臨床内分泌学研究ジャーナル

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Endocrinology-2015 : Long term effects of low activity and risky nutrition practices among new Americans from East Africa: Implications for endocrinology and population health planning - Tom Rogers Muyunga Mukasa -Harvard University

Tom Rogers Muyunga Mukasa

According to the UN Special High Level meeting on global non-communicable diseases, high fat diet, inactivity and substance abuse are risk factors. These exacerbate events for cardio-vascular diseases, lung diseases, hormonal deficiencies, obesity and cancer. Medical check-ups make it possible for earlier diagnosis of CV risk factors. Physical exercises help reduce CV risks. Early, timely and regular medical check-ups, active lifestyle, moderate use of alcohol and non-smoking help in timely diagnosis and management of metabolic-syndromes. This study sought to gauge these levels of activity, risk-factors and attendances for medical check-ups among Ugandan-Americans. By Ugandan-Americans is meant, that community of Ugandan extract that has stayed in USA for over 6 months to 20 years. Using key informant interview and observation guides, 3 categories of Ugandans in America were followed for 7 months from August 2012- Feb 2013. The breakdown is as follows: 70 were above 50 (32 females: 38 males); 100 were between 30-40 years (52 females: 48 males) and; 20 who were between 15-22 years (15 males: 5 females). The states visited were Illinois, Massachusetts, California and Texas. In the past 12 months, 30 (thirty) respondents had gone once for a medical check-up: 12 were above 50 years; 7 were between 30-40 years; 10 were between 15-22 years. 22 (22-30 years) had accessed ante/post-natal services. 12 (3 males: 9 females) chronic care and for anti-hypertensive medications. 2 males (19 & 23 years) accessed cancer treatment services regularly. 22 (2 were above 50 years and 20 were below 36 years) had engaged in a regularized physical fitness activity. 65 continued taking OTC pain relievers. All 190 had attended a Ugandan-led social gathering. 12 deaths related to end-stage heart disease and 2 from sickle-cell-anemia were noted. “ I do play soccer and am on the school soccer team. We are 4 children and our parents have bought membership for us at the local YWCA. My father and mother are members too but they never come to exercise. I do attend social gatherings organized by Ugandan-Americans.” Endocrinology (from endocrine + - ology) is a part of science and medication managing the endocrine framework, its ailments, and its particular discharges known as hormones. It is likewise worried about the combination of formative occasions expansion, development, and separation, and the mental or social exercises of digestion, development and improvement, tissue work, rest, processing, breath, discharge, state of mind, stress, lactation, development, multiplication, and tactile observation brought about by hormones. Specializations incorporate social endocrinology[1][2][3] and near endocrinology. The endocrine framework comprises of a few organs, all in various pieces of the body, that discharge hormones legitimately into the blood as opposed to into a pipe framework. Along these lines, endocrine organs are viewed as ductless organs. Hormones have various capacities and methods of activity; one hormone may effectsly affect diverse objective organs, and, then again, one objective organ might be influenced by more than one hormone. Endocrinology is the investigation of the endocrine framework in the human body. This is an arrangement of organs which emit hormones. Hormones are synthetics which influence the activities of various organ frameworks in the body. Models incorporate thyroid hormone, development hormone, and insulin. The endocrine framework includes various input instruments, with the goal that regularly one hormone, (for example, thyroid animating hormone) will control the activity or arrival of another optional hormone, (for example, thyroid hormone). On the off chance that there is a lot of the optional hormone, it might give negative input to the essential hormone, looking after homeostasis. In the first 1902 definition by Bayliss and Starling (see beneath), they determined that, to be named a hormone, a compound must be created by an organ, be discharged (in limited quantities) into the blood, and be shipped by the blood to a removed organ to apply its particular capacity. This definition holds for generally "old style" hormones, yet there are likewise paracrine systems (compound correspondence between cells inside a tissue or organ), autocrine signals (a substance that follows up on a similar cell), and intracrine signals (a concoction that demonstrations inside the equivalent cell). A neuroendocrine sign is an "old style" hormone that is discharged into the blood by a neurosecretory neuron (see article on neuroendocrinology). Populace wellbeing has been characterized as "the wellbeing results of a gathering of people, including the conveyance of such results inside the group". According to Akarowhe (2018), the working meaning of populace wellbeing is communicated in this way; populace wellbeing is a craftsmanship, procedure, science and a result of upgrading the wellbeing state of a particular number of individuals inside a given topographical territory - populace wellbeing as a workmanship, just implies that it is outfitted towards equivalent social insurance conveyance to a foreseen gathering of individuals in a specific geological area; as a science, it infers that it embrace logical methodology of preventive, remedial, and indicative help in proffering clinical treatment to the medical issue of individuals; as an item, it implies that populace wellbeing is coordinated toward by and large wellbeing execution of individuals through wellbeing fulfillment inside the said land region; and as a procedure it involves compelling and proficient running of a wellbeing the board/populace wellbeing the executives framework to cook for the wellbeing needs of the people.[citation needed] It is a way to deal with wellbeing that expects to improve the soundness of a whole human populace. This idea doesn't allude to creature or plant populaces. It has been depicted as comprising of three parts. These are "wellbeing results, examples of wellbeing determinants, and approaches and interventions". A need considered significant in accomplishing the point of Population Health is to diminish wellbeing imbalances or inconsistencies among various populace bunches due to, among different elements, the social determinants of wellbeing, SDOH.

Conclusion:

Peer networks are platforms for mobilization for population health services among Ugandan-Americans.

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