Monday, November 30, 2009

Prevalence of diabetes and hypertension based on self-reported morbidity survey, Brazil, 2006

RESUMO
OBJETIVO: Estimar a prevalência de diabetes e de hipertensão auto-referidas e seus números absolutos no Brasil.
MÉTODOS: Foram analisados dados referentes aos 54.369 indivíduos com idade ≥18 anos entrevistados pelo sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL), realizado nas 27 capitais brasileiras em 2006, que responderam positivamente a questões sobre pressão alta e diabetes. Os percentuais de hipertensão e diabetes auto-referidas estimados na amostra foram projetados para a população
brasileira segundo idade, sexo e estado nutricional, utilizando o método direto de padronização.
RESULTADOS: A prevalência de diabetes foi de 5,3%, maior entre as mulheres (6,0% vs. 4,4%), variando de 2,9% em Palmas (TO) a 6,2% em São Paulo (SP).
A prevalência de hipertensão foi de 21,6% (21,3;22,0), maior entre as mulheres (24,4% vs. 18,4%), variando de 15,1% em Palmas a 24,9% em Recife (PE).
As prevalências aumentaram com categorias de idade e nutrição. Estimou-se haver no Brasil um total de 6.317.621 de adultos que referem ter diabetes e 25.690.145 de adultos que referem ter hipertensão.
CONCLUSÕES: As prevalências de diabetes e hipertensão auto-referidas são elevadas no Brasil. O monitoramento destas e outras condições de saúde pode ser feito por estratégias como a do VIGITEL, preferencialmente se acompanhado de estudos de validação, visando a generalização de resultados.

The '00s: Goodbye (at Last) to the Decade From Hell

The '00s: Goodbye (at Last) to the Decade From HellTime Cover

1. The '00s: Goodbye (at Last) to the Decade From Hell

By ANDY SERWER

Bookended by 9/11 and a financial wipeout, the first 10 years of the century will likely go down as the most dispiriting decade Americans have lived through since World War II. Can the next one be better?

Tabagismo: Diretrizes

Download do PDF completo
Tabagismo
Autoria:
Sociedade Brasileira de Pneumologia e Tisiologia
Sociedade Brasileira de Cardiologia
Associação Brasileira de Psiquiatria
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Sociedade Brasileira de Anestesiologia
Associação Brasileira de Medicina Intensiva
Elaboração final: 26 de maio de 2009
Participantes: Mirra AP, Meirelles RHS, Godoy I, Issa JS, Reichert J, Carvalho NB, Alencar
Filho AC, Achutti A, da Silva CAR, Santos SRA, Hetem LA, Dias JC, Nakmura MU, Quintino MP, Cantarino CM, Pereira ACPM, Mendes FF, Duarte NMC, Gigliotti A, Marques ACPR, de Andrade AG, Silva CR, Instituto Nacional de Câncer/Ministério da Saúde Associação Brasileira de Estudos de Álcool e Outras Drogas, Faculdade de Medicina da Universidade de São Paulo,Universidade
Federal de São Paulo

Time: The Year in Health 2009 >A to F

ANDREW FOX / CORBIS

Global health experts agonize over the terrible toll disease takes on the world's children, but a lot less attention is paid to how many kids' lives are claimed by accidents and injuries. Part of that is a numbers game: close to 10 million children under 5 die annually of disease. Comparatively few — 829,000 per year — die because of accidents. Still, that's 2,270 children every day. In late 2008 the World Health Organization issued its first annual report on the problem, listing the top five killers and what can be done to combat them:

Traffic injuries: 260,000 deaths per year. In the developed world, most victims are passengers in vehicles; in the developing world, most are pedestrians or bicyclists. The solutions include seat-belt laws, speed limits and stiffer drunk-driving penalties. The key is imposing and enforcing the rules.

Drownings: 175,000 deaths per year. Parental supervision, CPR education and fenced swimming pools are crucial.

Burns: 96,000 deaths per year. Infants are at greatest risk. The danger is lowest for kids ages 10 to 14 and rises for 15-to-19-year-olds — perhaps because of access to fireworks and gasoline. Smoke alarms, parental policing, childproof lighters and burn centers all reduce risk.

Falls: 47,000 deaths per year. Caregiver stress or inattention, nonchildproof environments and low levels of maternal education are risk factors. Solutions include redesigned playgrounds and furniture, parental-education programs and window guards.

Poisonings: 45,000 deaths per year. Kids under 1 are in the most danger. Child-resistant packaging and measures like removing poisons from the house or keeping them locked up can help.

View the full list for "The Year in Health 2009"


Read more: http://www.time.com/time/specials/packages/article/0,28804,1942543_1942451,00.html?xid=newsletter-daily#ixzz0YLm5j91W

Jorge Gerdau: o Brasil precisa aproveitar boa fase para ter crescimento sustentável

Não é sempre que Jorge Gerdau abre o coração como desta vez. O mais conhecido dos empresários gaúchos fala das lições deixadas pela tormenta que varreu o planeta de 2008 em diante e deixou o mundo inteiro como o grande perdedor, e confessa erros, como um cometido no momento pré-crise, quando subestimou um sinal do que poderia estar por vir. Mas diz também que os tombos e ele levou vários até por montar a cavalo servem para a pessoa aprender a levantar e não sofrer uma queda maior mais adiante./.../

Sunday, November 29, 2009

VIII Jornada de Cardiologia de Pelotas


Participamos no dia 27 p.p. na VIII Jornada de Cardiologia de Pelotas organizada pelo AMICOR Dr. André Steffens, simultanemanete com o II Encontro Regional da SCRS.
Fiz a palestra de abertura: "O que se esconde atrás dos Fatores de Risco Clássicos?"

Rich v. poor: The lives we can expect from our income


Andre Picard

Andre Picard

Life expectancy in Canada rivals that of almost any country in the world. A girl born today can expect to live, on average, to 82 and a boy to a more modest 76.9, according to Statistics Canada.

But life expectancy is a crude measure that tells a superficial story, so there have been many attempts to drill down into the data.

There are, for example, wide regional variations. In Canada, there is a West-to-East-to-North health gradient: Those who are healthiest and live longest are on the Pacific Coast, and the numbers get gradually worse as you move across the nation to the Atlantic region. Then, when you look to the North, the numbers take a precipitous drop. In the territories, life expectancy is similar to that in low- and middle-income countries.

Just as there are regional variations, there are differences across the lifespan. Those who die early tend to skew data on average life expectancy.

This has given rise to the popular measure of life expectancy at 65. On her 65th birthday, a Canadian woman can expect to live 21 more years on average, and a man almost 18./.../

Thursday, November 26, 2009

Norbert Wiener

Norbert Wiener (November 26, 1894, Columbia, MissouriMarch 18,1964, Stockholm Sweden) was an American theoretical and appliedmathematician. He was a pioneer in the study of stochastic and noiseprocesses, contributing work relevant to electronic engineering,electronic communication, and control systems. Wiener is also the founder of cybernetics, a field that formalizes the notion of feedback and has implications for engineering, systems control, computer science,biology, philosophy, and the organization of society.

Biograph



Wednesday, November 25, 2009

HUNGER: FAO

DCV matam menos 20,5% no BR (1990-2006)


Doenças cardiovasculares matam 20,5% menos brasileiros.

Estudo do Ministério da Saúde aponta queda de 20,5% nas mortes por doenças cardiovasculares no período de 16 anos, de 1990 a 2006. Principal causa de óbito no país, esse grupo de doenças, que inclui o infarto e o acidente vascular cerebral (AVC), matou cerca de 300 mil pessoas em 2006, quase 30% do total de óbitos registrados. Já as mortes especificamente por doenças cerebrovasculares tiveram uma redução de 30,9% no mesmo período. Houve aumento nos óbitos por diabetes como causa básica, que passaram de 16,3 para 24 por 100 mil habitantes.

Os dados fazem parte do Saúde Brasil 2008, publicação anual da Secretaria de Vigilância em Saúde (SVS), que neste ano abrange os 20 anos do Sistema Único de Saúde (SUS). Entre outros aspectos, o estudo analisa a tendência do risco de morte para doenças crônicas não-transmissíveis no Brasil e seus fatores associados.

O estudo aponta, também, que os jovens de 20 a 39 anos estão morrendo menos por doenças cardiovasculares. Para as mulheres jovens, a queda anual foi de 3,6%, enquanto que para os homens foi de 3,3% ao ano. /.../

Heart disease evident in mummies 3500 years old

Heart disease evident in mummies 3500 years old
NOV 23, 2009 | Michael O'Riordan

November 23, 2009


Orlando, FL - Checking in on some very old patients with cutting-edge computed tomographic (CT) technology reveals that atherosclerosis might not necessarily be a disease caused by a modern lifestyle. Imaging scans of Egyptian mummies, including some 3500 years old, reveals evidence of atherosclerosis, report researchers./.../

Salt Habit: Stroke, CV Disease

By Crystal Phend, Senior Staff Writer, MedPage Today
Published: November 24, 2009
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine.

Cutting the average salt intake in half could prevent a substantial proportion of strokes and heart disease in most Western countries, a meta-analysis showed.

A decrease of 5 grams of salt a day (about one teaspoon) was associated with a 23% lower stroke rate and up to 17% less total cardiovascular disease, reported Pasquale Strazzullo, MD, of the "Federico II" University of Naples, Italy, and colleagues online in BMJ.

This kind of change at the population level "could avert some 1.25 million deaths from stroke and almost three million deaths from cardiovascular disease worldwide," the researchers wrote.

Americans, like those in many Western countries, average about 10 g of daily salt intake; whereas the World Health Organization recommends only 5 g per day, and the U.S. Department of Agriculture recommends daily intake be limited to 5.8 g.

Tuesday, November 24, 2009

Signatures of Consciousness: A Talk by Stanislas Dehaene

"For the past twelve years", says Dehaene, "my research team has been using every available brain research tool, from functional MRI to electro- and magneto-encephalography and even electrodes inserted deep in the human brain, to shed light on the brain mechanisms of consciousness. I am now happy to report that we have acquired a good working hypothesis. In experiment after experiment, we have seen the same signatures of consciousness: physiological markers that all, simultaneously, show a massive change when a person reports becoming aware of a piece of information (say a word, a digit or a sound). /.../

Monday, November 23, 2009

World Development Report 2010

World Development Report 2010

World Development Report 2010: Development and Climate Change
WDR 2010

September 15, 2009—Developing countries can shift to lower-carbon paths while promoting development and reducing poverty, but this depends on financial and technical assistance from high-income countries, says World Development Report 2010: Development and Climate Change.

High-income countries also need to act quickly to reduce their carbon footprints and boost development of alternative energy sources to help tackle climate change. If they act now, a 'climate-smart' world is feasible, and the costs for getting there will be high but still manageable. More from the press release.

Sunday, November 22, 2009

Framingham milestones



NHLBI - 50th Anniversay Logo

NHLBI - Three Generations Logo

A Timeline of Milestones from
The Framingham Heart Study


Since inception in 1948 the Framingham Heart Study has produced many major discoveries that have helped scientists understand the development and progression of heart disease and its risk factors--and helped Americans protect the health of their hearts.

Some of the important milestones include:/.../

Tough-Love Health Incentives

Vejam também relacionadas que aparecem na coluna esquerda da página original.

Fries and cigarettes

Fat Fees and Smoker Surcharges: Tough-Love Health Incentives

Photo-Illustration by Kelly Blair for TIME

Psychology Professor Anita Blanchard has a pretty sweet deal with her employer. Even if the 40-something mother of three leaves her job at the University of North Carolina at Charlotte, the state of North Carolina guarantees her premium-free health insurance that will cover 80% of her health care costs for life. But's there's a hitch: she can't gain too much weight or start smoking. If she does, she could be on the hook for an additional 10% of her health care tab./.../

Saturday, November 21, 2009

"A carne das fazendas americanas é imoral"

Em seu novo livro, o escritor vegetariano intima o leitor a assumir sua responsabilidade sobre a matança cruel de animais confinados
FRANCINE LIMA da REVISTA éPOCA: 12/11/2009 - 14:38 - ATUALIZADO EM 16/11/2009 - 12:08

O menino Jonathan Safran Foer tinha 9 anos quando se deu conta de que o frango servido com cenouras em seu prato, receita favorita preparada por sua avó judia que sobrevivera ao nazismo, era feito de uma ave que dias antes estava viva. A revelação, feita por uma babá vegetariana, transformou sua maneira de encarar a comida. De lá para cá, Foer virou vegetariano e voltou a comer carne várias vezes, por vários motivos – do princípio ético ao desejo por belas garotas engajadas na proteção dos animais. A gangorra alimentar parou quando, perto dos 30 anos e já autor de um best-seller premiado, ele se tornou pai. Ele não queria que as memórias alimentares que seus filhos carregariam por toda a vida tivessem o mesmo sabor animal das suas. Foer resolveu então abandonar a carne em definitivo e começou a escrever sobre o assunto. Seu exercício filosófico resultou no livro Eating animals, recém-lançado nos Estados Unidos e ainda sem tradução para o português./.../

Rights of the Child: 20 years

UNICEF full report: The 20 year anniversary of the Convention of the Rights of the Child

On 20 November 2009, the global community celebrates the 20th anniversary of the adoption by the United Nations General Assembly of the Convention on the Rights of the Child, the unique document that sets international standards for the care, treatment and protection of all individuals below age 18. To celebrate this landmark, the United Nations Children’s Fund is dedicating a special edition of its flagship report The State of the World’s Children to examining the Convention’s evolution, progress achieved on child rights, challenges remaining, and actions to be taken to ensure that its promise becomes a reality for all children.

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Friday, November 20, 2009

The State of World Population 2009

Ruggiero, Mrs. Ana Lucia (WDC)



The State of World Population 2009

Facing a changing world: women, population and climate

United Nations Population Fund - November 2009

Available online as PDF [104p.] at: http://www.unfpa.org/swp/2009/en/pdf/EN_SOWP09.pdf

Website: http://www.unfpa.org/swp/2009/en/overview.shtml

French: http://www.unfpa.org/swp/2009/fr/index.shtml :

Spanish: http://www.unfpa.org/swp/2009/es/index.shtml

“…..Climate—the average of weather over time—is always changing, but never in known human experience more dramatically than it is likely to change in the coming century. For millennia, since civilizations arose from ancient farming societies, the earth's climate as a whole was relatively stable, with temperatures and patterns of rainfall that have supported human life and its expansion around the globe.

A growing body of evidence shows that recent climate change is primarily the result of human activity. The influence of human activity on climate change is complex. It is about what we consume, the types of energy we produce and use, whether we live in a city or on a farm, whether we live in a rich or poor country, whether we are young or old, what we eat, and even the extent to which women and men enjoy equal rights and opportunities. It is also about our growing numbers—approaching 7 billion.

As the growth of population, economies and consumption outpaces the earth's capacity to adjust, climate change could become much more extreme—and conceivably catastrophic. Population dynamics tell one part of a larger, more intricate story about the way some countries and people have pursued development and defined progress and about how others have had little say in the decisions that affect their lives.

Climate change's influence on people is also complex, spurring migration, destroying livelihoods, disrupting economies, undermining development and exacerbating inequities between the sexes…..”

Thursday, November 19, 2009

BIREME - Biblioteca Virtual de Saúde

Inscrição livre para receber a Newsletter, bem como para participar de vários recursos que a Bireme oferece, pode ser feita em link que se encontra no final da página na Internet.
Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud
Organización Panamericana de la Salud | Organización Mundial de la Salud

Red de Noticias BVS

noviembre 2009

Newsletter BVS 094 16/noviembre/2009

ISSN 1809-6840

Wednesday, November 18, 2009

clopidogrel-PPI interaction

CLINICAL CARDIOLOGY
Cardiologists shocked by new FDA alert on clopidogrel-PPI interaction
NOVEMBER 17, 2009 | Sue Hughes

Orlando, FL - The FDA has today issued a new public-health warning on the possible interaction between clopidogrel (Plavix, Bristol-Myers Squibb/Sanofi-Aventis) and the proton-pump inhibitor (PPI)omeprazole (Prilosec, Procter & Gamble) [1,2]. The alert states: "New data show that when clopidogrel and omeprazole are taken together, the effectiveness of clopidogrel is reduced. Patients at risk for heart attacks or strokes who use clopidogrel to prevent blood clots will not get the full effect of this medicine if they are also taking omeprazole."

But the timing of the this alert appears peculiar, given that just a few weeks ago, what was said to be the definitive answer to this issue—the only randomized clinical trial on the interaction—was reported, showing absolutely no hint of any reduction in effect of clopidogrel in patients taking omeprazole./.../

Cardiologists contacted by heartwire were surprised at the new FDA announcement.

PAHO-WHO Collaborating Centers Meetting in SP


Realizando-se em São Paulo de 16-18 de Novembro reunião de representantes dos Centros Colaboradores e Instituições de Referência para discutir planejamento estratégico 2008-2012.
Participamos como representante do GT sobre Saúde Urbana da UFRGS.

Meeting of the WHO-PAHO Collaborators Centers and PAHO National Reference Institutions to discuss strategic Plan 2008-2012. We attended the meeting representing the Urban Health Working Gorup from the Federal Univesity of Rio Grande do Sul

Maria Ines Reinert Azambuja: WHO Scientific Resource Group on Equity Analysis and Research

A AMICOR Dra. Maria Inês Reinert Azambuja integra agora Grupo Científico da OMS sobre Análise e Pesquisa sobre Equidade.

Equity Analysis & Research Unit
Department of Ethics, Equity, Trade and Human Rights
Information, Evidence and Research Cluster
World Health Organization
20 Avenue Appia, CH-1211 Geneva 27 Switzerland
Tel: + 41 (22) 791 3250
Fax: + 41 (22) 791 4909

From: Sadana, Ritu
Sent: 29 October 2009 16:45
To: equity
Subject: WHO Scientific Resource Group on Equity Analysis and Research - integration sub-group

Dear Nominee,

Along with the chair of the SRG, Cesar Victora, we would like to congratulate you on being accepted as a member of the WHO Scientific Resource Group (SRG) on Equity Analysis and Research. We had over 450 nominations from around the world.

.....................

We also attach the general Terms of Reference for the group, that were summarized in the open call. Key products and recommendations will be reviewed by the entire SRG. Four sub-groups of approximately 20 people each have been proposed, as a working format for specific products. These include:

1. indicators/measurements;
2. integrating equity and accountability for equity within other processes;
3. research norms and standards;
4. government leadership.

We request your participation in the integration sub-group.

Dr. Ritu Sadana, MSc ScD

SUS: Isenção para empresas que investirem

De:

LiziaMota

liziamota@terra.com.br


Prezados:

Informo que o Deputado Estadual Nelson Marchezan Junior protocolou nesta segunda feira projeto referente a investimentos no SUS para todos os municípios do Estado do RS.

Trata-se de isenções de ICMS para empresas que investirem no SUS nas áreas de atenção básica e especializada, como reformas e construção de unidades, contratação de recursos humanos, atendimento ambulatorial e hospitalar em drogadição entre outros itens.

Todos os projetos deverão ser construídos em parceria das empresas interessadas com o gestor municipal e submetidos ao crivo dos conselhos municipais de saúde, COGERE, CIB,CES, FAMURS, ASSEDISA, com mecanismos fiscalizatórios e de monitoramento estrito.

................................................

Lizia Maria Meirelles Mota
Clinica Médica, Nefrologia e Medicina do Trabalho
Cremers 18213

Currículo lattes: http://lattes.cnpq.br/0351342441743834
F: (51)99684946