
Bill Clinton (1946-)
Quotation from the day from the http://www.thefreedictionary.
This Blog AMICOR is a communication instrument of a group of friends primarily interested in health promotion, with a focus on cardiovascular diseases prevention. To contact send a message to achutti@gmail.com http://achutti.blogspot.com

Bill Clinton (1946-)
Quotation from the day from the http://www.thefreedictionary.
| Today in 1964: | U.S. Surgeon General Luther L. Terry announced that cigarette smoking is linked to lung cancer. |
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Power and Powerlessness
Social power is necessary for human health.
Physician and author Susan Rosenthal reached this conclusion after decades of research, observation, and activism.
In POWER and Powerlessness, she explains that most people lack the healthy, fulfilling lives they deserve because they are kept divided and powerless, and they mistakenly accept this state of affairs as natural or self-inflicted.
Written for a popular audience, POWER and Powerlessnessasks, then answers, four basic questions:
Original, hopeful, impeccably researched, this book explains:
Starting this month,
a paper from The New England Journal of Medicine published December 17, 2008 (10.1056/NEJMoa0808431) entitled "Glucose Control and Vascular Complications in Veterans with Type 2 Diabetes"
After the "Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation" (ADVANCE) trial and the "Action to Control Cardiovascular Risk in Diabetes" (ACCORD) trial, a third study, the Veterans Affairs Diabetes Trial (VADT) reports no benefit of intensive glucose control over standard care in patients with Type 2 diabetes.
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Thus authors concluded that intensive glucose control in patients with poorly controlled type 2 diabetes had no significant effect on the rates of major cardiovascular events, death or microvascular complications. /.../
1st Cardiology Department, Athens University Medical School, Ilias 8, 153 44 Gerakas Attikis, Athens, Greece
Received 29 April 2008; revised 21 September 2008; accepted 23 October 2008; online publish-ahead-of-print 23 November 2008.
* Corresponding author. Tel: +30 6945904220, Fax: +30 2106616466, Email:antoniades@vodafone.net.gr
Plasma total homocysteine (Hcy) has been associated with cardiovascular risk in multiple large-scale epidemiological studies, and it has been considered as an independent risk factor for atherosclerosis. Homocysteine lowering, achieved after the introduction of the folate food fortification programme in North America, was accompanied by an accelerated decline of cardiovascular risk and especially of stroke. Although the initial clinical trials suggested thathomocysteine-lowering treatment with folates and B vitamins induces coronary plaque regression, this finding was not confirmed by more recent clinical studies. Under the light of the findings from the recent large randomized clinical trials that failed to document a benefit of Hcy lowering on clinical outcome of patients with atherosclerosis, the role of Hcy as a risk factor and the efficacy of Hcy lowering against atherosclerosis have been questioned. Therefore, better understanding of the mechanisms relating Hcy and Hcy-lowering treatment with vascular function and atherogenesis is crucial, to help us understand why clinical trials failed to show a benefit from Hcy-lowering treatment. Are these therapeutic strategies ineffective because they fail to reduce intracellular Hcy levels and vascular redox state or should Hcy stop being considered as an independent risk factor for atherosclerosis from now on? In this review article, we provide a global approach of the molecular mechanisms relating Hcy with cardiovascular risk and introduce possible mechanistic explanations regarding the inability of clinical trials to detect any clinical benefit from Hcy-lowering treatment in secondary prevention. Finally, we provide clinical recommendations regarding the therapeutic strategies targeting homocysteine in the general population./.../
Background Smoking is a risk factor for many diseases and has been increasingly prevalent in economically developing regions of the world. We aimed to estimate the number of deaths attributable to smoking in China.
Methods We conducted a large, prospective cohort study in a nationally representative sample of 169,871 Chinese adults who were 40 years of age or older. Investigators for the China National Hypertension Survey collected data on smoking and other risk factors at a baseline examination in 1991 using a standard protocol. Follow-up evaluation was conducted in 1999 and 2000, with a response rate of 93.4%. We used multivariable-adjusted relative risk, prevalence of smoking, mortality, and population size in each age group, stratified according to sex, to calculate the number of deaths attributable to smoking in 2005.
Results There was a significant, dose–response association between pack-years smoked and death from any cause in both men and women after adjustment for multiple risk factors (P<0.001 for trend). We estimated that in 2005, a total of 673,000 deaths(95% confidence interval [CI], 564,700 to 781,400) were attributable to smoking in China: 538,200 (95% CI, 455,800 to 620,600) among men and 134,800 (95% CI, 108,900 to 160,800) among women. The leading causes of smoking-related deaths were as follows: cancer, 268,200 (95% CI, 214,500 to 321,900); cardiovascular disease, 146,200 (95% CI, 79,200 to 213,100); and respiratory disease, 66,800 (95% CI, 20,300 to 113,300)./.../
Conclusions Our study documents that smoking is a major risk factor for mortality in China. Continued strengthening of national programs and initiatives for smoking prevention and cessation is needed to reduce smoking-related deaths in China.
When we were looking for a suitable yardstick to measure the level of sustainability of a country a suitable instrument could not be found. Although the main existing indexes were examined we had to conclude that none of them seem to fit our needs completely. The main shortcomings are a limited definition of sustainability, a lack of transparency or high complexity and an absence of regular updates. For this reason, a new index – the Sustainable Society Index (SSI) – has been developed. The SSI integrates the most important aspects of sustainability and quality of life of a national society in a simple and transparent way. Consisting of only 22 indicators, grouped into 5 categories, it is based upon the definition of the Brundtland Commission, extended to the Brundtland+ definition by explicitly including the social aspects of human life.
Using data from public sources, the SSI was initially developed for 150 countries and published in 2006. In 2008 the first of two-yearly updates was published with results for 151 countries for which the SSI could be calculated. The resulting SSI scores on a scale of 0 to 10 allow a quick comparison between countries as is shown on the world map./.../
We've all heard about the health risks of secondhand smoke. But thirdhand smoke?
Medical experts say there is such a thing, and it's particularly hazardous for children.
Thirdhand smoke isn't smoke in the traditional sense. It's defined as the residual contamination from tobacco smoke that remains after a cigarette is extinguished—toxic dust that settles onto surfaces and harmful volatile compounds that disperse in the air.
A recent study in the journal Pediatrics notes: "Children are especially susceptible to thirdhand smoke exposure because they breathe near, crawl and play on, touch and mouth contaminated surfaces."
Researchers found that adults who believed thirdhand smoke harmed children's health were more likely to institute household smoking bans.
Some parents put a no-smoking rule in the same category as the decision not to use chemicals on lawns where kids play, said Joel Africk, president and CEO of the Respiratory Health Association of Metropolitan Chicago.
"We see this as the right and authority of the family to decide that they are not going to allow those carcinogens in the house," said Africk, who was not involved in the study.
Africk emphasized that the Pediatrics study did not call for legislation that would ban smoking in private homes.
Instead, he said: "We think this is a reminder to parents—smokers and non-smokers alike—that if they allow smoking in the home, it's going to hurt their children."
Suggested citation for this article: Harris JR, Lichiello PA, Hannon PA. Workplace health promotion in Washington State. Prev Chronic Dis 2009;6(1).http://www.cdc.gov/pcd/issues/2009/
jan/07_0276.htm. Accessed [date].
PEER REVIEWED
The workplace is a powerful setting to reach large numbers of at-risk adults with effective chronic disease prevention programs. Missed preventive care is a particular problem for workers with low income and no health insurance. The costs of chronic diseases among workers — including health care costs, productivity losses, and employee turnover — have prompted employers to seek health promotion interventions that are both effective and cost-effective. The workplace offers 4 avenues for delivering preventive interventions: health insurance, workplace policies, health promotion programs, and communications. For each of the avenues, the evidence base describes a number of preventive interventions that are applicable to the workplace. On the basis of the evidence and of our work in Washington State, we present a public health approach to preventing chronic diseases via the workplace. In addition to relying on the evidence, this approach makes a compelling business case for preventive interventions to employers./.../
Written by Ian O'Neill
The nominations are in, the votes have been counted and the Universe Today writers have been consulted; the Top 10 Scientific Endeavours of 2008 are decided!
A suÃte de aplicativos oferece inúmeros recursos, muitos desconhecidos do grande público. Conheça alguns deles aqui./.../
MJ 2007;335:1288-1289 (22 December), doi:10.1136/bmj.39420.420370.25
Rachel C Vreeman, fellow in children’s health services research1, Aaron E Carroll, assistant professor of paediatrics2
1 Children’s Health Services Research, Indiana University School of Medicine, Indianapolis, IN, USA, 2 Regenstrief Institute, Indianapolis, IN, USA
Correspondence to:R C Vreeman rvreeman@iupui.edu
Sometimes even doctors are duped, say Rachel C Vreeman and Aaron E Carroll
Physicians understand that practicing good medicine requires the constant acquisition of new knowledge, though they often assume their existing medical beliefs do not need re-examination. These medical myths are a light hearted reminder that we can be wrong and need to question what other falsehoods we unwittingly propagate as we practice medicine. We generated a list of common medical or medicine related beliefs espoused by physicians and the general public, based on statements we had heard endorsed on multiple occasions and thought were true or might be true. We selected seven for critical review:
We used Medline and Google to search for evidence to support or refute each of these claims. Because "proving a negative" can be challenging, we noted instances in which there was no evidence to support the claim.
Published 17 December 2008, doi:10.1136/bmj.a2769
Cite this as: BMJ 2008;337:a2769
Rachel C Vreeman, assistant professor of paediatrics, faculty investigator 1,2,Aaron E Carroll, associate professor of paediatrics, director1,2
1 Children’s Health Services Research, Indiana University School of Medicine, Indianapolis, IN, USA, 2 Center for Health Policy and Professionalism Research, Indiana University School of Medicine, Indianapolis, IN, USA
Correspondence to: R C Vreeman rvreeman@iupui.edu
More medical myths hit the dust, thanks to Rachel C Vreeman and Aaron E Carroll
In the pursuit of scientific truth, even widely held medical beliefs require examination or re-examination. Both physicians and non-physicians sometimes believe things about our bodies that just are not true. As a reminder of the need to apply scientific investigation to conventional wisdom, we previously discussed the evidence disputing seven commonly held medical myths.1 The holiday season presents a further opportunity to probe medical beliefs recounted during this time of the year.
We generated a list of common medical or health beliefs related to the holidays and winter season and searched Medline for scientific evidence to support or refute these beliefs. If we couldn’t find any evidence in the medical literature, we searched the internet using Google./.../
Confira a relação dos top 10 downloads de aplicativos e utilitários preferidos dos leitores da PC WORLD.
Whether your New Year's quitting resolution is to stop smoking, end oral tobacco use or break free from the nicotine gum or lozenge, you're in luck. Packed with quitting insights, Freedom from Nicotine - The Journey Home is a free, 239 page, 2.1mb pdf e-book being released today.
The book was written by John R. Polito, and former 30-year heavy smoker and editor of WhyQuit, a popular free online quitting site. With more than 400 footnotes, most linked to medical journal articles, the book shares the research and science underlying the cessation method which, by far, undeniably accounts for more long-term success stories each year than all other methods combined.
"Pharmaceutical industry influence falsely portrays cold turkey quitting as nearly impossible and non-science-based," says Polito. "The assertions are insane and it's time to fight back."
WhyQuit is also home to Joel Spitzer's free e-book Never Take Another Puff, to more than 60 free video counseling lessons and to a free online support group, Freedom from Tobacco. The site sells nothing, declines donations and is staffed entirely by volunteer cessation educators.
Founded in July, 1999, current U.S. Google rankings list WhyQuit as the #1 ranked "cold turkey" quitting forum, the #1 search result among 232,000 "nicotine cessation" search results, #2 among 8.2 million "stop smoking" results and #3 among 7.4 million "quit smoking" results.
| from | Meiners, Dra. Micheline Marie Milward de Azevedo(BRA) | |
![]() Purpose of the Newsletter: To share information between countries, within PAHO and with key partners and promote the Regional Strategy on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health; to share developments on all aspects of the Strategy and its four lines of action (surveillance & response, advocacy & policy, health promotion & disease prevention, and integrated management of chronic diseases & risk factors) as well as news on program implementation. Scope of the Newsletter: The newsletter can include items of interest in the following areas related to chronic disease surveillance, prevention, and management, including their risk factors:
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