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Free Information Sessions – Sparrow Health System

Posted: May 20, 2019 at 9:49 am


Bariatric ServicesAre you missing out on everyday life because of your weight? Can you play with your kids, go for a long walk, or climb stairs? Do you avoid going to events, the movies, or restaurants?

Sparrow Bariatric Services will help you take off your unhealthy weightand keep it off. Our team of surgeons, doctors, nurses, registered dietitians, behaviorists, and exercise specialists will give you the tools you need to control your weight once and for all.

Discover the weight loss approach that will help you fit back into your life. Watch our online information session and complete the post-test. We will follow up with you within two business days to set up an appointment to discuss your individual goals and needs.

Or, you can sign up to attend one of our free Comprehensive Approach to Weight Loss Information Sessionsbyclicking any of the dates below or call 1.800.Sparrow (772.7769). All sessions are held at the Sparrow Health Science Pavilion (The MAC) in the Wimbledon Room from 5:30-6:30 p.m. Speak with one of our surgeons or a weight-loss specialist directly to help you understand your options and answer your questions.

Speakers:

Mindy Lane, D.O., FACOS, Director, Bariatric Surgery & Bariatric Surgeon

Kosisochi Obinwanne, M.D., Bariatric Surgeon

2019 Information Session Dates:

Tuesday, Jan. 8Wednesday, Feb. 13Wednesday, May 8Tuesday, Sept. 10Wednesday, Nov. 13

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Free Information Sessions – Sparrow Health System

Pre-service Scheduling – MySparrow – Sparrow Health System

Posted: at 9:49 am


To request a routine mammogram screening at any of Sparrow’s mammography locations please read the following instructions and complete the online appointment request form.

This program is available for routine screenings only. If you answer “yes” to any of the following questions, you cannot schedule your appointment online. Instead, please call the Pre-Service Scheduling Department at 517.253.6300.

If you answered no to these questions, please complete the online appointment request form to continue. (Note: this service is currently not available for our Carson City Hospital location)

Once you have submitted this request, a representative from our Pre-Service Scheduling Department will contact you by phone with your appointment date and time.

Registration:

Your admission process will be completed at your selected treatment location.

You will need to:

Notice regarding online scheduling:

All information submitted in the online appointment form will be treated by Sparrow Health System as a confidential part of your medical record. The information you submit on this form is made available to Sparrow Health System personnel for the purpose of pre-registering you as a Patient. By submitting this form, you are authorizing Sparrow Health System to contact your insurance company for verification of coverage and payment.

This notice describes how medical information you submit through the online appointment request feature of this website may be used and disclosed. Also please review the Sparrow Health System Website Security Policy and the Sparrow Health System Notice of Privacy Practices for more information.

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Pre-service Scheduling – MySparrow – Sparrow Health System

Homeopathic Health Center | Columbus, OH – (614) 890-2589

Posted: May 19, 2019 at 1:49 am


Alternative Medicine We provide a comprehensive array of the most clinically effective, and naturalized & organic alternative…

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Welcome To Homeopathic Health Center

Are you looking after your mental health? Are you or somebody close going through a period of depression, suffering from panic attacks or enduring spells of acute anxiety? Perhaps you are just feeling generally worn out, lacking in energy and struggling to summon up any enthusiasm for your everyday life? The professionals at Homeopathic Health Center can help you. Homeopathic Health Center is the leading alternative medicine and holistic treatment centre operating in Columbus today. We provide a range of specialist treatments, all proven to enhance the mental and physical wellbeing of our clients in the most naturalistic and effective fashion possible today.

We offer a range of treatments clinically proven to improve the psychological and biological health of all of our patients in a fully organic and holistic fashion. At Homeopathic Health Center, we are dedicated to offering our clients alternative treatment methods that enable them to avoid the conventional, chemical laden techniques of main stream medicine and to achieve wellness in a manner sanctioned by nature.

Homeopathic Health Center can accommodate patients suffering from a variety of physical & mental ailments. Our lengthy experience operating out of Columbus makes us among the most trusted and highly regarded Homeopathy clinics in Ohio. We can treat patients for a range of health conditions where mainstream medicinal techniques have frequently failed, including:

Depression Detox Mental HealthSport InjuryStress Skin Conditions Head aches Bone loss And much more!

The Homeopathic Health Center is a fully licensed and accredited medical treatment facility sanctioned by the United States Department of Health. We operate in the strictest adherence to the highest ethical, government, and industry standards; and our patients are always our priority.

Holistic medicine is a burgeoning discipline throughout the US because its effectiveness and clinical legitimacy is finally being given the recognition it deserves in the mainstream medical establishment. The Homeopathic Health Center has been at the forefront of the holistic medicine movement for years now. See how our range of alternative treatments can help you where conventional treatment has failed, or how we can complement/improve the treatment you are currently undergoing today. Call us at (614) 890-2589.

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Homeopathic Health Center | Columbus, OH – (614) 890-2589

Holistic Kidney – Home | Dr. Jenna Henderson, ND

Posted: at 1:49 am


Welcome to the practice of Dr. Jenna Henderson.

Holistic Kidney is a naturopathic medical practice with a focus on helping patients at all stages of kidney disease achieve optimum health.

Dr. Henderson is a doctor of naturopathic medicine and a kidney patient herself. She is an authority on kidney disease and the use of natural remedies for achieving optimal health and is sought out for her expertise with safe, alternative, and integrative medicine in the treatment of kidney disease.

Dr. Henderson works with patients at all stages of kidney disease: those who are newly diagnosed with kidney disease, who are on dialysis or have a kidney transplant. She also treats patients with diabetes and high blood pressure.

Dr. Henderson educates those individuals about the benefits of alternative medicine for kidney care, hypertension, and nephritis. She helps patients stay off dialysis for as long as possible, have more energy throughout the day, sleep better at night, and protect their heart and bones from the long-term damage brought about by kidney disease. Dr. Henderson works with transplant patients to help them cope with the side effects of immunosuppressive therapy.

Dr. Hendersons consults with kidney patients and their families worldwide. If you are a kidney patient seeking to improve your health and quality of life, contact Dr. Henderson for a consultation.

Dr. Henderson helps patients with a wide variety of kidney conditions:

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Holistic Kidney – Home | Dr. Jenna Henderson, ND

Thuringia – Wikipedia

Posted: May 17, 2019 at 11:53 pm


State in Germany

State in Germany

Thuringia (German: Thringen) (German pronunciation: [tyn] (listen)), officially the Free State of Thuringia (English: ; German: Freistaat Thringen, pronounced [fatat tyn]), is a state of Germany.

Thuringia is located in central Germany covering an area of 16,171 square kilometres (6,244sqmi) and a population of 2.15 million inhabitants, making it the sixth smallest German state by area and the fifth smallest by population. Erfurt is the state capital and largest city, while other major cities include Jena, Gera, and Weimar. Thuringia is surrounded by the states of Bavaria, Hesse, Lower Saxony, Saxony-Anhalt, and Saxony.

Most of Thuringia is within the watershed of the Saale, a left tributary of the Elbe, and has been known as “the green heart of Germany” (das grne Herz Deutschlands) from the late 19th century due to the dense forest covering the land.[3] Thuringia is home to the Rennsteig, Germany’s most well-known hiking trail, and the winter resort of Oberhof, making it a well-known winter sports destination with half of Germany’s 136 Winter Olympic gold medals won through 2014 having been won by Thuringian athletes.[4] Thuringia is also home to prominent German intellectuals and creative artists, including Johann Sebastian Bach, Johann Wolfgang von Goethe, and Friedrich Schiller, and is location of the University of Jena, the Ilmenau University of Technology, the University of Erfurt, and the Bauhaus University of Weimar.

Thuringia was established in 1920 as a state of the Weimar Republic from a merger of the Ernestine duchies, except for Saxe-Coburg, but can trace its origins to the Frankish Duchy of Thuringia established around 631 AD by King Dagobert I. After World War II, Thuringia came under the Soviet occupation zone in Allied-occupied Germany, and its borders altered to become contiguous. Thuringia became part of the German Democratic Republic in 1947, but was dissolved in 1952 during administrative reforms, and its territory divided into the districts of Erfurt, Suhl and Gera. Thuringia was re-established in 1990 following German reunification, with slightly different borders, and became one of the Federal Republic of Germany’s new states.

The name Thuringia or Thringen derives from the Germanic tribe Thuringii, who emerged during the Migration Period. Their origin is largely unknown. An older theory claims that they were successors of the Hermunduri, but later research rejected the idea. Other historians argue that the Thuringians were allies of the Huns, came to central Europe together with them, and lived before in what is Galicia today. Publius Flavius Vegetius Renatus first mentioned the Thuringii around 400; during that period, the Thuringii were famous for their excellent horses.

The Thuringian Realm existed until after 531, the Landgraviate of Thuringia was the largest state in the region, persisting between 1131 and 1247. Afterwards the state known as Thuringia ceased to exist; nevertheless the term commonly described the region between the Harz mountains in the north, the White Elster river in the east, the Franconian Forest in the south and the Werra river in the west. After the Treaty of Leipzig, Thuringia had its own dynasty again, the Ernestine Wettins. Their various lands formed the Free State of Thuringia, founded in 1920, together with some other small principalities. The Prussian territories around Erfurt, Mhlhausen and Nordhausen joined Thuringia in 1945.

The coat of arms of Thuringia shows the lion of the Ludowingian Landgraves of 12th-century origin. The eight stars around it represent the eight former states which formed Thuringia. The flag of Thuringia is a white-red bicolor, derived from the white and red stripes of the Ludowingian lion. The coat of arms and flag of Hesse are quite similar to the Thuringian ones, because they are also derived from the Ludowingian symbols.

Symbols of Thuringia in popular culture are the Bratwurst and the Forest, because a large amount of the territory is forested.

Named after the Thuringii tribe who occupied it around AD 300, Thuringia came under Frankish domination in the 6th century.

Thuringia became a landgraviate in 1130 AD. After the extinction of the reigning Ludowingian line of counts and landgraves in 1247 and the War of the Thuringian Succession (12471264), the western half became independent under the name of “Hesse”, never to become a part of Thuringia again. Most of the remaining Thuringia came under the rule of the Wettin dynasty of the nearby Margraviate of Meissen, the nucleus of the later Electorate and Kingdom of Saxony. With the division of the house of Wettin in 1485, Thuringia went to the senior Ernestine branch of the family, which subsequently subdivided the area into a number of smaller states, according to the Saxon tradition of dividing inheritance amongst male heirs. These were the “Saxon duchies”, consisting, among others, of the states of Saxe-Weimar, Saxe-Eisenach, Saxe-Jena, Saxe-Meiningen, Saxe-Altenburg, Saxe-Coburg, and Saxe-Gotha; Thuringia became merely a geographical concept.

Thuringia generally accepted the Protestant Reformation, and Roman Catholicism was suppressed as early as 1520;[citation needed] priests who remained loyal to it were driven away and churches and monasteries were largely destroyed, especially during the German Peasants’ War of 1525. In Mhlhausen and elsewhere, the Anabaptists found many adherents. Thomas Mntzer, a leader of some non-peaceful groups of this sect, was active in this city. Within the borders of modern Thuringia the Roman Catholic faith only survived in the Eichsfeld district, which was ruled by the Archbishop of Mainz, and to a small degree in Erfurt and its immediate vicinity.

The modern German black-red-gold tricolour flag’s first appearance anywhere in a German-ethnicity sovereign state, within what today comprises Germany, occurred in 1778 as the state flag of the Principality of Reuss-Greiz, a principality whose lands were located within modern Thuringian borders.

Some reordering of the Thuringian states occurred during the German Mediatisation from 1795 to 1814, and the territory was included within the Napoleonic Confederation of the Rhine organized in 1806. The 1815 Congress of Vienna confirmed these changes and the Thuringian states’ inclusion in the German Confederation; the Kingdom of Prussia also acquired some Thuringian territory and administered it within the Province of Saxony. The Thuringian duchies which became part of the German Empire in 1871 during the Prussian-led unification of Germany were Saxe-Weimar-Eisenach, Saxe-Meiningen, Saxe-Altenburg, Saxe-Coburg-Gotha, Schwarzburg-Sondershausen, Schwarzburg-Rudolstadt and the two principalities of Reuss Elder Line and Reuss Younger Line. In 1920, after World War I, these small states merged into one state, called Thuringia; only Saxe-Coburg voted to join Bavaria instead. Weimar became the new capital of Thuringia. The coat of arms of this new state was simpler than those of its predecessors.

In 1930 Thuringia was one of the free states where the Nazis gained real political power. Wilhelm Frick was appointed Minister of the Interior for the state of Thuringia after the Nazi Party won six delegates to the Thuringia Diet. In this position he removed from the Thuringia police force anyone he suspected of being a republican and replaced them with men who were favourable towards the Nazi Party. He also ensured that whenever an important position came up within Thuringia, he used his power to ensure that a Nazi was given that post.

After being controlled briefly by the US, from July 1945, the state of Thuringia came under the Soviet occupation zone, and was expanded to include parts of Prussian Saxony, such as the areas around Erfurt, Mhlhausen, and Nordhausen. Erfurt became the new capital of Thuringia. Ostheim, an exclave of Landkreis (roughly equivalent to a county in the English-speaking world) Eisenach, was ceded to Bavaria.

In 1952, the German Democratic Republic dissolved its states, and created districts (Bezirke) instead. The three districts that shared the former territory of Thuringia were Erfurt, Gera and Suhl. Altenburg Kreis was part of Leipzig Bezirk.

The State of Thuringia was recreated with slightly altered borders during German reunification in 1990.

From the northwest going clockwise, Thuringia borders on the German states of Lower Saxony, Saxony-Anhalt, Saxony, Bavaria and Hesse.

The landscapes of Thuringia are quite diverse. The far north is occupied by the Harz mountains, followed by the Goldene Aue, a fertile floodplain around Nordhausen with the Helme as most important river. The north-west includes the Eichsfeld, a hilly and sometimes forested region, where the Leine river emanates. The central and northern part of Thuringia is defined by the 3000km wide Thuringian Basin, a very fertile and flat area around the Unstrut river and completely surrounded by the following hill chains (clockwise from the north-west): Dn, Hainleite, Windleite, Kyffhuser, Hohe Schrecke, Schmcke, Finne, Ettersberg, Steigerwald, Thuringian Forest, Hrselberge and Hainich. Within the Basin the smaller hill chains Fahner Hhe and Heilinger Hhen. South of the Thuringian Basin is the Land’s largest mountain range, marked by the Thuringian Forest in the north-west, the Thuringian Highland in the middle and the Franconian Forest in the south-east. Most of this range is forested and the Groer Beerberg (983 m) is Thuringia’s highest mountain. To the south-west, the Forest is followed up by Werra river valley, dividing it from the Rhn Mountains in the west and the Grabfeld plain in the south. Eastern Thuringia, commonly described as the area east of Saale and Loquitz valley, is marked by a hilly landscape, rising slowly from the flat north to the mountainous south. The Saale in the west and the White Elster in the east are the two big rivers running from south to north and forming densely settled valleys in this area. Between them lies the flat and forested Holzland in the north, the flat and fertile Orlasenke in the middle and the Vogtland, a hilly but in most parts non-forested region in the south. The far eastern region (east of White Elster) is the Osterland or Altenburger Land along Pleie river, a flat, fertile and densely settled agricultural area.

The most important river in Thuringia is the Saale (a tributary of the Elbe) with its tributaries Unstrut, Ilm and White Elster, draining the most parts of Thuringia and the Werra (the headwater of the Weser), draining the south-west and west of the Land. Furthermore, some small parts on the southern border are drained by tributaries of the Main (a tributary of the Rhine). There are no large natural lakes in Thuringia, but it does have some of Germany’s biggest dams including the Bleiloch Dam and the Hohenwarte Dam at Saale river same as the Leibis-Lichte Dam and the Goldisthal Pumped Storage Station within the Highland. Thuringia is Germany’s only state without connection to navigable waterways.

The geographic center of the Federal Republic is located in Thuringia, within the municipality of Vogtei next to Mhlhausen. Thuringia’s center is located only eight kilometres south of the capital’s Cathedral within the municipality of Rockhausen.

Thuringia’s climate is temperate with humid westerly winds predominating. Increasingly as one moves from the north-west to the south-east, the climate shows continental features: winters can be cold for long periods, and summers can become warm. Dry periods are often recorded, especially within the Thuringian Basin, situated leeward to mountains in all directions. It is Germany’s driest area, with annual precipitation of only 400 to 500mm.

Artern, in the north-east, is warm and dry, with a mean annual temperature of 8.5C and mean precipitation of 450mm; contrast this with wet, cool Oberhof, in the Thuringian Forest, where temperature averages only 4.4C and mean annual precipitation reaches 1300mm.

Due to many centuries of intensive settlement, most of the area is shaped by human influence. The original natural vegetation of Thuringia is forest with beech as its predominant species, as can still be found in the Hainich mountains today. In the uplands, a mixture of beech and spruce would be natural. However, most of the plains have been cleared and are in intensive agricultural use while most of the forests are planted with spruce and pine. Since 1990, Thuringia’s forests have been managed aiming for a more natural and tough vegetation more resilient to climate change as well as diseases and vermin. In comparison to the forest, agriculture is still quite conventional and dominated by large structures and monocultures. Problems here are caused especially by increasingly prolonged dry periods during the summer months.

Environmental damage in Thuringia has been reduced to a large extent after 1990. The condition of forests, rivers and air was improved by modernizing factories, houses (decline of coal heating) and cars, and contaminated areas such as the former Uranium surface mines around Ronneburg have been remediated. Today’s environmental problems are the salination of the Werra river, caused by discharges of K+S salt mines around Unterbreizbach and overfertilisation in agriculture, damaging the soil and small rivers.

Environment and nature protection has been of growing importance and attention since 1990. Large areas, especially within the forested mountains, are protected as natural reserves, including Thuringia’s first national park within the Hainich mountains, founded in 1997, the Rhn Biosphere Reserve, the Thuringian Forest Nature Park and the South Harz Nature Park.

During the Middle Ages, Thuringia was situated at the border between Germanic and Slavic territories, marked by the Saale river. The Ostsiedlung movement led to the assimilation of Slavic people between the 11th and the 13th century under German rule. The population growth increased during the 18th century and stayed high until World War I, before it slowed within the 20th century and changed to a decline since 1990. Since the beginning of Urbanisation around 1840, the Thuringian cities have higher growth rates resp. smaller rates of decline than rural areas (many villages lost half of their population since 1950, whereas the biggest cities (Erfurt and Jena) kept growing).

Largest migrant communities by 31.12.2017

The current population is 2,170,000 (in 2012) with an annual rate of decrease of about 0.5%, which varies widely between the local regions. In 2012, 905,000 Thuringians lived in a municipality with more than 20,000 inhabitants, this is an urbanization rate of 42% which continues to rise.

In July 2013, there were 41,000 non-Germans by citizenship living in Thuringia (1.9% of the population among the smallest proportions of any state in Germany). Nevertheless, the number rose from 33,000 in July 2011, an increase of 24% in only two years. About 4% of the population are migrants (including persons that already received the German citizenship). The biggest groups of foreigners by citizenship are (as of 2012): Russians (3,100), Poles (3,000), Turks (2,100) and Ukrainians (2,000). The number of foreigners varies between regions: the college towns Erfurt, Jena, Weimar and Ilmenau have the highest rates, whereas there are almost no migrants living in the most rural smaller municipalities.

The Thuringian population has a significant sex ratio gap, caused by the emigration of young women, especially in rural areas. Overall, there are 115 to 120 men per 100 women in the 2540 age group (“family founders”) which has negative consequences for the birth ratio. Furthermore, the population is getting older and older with some rural municipalities recording more than 30% of over-65s (pensioners). This is a problem for the regional labour market, as there are twice as many people leaving as entering the job market annually.

The birth rate was about 1.8 children per women in the 1970s and 1980s, shrinking to 0.8 in 1994 during the economic crisis after the reunification and rose again to more than 1.4 children in 2010, which is a higher level than in West Germany. Nevertheless, there are only 17,000 births compared to 27,000 deaths per year, so that the annual natural change of the Thuringian population is about 0.45%. In 2015 there were 17.934 births, the highest number since 1990.

Migration plays an important role in Thuringia. The internal migration shows a strong tendency from rural areas towards the big cities. From 2008 to 2012, there was a net migration from Thuringia to Erfurt of +6,700 persons (33 per 1000 inhabitants), +1,800 to Gera (19 per 1000), +1,400 to Jena (14 per 1000), +1,400 to Eisenach (33 per 1000) and +1,300 to Weimar (21 per 1000). Between Thuringia and the other German states, the balance is negative: In 2012, Thuringia lost 6,500 persons to other federal states, the most to Bavaria, Saxony, Hesse and Berlin. Only with Saxony-Anhalt and Brandenburg the balance is positive. The international migration is fluctuating heavily. In 2009, the balance was +700, in 2010 +1,800, in 2011 +2,700 and in 2012 +4,800. The most important countries of origin of the Thuringia migrants from 2008 to 2012 were Poland (+1,700), Romania (+1,200), Afghanistan (+1,100) and Serbia/Montenegro/Kosovo (+1,000), whereas the balance was negative with Switzerland (2,800) and Austria (900).

[8]

Of the approximately 850 municipalities of Thuringia, 126 are classed as towns (within a district) or cities (forming their own urban district). Most of the towns are small with a population of less than 10,000; only the ten biggest ones have a population greater than 30,000. The first towns emerged during the 12th century, whereas the latest ones received town status only in the 20th century. Today, all municipalities within districts are equal in law, whether they are towns or villages. Independent cities (i.e. urban districts) have greater powers (the same as any district) than towns within a district.

* Average annual change in percent within the last three years (2009-12-31 until 2012-12-31), adjusted from incorporations and the 2011 Census results.

Since the Protestant Reformation, the most prominent Christian denomination in Thuringia has been Lutheranism. During the GDR period, church membership was discouraged and has continued shrinking since the reunification in 1990. Today over two thirds of the population is non-religious. The Protestant Evangelical Church in Germany has had the largest number of members in the state, adhered to by 21.4% of the population in 2017. Members of the Catholic Church formed 7.7% of the population, while 70.9% of Thuringians were non-religious or adhere to other faiths.[9] The highest Protestant concentrations are in the small villages of southern and western Thuringia, whereas the bigger cities are even more non-religious (up to 88% in Gera). Catholic regions are Eichsfeld in the northwest and parts of the Rhn Mountains around Geisa in the southwest. Protestant church membership is shrinking rapidly, whereas the Catholic Church is somewhat more stable because of Catholic migration from Poland, Southern Europe and West Germany.[citation needed] Other religions play no significant role in Thuringia. There are only a few thousand Muslims (largely migrants) and about 750 Jews (mostly migrants from Russia) living in Thuringia. Furthermore, there are some Orthodox communities of Eastern European migrants and some traditional Protestant Free churches in Thuringia without any societal influence.

The Protestant parishes of Thuringia belong to the Evangelical Church in Central Germany or to the Evangelical Church of Hesse Electorate-Waldeck (Schmalkalden region). Catholic dioceses are Erfurt (most of Thuringia), Dresden-Meissen (eastern parts) and Fulda (Rhn around Geisa in the very west).

EKD Protestant membership in 2011 (municipalities)

Catholic membership in 2011 (municipalities)

Following the election, the Left, Social Democrats and Greens agreed to form a coalition government led by Bodo Ramelow of the Left.[10] The next ordinary state election is scheduled for 2019.[11]

Thuringia is divided into 17 districts (Landkreise):

Furthermore, there are six urban districts, indicated on the map by letters:

Thuringia’s economy is marked by the economic transition that happened after the German reunification and led to the closure of most of the factories within the Land. The unemployment rate reached a peak around 2005. Since that year, the economy has seen an upturn and the general economic situation has improved.

Agriculture and forestry have declined in importance over the decades. Nevertheless, they are more important than in the most other areas of Germany, especially within rural regions. 54% of Thuringia’s territory is in agricultural use. The fertile basins such as the large Thuringian Basin or the smaller Goldene Aue, Orlasenke and Osterland are in intensive use for growing cereals, vegetables, fruits and energy crops. Important products are apples, strawberries, cherries and plums in the fruit sector, cabbage, potatoes, cauliflower, tomatoes (grown in greenhouses), onions, cucumbers and asparagus in the vegetable sector, as well as maize, rapeseed, wheat, barley and sugar beets in the crop sector.

Meat production and processing is also an important activity, with swine, cattle, chickens and turkeys in focus. Furthermore, there are many milk and cheese producers, as well as laying hens. Trout and carp are traditionally bred in aquaculture in many villages.

Most agricultural enterprises are large cooperatives, founded as Landwirtschaftliche Produktionsgenossenschaft during the GDR period, and meat producers are part of multinational companies. Traditional private peasant agriculture is an exception, as is organic farming.

Thuringia’s only wine-growing district is situated around Bad Sulza north of Weimar and Jena along the Ilm and Saale valley. Its production is marketed as Saale-Unstrut wines.

Forestry plays an important role in Thuringia because 32% of the Thuringian territory is forested. The most common trees are spruce, pine and beech. There are many wood and pulp-paper factories near the forested areas.

Like most other regions of central and southern Germany, Thuringia has a significant industrial sector reaching back to the mid-19th-century industrialisation. The economic transition after the German reunification in 1990 led to the closure of most large-scale factories and companies, leaving small and medium-sized ones to dominate the manufacturing sector. Well-known industrial centres are Jena (a world centre for optical instruments with companies like Carl Zeiss, Schott and Jenoptik) and Eisenach, where BMW started its car production in the 1920s and an Opel factory is based today. The most important industrial branches today are engineering and metalworking, vehicle production and food industries. Especially the small and mid-sized towns in central and southwestern Thuringia (e.g. Arnstadt, Schmalkalden and Ohrdruf) are highly industrialised, whereas there are fewer industrial companies in the northern and eastern parts of the Land. Traditional industries like production of glass, porcelain and toys collapsed during the economic crises between 1930 and 1990.

Mining was important in Thuringia since the later Middle Ages, especially within the mining towns of the Thuringian Forest such as Schmalkalden, Suhl and Ilmenau. Following the industrial revolution, the old iron, copper and silver mines declined because the competition from imported metal was too strong. On the other hand, the late 19th century brought new types of mines to Thuringia: the lignite surface mining around Meuselwitz near Altenburg in the east of the Land started in the 1870s, and two potash mining districts were established around 1900. These are the Sdharzrevier in the north of the state, between Bischofferode in the west and Roleben in the east with Sondershausen at its centre, and the Werrarevier on the Hessian border around Vacha and Bad Salzungen in the west. Together, they accounted for a significant part of the world’s potash production in the mid-20th century. After the reunification, the Sdharzrevier was abandoned, whereas K+S took over the mines in the Werrarevier. Between 1950 and 1990, uranium mining was also important to cover the Soviet Union’s need for this metal. The centre was Ronneburg near Gera in eastern Thuringia and the operating company Wismut was under direct Soviet control.

The GDP of Thuringia is below the national average, in line with the other former East German Lands. Until 2004, Thuringia was one of the weakest regions within the European Union. The accession of several new countries, the crisis in southern Europe and the sustained economic growth in Germany since 2005 has brought the Thuringian GDP close to the EU average since then. The high economic subsidies granted by the federal government and the EU after 1990 are being reduced gradually and will end around 2020.

The unemployment rate reached its peak of 20% in 2005. Since then, it has decreased to 7% in 2013, which is only slightly above the national average. The decrease is caused on the one hand by the emergence of new jobs and on the other by a marked decrease in the working-age population, caused by emigration and low birth rates for decades. The wages in Thuringia are low compared to rich bordering Lands like Hesse and Bavaria. Therefore, many Thuringians are working in other German Lands and even in Austria and Switzerland as weekly commuters. Nevertheless, the demographic transition in Thuringia leads to a lack of workers in some sectors. External immigration into Thuringia has been encouraged by the government since about 2010 to counter this problem.

The economic progress is quite different between the regions of Thuringia. The big cities along the A4 motorway such as Erfurt, Jena and Eisenach and their surroundings are booming, whereas nearly all the rural regions, especially in the north and east, have little economic impetus and employment, which is a big issue in regional planning. Young people in these areas often have to commute long distances, and many emigrate soon after finishing school.

The unemployment rate stood at 5.8% in October 2018 and was higher than the German average but lower than the average of Eastern Germany.[12]

As Germany’s most central Land, Thuringia is an important hub of transit traffic. The transportation infrastructure was in very poor condition after the GDR period. Since 1990, many billions of Euros have been invested to improve the condition of roads and railways within Thuringia.

During the 1930s, the first two motorways were built across the Land, the A4 motorway as an important east-west connection in central Germany and the main link between Berlin and south-west Germany, and the A9 motorway as the main north-south route in eastern Germany, connecting Berlin with Munich. The A4 runs from Frankfurt in Hesse via Eisenach, Gotha, Erfurt, Weimar, Jena and Gera to Dresden in Saxony, connecting Thuringia’s most important cities. At Hermsdorf junction it is connected with the A9. Both highways were widened from four to six lanes (three each way) after 1990, including some extensive re-routing in the Eisenach and Jena areas. Furthermore, three new motorways were built during the 1990s and 2000s. The A71 crosses the Land in southwest-northeast direction, connecting Wrzburg in Bavaria via Meiningen, Suhl, Ilmenau, Arnstadt, Erfurt and Smmerda with Sangerhausen and Halle in Saxony-Anhalt. The crossing of the Thuringian Forest by the A71 has been one of Germany’s most expensive motorway segments with various tunnels (including Germany’s longest road tunnel, the Rennsteig Tunnel) and large bridges. The A73 starts at the A71 south of Erfurt in Suhl and runs south towards Nuremberg in Bavaria. The A38 is another west-east connection in the north of Thuringia running from Gttingen in Lower Saxony via Heiligenstadt and Nordhausen to Leipzig in Saxony. Furthermore, there is a dense network of federal highways complementing the motorway network. The upgrading of federal highways is prioritised in the federal trunk road programme 2015 (Bundesverkehrswegeplan 2015). Envisaged projects include upgrades of the B247 from Gotha to Leinefelde to improve Mhlhausen’s connection to the national road network, the B19 from Eisenach to Meiningen to improve access to Bad Salzungen and Schmalkalden, and the B88 and B281 for strengthening the Saalfeld/Rudolstadt region.

The first railways in Thuringia had been built in the 1840s and the network of main lines was finished around 1880. By 1920, many branch lines had been built, giving Thuringia one of the densest rail networks in the world before World War II with about 2,500km of track. Between 1950 and 2000 most of the branch lines were abandoned, reducing Thuringia’s network by half compared to 1940. On the other hand, most of the main lines were refurbished after 1990, resulting in improved speed of travel. The most important railway lines at present are the Thuringian Railway, connecting Halle and Leipzig via Weimar, Erfurt, Gotha and Eisenach with Frankfurt and Kassel and the Saal Railway from Halle/Leipzig via Jena and Saalfeld to Nuremberg. The former has an hourly ICE/IC service from Dresden to Frankfurt while the latter is served hourly by ICE trains from Berlin to Munich. In 2017, a new high speed line will be opened, diverting long-distance services from these mid-19th century lines. Both ICE routes will then use the ErfurtLeipzig/Halle high-speed railway, and the Berlin-Munich route will continue via the NurembergErfurt high-speed railway. Only the segment west of Erfurt of the Frankfurt-Dresden line will continue to be used by ICE trains after 2017, with an increased line speed of 200km/h (currently 160km/h). Erfurt’s central station, which was completely rebuilt for this purpose in the 2000s (decade), will be the new connection between both ICE lines. The most important regional railway lines in Thuringia are the NeudietendorfRitschenhausen railway from Erfurt to Wrzburg and Meiningen, the WeimarGera railway from Erfurt to Chemnitz, the SangerhausenErfurt railway from Erfurt to Magdeburg, the GothaLeinefelde railway from Erfurt to Gttingen, the HalleKassel railway from Halle via Nordhausen to Kassel and the LeipzigHof railway from Leipzig via Altenburg to Zwickau and Hof. Most regional and local lines have hourly service, but some run only every other hour.

There are a few small airports in Thuringia but the only one with public aviation is ErfurtWeimar Airport. It is used for charter flights to the Mediterranean and other holiday destinations. The most important airports for scheduled flights are Frankfurt Airport, Berlin Brandenburg Airport and Munich Airport, all located in adjacent states. LeipzigAltenburg Airport was served by Ryanair from 2003 to 2011.

Thuringia is Germany’s only Land without a connection to waterways because its rivers are too small to be navigable.

The traditional energy supply of Thuringia is lignite, mined in the bordering Leipzig region. Since 2000, the importance of environmentally unfriendly lignite combustion has declined in favour of renewable energies, which reached an amount of 40% (in 2013), and more clean gas combustion, often carried out as Cogeneration in the municipal power stations. The most important forms of renewable energies are Wind power and Biomass, followed by Solar energy and Hydroelectricity. Furthermore, Thuringia hosts two big pumped storage stations: the Goldisthal Pumped Storage Station and the Hohenwarte Dam.

The water supply is granted by the big dams, like the Leibis-Lichte Dam, within the Thuringian Forest and the Thuringian Highland, making a drinking water exporter of Thuringia.

Health care provision in Thuringia improved after 1990, as did the level of general health. Life expectancy rose, nevertheless it is still a bit lower than the German average. This is caused by a relatively unhealthy lifestyle of the Thuringians, especially in high consumption of meat, fat and alcohol, which led to significant higher rates of obesity compared to the German average.

Health care in Thuringia is currently undergoing a concentration process. Many smaller hospitals in the rural towns are closing, whereas the bigger ones in centres like Jena and Erfurt get enlarged. Overall, there is an oversupply of hospital beds, caused by rationalisation processes in the German health care system, so that many smaller hospitals generate losses. On the other hand, there is a lack of family doctors, especially in rural regions with increased need of health care provision because of overageing.

In Germany, the educational system is part of the sovereignty of the Lands; therefore each Land has its own school and college system.

The Thuringian school system was developed after the reunification in 1990, combining some elements of the former GDR school system with the Bavarian school system. Most German school rankings attest that Thuringia has one of the most successful education systems in Germany, resulting in high-quality outcomes.

Early-years education is quite common in Thuringia. Since the 1950s, nearly all children have been using the service, whereas early-years education is less developed in western Germany. Its inventor Friedrich Frbel lived in Thuringia and founded the world’s first Kindergartens there in the 19th century. The Thuringian primary school takes four years and most primary schools are all-day schools offering optional extracurricular activities in the afternoon. At the age of ten, pupils are separated according to aptitude and proceed to either the Gymnasium or the Regelschule. The former leads to the Abitur exam after a further eight years and prepares for higher education, while the latter has a more vocational focus and finishes with exams after five or six years, comparable to the Hauptschule and Realschule found elsewhere in Germany.

The German higher education system comprises two forms of academic institutions: universities and polytechnics (Fachhochschule). The University of Jena is the biggest amongst Thuringia’s four universities and offers nearly every discipline. It was founded in 1558, and today has 21,000 students. The second-largest is the Technische Universitt Ilmenau with 7,000 students, founded in 1894, which offers many technical disciplines such as engineering and mathematics. The University of Erfurt, founded in 1392, has 5,000 students today and an emphasis on humanities and teacher training. The Bauhaus University Weimar with 4,000 students is Thuringia’s smallest university, specialising in creative subjects such as architecture and arts. It was founded in 1860 and came to prominence as Germany’s leading art school during the inter-war period, the Bauhaus.

The polytechnics of Thuringia are based in Erfurt (4,500 students), Jena (5,000 students), Nordhausen (2,500 students) and Schmalkalden (3,000 students). In addition, there is a civil service college in Gotha with 500 students, the College of Music “Franz Liszt” in Weimar (800 students) as well as two private colleges, the Adam-Ries-Fachhochschule in Erfurt (500 students) and the SRH College for nursing and allied medical subjects (SRH Fachhochschule fr Gesundheit Gera) in Gera (500 students). Finally, there are colleges for those studying for a technical qualification while working in a related field (Berufsakademie) at Eisenach (600 students) and Gera (700 students).

Thuringia’s leading research centre is Jena, followed by Ilmenau. Both focus on technology, in particular life sciences and optics at Jena and information technology at Ilmenau. Erfurt is a centre of Germany’s horticultural research, whereas Weimar and Gotha with their various archives and libraries are centres of historic and cultural research. Most of the research in Thuringia is publicly funded basic research due to the lack of large companies able to invest significant amounts in applied research, with the notable exception of the optics sector at Jena.

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Thuringia – Wikipedia

Nutrition Country Profiles – World Bank

Posted: at 7:49 am


1.Malnutrition remains the single largest cause of child mortality.Over one-third of all child deaths are due to malnutrition, mostly from increased severity of disease. Malnourished children who survive tend to start school late, are more likely to drop out, and have lower adult earnings. The resulting compromised human capital means that malnutrition robs many developing countries of at least 2-3% of economic growth. Investments targeted between pregnancy until two years of age are most desirable because they target the most vulnerable, and prevent irreparable damage to human capital.

2.Economic growth alone does not solve malnutrition.Poverty is an undeniably significant factor in child malnutrition, but in many high-burden countries, malnutrition rates are much higher than in other countries with similar national income. At the household level, in many countries malnutrition rates are surprisingly high even in the wealthiest quintile of households. These facts indicate that concerted efforts must be taken to reduce malnutrition; income growth does not automatically solve the problem.

3.Investing in nutrition is cost-effective. Despite the availability of relatively simple and extremely cost-effective interventions to address malnutrition, very few countries effectively implement these proven interventions at scale. Two kinds of investments are needed.Nutrition-specificinterventions include, for example, breastfeeding promotion, vitamin and mineral supplements, and deworming.Nutrition-sensitivedevelopment across many sectors is also necessary to ensure that development agendas fully utilize their potential to contribute to reductions in malnutrition.

The Nutrition Country Profiles were created to inspire action and investment in nutrition in the high-burden countries to reduce child and maternal mortality, and to improve the economic potential of nations.

The country nutrition profiles were developed in collaboration with regional staff and country offices. This work was made possible by the generous support of the Government of Japan through the Scaling Up Nutrition trust fund and the World Banks Regional Reprioritization Fund.

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Nutrition Country Profiles – World Bank

South Asia Food and Nutrition Security Initiative (SAFANSI)

Posted: at 7:49 am


BANGLADESH: Dynamics of Rural Growth: Outreach and Dissemination (TF0A1834)

The grant is to inform policies and actions to strengthen and sustain the enabling environment for more rapid growth, and for food and nutrition security in Bangladesh. The study on the Dynamics of Rural Growth, which was financed by SAFANSI I, undertook a comprehensive analysis of the patterns and drivers of rural growth, food security and nutritionally-sensitive growth. It analyzed the past patterns of growth, drivers of on- and off-farm productivity, evolution of farm level diversification. It formally established a causal link between agriculture, through production diversity, to dietary diversity and ultimately to nutritional outcomes. It also examined the alternative growth strategies and their impacts on food and nutritional outcomes through dietary diversity on households through an economy-wide model. These findings have important policy and strategy implications for Bangladesh. This grant, financed follow-on dissemination and outreach activities, including publication of the final report and key background papers, a broad dissemination workshop, and targeted outreach activities to selected policy makers, government staff and in-country practitioners and donor partners.

The study found that:

TTL: Madhur Gautam

Project dates: 2015 2016

BANGLADESH: Leveraging information technology to achieve better nutritional outcomes in the Chittagong Hill Tracts (CHT), Bangladesh

This Bank-executed projects objective is to enhance knowledge and behavioral practices that improve the intake of nutritious foods among women of reproductive age and children under the age of 5 in the Chittagong Hill Tracts. This will be achieved by developing digital content through a participatory process involving community members to promote consumption of nutritious indigenous foods threatened by an increasing influx of nutritionally void packaged food products. Communities will be trained and mentored on general nutrition, healthy and nutritious food preparation and be provided with a platform to demonstrate, share and disseminate cooking videos using simple technology. These activities are expected to contribute to the promotion of readily available and accessible nutritious foods [inclusive of indigenous foods in the CHT area] that support a sustainable system for food and nutrition security in the area.

TTL: Pushina Kunda Ng’andweand Jamie Greenawalt

Project dates: 2016 2017

BANGLADESH: Capacity Development in Nutrition Surveillance and Research

This project will support the government of Bangladesh in making evidence-based decision on multisectoral nutrition programming for adolescent girls through conducting research and dissemination of its findings. The proposed task will harness the latest evidence from two surveillance projects, namely the nationally representative Food Security Nutritional Surveillance Project (FSNSP) and the Project for Advancing the Health of Newborns and Mothers (PROJAHNMO) from Sylhet.

TTL: Ziauddin Hyder

Project dates: 2016 2019

BANGLADESH: Can Conditional Cash Transfers improve child nutrition and cognitive development?

The project aims to provide a comprehensive assessment of the impact of conditional cash transfers on childrens cognitive development and nutrition outcomes in early ages in Bangladesh. The results of the evaluation will assess and help improve the design of a nutrition-sensitive conditional cash transfer program, and thereby contribute to a better understanding of changes in childrens nutrition and cognitive development outcomes.

TTL: Aneeka Rahman

Project dates: 2016 2019

BHUTAN: Capacity development and communication for improved nutrition outcomes in rural households

The project will improve dietary diversity and care practices of pregnant and nursing women in remote rural areas in Bhutan which will address malnutrition in the first 1,000 day window of opportunity. This will be carried out by identifying change agents and drivers of food habits to develop materials and collaboratively engage target groups in behavior change communication (BCC) activities in Samtse Dzongkhag. The two proposed components follow a BCC theory of change. By way of a series of studies and pilots, digital content, participatory platforms, and/or exposure visits will be developed and organized. Furthermore, the project will strengthen the enabling environment for GAFSP-funded FSAPP by rooting the project in very specific social contexts, distilling and aiming to address the multiple drivers of malnutrition. This will help ensure both acceptability of interventions among involved communities, sustainability of improved practices and potential for scaling-up.

TTL: Winston Dawes

Project dates: 2016 – 2019

BHUTAN: Food Security and Agriculture Productivity Project

The objective of this activity is to support cross country knowledge sharing and capacity building of Bhutans Ministry of Agriculture and Forests (MoAF) project team, and learn from community based, market-driven approaches in Nepal and Pakistan, in order to improve the design and implementation of the GAFSP-funded Food Security and Agriculture Productivity Project (FSAPP).

TTL: Winston Dawes

Project dates: 2016 – 2017

INDIA: Technical support to cross-sectoral work on nutrition the North East of India

The primary objectives of this task are to better understand the barriers to improved nutrition and health in North East India and to help state governments develop strategies and programs to address these issues. The program will identify gaps in maternal and child health and nutrition services for disadvantaged communities, and support development of cross-sectoral strategies to combat malnutrition at the community level. This will be done through analytical work (involving both primary and secondary data analysis) to identify gaps and bottlenecks, informing the development of contextual and feasible strategies and technical assistance aimed at improving program design..

TTL: Patrick Mullen

Project Dates: 2015 – 2017

INDIA: Burden of Malnutrition for the States of Uttar Pradesh, Nagaland, Uttarakhand, and Meghalaya (Phase I) (TF0A1098)

The objective of this grant is to produce estimates of the burden of malnutrition and disease for four states in India Uttar Pradesh, Nagaland, Uttarakhand, and Meghalaya consistent with the estimates and methods used for the overall Global Burden of Disease (GBD) Project. GBD provides tools to quantify levels and trends of health loss due to diseases (including malnutrition), injuries, and risk factors for 187 countries from 1990 to 2010. It is a collaborative project of nearly 500 researchers in 50 countries led by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. Co-financed with the Gates Foundation, the SAFANSI-II project in India is to produce an essential tool for evidence-based nutrition and health policymaking and comparative metrics for different causes of premature death and disability. In this phase, the project is to identify data and networks of collaborators and make preliminary estimates for the four states.

TTL: Ramesh Govindaraj

Project Date: 2015 2016

INDIA: Social Observatory – Catalyzing Improved Implementation in Projects to Improve Food and Nutrition Security (TF0A1325)

With SAFANSI-I, Social Observatory (SO) was set up to (a) diagnose how market, government, and behavioral failures affect food and nutrition security (FNS) outcomes, (b) use these diagnoses to improve designs of ongoing rural livelihoods development projects in India, such as Bihar Rural Livelihoods Project (JEEVIKA) and Tamil Nadu Empowerment and Poverty Reduction project, and (c) improve the implementation of these interventions by building adaptive capacity. The objective of SAFANSI-II project is to consolidate the work under SAFANSI-I, to further improve adaptive capacity, while improving the diagnosis of how market and government failures affect food security; supporting an experimentation-based approach to improve program design and implementation for FNS outcomes; taking the SO approach to new program interventions that aim to improve the functioning of the top-down public programs for food and nutrition security in India; and seeding a system of adaptive capacity to catalyze implementation for FNS outcomes in one new, nutrition focused programs in South Asia.

Thus far, SO has developed innovative tools and techniques, such as FNS participatory-tracking to improve the adaptive capacity of large-scale projects. The tools have helped substantially improve implementation of four targeted rural livelihoods projects in effectively addressing food and nutrition insecurity. SO has also collected primary data, including food prices paid by poor and rich. The team published 11 notes and reports related to Bihar and Tamil Nadu data collection thus far. SO has measured the extent of differences in prices paid by the poor and rich, within the same village, for the same foods, demonstrated how an intervention can change gender norms in a highly patriarchal society, and developed an important new method to allow large numbers of citizens to measure and track their own progress on food and nutrition security related issues.

There also are 12 articles and briefs about SO on the Bank external websites, and 8 YouTube videos on methodologies and stakeholder interviews. More information is available at the Social Observatory Website.

TTL: Vijayendra Rao

Project Date: 2015 2019

INDIA: Technical Support to the Design of Conditional Cash Transfers for Maternal and Child Health and Nutrition in Madhya Pradesh (P162369)

The project will support the state government in determining the overall strategy and design of a conditional cash transfer (CCT) program aimed at improving maternal and child health and nutrition practices and service utilization within the critical 1,000 day period. It will draw on the implementation experience of CCT programs in India, including in Madhya Pradesh, as well as on lessons and best practice from international experience. Technical support will also be provided for piloting the CCT program, through the development of systems required for implementation such as (i) systems for registration of beneficiaries and recording achievement of conditions, (ii) payment systems (iii) operational procedures and manuals (iv) communication and awareness generation (v) monitoring and evaluation systems (vi) strategies for inter-departmental coordination; and (vii) grievance redressal mechanisms. While the state government is expected to finance and lead the implementation of the pilot, continued technical assistance will be provided by the Bank to ensure implementation and monitoring systems developed are working effectively.

Mohini Kak

Project Date: 2017 2019

INDIA: Improved Nutrition Through Milk Micronutrient Fortification Testing the Business Case under NDSP-India. (P162282)

The project aims to increase household access to micronutrients and enhance the contribution of the dairy sector to improving food and nutrition security of these households in India. This wouldtest and demonstrate the operational, technical and financial feasibility of the production and marketing of Vitamin A- and D-fortified milk through milk unions, as well as build the capacity of the National Dairy Development Board (NDDB) to serve as a national resource center for milk fortification. The proposed project will permit the National Dairy Development Board (NDDB) to:

TTLs: Ashi Kohli Kathuria; Edward William Bresnyan

Project Date: 2016 2019

INDIA: Rural Inclusive Growth and Nutrition in Andhra Pradesh

The main objective of this SAFANSI project is to provide technical assistance to monitoring and evaluation activities of agriculture and nutrition linkages interventions of the Rural Inclusive Growth (RIG) project in Andhra Pradesh (AP) and Telangana.

TTLs: Parmesh Shah

Project Date: 2016 2017

INDIA: Tamil Nadu Nutrition House Pilot Program

The project development objective (PDO) of the impact evaluation is to estimate the causal effect of the Nutrition House Pilot Project in Tamil Nadu on nutrition indicators, and explore whether access to nutritious meals and services in the project areas result in increased nutrition outcomes. A key intervention will seek to prepare nutrient-dense snacks and foods out of goods that are easily perishable or underutilized and that, in some cases, would otherwise be wasted. The transformation of the recovered food waste into nutrient-dense snacks and foods will take place at the Nutrition House, and will be prepared by beneficiaries (students) of the Chefs Certification Program. The Nutrition House will host a restaurant-school that will offer workshops on nutrition and the benefits of underutilized foods, as well as on traditional recipes. The pilot will benefit communities by addressing the issue of food loss and waste through innovation and technology while promoting safe and nutritious foods and services.

TTL: Izabela Leao

Project dates: 2018 2019

INDIA: Enterprise Development for Nutrition and Sanitation, Bihar, India

This program will support (i) the design of a strategy for the development of nutrition and sanitation social enterprises in Bihar; and (ii) provide technical assistance for implementation of the same, contributing to improving access of nutrition and sanitation products and services to households as part of the recently approved Bihar Transformative Development Project (USD 415 million) in the state.

TTLs: Mohini Kak, Vinay Kumar Vutukuru and Mio Takada

Project dates: 2017 2019

INDIA: Nutrition Parliament: Parliamentarians and State Legislators for Collective Action

The objective of this project is to improve the understanding of nutrition as a development issue among the Parliamentarians and State Legislators in India in order to seek all party solutions to increase public accountability on nutrition for better access to safe and nutritious food. Success will be measured in terms of the number of Parliamentarians and State Legislators that are engaged in a collective action and commit to good nutrition through influencing public policy, programs, and institutional arrangements on food and nutrition in targeted areas.

TTL: Ashi Kohli Kathuria

Project dates: 2017 2019

NEPAL: Impact Evaluations of the Agricultural and Food Security Project (AFSP) and Sunaula Hazar Din (SHD) Community Action for Nutrition Project (TF0A0635)

The project is to undertake impact evaluations (IEs) for the Agricultural and Food Security Project (AFSP) and the SAFANSI I-funded Sunaula Hazar Din (SHD) Community Action for Nutrition Project. The AFSP IE focuses on the impact of the technology adoption and nutrition enhancement components at mid-term. The IE is to measure the impact of (a) AFSPs agricultural initiatives on yield, income, and nutritional practices, including nutrition-specific interventions, such as kitchen gardens and backyard poultry and (b) Behavior Change Communication (BCC), particularly its adoption of gender and social context. AFSP is financed by the Global Agriculture and Food Security Program (GAFSP), which also finances baseline and endline surveys. In filling the critical gap to inform the design and implementation, SAFANSI-II is to finance mid-term IE and dissemination. The firm selection is on-going, and the data collection is expected to commence in September 2016.

SHD IE is to assess, through a household survey, effectiveness of an innovative Rapid Results Approach (RRA), by which communities are motivated to achieve a self-selected goal in 100 day cycles on nutrition outcomes and community development. The quantitative survey will measure, in particular, impact on goal setting and nutrition outcomes in having a woman-led community rapid results team and/or being encouraged by an external expert base on their nutrition profile. Building on the baseline supported by the DFAT-funded SUNITA work under SAFANSI-I, SAFANSI-II finances mid-term IE, a small endline survey, and dissemination. Despite delays due to earthquake and fuel crisis, the mid-term IE completed data collection. The preliminary data analysis indicates moderate impact of the SHD intervention on some of the main indicators (e.g., % of pregnant women taking IFA supplements for 180 days, % of households reporting using improved toilet facilities, etc.). However, it is not clear how it relates to goal choice at village level, which will be further analyzed together with the SAFANSI-II financed qualitative survey (see below). The mid-term IE, together with the qualitative survey, is expected to influence policies and support SHD scale up.

TTL: Susumu Yoshida

Project Date: 2015 2018

NEPAL: Qualitative Assessment and Knowledge Enhancement of Community-Driven Nutrition Project (TF0A1374)

The objective of this grant is to improve the evidence base and understanding of the design and process of Sunaula Hazar Din (SHD, Community Action for Nutrition Project) at the community level. Paying special attention to gender and social inclusion perspectives (e.g., low caste and ethnic minorities), the evidence on the nutritional outcomes and social dynamics generated by the study will provide strong design and implementation inputs to SHD, and to dialogues on health and nutrition improvement in Nepal. Key research questions include how goals are selected at the community level; what roles coaches play in achieving goals; how having a female leader influences the RRA outcomes; how the communities perceive success and failure of the initiatives; and why certain groups succeed and others fail. Given the mega-earthquake that hit the country in April 2015, the study questions and methodologies will take into account the influence the earthquake might have had on the approach and intended outcomes.

TTL: Kaori Oshima

Project Date: 2015 2018

NEPAL:Womens Enterprising Initiatives to Ensure Community Food and Nutrition Security in Upland Nuwakot(TF0A2708)

The grant aims to increase opportunities for improved food and nutrition security of targeted communities in Nuwakot district through winter food production, and training seed banks, food preservation, and food enterprise development/management. Prior to the earthquake, Nuwakot was categorized as minimally food insecure with a pre-existing global acute malnutrition prevalence of 9.9%. However, after the earthquake, the district was classified as one of the most food insecure districts in Nepal, because agricultural production has been interfered by displacement of families, damage to land, and disruption of livelihood supply chains. The project is implemented by the Federation of Business and Professional Women in Nepal (FBPWN), with support from the Tarayana Foundation in Bhutan, which includes a (a) donation of 1,000 packs of germinated winter vegetable seeds, (b) training farmers, mostly women, in organic vegetable production, (c) training the farmers in community food bank management, food preservation techniques, and nutrition/meal design and preparation education, and (d) providing business development services to producers to create sustainable food enterprises that can continue to serve local markets.

TTL:PushinaKunda Ng’andweandJamie Greenawalt

Project dates: 2016 2017

PAKISTAN: Adolescent nutrition in Pakistan: identifying opportunities and setting priorities

The objective of this work will be to provide concrete policy and program options to improve adolescent nutrition in Pakistan, based on evidence of the magnitude and distribution of nutrition problems, their determinants and potential factors that could facilitate or impede progress.

TTL: Inaam Ul Haq

Project dates: 2017 2018

PAKISTAN: Technical design support for nutrition focused Conditional Cash Transfer (CCT) pilot rollout in Punjab

This project aims to improve the demand and uptake of health and nutrition services and promote key behaviors conducive to positive nutritional outcomes in Punjab pilot districts. The proposed activities will support Punjab Social Protection Authority (PSPA). The technical support will ensure that the design parameters and processes meet the technical standards along the results chain.

TTLs: Sohail Saeed Abbasi and Yoonyoung Cho

Project dates: 2017 2019

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South Asia Food and Nutrition Security Initiative (SAFANSI)

Naturopathic Doctors & Physician Las Vegas NV | Holistic …

Posted: May 13, 2019 at 7:49 pm


After four years of suffering from a severe stomach condition I was at the end of my rope. The doctors I had seen in that period had treated me with antibiotics and apathy which in turn made my symptoms worse. Eventually I decided to give Naturopathic medicine a try since western medicine had only worsened my condition. Dr. Yoojin was the first Doctor I had seen that really seemed to care whether or not I got better. She listened to me and was able to make an accurate diagnosis where so many before her hadnt. After a short period I had a treatment plan that worked, and my symptoms began to fade. Soon I was able to start working again and got my life back on track. Chris A. Gray, Artist, Portland, OR

Dr. Yoojin Lee-Sedera, ND, OMD received a doctorate degree in Naturopathic Medicine from National College of Natural Medicine (NCNM) in Portland, OR. While in school, she went through extensive training in using Biotherapeutic Drainage and German Biological Medicine from Dr. Dick Thom DDS, ND and Dr. Christopher Fabricius ND, as well as Functional Medicine. She also holds advanced certification in homeopathy through the training with the New England College of Homeopathy. It is her passion to help her patients heal beyond the physiological level with these treatment modalities. She has finished three years of clinical internship at the teaching clinic and community clinics serving diverse population.

She moved to Orange County, California and joined a renowned integrative Medical Doctor, Dr. Felice Gersh, at Integrative Medical Group of Irvine, as their first Naturopathic Physician. Dr. Lee-Sedera enjoyed working with different healthcare practitioners at Integrative Medical Group of Irvine and helping her patients in sunny California, but when she met her husband living in Las Vegas, she decided to move and make Vegas her home; And that is when her second medical education in Acupuncture and Oriental Medicine began.

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Naturopathic Doctors & Physician Las Vegas NV | Holistic …

Types of Complementary and Alternative Medicine | Johns …

Posted: at 7:49 pm


Many different areas make up the practice of complementary and alternative medicine (CAM). In addition, many parts of one field may overlap with the parts of another field. For example, acupuncture is also used in conventional medicine. In the U.S., CAM is used by about 38% of adults and 12% of children. Examples of CAM include:

Traditional alternative medicine. This field includes the more mainstream and accepted forms of therapy, such as acupuncture, homeopathy, and Oriental practices. These therapies have been practiced for centuries worldwide. Traditional alternative medicine may include:

Body. Touch has been used in medicine since the early days of medical care. Healing by touch is based on the idea that illness or injury in one area of the body can affect all parts of the body. If, with manual manipulation, the other parts can be brought back to optimum health, the body can fully focus on healing at the site of injury or illness. Body techniques are often combined with those of the mind. Examples of body therapies include:

Diet and herbs. Over the centuries, man has gone from a simple diet consisting of meats, fruits, vegetables, and grains, to a diet that often consists of foods rich in fats, oils, and complex carbohydrates. Nutritional excess and deficiency have become problems in today’s society, both leading to certain chronic diseases. Many dietary and herbal approaches attempt to balance the body’s nutritional well-being. Dietary and herbal approaches may include:

External energy. Some people believe external energies from objects or other sources directly affect a person’s health. An example of external energy therapy is:

Mind. Even standard or conventional medicine recognizes the power of the connection between mind and body. Studies have found that people heal better if they have good emotional and mental health. Therapies using the mind may include:

Senses. Some people believe the senses, touch, sight, hearing, smell, and taste, can affect overall health. Examples of therapies incorporating the senses include:

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Types of Complementary and Alternative Medicine | Johns …

Holistic Healing Vs. Alternative Medicine

Posted: at 7:49 pm


Holistic healing means taking a holistic approach when seeking treatment for imbalances and choosing to live a more balanced lifestyle. What primarily distinguishes holistic healing apart from alternative medicine, complementary medicine, and integrative medicine is that physical health is not necessarily the main focus. Even so, it is often the experience of physical discomfort that will first prompt a person’s pursuit of holistic healing.

It is true that our pains and other physical discomforts demand our attention. This is where the saying sticking out like a sore thumb originated from. It is difficult to ignore the obvious when we are physically hurting. Common sense tells us that we should seek help to alleviate our discomforts. Holistic healing is not an alternative to conventional medical care. Sometimes going to a medical professional is the best solution to addressing a dis-ease.

Physical illnesses are the symptoms of a greater imbalance that may or may not have a root cause in the physical.

Holistic or “wholistic” healing addresses all parts of the individual, not just the physical aspect of a person where manifested illnesses are most apparent. Holistic healing is not intended to serve as a band-aid or a one time fix. It is an ongoing journey of discovery in search of more answers and ultimately; living better, being healthier, and striving for wholeness.

Holistic Healing Goes Beyond the Mind-Body Connection:

Holistic healing is really a lifestyle approach. The holistic approach goes far beyond the Mind-Body connection of finding and maintaining wellness. Overall wellness AND “wholeness” is highly valued. All parts of a person’s life. Physical healing, mental health and wellness, emotional well-being, and spiritual beliefs and value) are considered. Taking a holistic approach involves seeking the tools that will help us attract our desires and find personal power.

A person who embraces the desire to find wholeness within his own being soon learns the importance of tending to relationships, caring for the planet and our environments, having compassion for humankind in general, and accepting and tolerating differences among a diverse population of people.

Role of the Holistic Healer:

The holistic healer recognizes that our discomforts or pains are merely symptoms of an imbalance. The imbalance could be a physical issue, the result of abusing the physical body through an unhealthy diet, lack of exercise, or too little sleep. Or, the imbalance may be the result of mental, emotional, or spiritual needs not being met. No aspect (mind, body, spirit, or emotions) of a person is overlooked when a holistic treatment is sought.

The holistic healer looks at the “whole person” in order to make his or her complete evaluation and uses all information gathered from suggested treatments to the client are offered. Keep in mind, not all holistic healers are equal, each has his or her own specialty or expertise to offer. It will benefit you to shop around for a good fit. Choosing to go to a holistic healer is no different from choosing a medical professional. You decide.

Types of Holistic Healing Therapies and Treatments:

The types of holistic therapies available are extensive and diverse:

Alternative Medicine is a term used when therapies are presented as an option to conventional or Western medical treatments.

Complementary Medicine is a term used when therapies are being used in conjunction with conventional or Western medical treatments.

Integrative Medicine was the new “buzz” term first used primarily by mainstreamers in the 1990s. This was a time when more medical professionals were opening their eyes to the Mind-Body connection. Alternative therapies were no longer automatically being judged as quackery or far-afield from acceptable. Some therapies were being integrated into the mainstream. Massage therapy, acupuncture, meditation and visualization, and chiropractic medicine were among the first therapies to be integrated into established medical care programs.

Disclaimer: The information contained on this site is intended for educational purposes only and is not a substitute for advice, diagnosis or treatment by a licensed physician. You should seek prompt medical care for any health issues and consult your doctor before using alternative medicine or making a change to your regimen.

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Holistic Healing Vs. Alternative Medicine

Somerset – Fitness Factory

Posted: at 7:47 pm


The Fitness Factory Health Club of Somerset is a brand-new, state-of-the-art, hospital approved health and wellness center. This 20,000 square foot facility is the fusion between fitness and wellness as we utilize technology and our hospital partnership to deliver a results managed offering via the latest and greatest in fitness technology and equipment. We pride ourselves with choosing the best brands such as Matrix, Octane and Life fitness to deliver physiologically sound movements from our equipment without sacrificing the creature comforts like large individual screen televisions on all of our cardio thats additionally, equipped with the internet, Netflix, and Hulu. Our location offers a dynamic group fitness lineup with classes such as Les Mills Body Pump and Body Combat. In addition, we have a private cycling room that features Les Mills Virtual Spin to give you that extra inspiration to cycle harder. We have an extensive list of amenities available for your convenience: towel service, saunas, private steam showers, a juice bar, and SO much more!

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Somerset – Fitness Factory

Newark’s Ironbound Fitness No Days Off – Best Gym in …

Posted: at 7:47 pm


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Early-Onset Alzheimer’s Disease | Johns Hopkins Medicine

Posted: May 11, 2019 at 5:50 am


Alzheimers disease most commonly affects older adults, but it can also affect people in their 30s or 40s.

Alzheimer disease is the most common form of dementia. It affectsyourmemory, thinking, and behavior. It often progresses to the point where it affects daily activities and functions.

Alzheimer disease most commonly affects older adults, but it can also affect people in their 30s or 40s. When Alzheimer disease occurs in someone under age 65, it is known as early-onset (or younger-onset) Alzheimer disease.

A very small number of people with Alzheimer disease have the early-onset form. Many of them are in their 40s and 50s when the disease takes hold.

Most types of early-onset Alzheimer disease are the same, but there are a few small distinctions:

Common Alzheimer disease.Most people with early-onset Alzheimer disease have the common form of the disease. The disease progresses in roughly the same way as it does in older people.

Genetic (familial) Alzheimer disease.This form is veryrare. A few hundred people have genes that directly contribute to Alzheimer disease. These people startshowing symptoms of the disease in their 30s, 40s, or 50s.

Experts don’t know what triggers the start of Alzheimer disease. They suspect that 2 proteins damage and kill nerve cells. Fragments of one protein, beta-amyloid, build up and are called plaques. Twisted fibers of another protein, tau, are called tangles. Almost everyone develops plaques and tangles as they age. But those with Alzheimer disease develop many, many more. At first, these plaques and tangles damage the memory areas of the brain. Over time, they affect more areas of the brain. Experts don’t know why some people develop so many plaques and tangles, or how they spread and damage the brain.

Family history of the disease is the only known risk factor at this time.

For most people with early-onset Alzheimer disease, the symptoms closely mirror those of other forms of Alzheimer disease.

Early symptoms:

Forgetting important things, particularly newly learned information or important dates

Asking for the same information again and again

Troublesolving basic problems, such as keeping track of bills or following a favorite recipe

Losing track of the date or time of year

Losing track of where you are and how you got there

Troublewith depth perception or other vision problems

Troublejoining conversations or finding the right word for something

Misplacing things and not being able to retrace your steps to find it

Increasingly poor judgment

Withdrawal from work and social situations

Changes in mood and personality

Later symptoms:

Severe mood swings and behavior changes

Deepening confusion about time, place, and life events

Suspicions about friends, family, or caregivers

Troublespeaking, swallowing, or walking

Severe memory loss

The current diagnosis of early-onset Alzheimer disease relies on detecting the signs of mental decline noted above. Your healthcare provider can then diagnose Alzheimer disease with a few tests.

First, your healthcare provider asks about your health history, and also does cognitive tests of memory, problem solving, and other mental skills. Depending on the results of the office-based cognitive testing, your provider may also request that you have more detailed testing done with a neuropsychologist. Your provider might also test your blood, urine, and spinal fluid. You may also need certain imaging test such as CT and MRI scans of your brain. These give your provider a closer look at brain tissue to show how much damage there is.

In the future, researchers hope that studies on biomarkers will allow experts to diagnose the disease more quickly. Biomarkers are proteins in the body, or other types of markers, that reliably indicate the progress of a disease.

Early-onset Alzheimer disease currently has no cure. But healthcare providers have been successful in helping people maintain their mental function, control behavior, and slow the progress of the disease.

Medicines are used to help people maintain mental function. They include:

Results have been mixed, but these medicines seem to help people with their symptoms for anywhere from a few months to a few years.

Other treatments that may play a role in slowing the progress of early-onset Alzheimer disease include physical activity, cardiovascular and diabetes treatments, antioxidants, and cognitive training. A number of studies are ongoing in this area, and researchers are learning new things about Alzheimer disease every day.

Experts dont know how to prevent Alzheimer disease.Recently, some evidence showed that detecting the disease early can lead to better treatment options. Its best to look for any of the early warning signs mentioned above and see your healthcare provider immediately if you notice any.

Early-onset Alzheimer disease can be a difficult disease to cope with. It helps to have a positive outlook and to stay as active and mentally engaged as possible.

Its also important to realize that you are not alone. Rely on your friends and family as much as possible. Dont be afraid to seek out a support group, if you feel that it might be helpful.

When the disease is still in its early stages, it’s critical to think about the future. This can include financial planning, working with employers on current and potential job responsibilities, clarifying health insurance coverage, and getting all your important documents in order should your health take a turn for the worse.

Although Alzheimer disease has no cure, you can make the best of a bad situation by keeping your mind and your body as healthy as possible. This can include eating a healthy diet, getting regular exercise, cutting down on alcohol, and using relaxation techniques to reduce stress.

As with any disease, it is important to keep an eye on your condition. Call your healthcare provider if you notice any sudden changes in yourself, or in the person you care for, that make additional help necessary. You can discuss the next steps with your provider.

Alzheimer disease commonly affects older people, but early-onset Alzheimer disease can affect people in their 30s or 40s.

It affects memory, thinking, and behavior.

Although there is no known cure, early diagnosis and treatment can lead to better quality of life.

Stay healthy with a good diet and regular exercise.

Avoid alcohol and other substances that may affect memory, thinking, and behavior.

Tips to help you get the most from a visit to your healthcare provider:

Know the reason for your visit and what you want to happen.

Before your visit, write down questions you want answered.

Bring someone with you to help you ask questions and remember what your provider tells you.

At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.

Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.

Ask if your condition can be treated in other ways.

Know why a test or procedure is recommended and what the results could mean.

Know what to expect if you do not take the medicine or have the test or procedure.

If you have a follow-up appointment, write down the date, time, and purpose for that visit.

Know how you can contact your provider if you have questions.

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Early-Onset Alzheimer’s Disease | Johns Hopkins Medicine

Mike Walker Fitness

Posted: May 2, 2019 at 3:46 pm


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Mike Walker Fitness

Alzheimer’s disease rates about to skyrocket as baby …

Posted: May 1, 2019 at 8:50 am


Alzheimer’s disease affects one in three seniors, according to the Alzheimer’s Association. But that doesn’t account for all those impacted by the disease. Cronkite News

Shehad researched Alzheimer’s disease and its effects on the brain for years, but it wasn’t until her own mother’s memory began to slip that Dr. Eva Feldman, a University of Michigan neurologist,truly grasped how devastating the disease is.

Margherita Feldmanwas 88 when she movedin June 2017 to the memory care unit of an assisted living home in Saline. And although her memory loss wasn’t as acute as some of the other residents, it’swhen the cruelty ofthe disease nowthe sixth-leading cause of death in the United States and the scope of the America’s Alzheimer’s crisis became clear to her daughter.

“I learned more about dementia and Alzheimers disease spending lots of hours in that memory care unit than I did as a long-standing, practicing neurologist,” said Dr. Feldman, who is the director of the University of Michigan’s Program for Neurology Research & Discovery.”The people in the memory care unit, some were very violent. Some were very passive. Some were very young with really severe memory loss with early-onset Alzheimers. You could see the whole myriad of presentations and you could understand what an enormously difficult disease that it is for the patient, but also for the families.”

Dr. Eva Feldman and her mom, Margherita Feldman, pose together for a photograph in December 2017. Three months later, Margherita Feldman, who had Alzheimer’s disease, died.(Photo: Feldman family photo)

In her work,but also while visiting with her mom, Dr. Feldman considered theenormityof theAlzheimer’s problem: About5.8 million Americansnow have the disease, according to thethe Alzheimer’s Association. That number will climb to at least 13.8 million by 2050,a 138%rise, and as many as 1 in 3 people who live to be 85 in the United States will die with Alzheimer’s disease.

“We are really in an epidemic,” Dr. Feldman said, driven largely bybaby boomers (those born between 1946 and 1964), who are growing older and coming to an agewhen the disease most commonly strikes.

Alzheimer’s disease is a form of dementia. Little is known about specifically what combination of factors causesAlzheimer’s disease, though scientists saygenetics, lifestyle and environmental exposures most likelyplay into it.

Dr. Rebecca Edelmayer, director of scientific engagement for the Alzheimers Association, explained that three specificbrain changes define the disease:

The most commonly recognized early symptom is a memory problem, said Jennifer Lepard, the president and CEO of the Alzheimer’s Association Greater MichiganChapter, but the disease doesn’t always initially present that way.

“Before memory loss, it can even bewhat we would call aneffect on your executive functioning, so itsyour ability to process information, make good decisions on complicated factors, planning,” she said.”One of the best examples of that is sometimes people begin to have trouble with finances.People who have always paid the bills, run the household budget, all of a sudden can’t.

“One of the reasons it’s not always easy to see the memory issues up front isits not always the earliest and most prevalent sign, but also because people that have what are called high cognitive reserves people who have a lot of education, who maybe had done very demanding jobs in the past and really utilized their brain a lot are sometimes very good at hiding symptoms and overcompensating.A lot oftimes, they know theyre having some memory issues and some problems, but they are pretty good at making sure that you dontsee it.”

New study: Michigan’s manufacturing legacy may be affecting our health, environment

More: Here’s what we know about Kelly Stafford’s brain tumor, acoustic neuroma

As the disease progresses, there can be confusion about time and place, difficulty speaking and writing, poor judgment, changes in mood and personality, aggression and agitationand being unable to recognizeloved ones, according to the Alzheimer’s Association. Eventually, people lose the ability to speak, walk, sit and even to swallow.

“Anyone with a brain, when they get older, is at risk of developing Alzheimers,” Lepard said.”There are a number of people that think, ‘well, it wasntin my family, so Im sure I dont have it.’ And that is not the case.”

Although the majority of people who get Alzheimer’s disease are 65 and older, Dr. Feldman said it’s also important tounderstand thatAlzheimer’s is not a normal part of aging, and it does also sometimes occur inyounger people. About200,000 Americans under the age of 65 have early-onset Alzheimers disease, she said.

Dr. Eva Feldman, a University of Michigan neurologist, professor and director of Michigan Medicine’s Program for Neurology Research & Discovery.(Photo: Scott C. Soderberg, University of Michigan Photography)

“Other risk factors include your family history (especially if a first-degree relative has had Alzheimer’s disease), type 2 diabetes and obesity, high blood pressure, previous brain trauma, and your APOE-e4 status thisis the first risk gene identified and remains the gene with strongest impact on risk,” Dr. Feldman said.

Women, too, are at greater risk. As are people of African American and Latino descent.

The average person with Alzheimer’s disease will live four to eightyears after diagnosis, said Lepard, and about 40% of that time, the personwill be in the most severe form of the disease, which requires around-the-clock care.

“So, if you take a person who lives eight years after diagnosis, for three of those years, that person will be in the most severe aspects of the disease and will need 24-hour care and have lost most of their ability to keep up with the activities required in daily living,” Lepard said.

The intensity of care that people need when the disease has progressed that far is often beyond whattheir loved ones can handle, she said. Plus, families quickly see how expensive long-termcare can be. The average cost to Medicare for a single person with dementia in 2018 was $27,244, according to theAlzheimer’s Association.

Caring for people with Alzheimers disease and other forms of dementiawill cost$290 billion this year alone.But by 2050, that cost is expected to rise to $1.1 trillion annually. It’s the most expensive diseasein America with care costing more than cancer and heart disease, the Alzheimer’s Association reports.

“We really see this bankrupting Medicare at some point,” Lepard said. “When we talk to members of Congress about the situation and why we need to invest in more research, it’s becausepeople cannot afford long-term care.

“Many people, until they are in the situation of needing long-term care, really dont understand how its funded. They think well, if I have Medicare, Im sure its going to cover it all. Thats not really how long-term care is paid for.”

The cost goes far beyond dollars and cents, Dr. Feldman said.

“Thats a drain like you cant imagine,” shesaid.”Theres an economic drain, a drain on those individuals ability to work and be productive in society, a medical drain in terms of the cost to take care of the patient. But then, in my mind having lived it and its not quantifiablenecessarily in terms of dollars is the emotional toll that it takes not only on the patient but on the family.

Dr. Eva Feldman is photographed with her parents, George and Margherita Feldman.(Photo: Feldman family photo)

“I saw whole families fall apart in that memory care unit. I saw other families come closer together. I think most families take care of their loved one absolutely as long as they can … because you see the essential spirit and essence of the person, but theyre missing that one piece, the memory.

“It is the loss, really, of the person that you know right in front of your eyes, and to see what that did to wives and husbands was eye-opening to me. It is cruel, and it is very, very difficult as the primary family member to lose the person you know.”

Although the number of Americans with the disease isrising,Alzheimer’s true toll still maybeunderestimated. The Centers for Disease Control and Preventionreports that oftenwhen people with Alzheimer’s disease die, the cause of death listed on their death certificates may be pneumonia, heart attack or stroke; it sometimes isn’tnoted that the patient also had Alzheimer’s disease.

“It was very common its getting better now that someone would be in the late stages of Alzheimer’s disease and their body is not functioning,” Lepard said.”They would develop pneumonia and die. Did they die because they developed pneumoniaor did they die because they had Alzheimers? Our argument is that they are dying because they had Alzheimers disease.

Jennifer Lepard, president and CEO of the Alzheimer’s Association Greater Michigan Chapter.(Photo: Alzheimer’s Association of Greater Michigan)

“More and more, it is being put on death certificates if not as the main cause, it might be listed as pneumonia as a result of Alzheimers disease. We are pushing … for that,” she said, because it creates a more accurate picture of just how huge its reach truly is.”

Without an accurate idea of the scope of the problem, health officials and public policy makers are less likely to give it the attention and research dollars needed to find new and better treatments, she said.

The National Institutes of Health allocated $2.3 billion for Alzheimer’s disease research this year, which is up significantly from the $500 million that was awarded six years ago.

“That sounds like a tremendous amount of money, but it is still much less than NIH spends on AIDS, heart disease or cancer,” Lepard said. “Of course, we do not want less to be spent on those diseases, but we do believe that so much progress has been made on those diseases because they have been investing the research money to do it. Thats our biggest ask.”

Although some treatments can helppeople with mild or moderate Alzheimer’s disease in the short-term, no treatments have yet been discovered that are effective long-term in stoppingbrain degeneration or reversing memory loss. There is no cure for the disease.

“Just like every disorder, the more we can understand, the more awareness, and the more governmental input we can have and research dollars,” Dr. Feldman said. “There are so many unanswered questions and we really do need to continually do active research in this area and try to develop therapeutics.”

Among them, Dr. Feldman said, is whether the disease could be treated earlier before symptoms develop with lifestyle changes,immunotherapy or a vaccine.

The scientists in Dr. Feldman’s lab areworking to develop a breakthrough treatment using enhanced lines of human neural stem cells to reduce the buildup of amyloid plaquesto improve memory and learning deficits.

“We recently received a grant from the National Institute on Aging to determine exactly how these stem cells impact (Alzheimer’s disease) and improve memory,” she said.

She is fascinated, too, by thepower of music to stir remembrancesin people who have Alzheimer’s disease.

“My mother was born and raised in Italy, and toward the end, she wasnt really speaking a great deal,” Dr. Feldman said.Shed speak to me and have conversations, but she was definitely declining.”

Margherita Feldman holds her children, Eva and George, on her lap for this passport photo.(Photo: Feldman family photo)

One evening, Dr. Feldman recalledtakingher mother to a sing-along at the assisted living center. A musiciansang many old-fashioned, well-known songs like “A Bicycle Built for Two.”

“Since my mom didnt grow up here as much in her early life, she didnt know some of the songs the other residents knew,” she said. But then, “the guystarted singing a song in Italian. My moms eyes lit up, and she sang the entire song with him. And I looked at her, and she gave me a big smile, and then she kind of went back” into herself, and the memory faded once again.

“I saw that many times with music among the other residents. … So, you know, its very interesting how music activates the mind. There are still parts of the brain that are working, and a lot of them still have their essential personalities. They just lost their memories.There are so many unanswered questions.”

Margherita Feldman was 18 when this photograph of her sitting on a bench in Italy after World War II.(Photo: Feldman family photo)

Dr. Feldman, whose mother died in March 2018, said it’s hard to pinpoint what is most important moving forward.

“As a doctor, I will tell you that early diagnosis, lifestyle intervention (diet/exercise), ensuring optimal care, safety and quality of life for the patient is the most important thing,” she said.”As my mothers daughter, I will tell you that remembering that the person affected may have lost their memory, but not their spirit, or some would say, their soul.”

Contact Kristen Jordan Shamus: 313-222-5997 or kshamus@freepress.com. Follow her on Twitter @kristenshamus.

The Alzheimer’s Associationis running the largest clinical trial of its kind in the U.S.to better to understand the best lifestyle interventions for people at risk for developing Alzheimer’s disease, said Dr. Rebecca Edelmayer, director of scientific engagement for the Alzheimers Association.

Called the U.S. Pointer Study, the association is recruiting 2,000 people ages 60-79 from diverse backgrounds to examine howbetter management of cardiovascular health factors,nutrition, exercise and social and cognitive stimulation can have has an effect on Alzheimer’s disease.

“At this point, there have not been large enough trials to really understand in detail what the best recommendation in terms of modifiable risk factors should be for individuals living at risk of cognitive decline as we age,” she said.

To learn more about whether you or someone you know might be a candidate for the U.S. Pointer Study or other Alzheimer’s disease clinical trials, go to:https://trialmatch.alz.org

Read or Share this story: https://www.freep.com/story/news/local/michigan/2019/04/30/alzheimers-disease-rates-rising-baby-boomers/3539418002/

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Alzheimer’s disease rates about to skyrocket as baby …

NAMZARIC (memantine HCl and donepezil HCl) extended …

Posted: at 8:50 am


NAMZARIC is a prescription medicine approved to treat moderate to severe Alzheimers disease in patients who are taking donepezil hydrochloride 10mg, the active ingredient in Aricept.

There is no evidence that NAMZARIC prevents or slows the underlying disease process in patients with Alzheimer’s disease.

Important Risk Information

NAMZARIC should not be taken by anyone who: has an allergy to memantine HCl, donepezil HCl, medicines that contain piperidines, or any of the ingredients in NAMZARIC.

Before taking NAMZARIC, tell the doctor about all of the patients medical conditions, including:

Tell the doctor about all the medicines the patient takes, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are the possible side effects of NAMZARIC?

NAMZARIC may cause serious side effects, including:

The most common side effects of memantine HCl include: headache, diarrhea, and dizziness.

The most common side effects of donepezil HCl include: diarrhea, not wanting to eat (anorexia), and bruising.

These are not all the possible side effects of NAMZARIC.

Please see full Prescribing Information, including Patient Information.

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NAMZARIC (memantine HCl and donepezil HCl) extended …