Friday, October 31, 2008

Rimonabant: Uso suspenso!

De: 

Mario Maranhao

 to aloyzio.achutti


Caros amigos: Voltei dos Estados Unidos onde tambem se discute a possibilidade de se suspender a comercialização do Champix (Varenecline)por ação do FDA.
Veja que o rimonabant que tantos problemas causou,sómente agora está sendo retirado do mercado.
Atenciosamente,
Mario Maranhão

Fumo passivo: R$37 milhões

Mídia do Dia: 31/10/2008
Data de Veiculação: 31/10/2008 


Fumo passivo custa R$ 37 mi

Veículo: A Crítica

Seção: Brasil

Data: 31/10/2008

Estado: AM



O governo gasta R$ 37 milhões por ano com tratamento de saúde e pensões pagas pela morte de vítimas de doenças provocada pelo tabagismo passivo. Esse cálculo foi feito pelo estudo "Impacto do Custo de Doenças relacionadas com o tabagismo passivo no Brasil", pesquisa econômica encomendada pelo Instituto Nacional do Câncer à Universidade Federal do Rio de Janeiro e divulgado ontem pela manhã.

O estudo teve como base a estimativa entre "mortalidade atribuível ao tabagismo passivo no Brasil", que calculou que 2.655 não fumantes morrem todo o ano no País em conseqüência de doenças isquêmicas do coração, principalmente enfarte, acidente vascular cerebral e câncer de pulmão - as três principais doenças relacionadas ao fumo.

Dos R$ 37 milhões, R$ 19,15 milhões referem-se aos gastos do Sistema Único de Saúde (SUS) e R$ 18 milhões são pagos pelo Instituto Nacional do Seguro Social (INSS).

Sociedade de Cardiologia do Estado do Rio Grande do Sul

Parabens pelos 60 anos de nossa Sociedade!

50 Best Inventions 2008

INVENTION OF THE YEAR

THE OTHER 49 BEST INVENTIONS

TECH BUYER'S GUIDE

GADGET OF THE YEAR

VIDEO

GADGET POLL RESULTS

Wednesday, October 29, 2008

Seminário Internacional sobre os 20 Anos do SUS

 Recebido de Dra. Rosa Maria Villanova Sampaio - Ministério da Saúde.

Seminário Internacional sobre os 20 Anos do SUS

 

Transmissão em tempo real começa hoje (29), às 18h e segue até o último dia do evento, em São Paulo

 

De hoje até o dia 31 de outubro, será possível acompanhar ao vivo, pela internet, o Seminário Internacional sobre os 20 Anos do SUS, promovido pela Secretaria de Estado da Saúde de São Paulo. A abertura do evento terá a presença do ministro da Saúde, José Gomes Temporão e, até sexta-feira, reunirá secretários estaduais de Saúde e especialistas de países como Canadá, França, Inglaterra, Portugal, Itália e Espanha. Essa é mais uma oportunidade para debater sobre os princípios do SUS com seus avanços, desafios e aspectos relevantes de seus 20 anos de história.

 

Para acompanhar o seminário em tempo real, cadastre seu nome e e-mail no link Transmissão em tempo real do Seminário Internacional sobre os 20 anos do SUS

Pensamentos sem Fronteiras: Sylvère Lotringer




O professor de Literatura francês Sylvère Lotringer abordou o tema “Pensamentos sem Fronteiras” no Fronteiras do Pensamento Copesul Braskem do dia 27 de outubro, quando dividiu o palco com o sociólogo paquistanês Tariq Modood. Lotringer abriu sua conferência lembrando o final da década de 50, sua época de estudante, na França, em que ele, junto a amigos como Gilles Deleuze, Michel Foucault, Félix Guattari, Jean Baudrillard e Paul Virilio, discutia idéias consideradas meio futuristas na época, mas decidiram testá-las, como se fosse um laboratório. “Passamos pelo estruturalismo, a semiótica, o jogo com a ciência. A França estava indo de uma sociedade agrícola a uma urbana onde o consumismo era o sintoma mais importante. Começamos a pensar sobre isso, a nova cultura, as relações com o capitalismo”, explicou o intelectual. /.../

DICAS INTERESSANTES

(Repassando Dicas que recebi através de cliente amiga Maricia Lartigau Mattos)
*COISAS QUE NINGUÉM CONTA PRA GENTE!* 

*Serviço 102(Informações**)* 
*Quando você precisar do serviço 102, que custa R$ 2,05.** 
Lembre-se que agora existe o concorrente que cobra apenas R$ 0,29 por informação 
fone 0300-789-5900.* 


Para informações da lista telefônica, use o nº 102030 que é gratuito, enquanto que o 102 e 144 são pagos e caros.* 

***Correios*** 

Se você tem por hábito utilizar os Correios, para enviar correspondência, observe que se enviar algo de pessoa física para pessoa física, num envelope leve, ou seja, que contenha duas folhas mais ou menos, para qualquer lugar/Estado, e bem abaixo do local onde coloca o CEP escrever a frase 'Carta Social', você pagará somente R$0,01 por ela. Isso está nas Normas afixadas nas agências dos correios, mas é claro que não está escrito em letras graúdas e nem facilmente visível. 
O preço que se paga pela mesma carta, caso não se escreva 'Carta Social', conforme explicado 
acima custará em torno de R$0,27 (a grama). Agora imaginem no Brasil inteiro,quantas pessoas desconhecem este fato e pagam valores indevidos por uma carta pessoal diariamente? 

***Telefone Fixo para Celular* ** 
A MELHOR DE TODAS!!! 

Se você ligar de um telefone fixo da sua casa para um telefone celular, será cobrada sempre uma taxa a mais do que uma ligação normal, ou seja, de celular para celular. Mas se acrescentar um número a mais, durante a discagem, lhe será cobrada apenas a tarifa local normal.. 

Resumindo: Ao ligar para um celular sempre repita o ultimo dígito do número. 

Exemplos: 
9XXX - 2522 + 2 
9X7X - 1345 + 5 

Atenção: o número a ser acrescido deverá ser sempre o último número do telefone celular chamado !* 

*Serviços bancários pela Internet* 

*Para quem acessa o Home Banking de casa. Vale a pena ler e se prevenir. ** 
Quando for fazer uso dos serviços bancários pela internet, siga as 3 dicas 
abaixo para verificar a autenticidade do site: 
1 - Minimize a página. Se o teclado virtual for minimizado também, está correto. Se ele permanecer na tela sem minimizar, é pirata! Não tecle nada. 
2 - Sempre que entrar no site do banco digite SUA SENHA ERRADA na primeira vez. Se aparecer uma mensagem de erro significa que o site é realmente do banco, porque o sistema tem como checar a senha digitada. Mas se digitar a senha errada e não acusar erro é mau sinal. Sites piratas não têm como 
conferir a informação, o objetivo é apenas capturar a senha. 
3 - Sempre que entrar no site do banco, verifique se no rodapé da página aparece o ícone de um cadeado; além disso clique 2 vezes sobre esse ícone; 
uma pequena janela com informações sobre a autenticidade do site deve aparecer. Em alguns sites piratas o cadeado pode até aparecer, mas será apenas uma imagem e ao clicar 2 vezes sobre ele, nada irá acontecer. 
Os 3 pequenos procedimentos acima são simples, mas garantirão que você jamais seja vítima de fraude virtual.* 

The burden and costs of chronic diseases in low-income and middle-income countries


Summary

This paper estimates the disease burden and loss of economic output associated with chronic diseases—mainly cardiovascular diseases, cancer, chronic respiratory diseases, and diabetes—in 23 selected countries which account for around 80% of the total burden of chronic disease mortality in developing countries. In these 23 selected low-income and middle-income countries, chronic diseases were responsible for 50% of the total disease burden in 2005. For 15 of the selected countries where death registration data are available, the estimated age-standardised death rates for chronic diseases in 2005 were 54% higher for men and 86% higher for women than those for men and women in high-income countries. If nothing is done to reduce the risk of chronic diseases, an estimated US$84 billion of economic production will be lost from heart disease, stroke, and diabetes alone in these 23 countries between 2006 and 2015. Achievement of a global goal for chronic disease prevention and control—an additional 2% yearly reduction in chronic disease death rates over the next 10 years—would avert 24 million deaths in these countries, and would save an estimated $8 billion, which is almost 10% of the projected loss in national income over the next 10 years.
This is the first in a Series of five papers about chronic diseases/.../

Emergence of chronic non-communicable diseases in China

Prof Gonghuan Yang MD , Lingzhi Kong MD, Wenhua Zhao MD, Xia Wan PhD, Yi Zhai MS aLincoln C Chen MD,Jeffrey P Koplan MD

Summary

China has experienced an epidemiological transition shifting from the infectious to the chronic diseases in much shorter time than many other countries. The pace and spread of behavioural changes, including changing diets, decreased physical activity, high rates of male smoking, and other high risk behaviours, has accelerated to an unprecedented degree. As a result, the burden of chronic diseases, preventable morbidity and mortality, and associated health-care costs could now increase substantially. China already has 177 million adults with hypertension; furthermore, 303 million adults smoke, which is a third of the world's total number of smokers, and 530 million people in China are passively exposed to second-hand smoke. The prevalence of overweight people and obesity is increasing in Chinese adults and children, because of dietary changes and reduced physical activity. Emergence of chronic diseases presents special challenges for China's ongoing reform of health care, given the large numbers who require curative treatment and the narrow window of opportunity for timely prevention of disease.
This is the third in a Series of seven papers on health system reform in China/.../

Tuesday, October 28, 2008

The global burden of disease: 2004 update

World Health Organization WHO – October 2008

A response to the need for comprehensive, consistent and comparable information on diseases and injuries at global and regional level.

Website: http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/index.html

Full text PDF [160p.] at: http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf

The global burden of disease: 2004 update is a comprehensive assessment of the health of the world's population. It provides detailed global and regional estimates of premature mortality, disability and loss of health for 135 causes by age and sex, drawing on extensive WHO databases and on information provided by Member States.

The  study provides a comprehensive picture of the global and regional state of health. Drawing from extensive data across the Organization, it features comparisons between deaths, diseases and injuries by region, age, sex and country income for the year 2004. It also provides projections of deaths and burden of disease by cause and region to the year 2030.

The study contains details of the top 10 causes of death and estimates for over 130 disease and injury causes. Striking findings include:

·         Worldwide, Africa accounts for nine out of every 10 child deaths due to malaria, for nine out of every 10 child deaths due to AIDS, and for half of the world's child deaths due to diarrhoeal disease and pneumonia.

·         The top five causes of death in low-income countries are: pneumonia, followed by heart disease, diarrhoea, HIV/AIDS and stroke. In high-income countries, the list is topped by heart disease and followed by stroke, lung cancer, pneumonia, and asthma/bronchitis.

·         Men between the ages of 15 and 60 years have much higher risks of dying than women in the same age category in every region of the world. This, is mainly due to injuries, including those caused in violence and conflict, and to higher levels of heart diseases. This difference is most pronounced in Latin America, the Caribbean, the Middle East and the eastern European regions.

·         Depression is the leading cause of years lost due to disability, the burden being 50% higher for females than males. In both low- and middle-income countries, and high-income countries, alcohol dependence and problem use are among the 10 leading causes of disability.

The production and dissemination of health information for action is one of WHO's core mandated activities. This study provides Member States with an important input for health decision making, planning and priority setting.

The study contains information on:

·         causes of death in different parts of the world

·         the leading causes of death by age, sex and disease

·         the numbers of people with various diseases and disabilities

·         how many people become ill each year

·         the causes of loss of health and the actual loss of years of good health: these are measured in disability-adjusted life years (DALYs). One DALY is equivalent to the loss of one year of full health.

NOTE FOR THE MEDIA

Arabic | Chinese | English | French | Russian | Spanish

OTHER MATERIALS ON THE REPORT

10 facts on the GBD | Top 10 causes of death fact sheet | Key figures and graphs [ppt 1.74Mb]

THE REPORT IN SECTIONS

:: Part 1: Introduction [pdf 577kb] 
:: Part 2: Causes of death [pdf 635kb] 
:: Part 3: Disease incidence, prevalence and disability [pdf 247kb] 
:: Part 4: Burden of disease: DALYs [pdf 395kb] 
:: Annex A: Deaths and DALYs 2004 Annex tables [pdf 581kb] 
:: Annex B: Data sources and methods [pdf 300kb] 
:: Annex C: Analysis categories and mortality data sources [pdf 224kb] 
:: References [pdf 144kb]

STATISTICS FROM THE REPORT

:: Regional estimates of YLL, YLD, and DALYs, deaths, incidence and prevalence for 2004 
:: Regional projections of deaths and DALYs for 2008, 2015, and 2030

 

WHO: World Health Statistics 2008

Noncommunicable diseases now biggest killers

Chronic conditions like heart disease, stroke kill more, says WHO's World health statistics 2008

19 MAY 2008 | GENEVA -- The global burden of disease is shifting from infectious diseases to noncommunicable diseases, with chronic conditions such as heart disease and stroke now being the chief causes of death globally, according to a new WHO report published today. The shifting health trends indicate that leading infectious diseases – diarrhoea, HIV, tuberculosis, neonatal infections and malaria – will become less important causes of death globally over the next 20 years.

Related links

World health statistics 2008: full report 

World health statistics 2008 is based on data collected from WHO's 193 Member States. This annual report is the most authoritative reference for a set of 73 health indicators in countries around the world. These are the best available data and they are essential for painting the global picture of health and how it is changing.

“We are definitely seeing a trend towards fewer people dying of infectious diseases across the world,” said Dr Ties Boerma, Director of the WHO Department of Health Statistics and Informatics. “We tend to associate developing countries with infectious diseases, such as HIV/AIDS, tuberculosis and malaria. But in more and more countries the chief causes of death are noncommunicable diseases, such as heart disease and stroke.”

The statistical report documents in detail the levels of mortality in children and adults, patterns of morbidity and burden of disease, prevalence of risk factors such as smoking and alcohol consumption, use of health care, availability of health care workers, and health care financing. It also draws attention to important issues in global health, including:

  • Maternal mortality: in developed countries, nine mothers die for every 100 000 live births, while in developing countries the death rate is 450 and in sub-Saharan Africa it is 950.
  • Life expectancy trends in Europe: life expectancy in eastern Europe increased from an average of 64.2 years in 1950 to 67.8 years in 2005, representing an increase of only about four years compared with 9 to 15 years for the rest of Europe.
  • Health-care costs: 100 million people are impoverished every year by paying out of pocket for health care.
  • Coverage of key maternal, neonatal and child health interventions: four out of 10 women and children do not receive basic preventive and curative interventions and at current rates of progress it will take several decades before this gap is closed.

World health statistics 2008 is the official record of data produced by WHO’s technical programmes and regional offices in close consultation with countries and in collaboration with researchers and development agencies. In publishing these statistics, WHO underlines continuing health challenges and provides an evidence base for strategies to improve global public health.

For further information contact:

Fiona Fleck
WHO, Geneva
Telephone: +41 22 791 1897
Mobile: +41 78 678 9079
E-mail: fleckf@who.int

Monday, October 27, 2008

ACCF/ACG/AHA 2008 Expert Consensus Document on Reducing the Gastrointestinal Risks of Antiplatelet Therapy and NSAID Use

Deepak L. Bhatt, MD, FACC, FAHA, et al

This document has been developed by the American College of Cardiology Foundation (ACCF) Task Force on Clinical Expert Consensus Documents, the American College of Gastroenterology (ACG), and the American Heart Association (AHA). Expert consensus documents (ECDs) are intended to inform practitioners, payers, and other interested parties of the opinion of the ACCF and document cosponsors concerning evolving areas of clinical practice and/or technologies that are widely available or new to the practice community. Topics chosen for coverage by ECDs are so designed because theevidence base, the experience with technology, and/or the clinical practice are not considered sufficiently well developed to beevaluated by the formal American College of Cardiology/American Heart Association (ACC/AHA) practice guidelines process. Often the topic is the subject of ongoing investigation. Thus, the reader should view ECDs as the best attempt of the ACCF and other cosponsors to inform and guide clinical practice in areas where rigorous evidence may not be available or the evidence to date is not widely accepted. When feasible, ECDs includeindications or contraindications. Topics covered by ECDs may be addressed subsequently by the ACC/AHA Practice Guidelines Committee as new evidence evolves and is evaluated.

The Task Force on ECDs makes every effort to avoid any actual or potential conflicts of interest that might arise as a result of an outside relationship or personal interest of a member of the writing panel. Specifically, all members of the writing panel are asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest to inform the writing effort. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur. The relationships with industry information for writing committee members and peer reviewers are listed in Appendixes 1 and 2, respectively./.../

Standards for Measures Used for Public Reporting of Efficiency in Health Care

Harlan M. Krumholz, MD, SM, FAHA, Chair, et al.
The assessment of medical practice is evolving rapidly in the United States. An initial focus on structure and process performance measures assessing the quality of medical care is now being supplemented with efficiency measures to quantify the "value" of healthcare delivery. This statement, building on prior work that articulated standards for publicly reported outcomes measures, identifies preferred attributes for measures used to assess efficiency in the allocation of healthcare resources. The attributes identified in this document combined with the previously published standards are intended to serve as criteria for assessing the suitability of efficiency measures for public reporting. This statement identifies the following attributes to be considered for publicly reported efficiency measures: integration of the quality and cost; valid cost measurement and analysis; minimal incentive to provide poor quality care; and proper attribution of the measure. The attributes described in this statement are relevant to a wide range of efforts to profile the efficiency of various healthcare providers, including hospitals, healthcare systems, managed-care organizations, physicians, group practices, and others that deliver coordinated care./.../

Sunday, October 26, 2008

Ipea: envelhecimento desafios para Estado, mercado e família

(Recomendado por Dra. Maria Inês Reinert Azambuja)
Paula Laboissière 
Repórter da Agência Brasil 
Brasília - O processo de envelhecimento da população brasileira, apontado pelo Instituto de Pesquisa Econômica Aplicada (Ipea), altera não apenas a vida dos indivíduos e as estruturas familiares como também aumenta a demanda por políticas públicas e a pressão por uma maior distribuição de recursos. As conseqüências, de acordo com estudo do instituto, são vistas “com preocupação” e representam desafios para o Estado, para o mercado e para as famílias. As análises fazem parte de um estudo divulgado hoje (7) pelo instituto, elaborado com base na Pesquisa Nacional por Amostra de Domicílios (Pnad) 2007.

A coordenadora do grupo técnico de população e cidadania do Ipea, Ana Amélia Camarano, lembra que o envelhecimento da população é uma “tendência universal” e que, muitas vezes, as pessoas associam o envelhecimento apenas ao aumento da expectativa de vida e à redução da mortalidade.

“Ele tem a ver com o fato de que se tem menos crianças e mais gente nas idades mais avançadas. Isso tende a se acentuar porque os anos 50 e 60 foram os anos do boompopulacional. Os baby boomers vão se tornar agora os elderly boomers – estão envelhecendo e chegando lá na ponta.”

Dentre as quatro políticas identificadas pela pesquisa como de maior importância para a população idosa em crescimento estão: renda para compensar a perda da capacidade laborativa (previdência e assistência social), saúde, cuidados de longa duração e a criação de um entorno favorável, que inclua aspectos como habitação, infra-estrutura e acessibilidade./.../

Saturday, October 25, 2008

State of the World's Cities 2008/2009 - Harmonious Cities

State of the World's Cities 2008/2009 - Harmonious Cities
Foreword and Introduction
Foreword by Ban Ki-moon Secretary-General United Nations
Introduction by Anna K. Tibaijuka Under-Secretary-General and Executive Director United Nations Human Settlements Programme (UN-HABITAT)
Press Releases
American cities as unequal as African and Latin American cities according to UN-HABITAT’s new State of the World’s Cities Report 2008/9: Harmonious Cities
3 million people per week added to cities of developing world according to UN-HABITAT’s new State of the World’s Cities Report 2008/9: Harmonious Cities
One out of three people living in cities of the developing world lives in a slum according to UN-HABITAT’s new State of the World’s Cities Report 2008/9: Harmonious Cities
Few coastal cities to be spared by climate change according to UN-HABITAT’s new State of the World’s Cities Report 2008/9: Harmonious Cities
Cities key to reduction of carbon emissions and sustainable use of resources according to UN-HABITAT’s new State of the World’s Cities Report 2008/9: Harmonious Cities
Regional up-dates
Africa at a glance
Asia at a glance
Europe & North America at a glance
Latin American & Caribbean and at a glance
Case Studies
How governments are propelling urban growth
China’s urban transition
Slum households and shelter deprivations: degrees and characteristics
Woman-headed households suffer disproportionately from inadequate housing
Bangkok’s strategy to tackle air pollution
Dhaka’s extreme vulnerability to climate change
African cities at risk
Cuba: A culture of safety
Graphs, Diagrams and Maps
Growth and more urban growth
For richer or poorer: Urban Inequalities
Urban Environmental Risks and Burdens
Drowned and dangerous: Cities and climate change