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    <title>Heard Around the West</title>
    <category>Heard Around the West</category>
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    <description>Latest local news from The Durango Herald.</description>
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        <link>https://tj.durangoherald.com/breast-milk-is-the-best-food-for-infants-plain-and-simple/</link>
        <title>Breast milk is the best food for infants, plain and simple</title>
        <description>Next week is World Breastfeeding Week. This topic has never been more timely than it is today. Scientific research continues to show a positive relationship between breastfeeding and infant and maternal health. There is cause for optimism. Breastfeeding rates in...</description>
        <pubDate>Sat, 28 Jul 2018 07:00:00 -0600</pubDate>
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        <content:encoded><![CDATA[Next week is World Breastfeeding Week. This topic has never been more timely than it is today. Scientific research continues to show a positive relationship between breastfeeding and infant and maternal health. There is cause for optimism. Breastfeeding rates in the United States are rising. According to a recent report from the Centers for Disease Control and Prevention, 83 percent of newborns started out breastfeeding in 2014, up from 73 percent 10 years earlier. By 6 months of age, 55 percent of babies were still breastfeeding, up from 42 percent. However, not all groups are benefiting equally. As with so many other health issues, there is a gap between breastfeeding rates among non-Hispanic whites and racial minorities. The American Academy of Pediatrics recommends exclusive breastfeeding for the first six months of life with continued breastfeeding, supplemented by complementary foods, until at least 1 year of age. Breast milk is the best food for infants, plain and simple. Breastfed infants have lower risks of asthma, obesity, Type 2 diabetes, respiratory and ear infections and sudden infant death syndrome. In fact, promoting breastfeeding is one of the most important actions to combat the twin national epidemics of obesity and Type 2 diabetes. Mothers benefit as well. Breastfeeding has been shown to lower a woman’s risk of heart disease, Type 2 diabetes, ovarian cancer and breast cancer. These health benefits are complemented by other benefits such as maternal-infant bonding and reduced health care costs. Breastfeeding may improve long-term cognitive development, especially among pre-term infants. To be sure, there are certain circumstances that limit breastfeeding based on the health of the mother or infant. Fortunately, these circumstances are not common. Moreover, some women choose not to breastfeed, which is their right. That said, there are many women whose option to breastfeed is limited because of lack of information, lack of support and/or workplace and public policies. To restate this, not every community is supportive of a mother’s right to breastfeed her infant. Public policy that supports breastfeeding is good for mothers and infants, for families, for public health and for communities. Supporting mothers who choose to breastfeed is multifactorial. Health care providers and institutions need to be proactive about ensuring access to high-quality information and support services for pregnant and new mothers. Baby-friendly workplace policies are also important. Examples include providing places to pump and store breast milk, flexible work hours and maternity leave benefits. Notably, employers stand to benefit from higher breastfeeding rates in terms of reduced health care costs and improved morale and worker retention. Finally, families and communities can support breastfeeding mothers by sharing knowledge, providing peer support and encouraging a culture of acceptance. Dr. Matthew A. Clark is a board-certified physician in internal medicine and pediatrics practicing at the Ute Mountain Ute Health Center in Towaoc.]]></content:encoded>
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        <link>https://tj.durangoherald.com/to-quit-those-cigarettes-use-more-than-one-tool/</link>
        <title>To quit those cigarettes, use more than one tool</title>
        <description>Twenty million Americans have died from smoking-related disease in the past 50 years. Among people younger than 18, the U.S. Public Health Service predicts another 5.4 million smoking-related deaths. Meanwhile, more than 21 percent of American adults use tobacco products...</description>
        <pubDate>Thu, 23 Jul 2015 20:32:55 -0600</pubDate>
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        <content:encoded><![CDATA[Twenty million Americans have died from smoking-related disease in the past 50 years. Among people younger than 18, the U.S. Public Health Service predicts another 5.4 million smoking-related deaths. Meanwhile, more than 21 percent of American adults use tobacco products every day. As a result, smoking remains the most preventable cause of disease, disability and death in the U.S. Despite all that we know about the health risks of smoking, stopping the habit is not easy. This is largely because of nicotine dependence. For those who are willing to quit, there are several medications that have been proven effective to help with tobacco cessation. The most familiar of the treatment options is nicotine replacement. The purpose of nicotine replacement is to control the craving for nicotine while the habit of smoking is being overcome. Nicotine replacement products come in a variety of forms. Most are familiar with the nicotine patch, but short-acting forms of nicotine replacement include gum, an inhaler, nasal spray and a lozenge. The nicotine patch, gum and lozenge are all available over-the-counter without a prescription. While each product has been found effective on its own, combination nicotine-replacement therapy is even more effective. Specifically, the long-acting patch combined with a short-acting product such as nicotine gum for as-needed use to address nicotine craving has been shown to about double the rate of success in quitting smoking, compared with a placebo. Nicotine replacement is typically dosed based on the amount of smoking that precedes the quit attempt. Dosing is then “stepped down” over a period of several weeks to a few months. Unlike other tobacco cessation treatments, it is essential to stop smoking before starting nicotine replacement. Several antidepressants have been studied for use in assisting smoking cessation. While most standard antidepressants have been found ineffective, one agent is considered a first-line therapy. Bupropion, also known as Zyban, is Food and Drug Administration approved for smoking cessation. There is considerable evidence that the drug can help produce long-term benefit. Bupropion works by influencing brain chemicals involved in mood and the reward system. When started one week before stopping smoking and continued for a total of three months, the medication can help smokers permanently break the habit. In one published review of more than 14,000 smokers treated with Bupropion, compared with a placebo, smokers were 1.6 times more likely to quit on Bupropion. Perhaps the most effective single therapy for smoking cessation is the medication Varenicline (also known as Chantix). This medication produces quit rates similar to combination nicotine replacement, more than doubling smoking cessation compared with a placebo. Like Bupropion, Varenicline should usually be started one week before stopping smoking and continued for three months. For some smokers, a combination of treatments may be helpful. Because of the risk of potential side effects, smokers should consult with a medical provider about which strategy is right for them. For more assistance with stopping smoking, a great resource is the Tobacco Quitline. Call (800) QUIT-NOW (784-8669). Dr. Matthew A. Clark is a board-certified physician in internal medicine and pediatrics practicing at the Ute Mountain Ute Health Center in Towaoc.]]></content:encoded>
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