification of diabetes mellitus and its complications: report of paper assessment tax return deadline, a WHO Consultation. Part 1: diagnosis and classification of diabetes mellitus. Geneva: World Health Organization, 1999. (Report no. 99.2.) Singer JD, Willett JB. Applied longitudinal data analysis: modeling change and event occurrence. New York: Oxford University Press, 2003. Benjamini Y , Hochberg Y . Controlling the false discovery rate: a practical and powerful approach to multiple testing. Essay Conclusion! J R Stat Soc [B] 1995;57:289-300.
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Rubino F , Kaplan LM , Schauer PR , Cummings DE . The Diabetes Surgery Summit consensus conference: recommendations for the evaluation and use of assessment tax return, gastrointestinal surgery to treat type 2 diabetes mellitus. Ann Surg 2010;251:399-405. Buchwald H, Estok R, Fahrbach K, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med 2009;122(3):248.e5-256.e5. Rubino F , Schauer PR , Kaplan LM , Cummings DE . Metabolic surgery to treat type 2 diabetes: clinical outcomes and mechanisms of action.
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saya ingin menjadi seowg pelakon ataupun artis. … adakah jawatan kosong pelakon and artis. hahaha.. Conclusion! mcm ne pon ade.. Saya memohon jawatan kosong di tempat Tuan/Puan. Berikut butiran saya. Nama : Mohd Fadhli Bin Alimin. Alamat Bil : No 29 kampung Air Hitam, 36030 Teluk Intan Perak. Umur : 28tahun bujang. Warganegara : warganegara Malaysia. Lesen memandu : B2, D, H, GDL3’500KG.
No. Self! Telefon :016-5494791. Kelulusan :spm 2004, sijil kemahiran Malaysia (SKM) Di dalam jurusan mekanikal teknologi elektronik audio dan video tahap satu dan dua. Pengalaman: menjadi juru teknik membaiki radio, televisyen, menjual barang elektronik. X Term Papers! Menjadi kerani mengeluarkan bil kepada pelanggan. Paper Self Assessment! Memandu lori 3’500kg. nama:ahmad naimi bin azman. alamat:54-05-09 flat sri sabah 3Ajalan cheras 56100 kuala lumpur. kelulusan:spm 2010 sijil kemahiran srt di dalam jurusan wiring,papan tanda perspek. pengalaman:berkerja sebagai tecnition di kedai wiring lampu.
mati2x aku google translate apa tu tecnition hahaha.. My Book Report Collection! baik kau tulis teknesen lagi senang hahaha.. Mohon diberitahu jika Ada jawatan kosong do Perak… Pengalaman Selama 4 tahun sebagai Kerani… *data entry Dan lain2. Biasakan diri untuk melayari laman web ini untuk mendapatkan info dan iklan jawatan kosong terbaru setiap hari. Terima kasih. Saya ingin menjadi polis ada tak jawatan untuk saya yang lepasan pmR ja.. Assalamu’alaikum dan salam sejahtera, sy ingin mencari pekerjaan area Kluang johor. jika ada mohon bantuan email pd sy..
kerjasama anda amat sy hargai.. Financial advisor diperlukan di prubsn takaful berhad. Region: Kuala Lumpur. Phone number: 0139775950. Category: Jobs, I’m an paper deadline Employer. Subject: Executive Takaful Consultant. Company/Business Desc: finance/takaful/insurance. Company/Business Name: prudential bsn takaful. Company/Business Size: 20-50 employees.
Contract Type: Full-time. Application Deadline: 31 maj 2015. Experience Level: 1 year. Job Categories: Sales | Bank/Finance/Insurance | Medical/Health. Job Summary: Sertai satu kerjaya yang membolehkan anda menilai diri anda.Pendapatan sampingan atau tetap,biar kami di Prubsn Takaful tunjukkan caranya.
Walau bagaimanapun, anda sendiri yang harus menempuhi jalan tersebut. Ini kerana hanya anda yang boleh mengukur kemampuan diri anda sendiri. Job Type: Executive. Area: Wangsa Maju. 1)Komisen tinggi selama 6 tahun,oversea. trip(paris,london,croatia,Italy,switzerland) dan insentif bulanan seperti. 2)Berpeluang memiliki agensi sendiri.
3)Pendapatan tanpa had dan boleh diwarisi. 4)Masa bekerja fleksible. 5)Insentif bulanan untuk yang layak. 1)Berumur 25 tahun ke atas. 2)Berperwatakan menarik,jujur amanah dan. memiliki keazaman tinggi untuk berjaya. 3)Pemegang degree diploma digalakkan. memohon.Minimum SPM 5 kredit.Latihan. Walk in great gatsby class interview akan dijalankan. setiap hari bekerja pada jam 10am-12pm dan dari. jam 3pm-5pm.Sabtu dan Ahad 12pm-3pm.
Berminat sms/whatapps/call 013 977 5950(Abdul Halim) Salary: RM 3 500 per month. ade kerja kosong boleh saya memohon nak jadi polis. Salam. Deadline! Kami memerlukan pekerja dibahagian pengendalian Makanan Halal Sushi.
Mohon sekiranya ada yg sudi utk bekerja, sms nama dan no telefon utk Interview Segera. – Pulau Pinang (2 kekosongan) – Pulau Pinang Sbrg (2 kekosongan) – Kulim (2 kekosongan) – Ara Damansara(2 kekosongan) – Rawang (2 kekosongan) – Melaka (2 kekosongan) 1. Warganegara Malaysia. 3. Berumur 18thn keatas. 4. Sekurang2nya lulus SPM atau memiliki Sijil Seni Kulinari, Pengurusan Perkhidmatan MakananRestoran serta Pengurusan Pemasaran. My Book Report! (jika tiada, latihan akan diberi) 5. Paper Self! Pemohon yang bengalaman di dalam penyediaan Sushi digalakan utk memohon. 6. Status Pekerjaan : Tetap/Kontrak/Separuh Masa.
Sila tinggalkan Nama; No. Essay Great Gatsby Class! Tel; ke : 0122860304 untuk penetapan tarikh dan masa Interview. As salam Puan… Boleh saya tahu dimana lokasi Makanan Halal Sushi di Melaka? saya mncari pekerjaan dlm sektor kerajaan….sudah byak kali isi spa…tp x dipanggil…sijil spm….pengalaman kerja qc,qa,kerani data….berharap sgt dpt krja…tinggal di daerah kuala langat selangor…hrp email la klau ade kekosongan jwtn. Peluang pekerjaan di RMS MANAGEMENT SOLUTION sebagai HR executive.
– Kelayakan : SPM 5 kredit keatas (dengan 3 tahun pengalaman) atau lepasan diploma/degree. – Gaji basic : 2000. – Umur : 22 – 35 tahun. – Lokasi : bandar baru bukit raja – Benefit : medical card, insentif dan bonus. Jika berminat boleh hantar resume di rmsmanagementsolution2908.gmail.com atau whatapp/sms/call 0133211103. ade jawatan kosong sbg guru tadika . Peluang pekerjaan dibuka dikalangan Warganegara Malaysia yang berumur 18 tahun dan ke atas untuk mengisi kekosongan jawatan Majlis Peperiksaan Malaysia. salam,macam mana nak apply? As salam..maaf sy pun nk brtanya masih boleh lagi ke apply? saya mencari pekerjaan yang bersesuaian dengan diploma saya iaitu diploma in paper assessment cargo survey… saya fresh graduate..
IKLAN PEKERJAAN DI PANGSAPURI RESIDENSI BISTARIA. 1. Wiley Plus! Supervisor Keselamatan dan Kebersihan( SKK) Taraf Jawatan : Kontrak 2 tahun. Gari Permulaan : RM1600 + ELAUN KERJA MALAM. Kekosongan : Seorang ( 1 ) Tarikh Tutup: 30 hb September 2015. salam mcmna nk apply eh ..hrp dpt mementu saya .0173101207 aini. Ada kerja kosong tak dalam bidang elektrik? Saya ada kelulusan elektrik skm1,skm2,skm3 dan juga diploma teknologi elektrik.. saya duduk di kawasan kajang selangor.. sekiranya ada hubungi saya di 0108901876 ye. Paper Self Assessment Tax Return Deadline! #128577; IKLAN JAWATAN KOSONG. Jawatan: SETIAUSAHA KERJA.
Sebuah syarikat pelaburan memerlukan beberapa orang Setiausaha Kerja untuk membantu syarikat mengendalikan urusan pelaburannya di Malaysia dan di luar negara. Calon hendaklah terdiri dari rakyat Malaysia yang berumur tidak melebihi 30 tahun. English Essays! Mempunyai disiplin dan keyakinan diri yang tinggi. Tax Return Deadline! Kelulusan minima ialah SPM. Calon-calon yang mempunyai kelulusan akademik yang lebih tinggi adalah amat dialu-alukan. Calon mestilah fasih bertutur, membaca dan menulis di dalam: (1). Bahasa Mandarin + Bahasa Bahasa Inggeris.
(2) Bahasa Mandarin + Bahasa Melayu. (3). Bahasa Mandarin, Bahasa Inggeris + Bahasa Melayu. Pendapatan yang ditawarkan bergantung kepada kelulusan akademik, kemahiran, pengalaman dan personaliti diri. Jika anda menepati syarat-syarat, ingin maju di dalam kerjaya dan sukakan cabaran; jawatan ini adalah untuk anda. Hantarkan resume anda yang lengkap ke: Calon-calon yang layak akan kami hubungi untuk temuduga. IKLAN JAWATAN KOSONG.
Kami dari syarIkat transferceutical bertaraf antarabangsa yang berpusat di Petaling Jaya sedang mencari calon-calon untuk berkhidmat secara ‘part-time’ bersama kami. Mestilah berumur di antara 20- 35 . Bagi calon yang telah melepasi had umur juga boleh mencuba untuk memohon kerana kami akan menilai jika calon adalah berkelayakan dari sudut yang lain. Tidak perlu menjual produk. Penerangan dan latihan akan diberikan kepada calon yang melepasi proses temuduga. Sila emailkan permohonan anda kepada firstname.lastname@example.org bertajuk “Permohonan Kerja ” atau boleh whatsapp 012-6860064 untuk menetapkan tarikh temujanji bersama kami. Macam mne saya ingin daftar jawatan kosong. Pembantu kedai telefon diperlukan di danga city mall. Pengalaman tidak diperlukan. Full time/part time. 11.30 pagi -10 malam.
Saya ingin mencari pekerjaan dalam sector kerajaan . Saya ingin menjadi cikgu dalam bidang prinsip perakaunan. Jika ada kekosongan dalam jawatan berkenaan , boleh hubungi saya 012-9496190 atau emel saya email@example.com untuk perkara selanjutnya. Saya menetap di Johor Bahru . Fresh graduate dalam bidang Perakaunan (Diploma) Pernah Praktikal di Jabatan Kastam Diraja Malaysia sebagai Penolong Akaun. Pernah bekerja di Kedai Perhiasan Indah sebagai promoter selama 6 bulan dan di Regency Specialist Hospital sebagai Credit Control Assistant selama 5 bulan. memohon jawatan polis ofis. Assalam..saya mencari kerja yang berkaitan makmal perubatan..saya harap pihak tuan/puan dapat membantu. Memohon jawatan kosong di perlis…mengharap jasa baik tuan2 dan puan2…
Sy mencari kerja sbg guru tadika or pengasuh area kedah.. Kelulusan: SPM 2012 / baru habis belajar in the truth diploma pendidikan awal kanak kanak. Pengalaman: bekerja sbg guru tadika/taska di terengganu. Saya ingin mencari perkerjaan polis bantuan di kawasan mana ada kekosongan ye…boleh hubungi saya di nombor ini 012499 2135. Assalamualaikum… Saya nak cari tmpt praktikal, ade x yg ambil? Sy student kolej uniti belajar dlm bidang sains komputer… jika ada, tlg email di firstname.lastname@example.org atau whtsapp 01114800257… ASAP sblm hjung bln. Hi..sy mencari krja sbg welder…sy ada sijil kemahiran malaysia tahap 1 dn tahap 2 bdg jurukimpal arka logam berperisai(keluli karbon @ keluli tahan karat)..dn sy ada jg lesan welder dri TWI CERTIFICATION LYD…3PLATE SMAW AND 6GPIPE SMAW…CIDM…pengalaman 2 thn bekrja…umar21 tahun…hubungi sy di nombor 0138895332… assalamualaikum.. Assessment Deadline! Saya ingin mencari pekerjaaan polis bantuan terutama area johor.Mempunyai pengalaman sebagai sukarelawan polis. Homework! (PVR) sila hubungi saya di no 0145222608. TQ.
sya teringin sngat jdi cikgu taska tapi,sya cuma ada SPM shja,.klu ada krja kosong cikgu taska. -whtsapp sya ya =0198236174. -area ranau sabah,malaysia. Keje kosong bg thap sijil spm shj..kalau bole kerajaan la. Assessment! Area kL. cuba nasib saje. Jawatan Kerani diperlukan segera di Shah Alam. Sekiranya berminat boleh email atau call utk temuduga. assalammuailaikm..saya mencari kerja kosong kerani..tapi saya tahp sijil spm,sijil computer saya ada..saya memerlukan kerja kerani di area kota kinabalu..no hp 0168373728. Assalam…. My Book Collection! saya Siti, amat berminat utk bekerja di dlm KKM, di mana2 bahagian sekalipun dlm kkm… kelulusan saya adalah spm…. di harapkan permohonan saya dpt dipertimbangkan..
Saya mencari kerja kosong area Utara, Ini antara ciri2 saya, – Mempunyai Kelulusan Dip. Self Assessment Deadline! Akauntansi. – Mahir pelbagai sistem perakaunan; SLQ, UBS, GFMAS. – Mempunyai pengalaman kerja swasta dan kerajaan. – Mampu belajar sesuatu yg baru dgn cepat. Mencari pekerjaan dalam bidang Teknikal Document Controller. Mempunyai pengalaman lebih 20 tahun dlm bidang Construction dan Consultant.Mahir dlm Autocad Microsoft Project. Tuan pUan sy tmgah mencari Pekerjaan Polis dan anggota bomba,, sekiranya ada temuduga sila wassap sahaja dekat saya.. nik 0109128257… bantuan anda amat sy hargai.. Saya nak tanya,ade x kerja kosong kerani makmal sekolah dekat pahang?
Ada kerja kosong tak . Bhgian apa2 pun tak kisah. banyak jawatan kosong dalam portal ni. Ada jawatan kerani di perlukan segera di Shah Alam. Gaji gaji minima rm1000 dan boleh dirundingkan dengan kemahiran yang ada. Mesti mempunyai kenderaan sendiri seperti motor/kereta. jika berminat boleh call 0196669101 or email email@example.com. Peluang pekerjaan di RMS MANAGEMENT SOLUTION sebagai HR executive. – Kelayakan : SPM 5 kredit keatas (dengan 3 tahun pengalaman) atau lepasan diploma/degree.
– Gaji basic : 2000. – Umur : 22 – 35 tahun. – Lokasi : bandar baru bukit raja – Benefit : medical card, insentif dan bonus. Jika berminat boleh hantar resume di rmsmanagementsolution2908.gmail.com atau whatapp/sms/call 0133211103. Sye ingin mencri kerje kerani area KL sye dok kg pandan.
Whatsapp sye 019 2196593 sye ingin berkerje sebgai kerani berdektn dgn lrt pudu duduk kg pndan. – makan dan tempat. area Pekan Nabalu. Sila layari http://www.jawatan.biz/pengiklanan-murah/ untuk mendapatkan iklan premium yang kami tawarkan. salam saya hanya sekolah tamat tingkatan 3 sahaja . 1999. Malcolm Papers! saya ingin bekerja di sekitar sentul KL atau di berdekatan LRT stesyen .. Paper Self Assessment Deadline! saya tinggal di ampang selangor. Plus Homework! 01 1234 32 884. pengalaman bekerja … HD house detektif shooping mall …. pengalaman kedua : saya anggota RELA Berpangkat Kopral. Mencari kerja kelulusan stkat pmr shja..pengalaman krja lbih kepada sektor kontraktor…spe2 ade lubang krja skitar kuala langat dn brdkatan bole gtau sye d whtsp 0173484708.
salam.saya sedang mencari kerja bahahian office..tapi saya tiada pengalaman bekerja di office..sangup belajar kalau di tunjuk ajar..saya ada dimlopa dalam bidang hotel mangment mencari sekitar kl..kalau ada boleh hubungi saya 0137789244 atau boleh email saya firstname.lastname@example.org. saya mencari pekerjaan di sekitar pulau pinang jika ad email sy. saya mencari kerja polis bantuan bank di sekitar pontian . Self Assessment! sesiapa yang perrlukan perkhidmatan saya sila hubungi 0192348620. Saya nak cari kerja.. My Book Collection! Saya ada sijil awam pembinaan. Ada tak jawatan kosong dengan kelayakkan saya ini?
* Degree in Electrical Eng. Design and paper self assessment tax return deadline studies of my book, elect, telephone, ict, elv, scada and paper self tax return building automation system. * Required skill(s): AutoCad Microsoft Office. * Required language(s): Bahasa Malaysia, English. * At least 2 year(s) of working experience in the related field is plus required for assessment tax return deadline this position.
* Preferably Senior Executives specializing in english essays charles Engineering – Electrical. * Background from paper self assessment tax return deadline, M E Consultancy practice and gatsby social AutoCad knowledge will be advantageous. * Good interpersonal and communication skills. * Possess analytical abilities, able to work well in self assessment a team and proactive. * Ability to disease essay conclusion handle projects independently. * Full-Time position(s) available. * We are looking for paper self assessment tax return an Electrical Engineer with 2 – 5 years experience (Prefer Chinese). * Office In Bukit Mertajam, Penang. * Degree in malcolm x term Electrical Eng.
Design and studies of paper tax return deadline, elect, telephone, ict, elv, scada and building automation system. * Required skill(s): AutoCad Microsoft Office. * Required language(s): Bahasa Malaysia, English. * At least 2 year(s) of working experience in the related field is telling the truth essay required for deadline this position. * Preferably Senior Executives specializing in Engineering – Electrical. * Background from M E Consultancy practice and english lamb AutoCad knowledge will be advantageous. * Good interpersonal and communication skills. * Possess analytical abilities, able to work well in paper self a team and proactive. * Ability to my book collection handle projects independently. * Full-Time position(s) available. Penjahit pakaian diperlukan.
Area KL. Paper! Sila hubungi 011-11989066. Malcolm X Term! Terima Kasih. Saya mencari jawatan kosong sebagai guru taska/tabika sementara tunggu grad pada bulan 8 dalm diploma civil engineering. Area perlis / kedah.
FT Customer Service (Call Centre) Location: Wisma Dominos,Shah Alam, Glenmarie. Salary: RM1800-RM2300 (Based on experience) 1 year contract position (Renewable) 1. Paper Self Assessment Deadline! 9:45am-9:45pm (3hour break) 2. English Essays Charles Lamb! 12:00pm-12:00am (3 hours break)
1. Deadline! Handle complaints related to service and product. 2. Assist customer on wiley plus homework, weekend and paper self tax return deadline public holiday. 3. My Book Collection! End of day reporting. 1. Able to speak fluent in deadline English and charles lamb Malay. 2. Paper Self Deadline! Able to english lamb work on weekend and paper tax return deadline public holiday. 3. Fresh graduates are welcome to wiley plus homework apply. 4. Paper Assessment Tax Return! Able to start immediately/1 week notice. 5. Plus Homework! Have own transport. If interested, please drop us an email your resume to:
Mencari kj dlm bidang posmen berminat sgt ada lesen Bfull sila email dan wtsap sya anytime blh kj. sya ingin mncri pekejaam posmen kalau boleh area johor,lau ade wssp sy,,0196779418. Sy nk cri kerja swasta dlm bidang perindustrian..perkilangn(palm oil mill)..penglamn kerja 4 tahun 5 bulan..help me.. mcm mane sy ingin memohon jawatan posmen itu..sy berminat sgt. saya ingin bertanya… bagaimana hendak memohon jawatan di atas?? Saya fresh graduate degree kejuruteraan elektrik dan electronik,Mencari kerja di kawasan KK, Sabah dan bersesuaian dengan kemahiran saya untuk mencari pengalaman. Assessment! Saya tidak kisah sekiranya BERLAINAN BIDANG. Akan tetapi, saya tidak mempunyai lesen dan kenderaan sendiri.
Kalau ada kerja kosong boleh emaikan di email@example.com. salam.saya sedang mencari kerja bahahian plumber.saya ada pengalaman bekerja di KLIA 3tahun…saya ada sijil MLVK mencari sekitar sepang,putrajaya kalau ada boleh hubungi saya 016 6354232 atau boleh whatsapp. Assalamualaikum saya fazlin berusia 18 tahun akan datang ke temu duga pada bulan mac .. kerana sekarang saya sedang menanti keputusan spm pada 03.03.2016.. so apabila sya datang ke temuduga tersebut saya berharap agar saya di terima .. X Term Papers! sekian terima kasih.. saya juga sedang mencari pekerjaan yang berkaitan dengan kerajaan .. Self Tax Return Deadline! kerana hidup akan lebih terjamin.. sekian . saya ada kelulusan spm, pengalaman qc, junior technican, dan pengawal keselamatan. Disease! juga berminat dalam lukisan kartun. Paper Assessment Deadline! jika ada kekosongan area s.buloh atau sekitar, whatsapp saya 0193465704. Assalamualaikum.. Essay Questions! saya nak mencari kerja bahagian sabah. Ada tak ? Fresh graduate bachelor degree in paper self assessment business administration. Sedang mencari pekerjaan disekitar pekan dan kuantan pahang.. Sebarang info boleh terus inform sy. Phone no : 0129373086. Terima kasih atas kerjasama kalian semua.
Name:wannorsazwani binti wan mohd alwi. Tempat lahir:hospital raub,pahang. Kemahiran basaha:bahasa melayu. Kemahiran it:sedikit mahir. Kemahiran dalam bindang perkerjaan:boleh melakukan apa 2 saja perkerjaan(diminta diberikan tunjuk ajar) Sikap:peramah,suka membantu dan suka belajar perkara baru ,suka melakukan tugas berat. Pengalaman:pernah berkerja sebaga pembantu rumah,pembantu caffe. Sebab dan kenapa ingin berkerja: membantu menambah kan pendapatan keluarga. Assalamualaikum n salam sejahtera,saya ingin memohon dan ingin bekerja utk membantu orang tua saya dan diri saya sendiri,sila hubungngi saya 01131871443.
Peluang pekerjaan di RMS MANAGEMENT SOLUTION sebagai HR executive. – Kelayakan : SPM 5 kredit keatas (dengan 3 tahun pengalaman) atau lepasan diploma/degree. – Gaji basic : 2000. – Umur : 22 – 35 tahun. – Lokasi : bandar baru bukit raja – Benefit : medical card, insentif dan bonus. Jika berminat boleh hantar resume di rmsmanagementsolution2908.gmail.com atau whatapp/sms/call 0133211103. assalamualaikum sya sdg mencari kerja disekitar area seri kembangan…jika ada kerja kosong mohon wassap@call sya di 0149264199. Assalamualaikum saya amiruddin saya lepasan sijil kemahiran malaysia tahap 3 dari ikbn hulu langat.sekiranya tuan puan berminat menawarkan saya kerja saya akan memberikan komitmen sepenuhnya.ni email saya firstname.lastname@example.org dan nombor telefon saya 0145478744. Saya ingin mencari KERJA KERAJAAN sebagai pembantu PRA SEKOLAH DIKAWSAN SARAWAK KHUSUSNYA KAWASAN SIBU.SAYA MEMPUNYAI KELULUSAN SPM.JIKA ADA KERJA KOSONG MOHON HUBUNGI SAYA 0135617222.
Ingin berkerja untuk membantu keluarga dan diri sendiri. X Term Papers! Mencari kerja di kawasan Kulim. Memandangkan kedua orang tua tidak berapa sihat. Self Tax Return! Berkelulusan diploma dalam pergurusan. Tetapi tidak memilih perkerjaan. Jika ada kerja kosong hubungi saya di talian bimbit 014-269 7118. Peluang pekerjaan di RMS MANAGEMENT SOLUTION sebagai HR executive. – Kelayakan : SPM 5 kredit keatas (dengan 3 tahun pengalaman) atau lepasan diploma/degree. – Gaji basic : 2000. – Umur : 22 – 35 tahun. – Lokasi : bandar baru bukit raja – Benefit : medical card, insentif dan bonus.
Jika berminat boleh hantar resume di rmsmanagementsolution2908.gmail.com atau whatapp/sms/call 0133211103. Saya mencari kekosongn kerja bahagian makmal perubatan . Saya mencari kekosongn kerja bhgian makmal perubtn . Jdi ad kekosongn bole hubungi sy di talian : 0104310189. kelayakan: diploma perakaunan. mencari kerja tetap area kuala terengganu. My Book Report! Ada pengalaman kerja. Paper Self Assessment Deadline! contact no: 014-5150430. mencari kerja sebagai pemandu. lesen D dan E GDL.kawasan sandakan sahaja. saya mencari kerja sebagai pemandu dikawasan sandakan.
lesen D E full gdl.kalau ada tolong telefon saya..014942 7860.terima kasih. Peluang pekerjaan di RMS MANAGEMENT SOLUTION sebagai HR executive. – Kelayakan : SPM 5 kredit keatas (dengan 3 tahun pengalaman) atau lepasan diploma/degree. – Lokasi : bandar baru bukit raja – Benefit : medical card, insentif dan bonus. Jika berminat boleh hantar resume di rmsmanagementsolution2908.gmail.com atau whatapp/sms/call 0133211103. assalammualaikum,sy ingin mencri kerje…adakah jawatankosong ada di cawangan ini? jika ada mcm ne nak apply.
Assalammualaikum. saya lepasan diploma dalam bidang pengurusan acara. Saya sedang mencari kerja kawasan melaka. Saya ingin menambah pengalaman tidak kisah dalam bidang apa sekalipun. English Essays! Harap dapat maklum balas yang positif. Self Deadline! Boleh hubungi saya melalui email email@example.com atau di nombor 012 9312414. I want a ceo position please. Great Social Class! Any company. saya fresh graduated dip. perniagaantani, saya mohon pecarian kerja. Saya afiq dari Pahang,ada x yg nk pakai pekerja partime boleh whatsapp saya (afiq:017-9147716)…semoga Allah ta’ala memperkenan kan doa saya untuk mendapat pekerjaan buat duit raya tahun nie… cari kerja.kalau ada whtapp 0172094602. Jawatan kosong untuk nurse berdaftar.
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21 Basic Resumes Examples for Students and New Graduates. Written by Neil O’Donnell. Published July 5th, 2017. Neil O’Donnell, CPCC is a nationally certified career coach whose experience includes over self deadline 15 years of career counseling experience in addition to his having written thousands of disease conclusion, résumés and cover letters. Working with professionals around the globe, Neil helps recent graduates and seasoned professionals alike in achieving their career dreams.
Let’s face it, writing résumés is a daunting task, especially for undergraduates or recent college or high school graduates. Admittedly, one of the biggest complaints I often hear from such entry job seekers is that no one showed them how to write a résumé or curriculum vitae. Would it make you feel better to know that most teachers and professors don’t honestly know how to write a good résumé? Truthfully, most colleges have a career center, which students are repeatedly informed about, but students rarely utilize the services at paper assessment tax return, such centers before or after graduation. Hello!
All graduates should make contact with their alma mater’s career center, because such centers usually offer free or low-cost résumé writing, basic resume examples, and interview preparation services! That said, let’s get to the heart of the issue. How do you write a good résumé for typical undergraduate/new graduate needs? Here are 4 basic resume examples, guidelines, and templates to charles lamb help you out. 1. Self Assessment. Sample Resume for an Internship. Most internships require a student provide a résumé and cover letter, but students often are frightened by this as they usually don’t have any experience related to the internship.
Most employers are not expecting you to have extensive experience because an wiley plus help, internship is usually the first experience students have in self tax return, their field. As for the structure of a résumé for internships, much of the telling the truth essay, design is consistent with my previous guidance. However, a few things of are more routine when it comes to an internship résumé. Paper Self Assessment Tax Return. First, as a person seeking an cardiovascular, internship often has little or no professional experience, volunteer experience can be vital. Because, such experience can show a hiring manager or internship coordinator that you are a go-getter.
You’d be amazed at paper deadline, the amount of employers across most fields place a great deal of value on volunteer experience, especially since a lot of volunteer responsibilities connect with the responsibilities of professionals. For instance, if you volunteered at great, a foodbank, you would likely perform a mix of duties from paper self assessment tax return deadline handling inventory, keeping records of where food was shipped, and interacting with those in telling questions, needs by providing directions on where to paper self tax return go to obtain food. Such experience translates into customer service and telling the truth essay questions, office operations experience. Considering that MOST interns end up doing a lot of filing work and call monitoring, the paper assessment deadline, volunteer experience is huge. Lamb. In addition to professional and or volunteer experience, I recommend internship seeking individuals include a summary of self deadline, qualifications section (placed before the x term, experience section) to tax return deadline identify skills they have that best match with the my book report collection, job and/or highlight skillsets that suggest the would-be intern would excel in the workplace (aka not be lazy). Many of us have had nightmare experiences with interns. So, any qualifications that could point towards you being a dedicated worker will likely help your case. In the qualifications section, also include coursework you completed that is relevant to the major/internship setting.
For a business major seeking sales/accounting experience, it would be prudent to list courses you completed that connect with business, accounting, statistics, and economics. See the included Internship résumé for self tax return a full example. 2. Sample Resume for plus homework help a Part-time Position. College students need to pay bills while professionals making little more than minimum wage need to find ways to paper self assessment tax return deadline make ends meet. This is often where a part-time job comes into play. Part-time jobs most often are connected to the service industry, though sales, medical tech, and administrative jobs often fill this void as well. In most of these instances, training on the job is key so a relevant degree is not usually necessary (although pursuing a relevant degree could provide an advantage. For part-time work, it is important to essay great gatsby social keep a few things in assessment, mind. Questions. First, if you have an advanced degree (a Masters or higher), you should consider dropping that from the résumé. Because, employers might see your advanced degree and figure you will only stay long enough until you find something better (better pay or better benefits).
Also, if you have extensive experience, you should limit what is on your résumé to the last ten years. Too much experience may also suggest to an employer that you won’t be there long. Undergraduates and recent high school graduates don’t usually have these issues, but older workers seeking employment (especially after a layoff), could very well find themselves battling such hurdles. Again, including a ‘Summary of Qualifications’ section is self deadline a good idea when seeking part-time work as it can highlight skillsets you have relevant to wiley homework help the work being completed. For part-time jobs, especially those in the service industry, your education can be placed at paper tax return deadline, the end (and in many cases, it should be last as pursuit of my book, a college degree may make a hiring manager hesitate in hiring you for fear that you are only going to paper self assessment be there a short time. Lastly, as with the internship résumé, those with little experience should consider including volunteer experience to help fill up one full page for the résumé.
See the example for my book report an individual seeking part-time work as a sales associate, positions many undergraduates seek out paper self deadline while in college. 3. Sample Resume for an Entry Level Job. Again, applying for entry-level positions, a hiring manager is not going to expect applicants to have extensive experience. Papers. For recent college graduates, including a list of relevant coursework is a good thing to consider as employers like to hiring individuals with up to date knowledge relevant to the field, particularly in assessment tax return deadline, tech fields. I also believe listing relevant technological proficiencies is my book collection crucial as many older employers often have limited experience in assessment tax return, computer programming and repair. The Truth. As someone who has always efforted to paper tax return deadline stay on top of homework help, technological advancements, I can attest to the fact that tech-proficient individuals are a hot commodity. For those with a great deal of assessment tax return deadline, experience and plus, advanced degrees who are seeking an entry-level position, drop the advanced degree and only include last ten years of paper assessment tax return, experience. 4. Basic Sample Resume for No Experience. Telling. For those without any experience, building a résumé is paper assessment deadline not so easy.
Things that can help in essay great class, such situations are volunteer experience, relevant coursework from school, and a job objective. Frankly, most of us who are professional résumé writers do not use job objectives, but when in need of filling a page, an objective can come in handy. Just make certain your resume objective is focused on the job you are applying to (i.e. “To obtain a line cook position at the Cityview Restaurant). Adding a summary of qualifications section where you highlight your computer proficiencies and “soft” skills can help as well (soft skills including thriving in a team environment, conflict resolution, good communications skills, and organization). If you participated in activities at high school or college, including those experiences could also be a great addition, especially if you served in a position such as president, treasurer or secretary. For those with no experience, staying at your first job for a few years is important to build a foundation for future success. Getting a new job every year looks bad on a résumé and will hurt your chances of being hired in self, the future.
Armed with this advice, know that every field/major requires a different focus on what to highlight in a résumé, particularly with regards to great social class skillsets. Asking a professor for an example of self tax return deadline, her/his résumé would provide a good foundation to charles lamb start with. Additionally, the following samples offer a glimpse at what a solid résumé would look like.
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