Domestic Violence The Horrific Effects Of Abuse

DOMESTIC VIOLENCE: The Horrifying Effects of Abuse â€Å"To those who abuse: the sin yours, the crime is yours, and the shame is yours. To those who protect the perpetrators: blaming the victims only masks the evil within, making you as guilty as those who abuse. Stand up for the innocent or go down with the rest†¦Ã¢â‚¬  These are the words of an individual who sees too clearly the injustice which comes with domestic violence toward women. The United States government estimates one in every four women will experience domestic violence in her lifetime. Domestic abuse remains a significant social problem in many towns, cities and neighborhoods and though the victims involved may often remain silent, its emotional, psychological and physical effects still linger on. Domestic violence defined by law according The United States Department of Justice is â€Å"†¦a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner.† The harrowing details of many stories narrated by women nation-wide will continue to place domestic violence in the societal spotlight. It is considered a national crime; however, there are many who still debate its exaggeration and the justice that it should accompany. The traditional theories of justice are contradictorily blind to the injustice women face on a daily basis. Many philosophers, traditionalists and post-modernists maintain the notion that a woman’s role is mostly in her privateShow MoreRelatedThe Effects Of Intimate Partner Violence On Children Essay811 Words   |  4 Pages The effects of intimate partner violence are attenuating and extend far beyond physical scarring. The abuse of woman and children has been researched extensively by Rachel Pain (2014, p. 536) as acts of â€Å"terrorism within the home†. If we are to compare the experience of women and children living in violent homes and the act of ‘terrorism’ itself we get a corresponding experience (Pain, 2014, p. 546). The construction of fear, the loss of identity, the ongoing distress of constantly feeling unsafeRead MoreChild Abuse Is The Most Important Part Of Today s Society1302 Words   |  6 Pagesparenting involves the use of excessive violence as a form of punishment. Children are placed in a horrific situation through abuse instigated by their parents that damages the child physically and psychologically. Children everywhere are being abused by their parents whether it be physical or emotional abuse. In order to help prevent child abuse, one must first understand some of the reasons that parents abuse their children. There is no excuse to abuse one’s child and there have been many studiesRead MoreDomestic Violence And Its Effects On Society869 Words   |  4 Pageswith a neglectful nature and/or an imbalance of neurotransmitters can impact an individual’s development and overall self-image. Equally, an individual’s experience with domestic violence and its horrific ramifications can also impact a person’s psychological, emotional, physical, and social growth. Domestic Violence Domestic violence, is a virulent calamity that has woven its way into our society for thousands of years. It is not biased to a particular race, group, or culture. Grievously, it has anRead MoreThe Masked Women1130 Words   |  5 PagesThe Masked Women Females’ ages 18 to 24 and 25 to 34 generally experienced the highest rates of intimate partner violence (â€Å"Statistics†). People so young are being brought into horrible situations that can cause emotional, mental and physical harm that has long lasting effects on them. The ad â€Å"It Rarely Stops† by The National Domestic Hotline was posted on YouTube in September 2015. In this ad, a young women is gazing into her bathroom mirror (the camera) with a sorrowful look on her face. SheRead MoreDomestic Violence s Impact On A Person1429 Words   |  6 PagesDomestic Violence s Impact Upon A Person Not all people think about domestic violence but for a large amount of people it is an everyday hell. Most people have the privilege of going about their day carefree of who they will see at a time during that day, while others are fearful of seeing one or more people throughout their day. Domestic violence also know as partner abuse is a series of abusive patterns that are between two people, most commonly spouses. Emotional abuse, physical abuse, and sexualRead MoreDomestic Violence And Its Effects On Society1649 Words   |  7 PagesIn America most cases of Domestic Violence are never actually reported, many times these cases go unheard and the victims suffer in silence. The worn out cries of a battered woman as she lays on the ground clutching herself and begging her significant other to just stop. The bruises and cuts that remain unreported due to the victim claiming they accidentally fell yet again. The abusers tend to make the victim almost entirely dependable on them. An a buser will do this to gain control and to createRead MoreAnimal Cruelty And Domestic Violence Essay1159 Words   |  5 PagesWhile there is a common belief that Animal Cruelty and Domestic Violence are two separate issues, but, upon closer investigation proves there is a prominent correlation between the two. Despite the whether you believe animals and humans should be given equivalent attention remains a debated subject. Many people would answer that they should, as both human animals and nonhuman animals share many characteristics in the sense that they are both sentient living beings; both can feel pain, experienceRead MoreThe Effects Of Violence On Domestic Violence1380 Words   |  6 Pagesobject to violence, because when it appears to do good, the good is only temporary; the evil it does is permanent†, quoted by Mahatma Gandhi. Violence is defined as an unjust or unwarranted exertion of power or force to intentionally injure, damage, or destroy something or someone. Amongst the various types of violence, there is one in particular that has been causing an ongoing debate within societies across the world; this certain type of violence is known as domestic violence. Domestic violence, alsoRead MoreThe Effects Of Domestic Violence On Domestic Abuse1340 Words   |  6 Pages1301 Lacina-Taylor 2 December 2014 Stop The Abuse Underreported and underestimated, domestic abuse rips families apart every single day. Domestic violence comes in mainly five different forms, physical, sexual, psychological, emotional, and economic. This violence ruins families, demoralizes the victims, and the public downplays the household terrorism that goes on every day. Generally thought of as taboo, the public belittles and humorizes domestic abuse as a way to deal with it, that avoidance mustRead MoreThe Correlation Between Domestic Violence And Post Traumatic Stress Disorder1182 Words   |  5 PagesThe Correlation Between Domestic Violence and Post-Traumatic Stress Disorder Domestic violence is a horrific circumstance that is an ongoing issue to the public health of the world. Affecting the lives of millions annually by psychologically crippling the minds of the affected through chronic exposure to abuse. According to the National Coalition Against Domestic Violence (2014), 1.3 million women are subjected to this devastating situation. â€Å"No such global estimate was applicable for men† (Trevillion

The Significance of Act 3 Scene 3 of William Shakespeares...

The Significance of Act 3 Scene 3 of William Shakespeares Othello Othello was written by Shakespeare around 1602 and was set 35 years previously to that time (around 1571) during the Elizabethan era. Shakespeare got the idea for the play from the Italian Novella Gli Hecatommithi and only changed minor details slightly. He kept the same plot but some of the characters and themes in the play were very different. The play itself is a tragedy and includes the things that Aristotle defined as what a tragedy should include. Firstly, a protagonist, this is Othello. He is the protagonist as the play shows the story of his fall from a place of eminence as is required in all tragedies according to†¦show more content†¦His manipulation leads to the deaths of Desdemona and Othello. In the play there is physical movement of the characters from Venice to Cyprus, which helps towards the insecurities of Othello developing further. Venice was where the love between Desdemona and Othello developed and therefore gives the relationship a sense of security. In Venice any problems there is order and control and any problems are dealt with swiftly and even though Othello is still an outsider he is valuable to them. However, the move to Cyprus makes Othello vulnerable in that he is no longer valued and is being moved away from what he knows - into the unknown, which makes it easier for Iago to play on Othellos insecurities as they are more susceptible to attack. Before they move there is a storm, which relates to the turbulence to Othellos life that will be brought with the move. The scene I am focusing on is Act 3 Scene 3; this is the longest and most dramatic scene in the play. It is the climatic turning point of the play and is significant in that it is the first time Iago really begins to take hold of Othello, to manipulate him and make him lose his trust in Cassio and Desdemona. A key event in this scene is when Iago says Ha! I like not that As this is the beginning of Iagos manipulation over Othello making Othello curious as to whatShow MoreRelatedOthello: The Tragedy of an Aristotelian Tragic Hero Essay1531 Words   |  7 PagesShakespeares play, â€Å"Othello, the Moor of Venice,† is a powerful example of a tragedy and it’s main character, Othello, is an excellent illustration of what Aristotle constitutes as a tragic hero. The play imitates life through basic human emotions such as jealousy and rage. In addition, Othello is far from being a perfect character - another quality that meets Aristotles requirements. Othello also matches Aristotles ideas of tragic hero because our Othello realizes the error of his ways, causingRead MoreThe Tragedy Of Othello The Moor Of Venice Essay1743 Words   |  7 Pages ‘Without setting, characters are simply there, in a vacuum, with no reason to act and most importantly, no reason to care.’ The setting gives place for a narrative to begin and evolve from, without a strong setting some texts may be difficult to interpret without extra contextual and historical knowledge of the time period of which it was written. Shakespeare’s The Tragedy of Othello the Moor of Venice written 1603 was set in Italy, in the Venetian Republic . This setting was gaining popularityRead MoreThe Symbolism Of Othello By William Shakespeare958 Words   |  4 Pagesme and I will treasure it as long as I live. In William Shakespeare’s play, Othello, the symbolism of Desdemona’s handkerchief is central to the play’s tragic dà ©nouement. The handkerchief serves a very important role in shaping the story to the way it is, it ultimately becomes the reason for Othello’s brutal murder of his wife, Desdemona. In addition, the handker chief is shown as a symbol of â€Å"different things from various events in this play† (Othello). In the first, it is shown as a symbol of Othello’sRead MoreOthello, By William Shakespeare1218 Words   |  5 PagesIn a historical time period where emphasis was shifting from religion to race and ethnicity, key indicators of differences that perpetuated into racial prejudice and racial ideologies are evident in Othello by William Shakespeare. Although racism was not fully formed at this moment in history, Othello can be interpreted as a representation and an exploration of this shift in ideology. In the past, before this change toward racial differences, religion was the major segretory factor in signifyingRead MoreThe Importance of Act 3 Scene 3 to William Shakespeares Othello1463 Words   |  6 PagesThe Importance of Act 3 Scene 3 to William Shakespeares Othello In this essay I am going to investigate the importance and effectiveness of Act 3 scene 3 considering its significance in terms of plot, characters and theme and its dramatic power. Throughout this scene there are striking examples of the main themes of the play, one of these being appearance and reality. Iago fools everyone in the play into believing hes honest. No one even suspects him of treacheryRead MoreThe Significance of Death and Sex to William Shakespeare1482 Words   |  6 PagesThe Significance of Death and Sex to William Shakespeare In this essay, I will consider Death and Sin in Shakespearean drama and I would like to look at three of Shakespeares tragic plays: Hamlet, Othello and King Lear. Shakespeare uses many themes in all his play that attract audiences throughout history. The things he wrote about are as relevant now as they were in his time. Death and Sin were issues that are always around. In his plays, Shakespeare could comment on these things andRead More Iago in William Shakespeares Othello Essay2704 Words   |  11 PagesIago in William Shakespeares Othello Unequivocally, Iago plays an important and major function in the tragedy of Othello. By the end of the play, Iago has been directly responsible for the deaths of Roderigo, Emilia and the protagonist and his love. Iagos importance to the play is revealed by his contribution to the plot and his significance relative to other characters. Iagos function, which invariably adds to the importance he has on the play, is to lead to the downfall of Othello thereforeRead More The Significance of the Players in Hamlet Essay899 Words   |  4 PagesThe Significance of the Players in Hamlet      Ã‚   Most characters in Hamlet present themselves as something other than themselves or how as we, the audience, or another character thinks they should appear.   Two of the main characters in this play, Hamlet and King Claudius, are constantly acting as something other than their true nature.  Ã‚  Ã‚   Ironically, the characters that invoke changes in Hamlet and King Claudius to reveal their real personalities are the players, merely actors themselves, notRead MoreCompare Relationships Between Romeo and Juliet and Between Desdemona and Othello 1931 Words   |  8 PagesIn Two of Shakespeare’s most noted plays Romeo and Juliet and Othello Shakespeare explores the essence of tragedy. How regardless of what measures they take my the nature of the play both relationships are doomed before they flourish, The extent in witch obsession clouds the minds of the luckless heroes and by what extent the women seem to be more in control of the men than the other way round. In the plays ‘Romeo and Juliet’ and ‘Othello’ by William Shakespeare, Shakespeare uses the concept ofRead MoreWilliam Shakespeares As You Like It As a Study of Perception and Misperception2315 Words   |  10 PagesWilliam Shakespeares As You Like It As a Study of Perception and Misperception The concepts of perception and misperception are common themes in many of Shakespeares plays and can be found in his comedies, tragedies and histories alike. Shakespeare explores these often-parallel elements through several different forms in his work, such as disguise, mistaken identity and blindness, and events caused by these can lead to amusing, confusing or sometimes tragic consequences

Literature Search Free Essays

Grap, Mary. ,Munro, Cindy. , Hummel, Russel. We will write a custom essay sample on Literature Search or any similar topic only for you Order Now , Jessica. , Elswick, and Sessler Curtis. 2005. Effect of Backrest Elevation on the Development of Ventilator-Associated Pneumonia. AACN. Retrieved from ajcc. aacnjournals. org on March 3, 2012. Abstract †¢ Background Ventilator-associated pneumonia is a common complication of mechanical ventilation. Backrest position and time spent supine are critical risk factors for aspiration, increasing the risk for pneumonia. Empirical evidence of the effect of backrest positions on the incidence of ventilator-associated pneumonia, especially during mechanical ventilation over time, is limited. Objective To describe the relationship between backrest elevation and development of ventilator-associated pneumonia. †¢ Methods : It is a nonexperimental, longitudinal, descriptive design was used. The Clinical Pulmonary Infection Score was used to determine ventilator-associated pneumonia. Backrest elevation was measured continuously with a transducer system. Data were obtained from laborato ry results and medical records from the start of mechanical ventilation up to 7 days. †¢ Results Sixty-six subjects were monitored (276 patient days). Mean backrest elevation for the entire study period was 21. 7 °. Backrest elevations were less than 30 ° 72% of the time and less than 10 ° 39% of the time. The mean Clinical Pulmonary Infection Score increased but not significantly, and backrest elevation had no direct effect on mean scores. A model for predicting the Clinical Pulmonary Infection Score at day 4 included baseline score, percentage of time spent at less than 30 ° on study day 1, and score on the Acute Physiology and Chronic Health Evaluation II, explaining 81% of the variability (F=7. 1, P=. 003). Literature Search 3 †¢ Conclusions Subjects spent the majority of the time at backrest elevations less than 30 °. Only the combination of early, low backrest elevation and severity of illness affected the incidence of ventilator-associated pneumonia. Amelia Ross. (2006). The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. Ret rieved from, www. elsevierhealth. com/journals/iccn. on March 2, 2012. Abstract BACKGROUND: Despite strong evidence in the literature on the role of oral care in the prevention of ventilator-associated pneumonia (VAP), nurses continue to view oral care as a comfort measure with low priority and utilize foam swabs rather than toothbrushes. Although an evidence-based oral care protocol existed and best-practice oral care tools were available, the VAP rates had not significantly decreased even though nurses reported providing oral care. OBJECTIVES: The aim of the study was to determine if an evidence-based practice (EBP) educational program would improve the quality of oral care delivered to mechanically ventilated patients; thereby, reducing the VAP rate. RESULTS: Improvement in oral health was demonstrated by a decrease in median scores on the Oral Assessment Guide (pre (11. 0), post (9. 0)). A t-test analysis revealed a statistically significant difference (p=0. 0002). The frequency of oral care documentation also improved as demonstrated by a positive shift to the more frequent timeframes. The VAP rates have decreased by 50% following the EBP education Literature Search 4 ntervention. CONCLUSIONS: The implementation of an EBP educational program focused on patient outcome rather than a task to be performed improved the quality of oral care delivered by the nursing staff. Carolyn L. , Cason, Tracy, Tyner. , Sue, Saunders, Lisa, Broom. , 2007. Nurses Implementation of Guidelines for Ventilator-Associated Pneumonia from the Ce nters for Disease Control and Prevention. AACN. Retrieved from ajcc. aacnjournals. org on March 1, 2012. Abstract †¢ Background Ventilator-associated pneumonia accounts for 47% of infections in patients in intensive care units. Adherence to the best nursing practices recommended in the 2003 guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention should reduce the risk of ventilator-associated pneumonia. †¢ Objective To evaluate the extent to which nurses working in intensive care units implement best practices when managing adult patients receiving mechanical ventilation. †¢ Methods Nurses attending education seminars in the United States completed a 29-item questionnaire about the type and frequency of care provided. †¢ Results Twelve hundred nurses completed the questionnaire. Most (82%) reported compliance with hand-washing guidelines, 75% reported wearing gloves, half reported elevating the head of the bed, a third reported performing subglottic suctioning, and half reported having an oral care protocol in their hospital. Nurses in hospitals with an oral care protocol reported better compliance with hand washing and maintaining head-of-bed elevation, were more likely to regularly provide oral care, and were more familiar with rates of ventilator-associated pneumonia and the organisms involved than were nurses working in hospitals without such protocols. Literature Search5 †¢ Conclusions The guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention are not consistently or uniformly implemented. Practices of nurses employed in hospitals with oral care protocols are more often congruent with the guidelines than are practices of nurses employed in hospitals without such protocols. Significant reductions in rates of ventilator-associated pneumonia may be achieved by broader implementation of oral care protocols. Grap, Mary. ,Munro, Cindy. , Hummel, Russel. , Jessica. Elswick, and Sessler Curtis. 2005. Effect of Backrest Elevation on the Development of Ventilator-Associated Pneumonia. AACN. Retrieved from ajcc. aacnjournals. org on March 3, 2012. Abstract †¢ Background Ventilator-associated pneumonia is a common complication of mechanical ventilation. Backrest position and time spent supine are critical risk factors for aspiration, increasing the risk for pneumonia. Empi rical evidence of the effect of backrest positions on the incidence of ventilator-associated pneumonia, especially during mechanical ventilation over time, is limited. Objective To describe the relationship between backrest elevation and development of ventilator-associated pneumonia. †¢ Methods : It is a nonexperimental, longitudinal, descriptive design was used. The Clinical Pulmonary Infection Score was used to determine ventilator-associated pneumonia. Backrest elevation was measured continuously with a transducer system. Data were obtained from laboratory results and medical records from the start of mechanical ventilation up to 7 days. †¢ Results Sixty-six subjects were monitored (276 patient days). Mean backrest elevation for the entire study period was 21. 7 °. Backrest elevations were less than 30 ° 72% of the time and less than 10 ° 39% of the time. The mean Clinical Pulmonary Infection Score increased but not significantly, and backrest elevation had no direct effect on mean scores. A model for predicting the Clinical Pulmonary Infection Score at day 4 included baseline score, percentage of time spent at less than 30 ° on study day 1, and score on the Acute Physiology and Chronic Health Evaluation II, explaining 81% of the variability (F=7. 1, P=. 003). Literature Search 3 †¢ Conclusions Subjects spent the majority of the time at backrest elevations less than 30 °. Only the combination of early, low backrest elevation and severity of illness affected the incidence of ventilator-associated pneumonia. Amelia Ross. (2006). The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. Ret rieved from, www. elsevierhealth. com/journals/iccn. on March 2, 2012. Abstract BACKGROUND: Despite strong evidence in the literature on the role of oral care in the prevention of ventilator-associated pneumonia (VAP), nurses continue to view oral care as a comfort measure with low priority and utilize foam swabs rather than toothbrushes. Although an evidence-based oral care protocol existed and best-practice oral care tools were available, the VAP rates had not significantly decreased even though nurses reported providing oral care. OBJECTIVES: The aim of the study was to determine if an evidence-based practice (EBP) educational program would improve the quality of oral care delivered to mechanically ventilated patients; thereby, reducing the VAP rate. RESULTS: Improvement in oral health was demonstrated by a decrease in median scores on the Oral Assessment Guide (pre (11. 0), post (9. 0)). A t-test analysis revealed a statistically significant difference (p=0. 0002). The frequency of oral care documentation also improved as demonstrated by a positive shift to the more frequent timeframes. The VAP rates have decreased by 50% following the EBP education Literature Search 4 ntervention. CONCLUSIONS: The implementation of an EBP educational program focused on patient outcome rather than a task to be performed improved the quality of oral care delivered by the nursing staff. Carolyn L. , Cason, Tracy, Tyner. , Sue, Saunders, Lisa, Broom. , 2007. Nurses Implementation of Guidelines for Ventilator-Associated Pneumonia from the Ce nters for Disease Control and Prevention. AACN. Retrieved from ajcc. aacnjournals. org on March 1, 2012. Abstract †¢ Background Ventilator-associated pneumonia accounts for 47% of infections in patients in intensive care units. Adherence to the best nursing practices recommended in the 2003 guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention should reduce the risk of ventilator-associated pneumonia. †¢ Objective To evaluate the extent to which nurses working in intensive care units implement best practices when managing adult patients receiving mechanical ventilation. †¢ Methods Nurses attending education seminars in the United States completed a 29-item questionnaire about the type and frequency of care provided. †¢ Results Twelve hundred nurses completed the questionnaire. Most (82%) reported compliance with hand-washing guidelines, 75% reported wearing gloves, half reported elevating the head of the bed, a third reported performing subglottic suctioning, and half reported having an oral care protocol in their hospital. Nurses in hospitals with an oral care protocol reported better compliance with hand washing and maintaining head-of-bed elevation, were more likely to regularly provide oral care, and were more familiar with rates of ventilator-associated pneumonia and the organisms involved than were nurses working in hospitals without such protocols. Literature Search5 †¢ Conclusions The guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention are not consistently or uniformly implemented. Practices of nurses employed in hospitals with oral care protocols are more often congruent with the guidelines than are practices of nurses employed in hospitals without such protocols. Significant reductions in rates of ventilator-associated pneumonia may be achieved by broader implementation of oral care protocols. How to cite Literature Search, Essay examples

Restoration of Euglycemia After Duodenal Bypass Surgery

Questions: 1. What is the most commonly used restrictive bariatric procedure worldwide?2. What is the difference between Roux-en-Y gastric bypass and sleeve gastrotectomy?3. Why the secretion of gut hormone in adjustable gastric banding (AGB) is mainly considered to be due to weight loss?4. What is the possible role for GLP-1 in bariatric surgery?5. Which experiments support the hypothesis that GLP-1 is directly involved in improvement of glycemia in gastric bypass in animal and humans?6. Explain why reduction in ghrelin secretion in bariatric surgery would be beneficial on glucose homeostasis?7. Explain why improvement seen in diabetes in some type of bariatric surgery is independent of weight loss?8. What did you find most interesting or difficult? Answers: 1. The most commonly used restrictive bariatric procedure worldwide is adjustable gastric banding (AGB). 2. In the Roux-en-Y gastric bypass (RYGB) surgery a major part of the stomach, duodenum and 40 cm of the jejunum are bypassed whereas the sleeve gastrotectomy involves the removal of 75% of the stomach, thr removed part includes the hormone secreting gastric fundus.3. The gastrointestinal tract remains intact as a result of the AGB surgery and continues to secrete gut hormones. However, the reduced intake capacity of the diabetic patient causes weight loss and leads to better glucose homeostasis and the improved glucose levels are independent of change in gut hormone secretion levels.4. The secretion of GLP-1 which is low in obese patients shoots up by six times after bariatric surgery. An incretin hormone, GLP-1 signals satiety and stimulates secretion of insulin. It suppresses glucagon secretion and retards gastric emptying. The increased levels of GLP-1 therefore improve glucos e homeostasis in patients who have undergone bariatric surgery. However, the levels of GLP-1 are not raised in adjustable banding surgery as opposed to bariatric procedures which involve removal of parts of the GI tract.5. A set of experiments performed on rats and humans supports the hypothesis that GLP-1 is directly involved in improvement of glucose homeostasis in gastric bypass treated subjects.Exendin 9 - 39 amide (Ex-9) has been used to study the physiological activity of GLP-1. Ex-9 is known to block GLP-1 activity by binding to its receptors. GLP-1 action causing release of post prandial insulin gets blocked without any impact on other hormones required for insulin secretion. Diabetic rats that were treated with a duodenal-jejunal bypass (an RYGB-like surgical procedure) exhibited improved glucose homeostasis in comparison with sham-operated rats.Ex-9 has been used in humans to check whether high secretion of insulin in RYGB treated patients can be attributed to GLP-1 induced secretion of insulin from beta cells causing post-surgical hypoglycemia. Administration of Ex-9 resulted in a 33% fall in insulin secretion.6. The removal of gastric fundus during bariatric surgery causes reduction in ghrelin secretion. This hormone is known to stimulate appetite. It inhibits insulin secretion through a mechanism yet to be clearly understood. Ghrelin suppresses adiponectin a hormone that plays a role in insulin sensitization and causes stimulation of counter regulatory hormones. Ghrelin secretion is affected by the vagus nerve which is severed during bariatric procedures on purpose. The secretion of ghrelin continues after the procedure during which the vagus nerve remains intact.7. Improvement in glucose homeostasis has been seen in diabetics who have been treated with bariatric surgery irrespective of weight loss. The sudden rise in GLP-1 post bariatric procedures that reduce ghrelin secretion leads to greater satiety and insulin secretion. The duodenal bypass may cause higher levels of gut hormones to be released which directly improve insulin sensitivity.Secretion of diabetogenic gut secretions is reduced. Alterations in bile acids and gut microflora can improve glucose homeostasis.8. The role of GLP-1 in achieving glucose homeostasis in patients treated with bariatric surgery is the most interesting and that bypass surgeries may be bypassed in future. References: Jiao, J., Bae, E. J., Bandopadhyay, G., Oliver, J., Marathe, C., Chen, M., Hsu, J.-Y., Chen, Y., Tian, H., Olefsky, J. M., and Saberi, M. (2013). Restoration of euglycemia after duodenal bypass surgery is reliant on central and peripheral inputs in Zucker fa/fa rats. Diabetes. 62: 1074-83.Vetter, M. L., Ritter, S., Wadden, T. A., and Sarwer, D. B. (2012). Comparison of bariatric surgical procedures for diabetes remission: efficiency and mechanisms. Diabetes Spectrum. 25(4):200-10. Doi:10.2337/diaspect.25.4.200.