Friday, March 4, 2011

Dear Abby

           Stomach pacemaker could help obese lose weight
LONDON – Patrick Hetzner tried diets and exercise, just about everything short of stomach stapling to lose weight. Nothing worked. Five months ago he tried something new: a stomach pacemaker that curbed his appetite.
            Since having it implanted, Hetzner, a 20-year-old Munich mailman, has knocked off more than 10 kilos (22 pounds) from his earlier weight of 104 kilos (229 pounds).
Hetzner got the device as part of a clinical trial. Since being approved by Britain last month, the device is available for sale across the European Union. It works a bit like a cardiac pacemaker, and consists of a stimulator and a sensor surgically implanted onto the stomach.
             The stimulator sends out electrical pulses meant to trick the stomach and brain into thinking the body is full. Hetzner said the pulses kick in a few minutes after he starts eating or drinking. He said they make him feel full after finishing about half the amount of food he would normally eat.
"It feels like a little pressure on my stomach or a tickle, but it's not a bad feeling," he said in a telephone interview.
"It's been like a little guide to help me change my life," he said.
            So far, about 65 patients in two studies have received the device from U.S. pacemaker manufacturer Intrapace. Only about half of those have had the pacemaker for at least a year, and most lost about 20 percent of their weight and kept it off.
            Other stomach pacemakers are on the market but most are used to relieve symptoms like nausea and vomiting, not to fight obesity.
            Appetite is partly controlled by signals sent from nerves around the stomach to the brain; the stomach pacemaker taps into that communication system, sending a message to the brain that the body is full after a relatively small amount of food is consumed.
"If you can stimulate the nerves going from the stomach to the brain, that should indeed have an effect in reducing food intake," said Stephen Bloom, an obesity expert at Imperial College in London, who is not connected to Intrapace or the clinical trials.
             Bloom, however, questioned whether the device would work long-term, as people might eventually get used to the electrical pulses and keep eating anyway.
              Doctors familiar with the pacemaker say there will always be ways for patients to eat and work around the system. "We could make the (stomach pacemaker) work so people feel like they're going to throw up, but we don't want that," said Thomas Horbach, chief of surgery at Stadtkrankenhaus Schwabach, near Munich, who led one of the trials.
             "If you take away all the responsibilities from the patient, they will not change on their own."
As an additional benefit, the sensor tracks when patients eat, drink or exercise, so patients can chart their progress. Intrapace has also created an online network for patients to trade weight loss advice and share experiences.
Other surgical approaches to weight loss come with serious side effects.
              People who have their stomach stapled or have a gastric band must eat smaller amounts of mostly low-fat foods, because their stomachs can't accommodate or process large volumes. If they overeat, they will feel nauseous, vomit, or suffer from other problems.
The most serious side effect seen in the pacemaker has been an infection linked to surgery. In Britain, the pacemaker costs about 15,000 pounds ($24,040), including the keyhole surgery used to implant it. Intrapace President Chuck Brynelsen said that's comparable to other weight loss surgeries.
              The device is authorized for sale across the EU, though the company is first targeting weight loss clinics in Britain, Germany and Spain. It also plans to submit the device for approval in the U.S. once it has more data, and hopes it will be available there in 2014.
The pacemaker hasn't yet been implanted commercially in Europe, but Intrapace is in talks with clinics interested in offering it.
Brynelsen said the battery in the device lasts about five years and it will be up to patients how long they want to keep the pacemaker. "We don't know if patients will see (the stomach pacemaker) as a bridge to recovery or whether this is a crutch they will need for the longer term," he said.
Some experts said the pacemaker did not address people's underlying reasons for overeating. "The problem with these devices is they assume people are rational and that they eat because they're hungry," said Stephan Rossner, a professor in the obesity unit at Karolinska University Hospital.
"A lot of obese patients eat because they're depressed, they can't sleep at night, or they have nobody to have sex with," he said. "So whatever you insert into their stomach, they can out-eat that device because it's other things that drive them to consume."
            Hetzner said he intends to keep the stomach pacemaker for about four years.
"I don't want to backslide," he said, adding he would recommend the device to others. "I want to be sure I can stick with it and that my body adapts to this new way of eating."

          I think that about Stomach pacemaker could help obese lose weight obese people eat because their satiety system is broken. This kind of intervention clearly addresses the most common forms of obesity. The psychobabble nonsense about eating to relieve depression and anxiety may be a trigger, but not the real cause of obesity. People who eat for emotional reasons would not lose weight or would insist it be removed.

Wednesday, March 2, 2011













Monday, February 28, 2011

Epigram: คำคม

The ripest peach is highest on the tree.

And he that strives to touch the stars, Oft stumbles at a straw.
คนที่พยายามจะสัมผัสดวงดาว มักจะพลาดกับสิ่งเล็กน้อย

It takes two flints to make a fire.

We boil at different degrees.

Let not the sun go down upon your wrath.

The best and most beautiful things in the world cannot be seen or even touched.They must be felt with the heart.
สิ่งที่ดีและสวยงามที่สุดในโลก มองไม่เห็นและจับต้องไม่ได้ แต่จะรู้สึกได้จากหัวใจ

Remember to always dream. More importantly to make those dreams come true and never give up.
จงฝันอยู่เสมอ ที่สำคัญมากไปกว่านั้นคือ ทำความฝันนั้นให้เป็นความจริง และอย่ายอมแพ้

Keep your eyes on the stars, and your feet on the ground.
สายตาจับจ้องที่ดวงดาว และเท้ายังคงติดดิน

There is a magnet in your heart that will attract true friends. That magnet is unselfishness,Thinking of others first. When you learn to live for others, they will live for you.
มีแม่เหล็กอยู่ในหัวใจของคุณ ซึ่งจะดึงดูดมิตรแท้ แม่เหล็กชนิดนี้คือ ความไม่เห็นแก่ตัว และการคิดถึงคนอื่นก่อน เมื่อคุณเรียนรู้ที่จะอยู่เพื่อคนอื่น พวกเขาก็จะอยู่เพื่อ

Thursday, February 24, 2011

Lesson Plan

In Thai

In English


       A noun phrase is either a single noun or pronoun or a group of words containing a noun or a pronoun that function together as a noun or pronoun, as the subject or object of a verb.

Examples of noun phrases:
      EG: John was late.
('John' is the noun phrase functioning as the subject of the verb.)
      EG: The people that I saw coming in the building at nine o'clock have just left.
('The people ... nine o'clock' is a lengthy noun phrase, but it functions as the subject of the main verb 'have just left'.)

        Noun phrases normally consist of a head noun, which is optionally modified ("pre modified" if the modifier is placed before the noun; "post modified" if the modifier is placed after the noun). Possible modifiers include:

        Determiners: articles (the, a), demonstratives (this, that), numerals (two, five, etc.), possessives (my, their, etc.), and quantifiers (some, many, etc.). In English, determiners are usually placed before the noun;

Adjectives (the red ball); or
        Complements, in the form of a prepositional phrase (such as: the student of physics), or a That-clause (the claim that the earth is round);
        Modifiers; pre-modifiers if placed before the noun and usually either as nouns (the university student) or adjectives (the beautiful lady), or post-modifiers if placed after the noun. A post modifier may be either a prepositional phrase (the man with long hair) or a relative clause (the house where I live). The difference between modifiers and complements is that complements complete the meaning of the noun; complements are necessary, whereas modifiers are optional because they just give additional information about the noun.
         Noun phrases can make use of an opposition structure. This means that the elements in the noun phrase are not in a head-modifier relationship, but in a relation of equality. An example of this is I, Caesar, declare ..., where "Caesar" and "I" do not modify each other.
         The head of a noun phrase can be implied, as in "The Bold and the Beautiful" or Robin Hood's "rob from the rich and give to the poor"; an implied noun phrase is most commonly used as a generic plural referring to human beings.[2] Another example of noun phrase with implied head is I choose the cheaper of the two.
         That noun phrases can be headed by elements other than nouns—for instance, pronouns (They came) or determiners (I'll take these)—has given rise to the postulation of a determiner phrase instead of a noun phrase. The English language is not as permissive as some other languages, with regard to possible heads of noun phrases. German, for instance, allows adjectives as heads of noun phrases [citation needed], as in Gib mir die Alten for Give me the olds (i.e. old ones).

Three Little Pigs

Once upon a time there were three little pigs and the time came for them to leave home and seek their fortunes.
Before they left, their mother told them " Whatever you do , do it the best that you can because that's the way to get along in the world.
The first little pig built his house out of straw because it was the easiest thing to do.
The second little pig built his house out of sticks. This was a little bit stronger than a straw house.
The third little pig built his house out of bricks.
One night the big bad wolf, who dearly loved to eat fat little piggies, came along and saw the first little pig in his house of straw. He said 
"Let me in, Let me in, little pig or I'll huff and I'll puff and I'll blow your house in!" 
"Not by the hair of my chinny chin chin", said the little pig.
But of course the wolf did blow the house in and ate the first little pig.The wolf then came to the house of sticks.
        "Let me in ,Let me in little pig or I'll huff and I'll puff and I'll blow your house in" 
        "Not by the hair of my chinny chin chin", said the little pig. But the wolf blew that house in too, and ate the second little pig.
The wolf then came to the house of bricks.
        " Let me in , let me in" cried the wolf
        "Or I'll huff and I'll puff till I blow your house in"
        "Not by the hair of my chinny chin chin" said the pigs.
Well, the wolf huffed and puffed but he could not blow down that brick house.
But the wolf was a sly old wolf and he climbed up on the roof to look for a way into the brick house.
The little pig saw the wolf climb up on the roof and lit a roaring fire in the fireplace and placed on it a large kettle of water.
When the wolf finally found the hole in the chimney he crawled down and KER SPLASH right into that kettle of water and that was the end of his troubles with the big bad wolf.
       The next day the little pig invited his mother over . She said "You see it is just as I told you. The way to get along in the world is to do things as well as you can." Fortunately for that little pig, he learned that lesson. And he just lived happily ever after!


          หมูน้อยสองตัวที่บ้านของเขาออกมาจากแท่ง นี้ถูกนิด ๆ หน่อย ๆ ดีกว่าบ้านฟาง
          หมูน้อยที่สามสร้างบ้านของเขาออกจากก้อนอิฐ คืนหนึ่งหมาป่าจะมากินหมูน้อยทั้งสามตัวในบ้านที่สร้างมาจากฟาง เขากล่าวว่า
         “ฉันจะพังในบ้านของคุณ !”
         "ไม่ได้", หมูน้อยตัวที่ 1 กล่าว
แต่แน่นอนว่าหมาป่าเป่าบ้านฟางนั้นกระจายไปหมด ต่อมาหมาป่าก็ไปที่บ้านที่สร้างด้วยแท่ง
         "ไม่ได้", หมูน้อยตัวที่ 2 กล่าว
แต่หมาป่าเป่าบ้านนั้นจนพังไป ต่อมาหมาป่าก็ไปที่บ้านที่สร้างด้วยอิฐ
         "ไม่ได้ "หมูน้อยตัวที่ 3 กล่าว
หมาป่ากลั้นหายใจและท้องป่อง แต่เขาไม่สามารถระเบิดลงที่บ้านอิฐ
เมื่อหมาป่าจนพบหลุมในปล่องเขาคลานลง แล้วตกลงในกาต้มน้ำและน้ำที่ว่าผลสุดท้ายหมาป่าก็ตกลงไปในกาที่ต้มน้ำร้อน
             วันถัดไปหมูน้อยเชิญแม่ของเขามา เธอกล่าวว่า"เธอจะเห็นถึงสิ่งที่แม่บอก. วิธีการที่จะได้รับพร้อม ๆ กันในโลกสามารถที่จะทำสิ่งที่ดีที่คุณสามารถ." โชคดีสำหรับหมูเล็ก ๆ ที่เขาได้เรียนรู้บทเรียนและก็อยู่อย่างมีความสุขตลอดไป!

Be my Valentine

In English : Be my Valentine, my love,
                    As I will be for you,
                    And we will love the whole day long,
                    And love our whole lives through.
                    For love has no parameter
                    And does not end with time,
                    But is the gift of paradise,
                    A pinch of the sublime.

In Thai : วาเลนไทน์ของฉัน รักของฉัน

Friday, February 18, 2011

Expressions used in the classroom

Classroom Language: The end of the lesson

1. Time to stop
         It's almost time to stop.
         I'm afraid it's time to finish now.
         We'll have to stop here.
         There's the bell. It's time to stop.
         That's all for today.
         You can go now.
2. Not time to stop.
         The bell hasn't gone yet.
         There are still two minutes to go.
         We still have a couple of minutes left.
         The lesson doesn't finish till five past.
         Your watch must be fast.
         We seem to have finished early.
         We have an extra five minutes.
         Sit quietly until the bell goes.
3. Wait a minute
         Hang on a moment.
         Just hold on a moment.
         Stay where you are for a moment.
         Just a moment, please.
         One more thing before you goes.
         Back to your places.
4. Next time
         We'll do the rest of this chapter next time.
         We'll finish this exercise next lesson.
         We've run out of time, so we'll continue next lesson.
         We'll continue this chapter next Monday.
5. Homework
         This is your homework for tonight.
         Do exercise 10 on page 23 for your homework.
         Prepare the next chapter for Monday.
         There is no homework tonight.
         Remember your homework.
         Take a worksheet as you leave.
6. Goodbye
         Goodbye, everyone.
         See you again next Wednesday.
         See you tomorrow afternoon.
         See you in room 7 after the break.
         Have a good holiday.
         Enjoy your vacation...
7. Leaving the room
        Get into a queue.
        Form a queue and wait for the bell.
        Everybody outside!
        All of you get outside now!
        Hurry up and get out!
        Try not to make any noise as you leave.
        Be quiet as you leave. Other classes are still working.
        Classroom Language: Simple instructions

Expressions used in the classroom

Classroom Language: Simple instructions

1. Here are some common instructions which the class can easily understand:
        Come in.                                       
        Go out.
        Stand up.                                        
        Sit down.
        Stand by your desks.                     
        Put your hands up.
        Put your hands down.                   
        Hold your books/pens up.
        Show me your pencil.                   
        Come to the front of the class.
2. A number of instructions can be used at the beginning of a session, and as the semester continues:
         Pay attention, everybody.             
         You need pencils/rulers.
         We'll learn how to...                     
         Are you ready?
         Open your books at page...          
         Turn to page...
          Look at activity five.                    
          Listen to this tape.
          Repeat after me.                            
         Again, please.
         Who's next?
         Like this, not like that.
         You have five minutes to do this.
3. A number of instructions can be used at the end of a session, and as the semester continues:
         It's time to finish.                          
         Have you finished?
         Let's stop now.                             
         Stop now.
         Let's check the answers.               
         Any questions?
         Collect your work please.            
         Pack up your books.
         Are your desks tidy?
         Don't forget to bring your ... tomorrow.
4. Instructions can also be sequenced:
         After that                                       
5. Comprehension language:
         Are you ready?                              
         Are you with me?
         Are you OK?                                 
         OK so far?
         Do you get it?                                
         Do you understand?
         Do you follow me?                       
         What did you say?
         One more time, please.                 
         Say it again, please.
         I don't understand.                        
         I don't get it.
         Like this?                                       
         Is this OK?