She Shines
Posted by Michelle Moquin on May 23rd, 2009
I have very little to say this morning which is why I am writing so late. I would love to get into it with you Al and Brittany, as you know me, I usually have much to say. But today I am not inspired to communicate. I am sure that the conversation will take its own shape and form as it usually does, so no worries…someone is always around to chat. And if not…I’ll be back again tomorrow. (Hi ZL: Have a good long weekend too :)
But in the mean time, I will leave you with a poem that I quite like. It is written by someone that I know nothing about…but who cares…I still like the poem.
She Shines
Through the haze, just below the horizon
Glistening, golden rain reveals itself
Piercing the soft, ivory cushions
Nestled just below Earth’s grandiose ceiling
Hidden inside her golden suit of armor,
Rests the softness of strength and courage
Protecting her from the storm that engulf her
Overcoming temptation to be the protector
Who is this woman
So strong, yet so vulnerable
The overseer of tumultuous subtleties
Embracing life’s abundance
Passion reveals compassion
A gentle soul full of life’s will
Absorbing all that is good
Rising above the turbulent
A whirlwind of vivid memories
Complacent in their tempestuous views
Glide swiftly across the ceiling
Riding the storm,
Conquering nature’s wrath
She shimmers, sparkling glamorously
Becoming the glistening, golden rain
Subtly piercing soft, ivory cushions
Through the haze,
Just below the horizon
She shines
-Michelle Waegner
Gratefully your blog host,
michelle
Aka BABE: Your Bad Ass Bitch Editor
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May 23rd, 2009 at 2:55 pm
SURGICAL “CURE” FOR DIABETES
Every once in a while, a scientific breakthrough alters much of what is known about a disease, and opens new avenues for research, treatment and even cure. This appears to be happening with type 2 diabetes, the chronic and relentless condition that accounts for fully 90% to 95% of the more than 240 million cases of diabetes worldwide. Long considered a disease that can only be managed with medication and lifestyle changes, a surgeon-researcher from New York Presbyterian Hospital/Weill Medical College of Cornell University recently found evidence that the small intestine may play a major role in the origin of type 2 diabetes and that a form of gastric bypass surgery may bring hope for remission and possibly a cure.
IS THE “MIRACLE” THE SURGERY OR THE WEIGHT LOSS?
Scientists have long suggested a link between bariatric surgery for massive weight loss and the subsequent improvement of diabetes in obese patients. Most recently, an Australian study found that adjustable gastric banding surgery caused a remission in three-quarters of obese patients two years after they underwent the procedure. In that study, the authors believed remission was due to weight loss after surgery, not the surgery itself.
Two years earlier, however, Francesco Rubino, MD, then at the European Institute of Telesurgery, Louis Pasteur University in France, had led research on another form of bariatric surgery, supporting the hypothesis that the small intestine may be the site of signals involved in insulin resistance and diabetes. Bypassing it silenced the signals, due to the lack of stimulation from nutrient passage. This study was published in the November 2006 issue of the Annals of Surgery. Dr. Rubino, now an assistant professor of surgery and chief of Gastrointestinal Metabolic Surgery at Weill Cornell Medical College, says this means type 2 diabetes may be treatable with surgery. A discussion of his research conclusions and implications was published in the February 2008 issue of Diabetes Care.
HOW COULD SURGERY CURE TYPE 2 DIABETES?
It is well known that the gastrointestinal tract produces incretins, hormones that control blood sugar metabolism by regulating insulin secretion. According to Dr. Rubino, a counter-mechanism produced by the small intestine, the “anti-incretin” system, may also exist to ensure the proper balance of blood sugar in the bloodstream. When the anti-incretin system becomes dysfunctional and produces an excessive amount of anti-incretins, the result is decreased insulin secretion, reduced insulin action, and eventually the onset of type 2 diabetes. Bypass of part of the small intestine, specifically the duodenum and a fraction of the jejunum, may offset the abnormal production of these anti-incretins, thereby resulting in remission of diabetes.
In his research, Dr. Rubino explored a specific type of gastric bypass procedure, removing a short segment of the upper small intestine and leaving the stomach intact. The procedure is called duodenal-jejunal bypass (DJB). Animal studies conducted years ago by Dr. Rubino and his team demonstrated that this operation improves type 2 diabetes in both lean and obese rodents. More recent studies have shown that the DJB operation can also bring improvement or remission of type 2 diabetes in non-obese diabetic humans.
HOPE FOR A CURE
Acknowledging this research may someday lead to a cure, it’s important to proceed with caution, said Dr. Rubino. “We don’t yet fully understand the causes of the disease nor the long-term impact of the procedure — so it’s technically not possible to use the term cure, but this is something that looks very close to it.” Already, gastric bypass surgery should be considered for morbidly obese patients who have diabetes, he said, since studies have widely demonstrated that over 80% of patients experience dramatic improvement of the disease after the surgery and their risk of dying from diabetes is reduced by over 90%, according to a study published last summer in the New England Journal of Medicine. He adds that mortality from the surgery is under 1%. Researchers are examining whether gastric bypass surgery might be helpful to non-morbidly obese patients with diabetes. Dr. Rubino said that preliminary data looks “extremely encouraging.” However, long-term safety and efficacy have yet to be established.
But this is not a quick and easy fix. For the moment, surgical treatment of type 2 diabetes in non-obese patients remains investigational. Dr. Rubino does not believe the surgery should be offered as a standard of care, but only within carefully conducted clinical trials in centers with adequate expertise and where a multidisciplinary team is involved. Clinical trials are now starting at New York-Presbyterian-Weill Cornell as well as in other centers in the US and worldwide. Patients may be enrolled in these studies, but they have to meet the inevitably strict criteria of clinical trials.
Source(s): ??Francesco Rubino, MD, is chief of gastrointestinal metabolic surgery and an assistant professor of surgery at Weill Cornell Medical College. He is an assistant attending surgeon at New York-Presbyterian-Weill Cornell Medical Center. Dr. Rubino is heading the first academic-based Diabetes Surgery Center at New York-Presbyterian/Weill Cornell Medical College.
May 23rd, 2009 at 8:32 pm
We are chasing the Lyr. It is a small semi circular craft piloted by Tony. It is appearing in and out of earth air space. Let no one fire on it.
the TAO
May 24th, 2009 at 9:34 am
Tony may have beaned down to earth. We can locate him because unlike humans he does not have Urea in his urine. On earth only earthlings and Dalmatian dogs urine have it. So far the only other way to detect his presence is to make him sneeze. Earthlings can not sneeze without having all their body functions stop. Unlike humans if Tony sneezes his eyes can and probably will remain open because as a baby he will want to see what is going on around him. He does not want us to catch him.
His craft is registering a latitude of 60 degrees south. Tis would enable it to make a continuous circle of the planet earth. He could land anywhere because he speaks fluently all 41,806 of earth’s spoken languages.
Presently he is no longer able to access this blog. Until he does we will have to discover additional ways to intercept his playing hide and seek with us.
You have your clues. Let us know if you spot him.
Adam
May 24th, 2009 at 10:14 am
How can the jews trust a people who can justify throwing acid in the face of little girls just because they want to got to school?
If they can use god to justify that kind of barbarism, they can use god to justify anything they do to the jews.
Theo
May 24th, 2009 at 11:16 am
Adam: Hey, how are you? It is difficult to fathom how the little “Houdini” (Tony)has been able to sneak away from the TAO a second time. He must be very determined to have some fun, and as soon as he finds a computer terminal, chances are he will blog in as he will probably be feeling lonely before too long.
If he shows up here, you will be the first to know. I will watch for him.