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The contention that the evidence is insufficient to sustain the conviction is not well founded. The facts and circumstances hereinbefore set out are sufficient to sustain the conviction. See Shannon v. State, Tex.Cr.App., 449 S.W.2d 763; Morgan v. State, supra, and cases cited.
The motion for rehearing is overruled.
Opinion approved by the Court.
and expectations of recovery of obese patients are, in general, lower than in patients with lower BMIs, which may compromise the quality of care provided. Obesity-related comorbidity is a major contributor to that deficit \[[@CR37]–[@CR39]\]. There are, in fact, good reasons to provide structured interventions even to obese patients for weight loss. While it is very difficult to generalise from the few randomised studies available on obese patients \[[@CR40]\], there is much evidence that bariatric surgery can benefit this population and increase life expectancy \[[@CR41]–[@CR43]\].
The study by Lugnau et al. \[[@CR7]\] shows the seriousness of this picture by showing that health-care resources are insufficient to treat obese patients only. On the other hand, at least 40% of this population may require social and psychological support, as they have suffered and will suffer from the stigmatisation that comes from obesity \[[@CR2]\]. However, it is not clear to what extent these complex patients, who are at high risk of readmissions, can be managed in primary care in the long-term.
In brief, there is a need for further research on the long-term management of obese patients, especially those with the most serious obesity-related comorbidities. Given the large increases in health-care costs, which are currently reaching those of tobacco \[[@CR44]\], it is imperative that we find the best ways to provide quality care to those patients
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