Oey Tambah Sia - Sang PlayBoy Jakarta Dihukum Gantung Belanda

Oey Tambah Sia - Sang PlayBoy Jakarta Dihukum Gantung Belanda Cerita Motivasi dan Inspirasi Nomor 1

Mengaet pesinden

Pesta meriah di kabupaten Pekalongan semakin semarak karena kehadiran seorang pesinden tenar bernama Mas Ajeng Gundjing. M.A. Gundjing itu sebenarnya putri seorang mamtancamat. Kenapa ia menjadi pesinden? konom semasa kecil ia pernah sakit parah,sehingga hampir tidak tertolong. Dalam keadaan sulit itu, orang tua untuk bernadar. Kalau anak ini sembuh,kelak ia akan belajar menjadi pesinden.

Gundjing sembuh dan tumbuh menjadi gadis cantik yang pandai menari dan melagukan tembang denganmerdu, sampai tidak ada tandingannya di Pekalongan. OeyTambahsia si matakeranjang segera jatuh hati pada biduan jelita itu.berbagai cara ditempuhnya untuk mendekati dan memikat pesinden itu. Ternyata Tambahsia berhasil. Gundjing menerima uluran tangannya.sebelum pestadi kabupaten resmi usai dan Tambahsia pulang, pesinden itu sudah diboyong ke cirebon lalu dibawa ke Betawi oleh kaki-tangan Tambahsia. Di Betawi Gundjing ditempatkan di pasangrahan Ancol, yang membuat penghuni lama merasa kurang senang.

Baru seminggu di Bintang Mas, Gundjing jatuh sakit. Entah karena Ancol yang kurang sehat atau karena tidak tahan menhadapi sikap para penghuni lama. Melihat Gundjingsakit, buru-buru Tambahsia memindahkannya ke Tangerang, ke tanah Psar Baru milknya. Tambahsia pribadi mengawasi perawatannya sampai pesinden itu sembuh, sehingga praktis Tambahsia lebih banyak
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Liraglutide 3 mg For Obesity: The SCALE Trial

Liraglutide 3 mg For Obesity: The SCALE Trial


Liraglutide 3 mg For Obesity: The SCALE Trial

Posted: 02 Jul 2015 05:00 AM PDT

saxendaThis week, the New England Journal of Medicine publishes the results of the SCALE Trial, a 56-week randomised controlled trial of liraglutide 3.0 mg vs. placebo (both groups got advice on diet and exercise), on weight loss and other metabolic variables.

The study, that enrolled about 3,700 subjects (70% of who completed the trial), showed greater clinically relevant weight loss in participants treated with liraglutide than with placebo.

Overall, at 56 weeks,

– 2 in 3 individuals on liraglutide achieved a 5% weight loss (compared to 1 in 4 on placebo).

– 1 in 3 individuals on liraglutide achieved a 10% weight loss (compared to 1 in 10 on placebo).

– 1 in 6 individuals on liraglutide achieved a 15% weight loss (compared to fewer than 1 in 20 on placebo).

The adverse effect profile was as expected from a GLP-1 analogue (mainly gastrointestinal and gall bladder related issues).

While liraglutide 3.o mg has now been approved as an anti-obesity agent in the US, Canada and Europe, its key downsides will likely be cost and the fact that it consists of a once-daily injection.

Obviously, as with any obesity treatment, discontinuation will likely result in weight regain (which is not unexpected, given that obesity, once established, becomes a chronic disease).

While in the US, where there are now 4 novel prescription medications for obesity, liraglutide 3.o mg will be the only novel anti-obesity drug available in Canada – a rather sorry state of affairs for those who need medical treatment for this condition.

Where exactly liraglutide will establish itself in the treatment of obesity in clinical practice remains to be seen (time will tell) – but for some patients at least (especially the high-responders), it will hopefully offer a useful adjunct to behavioural treatments.

@DrSharma
Edmonton, AB

Disclaimer: I have received honoraria for consulting and speaking from Novo Nordisk, the makers of liraglutide

 

 

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A Mediterranean Diet for the prairies: The Pure Prairie Eating Plan

A Mediterranean Diet for the prairies: The Pure Prairie Eating Plan


A Mediterranean Diet for the prairies: The Pure Prairie Eating Plan

Posted: 30 Jun 2015 05:00 AM PDT

PPEP coverToday’s guest post comes from Catherine B. Chan and Rhonda C. Bell, Professors in Human Nutrition at the University of Alberta. It describes their Pure Prairie Eating Plan (PPEP) and how they went about developing this rather unique venture into eating local.

Healthy eating is a key factor in preventing and treating chronic diseases such as heart disease, stroke, cancer and diabetes. According to the World Health Organization, good nutrition is one of 4 key factors that could help postpone or avoid 90% of type 2 diabetes and 80% of coronary heart disease.

The Mediterranean Diet has gained popularity as a healthy diet, but evidence gathered through research on Canadian prairie­grown products (canola, flax, barley, pulses, dairy and meats) demonstrates that many local foods have similar nutritional qualities and would be more acceptable and accessible to people who live in Alberta, Saskatchewan and Manitoba.

Our recent project was conceived to develop, test and demonstrate the potential health benefits of a dietary pattern based on foods that are commonly grown and consumed in a "made in Canada" menu plan.

How the Pure Prairie Eating Plan (PPEP) was developed

The original purpose of the menu plan was to help people with type 2 diabetes adhere to the nutrition recommendations of the Canadian Diabetes Association (CDA) by focusing on healthy food choices with a local flavour. The menu plan concept integrates knowledge gained through research related to consumer behavior, behavior change, and nutritional quality of dairy, meats,
canola, pulses and grains.

During its development, it was recognized that a diet healthy for people with diabetes is a diet healthy for everyone. This notion was reinforced in a Consensus Conference with people living with type 2 diabetes, who felt strongly that their diet should not be different from others.

This approach provided knowledge that formed the basis of a 4-­week menu plan focused on foods that are grown and readily available in the Canadian prairies. The plan consists of 28 days of diabetes-­friendly menus including 3 meals and 3 snacks each day, approximately 100 recipes, tips for healthy eating, pantry and grocery lists and other helpful information.

If followed consistently, the menus meet the recommendations of Eating Well with Canada's Food Guide on a daily basis, and over 1 week averages approximately 2000 kcal/day with macronutrient distribution consistent with health recommendations.

The menus also provide total fibre between 25 and 50 g/day. Many of the recipes have been obtained from our provincial agricultural commodity groups (see http://pureprairie.ca/our­sponsors/).

The recipe ingredients feature many homegrown foods from each food group. They are quick and easy to make…and tasty!

Our Research Findings

Funding was secured through the Alberta Diabetes Institute to pilot test the menu plan concept in a 12-­week intervention that measured both quantitative (disease biomarkers) and qualitative (acceptability, accessibility and acceptability) responses to the menu plan of 15 people with type 2 diabetes.

The results, published in the Canadian Journal of Diabetes, showed that most participants liked the menu plan and their A1c decreased by an average of 1%.

However, many were not used to cooking from scratch and cited time as a barrier to using the menu plan more. The benefits of the menu plan included more structure in participants' diets, increased frequency of snacking, increased awareness of food choices, purchasing healthier foods and better portion control.

Participants were aware of better blood sugar control. Participants were pleased with the variety of food choices and liked the taste of the recipes. They also liked the flexibility of the menu plan.

In the second phase, which included 73 participants, we included a 5-­week curriculum delivered in a small­group setting with a facilitator and included assessment of hemoglobin A1c as a measure of blood sugar control as well as cardiovascular risk factors. Nutrient intake was assessed using a computer­based 24-­hour recall system called WebSpan.

In this study, 86% of those enrolled completed all aspects of the programme, including the 3­-month follow­up. On average, there were decreases in A1c (­0.7%), body mass index (­0.6 kg/m2) and waist circumference (­2 cm). (Note that a decrease in A1c of 0.5% is considered to be a clinically relevant improvement in blood sugar control.)

Although the weight loss was relatively small, it correlated with the reduction in A1c more strongly than any other factor examined.

Analysis of nutrient intakes showed decreases in total energy intake (­127 kcal/day), total fat (­7 g), total sugar (­25 g) and sodium (­469 mg).

The Pure Prairie Eating Plan (PPEP)

With promising outcomes regarding the nutritional adequacy and acceptability of the menu plan, and with encouragement from Alberta agricultural commodity groups and others, we packaged and re­branded the menu plan as the Pure Prairie Eating Plan (PPEP): Fresh Food, Practical Menus and a Healthy Lifestyle.

PPEP is available for purchase in selected bookstores throughout the prairies and proceeds from its sale will be used to further research into improving the lifestyle behaviours of Canadians with or at risk of chronic diseases.

For a listing of bookstores currently stocking PPEP, or to buy online, click here

Healthcare providers wishing to purchase 6 copies or more can contact info@pureprairie.ca for a discount.

We would like to acknowledge the financial support of our sponsors.

The Authors

Dr. Catherine Chan is Professor of Human Nutrition and Physiology at the University of Alberta. Her research (Physical Activity and Nutrition for Diabetes in Alberta, PANDA) focuses on the development, implementation and evaluation of healthy behavior interventions as well as on identification and testing of healthy food ingredients. She is also the Scientific Director for the
Diabetes, Obesity and Nutrition Strategic Clinical Network of Alberta Health Services.

Dr. Rhonda Bell is Professor of Human Nutrition and leader of the ENRICH project (Promoting Appropriate Maternal Body Weight in Pregnancy and Postpartum through Health Eating) at the University of Alberta. The ENRICH project aims to develop and promote practical strategies for women to maintain healthier weights during and following pregnancy.

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Sukses

Sukses Cerita Motivasi dan Inspirasi Nomor 1

“Hen, menurutmu apa sih definisi dari sukses itu?”

Itulah sebuah pertanyaan singkat dari rekan kerjaku beberapa waktu yang lalu. Sebuah pertanyaan yang kelihatan sepele. Namun, justru karena ke-sepele-annya itu, pertanyaan tersebut sanggup membuat keningku berkerut dan otakku berputar mempertanyakan: iya yah, apa sih ukuran sukses menurutku … Belum sempat aku merangkai sebuah jawaban, rekanku bertanya lagi. “Trus, menurutmu sekarang kamu sudah sukses atau belum?”

Sukses. Apakah pengertian dari sukses itu? Iseng saya buka dictionary online, terpampanglah pengertian dari sukses itu. Mau tahu apa kata orang-orang seberang tentang sukses? Nih … baca sendiri yah

suc·cess (sak-s?s’) pronunciation n. (1) The achievement of something desired, planned, or attempted; (2) The gaining of fame or prosperity; (3) The extent of such gain; (4) a level of social status; (5) the opposite of failure.

Hmm … tidaklah penting apa kata mereka-mereka tentang sukses. Kalau kita kembalikan kepada orang kita, sukses selalu diartikan dengan dua hal. Apakah itu? Yap … materi dan jabatan. Tidak percaya? Coba deh lihat di sekeliling kita.

Saat seseorang ketahuan punya tabungan atau deposi
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Canadian Obesity Network’s Toronto Chapter Takes Off

Canadian Obesity Network’s Toronto Chapter Takes Off


Canadian Obesity Network’s Toronto Chapter Takes Off

Posted: 26 Jun 2015 05:00 AM PDT

CON-Toronto Chapter Executive

CON-Toronto Chapter Executive

As regular readers may know, the Canadian Obesity Network is currently promoting the creation of local chapters across Canada. This is part of the Network’s strategy to continue growing and engaging researchers, health professionals, and others with an interest in obesity prevention and management to network and break down silos.

Following the very successful launch of local Obesity Network chapters in Calgary and Hamilton, last night saw the inaugural meeting of the Toronto Chapter (CON-YYZ), which got together to appoint their new executive and to exchange ideas on local activities that this chapter can pursue in the future.

I had the opportunity of joining in for part of this meeting via Skype and was delighted to see the diversity of attendees and their enthusiasm – certainly a promise of great things to come.

For anyone interested in learning more about how to start your own local CON chapter, more information is available here.

I look forward to seeing a number of new Obesity Network chapters created across Canada, as we continue to seek better ways to fight weight-bias, discrimination and find better ways to prevent and manage obesity.

@DrSharma
Edmonton, AB

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