Is It Happening?
Yes. Earth is already showing many signs of worldwide climate change.
• Average temperatures have climbed 1.4 degrees Fahrenheit (0.8 degree Celsius) around the world since 1880, much of this in recent decades, according to NASA's Goddard Institute for Space Studies.
• The rate of warming is increasing. The 20th century's last two decades were the hottest in 400 years and possibly the warmest for several millennia, according to a number of climate studies. And the United Nations' Intergovernmental Panel on Climate Change (IPCC) reports that 11 of the past 12 years are among the dozen warmest since 1850.
• The Arctic is feeling the effects the most. Average temperatures in Alaska, western Canada, and eastern Russia have risen at twice the global average, according to the multinational Arctic Climate Impact Assessment report compiled between 2000 and 2004.
• Arctic ice is rapidly disappearing, and the region may have its first completely ice-free summer by 2040 or earlier. Polar bears and indigenous cultures are already suffering from the sea-ice loss.
• Glaciers and mountain snows are rapidly melting—for example, Montana's Glacier National Park now has only 27 glaciers, versus 150 in 1910. In the Northern Hemisphere, thaws also come a week earlier in spring and freezes begin a week later.
• Coral reefs, which are highly sensitive to small changes in water temperature, suffered the worst bleaching—or die-off in response to stress—ever recorded in 1998, with some areas seeing bleach rates of 70 percent. Experts expect these sorts of events to increase in frequency and intensity in the next 50 years as sea temperatures rise.
• An upsurge in the amount of extreme weather events, such as wildfires, heat waves, and strong tropical storms, is also attributed in part to climate change by
Tuesday, 22 April 2008
Get This the new Diabetic treatment
This is Dr. Ruchi Mathur at the American Diabetes Associations 65th Scientific Symposia. One of the topics today presented today that I'd like to talk to you about is the role of gastric bypass in the treatment of diabetes.
This was the topic of a 2-hour symposia this afternoon. Basically- there are 2 main approaches to gastric surgery for obesity: A bypass- also called a roux en y procedure, and gastric banding. The first avoids a section of the absorptive surface of the intestine, and the second seals of a large portion of the stomach making the functional portion quite small and easily filled.
Well- who is a candidate for these procedures? Usually patients with a BMI of over 40 or over 35 with health consequences that are obesity related. Does gastric bypass have any effect on diabetes? In a series of 1000 patients, 150 of whom had diabetes, 83% experienced resolution of their diabetes (defined by a normalization of A1c and coming of medications for diabetes) after the surgery.
What predicted success in these patients? In another study of 191 patients followed out to 5 years after surgery, a shorter duration of diabetes lead to a better A1c outcome, and a lower weight post operatively also lead to a better A1c. In this series, 80% came of oral medications for diabetes, 84% of those who stayed on meds after surgery reduced their dosing, 79% came off insulin of those still requiring insulin 90% dropped their dose. With regards to the gastric banding procedure, in a study of 66 patients, A1c dropped from an average of 6.3 preoperatively to 5.3 post operatively.
So- what does this mean? In a metanalysis review published in JAMA in 2004 the authors stated that there was resolution of diabetes in an average of 70% of patients after bypass, and gastric banding was also effective, though slightly less so.
The question is whether these effects are directly related to weight loss or a decrease in nutrient intake, or if there is another mechanism at play. This was enthusiastically discussed in much detail. What does all this mean to you? If you are an obese patient with diabetes, gastric bypass may help control your metabolic disregulation and your glycemic profile. However, these surgeries are not without risk nor are they without side effects. If you are interested in this option, bring it up with your physician (because chances are your physician won't). Physicians are notorious for not dealing with weight issues with their patients. Get a contact with a skilled surgeon familiar and well versed in these procedures for a full consult. Aim for a referral to an academic center that has a team of nutritionists, gastroenterologists, psychologists, and diabetologists to help with the perioperative period. And remember that lifestyle will still need to come into play regardless of any other treatment option for diabetes. Read and hear the next installment from the conference.
This was the topic of a 2-hour symposia this afternoon. Basically- there are 2 main approaches to gastric surgery for obesity: A bypass- also called a roux en y procedure, and gastric banding. The first avoids a section of the absorptive surface of the intestine, and the second seals of a large portion of the stomach making the functional portion quite small and easily filled.
Well- who is a candidate for these procedures? Usually patients with a BMI of over 40 or over 35 with health consequences that are obesity related. Does gastric bypass have any effect on diabetes? In a series of 1000 patients, 150 of whom had diabetes, 83% experienced resolution of their diabetes (defined by a normalization of A1c and coming of medications for diabetes) after the surgery.
What predicted success in these patients? In another study of 191 patients followed out to 5 years after surgery, a shorter duration of diabetes lead to a better A1c outcome, and a lower weight post operatively also lead to a better A1c. In this series, 80% came of oral medications for diabetes, 84% of those who stayed on meds after surgery reduced their dosing, 79% came off insulin of those still requiring insulin 90% dropped their dose. With regards to the gastric banding procedure, in a study of 66 patients, A1c dropped from an average of 6.3 preoperatively to 5.3 post operatively.
So- what does this mean? In a metanalysis review published in JAMA in 2004 the authors stated that there was resolution of diabetes in an average of 70% of patients after bypass, and gastric banding was also effective, though slightly less so.
The question is whether these effects are directly related to weight loss or a decrease in nutrient intake, or if there is another mechanism at play. This was enthusiastically discussed in much detail. What does all this mean to you? If you are an obese patient with diabetes, gastric bypass may help control your metabolic disregulation and your glycemic profile. However, these surgeries are not without risk nor are they without side effects. If you are interested in this option, bring it up with your physician (because chances are your physician won't). Physicians are notorious for not dealing with weight issues with their patients. Get a contact with a skilled surgeon familiar and well versed in these procedures for a full consult. Aim for a referral to an academic center that has a team of nutritionists, gastroenterologists, psychologists, and diabetologists to help with the perioperative period. And remember that lifestyle will still need to come into play regardless of any other treatment option for diabetes. Read and hear the next installment from the conference.
Monday, 25 June 2007
DO YOU SLEEP WELL?
QUALITY SLEEP IMPROVES TIREDNESS
Do you find that you are still tired after 10-12 hours of sleep per night? Do you have hard time waking up and when you do you feel tired and groggy?
There is a good chance that that you are not getting the restful sleep you need every night.
Long-term tiredness can cause heart disease, incontinence, constipation, diarrhea, abdominal pain, complicated pregnancy...
Eventually, it tears down your immune system and damages your general health.
There is a simple way to end tiredness, you just need to know how.
Learn about 4 substances the body must have or it will feel tired.
Learn about the 5 sleep stages (The most commonly known stage is REM) and how to wake up refreshed more often.
Sleep less every night (avg. 1.5 hours less) and gain energy and more time to do what you need to do.
No more energy drinks, supplements or medications with dangerous side effects.
Plenty of highly sucessful people only get a few hours of sleep per day yet rarely have problems with tiredness.
Do you find that you are still tired after 10-12 hours of sleep per night? Do you have hard time waking up and when you do you feel tired and groggy?
There is a good chance that that you are not getting the restful sleep you need every night.
Long-term tiredness can cause heart disease, incontinence, constipation, diarrhea, abdominal pain, complicated pregnancy...
Eventually, it tears down your immune system and damages your general health.
There is a simple way to end tiredness, you just need to know how.
Learn about 4 substances the body must have or it will feel tired.
Learn about the 5 sleep stages (The most commonly known stage is REM) and how to wake up refreshed more often.
Sleep less every night (avg. 1.5 hours less) and gain energy and more time to do what you need to do.
No more energy drinks, supplements or medications with dangerous side effects.
Plenty of highly sucessful people only get a few hours of sleep per day yet rarely have problems with tiredness.
Wednesday, 6 June 2007
grandes affaires ici
and other links
http://deals4your-pocket.com/
http://findmadeleine.com
http://madeleine-bimshass.blogspot.com/
and other links
http://deals4your-pocket.com/
http://findmadeleine.com
http://madeleine-bimshass.blogspot.com/
Subscribe to:
Posts (Atom)
