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Montag, 27. Juli 2015

Engaging men on East Side could be key for baby, mom's health - The News Journal


Former North East Side resident Daroun Jamison considers this a powerful question: What does it mean to be a black man?


Before it can be answered, he said, you have to take race out of it. A man has to recognize his personal belief system first, Jamison, 38, said.


“If a person doesn’t have that definition, then what do they have to work toward?”


Jamison and neighbors discussed such questions during a community retreat with researchers from Christiana Care, Nemours/Alfred I. duPont Hospital for Children and the University of Delaware.


The retreat focused on bringing light to pressing health issues on the East Side, especially surrounding infant mortality and the roles fathers play.


The infant mortality rate is over 14.4 per 1,000 births for the community, nearly double the state average.


Babies in Delaware are born too early and weigh too little, not because of medical reasons, said Dr. Iman Sharif, a pediatrician with Nemours. Mothers are dealing with chronic stress from poverty and volatile life experiences.


An analysis of Medicaid data from 2011 to 2012 found that women from the East Side under age 45 visited a New Castle County emergency department four or more times for complications related to pregnancy and childbirth.


Over 40 percent recorded fatigue, herpes gestation, insufficient weight gain and premature labor.


While we don’t want to dissuade people from getting help, said Dr. Karyl Rattay, director of the Delaware Division of Public Health, those are conditions that could be discussed with a gynecologist or prenatal provider earlier so emergency room trips could be prevented.


Rattay said that enforces the importance of home visit programs such as Parents as Teachers, Healthy Families America and Healthy Women, Healthy Babies.


Healthy Women, Healthy Babies targets African American women and women with risk factors such as depression or diabetes. Last year, 1,471 women from the East Side participated in the program.


Connecting women to services will only help so much, said Rysheema Dixon, a health advocate with Henrietta Johnson. Fathers need to be part of the equation, too.









Jamison said he had many friends growing up that were young fathers. One friend had two children by the time he was 16.


How can you provide for someone when you are a teenager without a stable job?


Some find it easier to disappear from family life, which can have detrimental effects.


Jamison doesn’t have any children, but he recalls his relationship with his father as a complicated one.


At one point, he was on track to be a junior deacon. But life got in the way. Living on welfare made money tight. His family was eventually evicted from their home. He dropped out of school and began living on his own. Soon after, he began selling drugs.


Then the unthinkable happened. “I wound up shooting someone,” Jamison said. It was three days before he turned 18.









Jamison turned himself in and spent 16 years in prison. It was there that he had a change of heart and mind.


While working on an art project for a substance abuse class, Jamison stumbled across an article about a man who was incarcerated and became a chef after taking culinary classes behind bars. Another man in that article started a publishing business in an urban community when he got out.


It gave him hope and made him want to succeed, he said. Now, four years out, he lives in New Castle and is taking critical thinking and entrepreneurship classes at Delaware Technical Community College in Wilmington. He’s also working on a manuscript on how to overcome personal setbacks.


It takes time and introspection, but it is possible to change your life path, Jamison said. It’s especially important for young fathers. Sometimes being present is more than just providing.


If you have a daughter, Jamison said, “be the person she can talk to in her life.”


Jen Rini can be reached at (302) 324-2386 or jrini@delawareonline.com. Follow @JenRini on Twitter.


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Engaging men on East Side could be key for baby, mom"s health - The News Journal

Montag, 6. Juli 2015

Diabetes Drug To Help Obese Patients Achieve Weight Loss; The Good Side Effect Of 'Liraglutide'

A drug originally made to treat patients suffering from type-2 diabetes can also cause significant weight loss in obese individuals, a new study finds.




Diebetes drug injectable to help obese patients reduce weight

(Photo : A Sweet Life) Diebetes drug injectable to help obese patients reduce weight



A study published Thursday in the New England Journal of Medicine, has shown a drug, which was originally intended for diabetes patients, to also help obese patients achieve weight loss and improve metabolic control.


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Liraglutide, an injectable diabetes drug recently launched as ‘Saxenda’ by a Danish pharmaceutical company, was found to help individuals lose significant weight over a yearlong study.


“It is a very effective drug. It seems to be as good as any of the others on the market, so it adds another possibility for doctors to treat patients who are having trouble either losing weight or maintaining weight loss once they get the weight off,” said Dr. Xavier Pi-Sunyer, principal author of the study and a professor of medicine at Columbia University Medical Center in New York as quoted by Live Science.


In their methods, they conducted a 56-week, double blind trials at 191 sites in 27 countries in Europe, North America, South America, Asia, Africa and Australia subjecting to treatment 3731 volunteers who had a body-mass index (BMI) of at least 30 or a BMI of at least 27 if diagnosed with high cholesterol or high blood pressure.


They then randomly assigned subjects in a 2:1 ratio: 2487 patients to receive once-daily injections of the diabetes drug ‘liraglutide’ at a dose of 3.0 mg and 1244 other patients to receive placebo for control. Both groups were also given counseling on lifestyle modification which included proper diet and exercise.


After following the proper treatments, the researchers found a total of 63.2 percent of the all the ‘liraglutide’ patients as compared with 27.1 percent in the placebo group who achieved at least 5 percent body weight loss, while 33.1 percent and 10.6 percent, respectively, had more than 10% body weight loss.


However, the researchers also noted adverse effects of the treatments – which went from mild to moderate nausea and diarrhea – affecting 6.2 percent of ‘liraglutide’ patients and 5.0 percent in the placebo group.


With these results, the researchers conclude that the diabetes drug liraglutide, in conjunction to proper diet and exercise, could help obese people significantly reduce their body weight and improve metabolic control to burn more fats.


As quoted in Manila Bulletin, “This is another approach in tackling the obesity epidemic in our country,” said Elias Siraj, director of the Diabetes Program at Temple University Hospital who remarked an accompanying editorial in the journal. “Fortunately, even modest weight loss of five percent to 10 percent makes nearly all medical issues more manageable.”


The research was funded by Novo Nordisk, the global healthcare company which created the drug.


 


 


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Diabetes Drug To Help Obese Patients Achieve Weight Loss; The Good Side Effect Of "Liraglutide"