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Pediatric Endocrinology Department, Maimonides Medical Center (S.T.) Brooklyn, New York 11219; Diabetes Program, Weill-Cornell Medical School and New York-Presbyterian Hospital (N.M.), New York, New York 10021; and BioSeek Endocrine Clinics (N.M.), New York, New York 10022 The insulin resistance syndrome (syndrome X, metabolic syndrome) has become the major health problem of our times. Associated obesity, dyslipidemia, atherosclerosis, hypertension, and type 2 diabetes conspire to shorten life spans, while hyperandrogenism with polycystic ovarian syndrome affect the quality of life and fertility of increasing numbers of women. Whereas a growing number of single genetic diseases affecting satiety or energy metabolism have been found to produce the clinical phenotype, strong familial occurrences, especially in racially prone groups such as those from the Indian subcontinent, or individuals of African, Hispanic, and American Indian descents, together with emerging genetic findings, are revealing the polygenetic nature of the syndrome. However, the strong lifestyle factors of excessive carbohydrate and fat consumption and lack of exercise are important keys to the phenotypic expression of the syndrome. The natural history includes small for gestational age birth...
In 1946, Nicholas and Peggy Abkhazi began creating a garden on the one-acre property surrounding their Victoria, B. C., home. They worked with the natural landscape of rocky slopes and mature Garry oaks to create a series of spaces that gently unfold. The garden was threatened with development into townhouses until the Land Conservancy of British Columbia mounted a campaign to purchase the property in 2000. Under the guidance of garden manager Valerie Murray, the garden regained its former beauty. Visitors will find a collection of rhododendrons, woodland plants, conifers, a long, narrow lawn edged with heathers, small ponds and gorgeous framed views. To learn more about Abkhazi Garden, find visitor’s information and read the fascinating life stories of Nicholas and Peggy, see http://blog.conservancy.bc.ca/properties/vancouver-island-region/abkhazi-garden/.
A Digital Monthly Magazine for Your Garden & Home Garden Time is excited to announce the launch of our new digital magazine. Each month our gardening experts will create a 16 to 24 page magazine packed with stories and information for the Northwest Garden and Home. With this new digital format advertisers have a multitude of options to reach a highly engaged audience. Ad sizes are now LARGER! Advertisers can have up to a full page ad. Each ad comes with the option of linking to a website or other information including pdfs. In addition, advertisers can enhance their ads with incorporating a direct link to a pop-up TV commercial or Video. Plus, if desired, ads can also incorporate flash movement to catch the reader’s eye. Each page is also fully printable. Ad Rates (include one link) Size Full Page - Inside Front Cover Full Page 2/3 Vertical 1/2 Page Horizontal 1/3 Page Square 1/6 Page Vertical Calendar Listing $375 $250 $200 $175 $125 $75 $25 or Free w/ Ad placement SAVE 20% off Rates when you place 6 or more Ads. SAVE 30% off Rates when you place 12 or more Ads. Full Page Full Page bleed 7.875" x 10.125" 8.625" x 11.125" please note: .125" will trim off all 4 sides. 2/3 Page Vertical 1/2 Page Horiz. 5" x 10" 7.625" x 4.875" 1/3 Page Vertical 1/3 Page Square 2.43" x 10"...
Social enterprise is a movement unified by a proposition: that we can change the world by changing the way we do business. This report was written by Frank Villeneuve-Smith and Charlotte Chung, with support from Celia Richardson, Nick Temple and Fran Gorman. Social enterprises are businesses trading for social and environmental purposes. Rather than maximising private profit, their aim is to generate profit to further their social and environmental goals. They want to make the world – or at least their community – a better place. The research was designed by Charlotte Chung and Ceri Jones, with support from Lys Coleman. The field work was carried out by BMG research. Social Enterprise UK would like to thank The Royal Bank of Scotland Group for their sponsorship of this report, and particularly, Sarah Wright for her support. We would like to thank Dai Powell of HCT Group for the generous ‘loan’ of Frank Villeneuve-Smith to work on the project. And thank you also to everyone at Social Enterprise UK, especially, Sam Simmons, Ólöf Jónsdóttir, Ruty Geva and Charlie Wigglesworth. We would like to thank the following organisations for sharing their contacts with us to take part in this survey – Co-operatives UK, National Housing Federation, Locality, Social Enterprise East of England, Social Firms UK, and UnLtd – as well as the many organisations who promoted this survey through their networks. We would also like to thank Fergus Lyon and Rob Baldock (Third Sector Research Centre) and David Floyd for their support. Finally, our thanks to the social enterprises that took time out of busy schedules to take part in this research and the social enterprises that spared the time to be photographed for the report – Belu, Bounce Back, Connection Crew, Elvis & Kresse and Ministry of Stories.
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CHANGES IN THE PIMA DIET— For at least 500-1000 yr, the Pima lived in the Sonoran Desert as farmers, hunters, and gatherers. An intricate canal sysVICKY L. BOYCE, MS, RD tem allowed cultivation of crops such as BOYD A . SWINBURN, MB, CHB, FRACP wheat, maize, beans, and squash (6). Hunting of mule deer, jackrabbits, and birds (7), fishing from the Gila River (8), OBJECTIVE — To examine changes in the Pima Indian diet composition that may and gathering foods from the desert have played a role in the dramatic rise in the incidence of NIDDM among Pima (such as saguaro cactus fruit, mesquite Indians over the last century. beans, cholla cactus buds, prickly pear fruit, wild berries, and wild greens) also RESEARCH DESIGN AND METHODS— We investigated the composition of contributed substantially to their diet. the foods comparable to those available to the Pima —100 yr ago, with the aim of As the area became more settled reproducing this traditional diet as faithfully as possible for a dietary intervention in the 1880s, the upstream waters of the study. An approximation of the traditional diet was ascertained from the ethnohis- Gila River were diverted to such an extoric literature and traditional recipes. tent that farming in the desert was no longer possible for the Pima. They beRESULTS— We estimated that the traditional Pima diet, although seasonably came more reliant on other sources of variable, was —70-80% carbohydrate, 8-12% fat, and 12-18% protein. A diet food (such as trading posts and governanalogous to the traditional Pima diet is largely reproducible with the foods available ment food programs) and eventually very today. Many native foods are available locally and many commercial products can be little food came from subsistence farmsubstituted when native foods are unavailable. ing, hunting, or gathering (9,10). By the...
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