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Thursday, April 22, 2010

28/04/2010 - FIERGS: Segurança e Saúde do Trabalho

Earth Day at 40: The Planet Then and Now

Ecological Footprint Image Blue
40 Years of Earth Day: The Planet Then and Now

On April 22, 1970, the first observation of Earth Day took place, a massive series of gatherings, demonstrations and discussions across the U.S. that many credit as the birth of the modern environmental movement. An oil spill off the California coast was the event that triggered U.S. Senator Gaylord Nelson to launch Earth Day – but concerns about environmental health and the detrimental effects of industrialization were growing, over issues such as pesticide use, oil spills, poor air quality, pollution, loss of wilderness to development and declining biodiversity.  Heralded as a resounding success, the first Earth Day resulted in the implementation of a number of U.S. environmental policies, and the movement quickly went global.
Yet today, the environmental challenges we face dwarf those that touched off that first celebration. And the planet we honor on Earth Day is a far different place from that of just four decades ago.
World population has almost doubled, from 3.7 billion to 6.9 billion. The amount of land paved over to build houses, cities and roads has increased 75 percent, from 228 million global hectares to 400 million global hectares, according to Global Footprint Network’s 2009 National Footprint Accounts. The amount of productive forest land required for fuelwood, paper and timber products, has gone up 53 percent to close to 2 billion global hectares. The productive land and sea area we need for food – for fishing, crops and grazing our livestock – has increased 69 percent, to 5.6 billion global hectares.

But the most staggering increase is reflected in our carbon Footprint: the amount of productive land area that would be needed to absorb our carbon emissions. Since 1970, our total carbon Footprint has more than tripled, from 2.9 to 9 billion global hectares. Carbon has also gone from being a smaller part of humanity’s total Footprint than cropland, to outstripping every other area of demand by a significant margin.
The result of this ecological overspending is clear from the crises we are confronting now – most prominently climate change, but also biodiversity loss, deforestation, fisheries collapse, soil erosion and other problems. Earth has changed from a place where we could operate as if resources were limitless, to one in which resource constraints are becoming a pressing and increasingly decisive concern./.../

Facebook


Facebook Looks To Get Personal

Click here to find out more!
Facebook CEO Mark Zuckerberg delivers a keynote address at a conference in San Francisco, Wednesday, April 21, 2010.
Marcio Jose Sanchez / AP
Facebook wants to make the Web more social, and in the process increase the information you're willing to share. That was the takeaway from founder Mark Zuckerberg's keynote at Facebook's F8 developer conference Wednesday, when the company rolled out a suite of new products it says can change the Web as much as the hyperlink did. Right now, it's challenging for Web sites to know anything about you, your interests or your friends. That's good in some ways — privacy, for one — but bad in others: short of having, you know, a conversation, it's tricky to share with your friends what you're interested in and discover what they like too.

Read more: http://www.time.com/time/business/article/0,8599,1983721,00.html?xid=newsletter-daily#ixzz0lpfp2Jre

Wednesday, April 21, 2010

Childhood Obesity Prevention


Let’s Move — Childhood Obesity Prevention from Pregnancy and Infancy Onward

Janet M. Wojcicki, Ph.D., M.P.H., and Melvin B. Heyman, M.D., M.P.H.
First Lady Michelle Obama unveiled her “Let’s Move” campaign against childhood obesity on February 9, 2010. The program’s main antiobesity strategies are empowering parents and consumers by revamping the nutritional labeling of products by the U.S. Department of Agriculture (USDA), improving the nutritionalstandards of the National School Lunch Program, increasing children’s opportunities for physical activity, and improving access to high-quality foods in all U.S. communities (www.letsmove.gov)./.../

Regulate Salt


Regulate Salt, IOM Says

By Kristina Fiore, Staff Writer, MedPage Today
Published: April 20, 2010
Click here to rate this report 
WASHINGTON -- The Institute of Medicine has called on the FDA to regulate the amount of salt added to foods and gradually decrease sodium content as American palates adjust to the change.
Public health and education campaigns have not worked, the authors of an IOM report argue, so a new model that levels the playing field industrywide is needed.

Joel's Jukebox: Top 64 Stop Smoking Tunes


Joel's Jukebox - the top 64 stop smoking tunes.

Joel's Jukebox: Top 64 Stop Smoking Tunes

With half of adult smokers smoking themselves to death, slaves to endless "want" flowing from highjacked dopamine pathways, one of life's greatest challenges is motivating nicotine addicts to seek recovery insight and understanding while still time. Today the popular quit smoking site WhyQuit.com unveils Joel's Jukebox, eleven hours of easy listening, yet another free quitting tool waiting to be discovered. Imagine 64 free sessions with one of the world's top stop smoking counselors.
Author of the popular free ebook "Never Take Another Puff" (over two million downloads) there's increasing awareness that Joel Spitzer may be the Babe Ruth of smoking cessation. Having started as a volunteer with the American Cancer Society in 1972, he has since presented more than 325 six-session quitting clinics spanning 13 days (each session two hours), and over 570 single session seminars.

"Added sugars" in diet


"Added sugars" in diet linked to higher triglycerides, lower HDL-C in NHANES data

APRIL 20, 2010 Steve Stiles
AtlantaGA - It's been clear enough that a high-fat diet can worsen serum lipids, but less so that a diet with a lot of added sugar may do it as well. The case for it is stronger with a cross-sectional look at >6000 US adults that found significant, independent associations between increased intake of sugar-sweetened foods, which typically have added sucrose or high-fructose corn syrup, and elevated triglycerides (TG) and reduced HDL-cholesterol levels [1].
The analysis, based on 1999-2006 data from a National Health and Nutrition Examination Survey(NHANES) population, also suggested a big jump in consumption of added sugar compared with NHANES data from almost 30 years earlier, from 10.6% to 15.8% of daily calories, report its authors, led byJean A Welsh (Emory University, Atlanta, GA), in the April 21, 2010 issue of the Journal of the American Medical Association./.../

Trans fat


From Wikipedia, the free encyclopedia
Trans fat is the common name for unsaturated fat with trans-isomer fatty acid(s). Trans fats may bemonounsaturated or polyunsaturated but never saturated.
Unsaturated fat is a fat molecule containing one or more double bonds between the carbon atoms. Since the carbons are double-bonded to each other, there are fewer bonds connected to hydrogen, so there are fewer hydrogen atoms, hence "unsaturated". Cis and trans are terms that refer to the arrangement of chains of carbon atoms across the double bond. In the cis arrangement, the chains are on the same side of the double bond, resulting in a kink. In the trans arrangement, the chains are on opposite sides of the double bond, and the chain is straight./.../
Cover of original Crisco cookbook, 1912   


 Poster from New York City's board of health
 consumers to limit trans fat consumption.














































                                                                        

This drug kills patients!


This drug kills patients! Avoiding sensationalism in clinical trials

APRIL 19, 2010 | Michael O'Riordan
Durham, NC - Reporting of important clinical trials needs to avoid unnecessary hype and fear-mongering and proceed in a scientific manner that helps define the risks and benefits of new therapies [1]. These are the conclusions from a group of researchers addressing the recent public sensationalism of clinical trials, particularly the emergence of unexpected cancer findings with ezetimibe (Zetia, Merck/Schering-Plough Pharmaceuticals) and prasugrel (Effient, Eli Lilly/Daiichi Sankyo).
"For those of us who conduct clinical trials, over the past several years there have been a number of sensational items in the lay and medical press about associations and unusual findings," Dr Magnus Ohman (Duke Clinical Research Institute, Durham, NC), the lead author of the commentary, toldheartwire. "These unusual findings have always occurred in clinical trials, and we're going to continue to see these events, but what has changed is that it has become very difficult to separate the wheat from the chaff."

USA: Benefits of Health Reform


Understanding Five Immediate Benefits of Health Reform

The new health-reform bill has many Americans confused. Here are five of the most vital immediate benefits of the reform law and what details are still unknown about them


Read more:http://www.time.com/time/specials/packages/completelist/0,29569,1983409,00.html#ixzz0ljqURHZk

Tuesday, April 20, 2010

Footprint

Endereço sugerido pelo AMICOR Emílio Moriguchi


Global Footprint Network is an international think tank working to advance sustainability through use of the Ecological Footprint, a resource accounting tool that measures how much nature we have, how much we use and who uses what.
By making ecological limits central to decision-making, we are working to endovershoot and create a society where all people can live well, within the means of one planet.

Saturday, April 17, 2010

The Asthma Island Story: Noe Zamel


From: Noe Zamel

 
Dear Aloyzio,

On Saturday April 10 at the Annual Gathering of the Tristan da Cunha Association, held in Southampton, UK, I was the Guest Speaker and the BBC documentary "The Asthma Island Story" was shown. Along with the BBC documentary show a stamp event day cover to celebrate the special event was also presented and I was asked to autograph the covers. This was very emotional to me as you can imagine. Attached is the BBC Event Day Cover.

Best wishes,

Noe
BBC Event Day Cover.jpgBBC Event Day Cover.jpg
1060K   View   Download  
Noé Zamel, pneumonologista foi meu colega de turma, formado em 1958 na Faculdade de Medicina da UFGRS, e vive há muitos anos em Toronto no Canadá.
Como amigo e colega, participo da emoção dele neste evento e compartilho com todos os AMICOR.

Wednesday, April 14, 2010

Variation in Cardiologists' Propensity to Test and Treat

Variation in Cardiologists' Propensity to Test and Treat

Is It Associated With Regional Variation in Utilization?

Frances Lee Lucas, PhDBrenda E. Sirovich, MD, MSPatricia M. Gallagher, PhD;Andrea E. Siewers, MPH and David E. Wennberg, MD, MPHFrom the Center for Outcomes Research and Evaluation (F.L.L., A.E.S.), Maine Medical Center, Portland, Me; Veterans Affairs Medical Center (B.E.S.), White River Junction, Vt; Dartmouth Medical School (B.E.S.), Hanover, NH; Center for Survey Research (P.G.), University of Massachusetts at Boston, Boston, Mass; Health Dialog Analytic Solutions (D.E.W.), Portland, Me; and The Dartmouth Institute (D.E.W.), Hanover, NH.
Correspondence to F.L. Lucas, PhD, Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME 04102. E-mail lucasl@mmc.org
Background: Regional variation in healthcare utilization, including cardiac testing and procedures, is well documented. Some factors underlying such variation are understood, including resource supply. However, less is known about how physician behaviors and attitudes may influence variation in utilization across regions.
Methods and Results: We performed a survey of a national sample of cardiologists using patients vignettes to ascertain physicians' self-reported propensity to test and treat patients with cardiovascular problems, computing a Cardiac Intensity Score for each physician basedon his/her responses intended to measure the physician's propensity to recommend high-tech and/or invasive tests and treatments. In addition, we asked under what circumstances they would order a cardiac catheterization "for other than purely clinical reasons." For some survey items, there was substantial variation in physician responses. We found that the Cardiac Intensity Score was associated with 2 measures of population based healthcare utilization measured within geographic regions, with a stronger association with general healthcare spending than with delivery of cardiac services. Although nearly all physicians denied ordering a potentially unnecessary cardiac catheterization for financial reasons, some physicians acknowledged ordering the test for other reasons, including meeting patient and referring physician expectations, meeting peer expectations, and malpractice concerns. More than 27% of respondents reported ordering a cardiac catheterization if a colleague would in the same situation frequently or sometimes, and nearly 24% reported doing so out of fear of malpractice. These 2 factors were significantly associated with the propensity to test and treat, but only fear of malpractice was associatedwith regional utilization.
Conclusions: Variability in cardiologists' propensity to test and treat partly underlies regional variation in utilization of general health and cardiology services. The factor most closely associated with this propensity was fear of malpractice suits. This factor may be an appropriate target of intervention.

Tuesday, April 13, 2010

What's Good for the Heart May Be Good for the Brain



By Todd Neale, Staff Writer, MedPage Today
Published: April 12, 2010
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine.
 
Action Points  
  • Explain to interested patients that this observational study could not prove a causal relationship between any particular diet and Alzheimer's disease risk.
A diet rich in fruits and vegetables as well as omega-3 fatty acids may reduce the risk of developing Alzheimer's disease, researchers found.
Analysis of data from more than 2,000 dementia-free adults ages 65 and older revealed that persons who consumed a Mediterranean-type diet regularly were 38% less likely to develop Alzheimer's disease over about a four-year follow-up (HR 0.62, 95% CI 0.43 to 0.89), according to Nikolaos Scarmeas, MD, of Columbia University in New York City, and colleagues.
The findings were published online in Archives of Neurology./.../

Is the U.S. Army Losing Its War on Suicide?


Chris Hondros / Getty Images
From the invasion of Afghanistan until last summer, the U.S. military had lost 761 soldiers in combat there. But a higher number in the service — 817 — had taken their own lives over the same period. The surge in suicides, which have risen five years in a row, has become a vexing problem for which the Army's highest levels of command have yet to find a solution despite deploying hundreds of mental-health experts and investing millions of dollars. And the elephant in the room in much of the formal discussion of the problem is the burden of repeated tours of combat duty on a soldier's battered psyche./.../



Monday, April 12, 2010

Stroke-Congress Seoul - Korea October 2010



We look forward to seeing you in Seoul!

www.stroke-congress.com
CONGRESS SECRETARIAT
Kenes International, 1-3, Rue de Chantepoulet, P.O. Box 1726, CH-1211 Geneva 1, Switzerland Tel: +41 22 908 0488, Fax: +41 22 906 9140,
E-mail: stroke2010@kenes.com
 

Sunday, April 11, 2010

Much Ado About Nothing


Astronomy Without A Telescope – Much Ado About Nothing

Written by Steve Nerlich
One of the most intriguing things in cosmology is empty space – that apparent spatial emptiness that didn’t obviously exist before the Big Bang. Although classical physics would have it that energy may neither be created or destroyed, it's certainly the case that empty space is being created in abundance as the universe expands.