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[sehat] Digest Number 19607

10 New Messages

Digest #19607

Messages

Tue Apr 2, 2013 1:42 am (PDT) . Posted by:

"/Ghozan"


Is a long life really better?

26th Mar 2013
*Professor Garry Egger Egger*
<http://www.medicalobserver.com.au/author/864>

ONE set of statistics does not give the full picture of global health.

Reports from different sources have recently highlighted there is a
difficulty in relying on one set of statistics alone to indicate health
improvements.

The Global Burden of Disease (GBD) study, published in The Lancet,
involved a large, multinational analysis of health improvements
throughout the world. Of note, the study revealed some mixed findings.

There's little doubt longevity is still increasing significantly
throughout the world, and dramatically in developing countries. Life
expectancy, for example, has increased on average by 11.1 years for
males and 12.1 years for females since 1970. As one might expect, the
biggest gains have been in developing countries, where the initial
baseline was low.

Furthermore, in addition to global mortality, morbidity data was also
tracked over time through the use of a measure of disability-adjusted
life years (or DALYs). The DALY is an index, not just of mortality, but
of the number of 'healthy&#39; years lost due to disease or disability.

But herein lies the critical issue: Yes, the findings indicate in
developed countries, such as Australia, we are no doubt living longer.
However, the data (which uses measures of DALYs) also highlights that
living longer does not necessarily mean we are living better.

In fact, the study suggests if developing countries are to follow in the
path of developed nations, lifestyle-related chronic diseases are likely
to soon take over from the infectious diseases and injuries that seemed
to have dogged countries in their early development.

In the developed countries, chronic diseases, most of which are
preventable, now make up 60% of all diseases presenting to primary care.
Almost three in four Australians over the age of 20 years have at least
one chronic disease, and one in two require management for multiple
comorbidities.

While one might expect chronic diseases to be more prevalent in our
society given that we are living longer, the data actually indicates
DALYs have increased across all age cohorts from age 15 years. Only in
the under five-year-olds have DALYs decreased in the last 20 years.

That living longer doesn't necessarily mean living better is an issue
that was also raised in a report published in a recent Journal of the
American Medical Association. This report was based on US data collected
from two cohort groups, aged 46---64 years, and reported in the National
Health and Nutrition Examination Surveys (NHANES) in 1988---94 and
2007---2010. The ages of each group meant the latter survey would be
represented by the post-war baby boomers, who are now 46---64 years of
age; and the former survey by those old enough to be their parents.

Perhaps unexpectedly, the parents did better health-wise at the same age
than the boomers, despite the longer life-expectancy of the latter.
Boomers have higher rates of chronic disease, more disability, and lower
self-rated health than members of the previous generation at the same
age (see Table 1). This is emphasised by the higher rates of
hypertension, hypercholesterolaemia, diabetes and obesity in the boomers
group.

The authors of the study, led by Dr Dana King from the West Virginia
School of Medicine, conclude from this that: "Given the link between
positive healthy lifestyles and subsequent health in this age group, the
present study demonstrates a clear need for policies that expand efforts
at prevention and healthy lifestyle promotion in the baby boomer
generation."

Given the results of these two separate studies, one might reasonably
conclude that longer is not always better. Moreover, the findings point
to a futility in using just one measure (mortality) to determine health
improvements per se. Perhaps we must also be relying on data from the
DALYs as well.

*Table 1: Percentage of US baby boomer and parent cohorts admitting to
risk factors or morbidities*



'Boomers&#39;



Parents

Excellent health



13.2%



32%**

Use walking device



6.9%



3.3%**

Functional limitation



13.5%



8.8%**

Percentage obese



38.7%



29.4%**

Get regular exercise



35%



50%**

No regular physical activity



52.2%



17.4%**

Hypertension



43%



36.4%**

Hypercholesterolaemia



73.5%



33.8%**

Diabetes



15.5%



12%**

Smokers



21.3%



27.6%**+

Moderate drinking



67.3%



37.2%**

Emphysema



2.3%



3.5%*+

Have had MI



3.6%



5.3%**+

/*References*/

The Status of Baby Boomers' Health in the United StatesThe Healthiest
Generation? ONLINE FIRST Dana E. King, MD, MS; Eric Matheson, MD, MS;
Svetlana Chirina, MPH; Anoop Shankar, MD, PhD, MPH; Jordan Broman-Fulks
JAMA Intern Med. 2013;():1-2. doi:10.1001/jamainternmed.2013.2006.

Haidong Wang*, Laura Dwyer-Lindgren, Katherine T Lofgren, Julie Knoll
Rajaratnam, Jacob R Marcus, Alison Levin-Rector, Carly E Levitz, Alan D
Lopez, Christopher J L Murray Age-specific and sex-specific mortality in
187 countries, 1970-2010: a systematic analysis for the Global Burden of
Disease Study 2010. Lancet 2012; 380: 2071-94

http://www.medicalobserver.com.au/news/is-a-long-life-really-better?utm_medium=email&utm_campaign=Daily+Enews+-+02042013&utm_content=Daily+Enews+-+02042013+CID_3a4ff10af9f8771a2a901c42acf7106b&utm_source=Email%20marketing%20software&;utm_term=Is%20a%20long%20life%20really%20better

--
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dari Grup Google.
Untuk berhenti berlangganan dan berhenti menerima email dari grup ini,
kirim email ke koran-digital+berhenti berlangganan@googlegroups.com .
Untuk opsi lainnya, kunjungi https://groups.google.com/groups/opt_out.

[Non-text portions of this message have been removed]

Tue Apr 2, 2013 2:12 am (PDT) . Posted by:

acitnikka@ymail.com

@ mpok marcella: boleh mpok, siapa tau temenku mau. :)
@ pa'e Ghozan: ada ya kliniknya? Oke oke nanti saya infokan ke teman saya. Makasih.

Salam
Astrid
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Tue Apr 2, 2013 2:17 am (PDT) . Posted by:

acitnikka@ymail.com

@Khaled - Khairin - Khayra Mom
Itu di rs mana yah?

Makasih
Astrid
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-----Original Message-----
From: acitnikka@ymail.com
Sender: sehat@yahoogroups.com
Date: Tue, 2 Apr 2013 09:02:12
To: <sehat@yahoogroups.com>
Reply-To: sehat@yahoogroups.com
Subject: Re: [sehat] Mohon info dsog infertilitas

@ mpok marcella: boleh mpok, siapa tau temenku mau. :)
@ pa'e Ghozan: ada ya kliniknya? Oke oke nanti saya infokan ke teman saya. Makasih.

Salam
Astrid
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Tue Apr 2, 2013 2:15 am (PDT) . Posted by:

amianakbinus

Makasi pak'e

Kirain hiccups cm utk bayi aja, hihi jd ga ku-post, soale ga bs kroscek googling euy.

@mba Indah :
Obat2annya lbh baik tdk diminum lg, sdh disarankan pak'e utk membaca soal hiccups ya, kalau dirasa perlu utk 2nd opinion, silahkan bgt ya

-ami


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Tue Apr 2, 2013 2:21 am (PDT) . Posted by:

"Janita" ycs366

Terima Kasih pak Ghozan untuk artikelnya..

anak saya Berdine (6,4 y) sedang terapi zat besi Selama 3 bln, Jadi saya sedang cari tahu side effect Dari suplemen ini.. Dari artikel ini tidak terbukti efek suplemen thd kognitif, bb dan tb, demam, saluran pernafasan dan diare bagaimana jika efek samping suplemen seperti di arsip milis sehat besi berlebih/ Sumber bacaan : http://www.patient.co.uk/doctor/Iron-Overload.htm

Ada pertanyaan saya terkait dosis karena bb anak saya 21 kg maka pemberiAn ferriz per hari 5 sendok Takar @(5ml). 1 sendok Takar setara 15 mg besi elemen... dosis terapi yang saya ketahui (cmii) 3-5 mg/kg bb.

Di artikel yang diemailkan pada bagian disscusion Ada statement :

Identification of the most effective dose and duration of treatment is critical to management of ID and has important public health implications. Although the reliability of subgroup analysis is lim- ited by small numbers of studies, the analysis suggests Hb improvement may be optimal with a course of iron of 12.6 to 30 mg daily over a treatment period of 1 to 3 months. No additional benefit to Hb with total elemental iron doses .2500 mg was seen. However, for maximal improvement in ferritin, a higher dose or longer treatment pe- riod (or both) may be required. The need for additional iron replacement reflects clinical experience that the prescribed duration of supplementa- tion should be sufficient to replenish both hemoglobin (often achieved early) and iron stores. Additional data on adherence may have provided more insight into the ideal dose and dura- tion.

***

Jadi disitu dosisnya 12.6 - 30 mg/ hari, mengingat saya takutnya kelebihan zat besi jika mengkonsumsi 5 sendok Takar ferris/ hari Selama 3 bulan.,, jika mengkonsumsi suplemen zat besi dalam bentuk tablet anak saya belum bisa... Selain Itu sirup ferris juga mengandung pemanis buatan / Aspartam takut efek sampingnya jika di konsumsi Rutin dalam jangka Waktu lama...

Apakah Ada masukkan suplemen zat besi sirup yang lain yang kandungan besi elemen Lebih besar Dan dosisnya?

Salam

Mamanya Berdine Dan Jecio

Sent from my iPad

[Non-text portions of this message have been removed]

Tue Apr 2, 2013 2:39 am (PDT) . Posted by:


Dear docs n sp's

Maaf kalo dah pernah dibahas, saudaraku (40 thn) sdh 2x ke dokter semuanya suruh operasi amandel.. Krn udah beberapa kali meradang dan kalo tidur jg mendengkur..

Tapi dia masih ragu2, karena khawatir kalo operasi nanti kekebalan tubuh berkurang..

Timbang2 risk n benefitnya aku saranin jg buat operasi, tapi dia masih ragu..

Ada advice atau link yg bisa menguatkan, spy saudaraku bisa mengambil keputusan yg tepat operasi amandel atau tidak

Terima kasih sebelumnya

-sally-


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Tue Apr 2, 2013 2:44 am (PDT) . Posted by:

amianakbinus

Alo mba sally

Baca tonsilitis di mayoclinic.com

Ckp lgkp disana

-ami


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Tue Apr 2, 2013 2:48 am (PDT) . Posted by:

"Pesat 5 Tangerang"

Selamat sore Smart Parents.....

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3. Pentingnya imunisasi untuk anakku

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Topik :
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[Non-text portions of this message have been removed]

Tue Apr 2, 2013 2:53 am (PDT) . Posted by:

"Miminya Baim" khonic_ds

Update kakak saya sudah ke dokter syaraf tadi pagi diagnosa : Tic dirujuk
ke psikolog. Ada rekomendasi di Bekasi Barat? Hermina ada 3 orang jadwalnya
full semua jadi waiting list ga jelas kapan, tunggu ada yang canceled or
selesai terapi.
Kalo ada boleh japri aja ke khonic_ds@yahoo.com biar ga nyelip.
Makasih sebelumnya.

Send from my lovely android ^__^

[Non-text portions of this message have been removed]

Tue Apr 2, 2013 3:01 am (PDT) . Posted by:

amianakbinus

Ke rscm mgkn mba. Sblm kesana ada yg dtg dulu, liat lokasi, nama dokter, tny2.

Kalau dah okey, baru kaka dibw.

Cmiiw,
Ami


Sent from my BlackBerry® smartphone from Sinyal Bagus XL, Nyambung Teruuusss...!
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Milis SEHAT mengucapkan terimakasih kepada:
- Asuransi AIA atas partisipasinya sebagai sponsor PESAT Bali 2011
- PT LG Electronics Indonesia atas partisipasinya sebagai Sponsor Tunggal FAMILY FUN DAY MILIS SEHAT 2011.

Terima kasih & penghargaan sedalam-dalamnya kepada : HBTLaw, PT.Intiland, dan PT. Permata Bank Tbk. yang telah dan konsisten mensponsori program kami, PESAT (Program Edukasi Kesehatan Anak Untuk Orang Tua)."

"Milis SEHAT didukung oleh : CBN Net Internet Access &Website.
=================================================================
Milis Sehat thanks to:
- AIA Insurance as sponsor for PESAT Bali 2011
- PT LG Electronics Indonesia as exclusive partner of FAMILY FUN DAY MILIS SEHAT 2011.

Our biggest gratitude to: HBTLaw, PT. Intiland, and PT. Permata Bank Tbk. who have consistently sponsored our program, PESAT (Program Edukasi Kesehatan Anak Untuk Orang Tua)."
"SEHAT mailing list is supported by CBN Net for Internet Access &Website.

Kunjungi kami di (Visit us at):
Official Web : http://milissehat.web.id/
FB           : http://www.facebook.com/pages/Milissehat/131922690207238
Twitter      : @milissehat <http://twitter.com/milissehat/>
==================================================================
Donasi (donation):
Rekening Yayasan Orang Tua Peduli
Bank Mandiri
Cabang Kemang Raya Jakarta
Account Number: 126.000.4634514
==================================================================

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