3.155 - AMICOR (26)

 3.155 - AMICOR (26)

Dra. Valderês A. Robinson Achutti (*13/06/1931+15/06/2021), com sua irmã
Dra. Wanyce Miriam Robinson (*20/03/1936+22/09/2023)

#Re-Publicando artigos meus

De Médicos e Medicina

Aloyzio Achutti. Médico.  (2014)

É curioso e intrigante observar o crescente prestígio e valorização da Medicina, enquanto médicos e pacientes estejam cada vez mais insatisfeitos com a prática. As ciências biomédicas (não confundir com medicina) têm se desenvolvido vertiginosamente na esteira das conquistas científicas e tecnológicas permitindo a realização de diagnósticos e tratamentos até há bem pouco inimagináveis. Estes recursos tornam-se cada vez mais caros por serem tratados como produtos de mercado, e envolverem custos marginais relacionados com inúmeros interessados da indústria farmacêutica, de equipamentos, organizações hospitalares, de pesquisa, securitárias, de especulação financeira, político-governamentais e de outras profissões que atuam no mesmo setor. Além de lidar com a vida humana (cujo valor é inestimável), a operação deste oneroso e complexo sistema depende ainda em grande parte do médico, sobrando-lhe cada vez menos para remunerar seu trabalho e comprometendo-lhe a autonomia.

É bem possível que a crise seja bem mais ampla e relacionável com a problemática observável em outros setores, quando se diz serem necessárias reformas econômica, política e ética para readequar a estrutura de nossa sociedade, por não mais corresponder ao grau e tipo de desenvolvimento e globalização.

Além da impossibilidade de conciliar totalmente os interesses do paciente, da ciência e do profissional, é preciso enfrentar o dilema da qualidade e da extensão de cobertura. As soluções adotadas, mesmo com o suporte de recursos tecnológicos, não têm o dom de multiplicar o número de profissionais capacitados, preservar a continuidade e estender o tempo necessários para estabelecer uma adequada relação médico-paciente, e ao mesmo tempo promover o atendimento em massa.

Em condições muito menos complexas, com uma demanda certamente bem mais reduzida e exigente, Hiopócrates já reconhecera o dilema, e estabelecera duas categorias de profissionais:  os médicos de escravos e os de homens livres. Os primeiros corriam de um paciente a outro sem maiores preocupações (expressão usada por ele), enquanto que os de homens livres esperavam convencer o paciente antes de proceder a cura.

A abrangência atual e diversidade dos objetivos profissionais têm ofuscado o foco primordial e humanístico, dificultando o relacionamento, complicando a formação, e distraindo a atenção das causas das causas das doenças. Ao mesmo tempo nosso modelo cultural centrado no pragmatismo mercadológico e competitividade agressiva, tem corroído muito do idealismo de uma profissão inicialmente confundida com o sacerdócio...

Bem, quando descobrimos que até os sacerdotes não são mais os mesmos, quem sabe não é chegado o tempo de reservar o título de médico somente para aqueles que se conformem com a prática da medicina centrada na pessoa humana integrada em seu contexto histórico e social?

#Khalil Gibran
Centenário da Publicação de "O Profeta"

O profeta é uma maravilhosa viagem espiritual através de um dos grandes clássicos do século XX. Foi escrito em inglês e traduzido em 40 idiomas. É um conjunto de meditações sobre temas universais como o amor, a morte, a família e a esperança. Gibran Khalil Gibran nasceu em 6 de dezembro de 1883, no Líbano. Aos onze anos emigrou para a América com a família. Por muitos anos ganhou a vida como pintor. Em 1923, foi publicada sua obra-prima, O profeta. Foi um sucesso imediato, e as vendas nunca caíram. Khalil morreu em 1931 de insuficiência hepática e tuberculosa incipiente, mas o autor nunca perdeu a paixão pelo Líbano, onde foi enterrado e onde é considerado uma lenda.

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NUMBER THEORY | ALL TOPICS   Behold Modular Forms, the ‘Fifth Fundamental Operation’ of Mathematics By JORDANA CEPELEWICZ Modular forms are one of the most beautiful and mysterious objects in mathematics. What are they? And what now makes them crucial to the development of the “mathematical theory of everything” called the Langlands program? Read the article Related:  What Is the Langlands Program? By Alex Kontorovich (2022) NEURAL NETWWORKS   The Physical Process That Powers a New Type of Generative AI By STEVE NADIS Some modern image generators rely on the principles of diffusion to create images. Alternatives based on the process behind the distribution of charged particles may yield even better results. Read the blog Related:  The AI Tools Making Images Look Better By Amos Zeeberg DEVELOPMENTAL BIOLOGY   What Makes Life Tick? Mitochondria May Keep Time for Cells By VIVIANE CALLIER Every species develops at its own unique tempo, leaving scientists to wonder what governs their timing. A suite of new findings suggests that cells use basic metabolic processes as clocks. Read the article Related:  Biologists Discover Unknown Powers in Mighty Mitochondria By Diana Kwon (2019) Q&A   The Experimental Cosmologist Hunting for the First Sunrise By SARAH SCOLES To catch even a whiff of the universe’s earliest epochs — an age of darkness, and one of new light — Cynthia Chiang builds her own equipment. Then she deploys it at the ends of the Earth. Read the interview Watch the video  Around the Web A Metastability Mystery Researchers have discovered a quantum version of the “Mpemba effect”: the phenomenon that causes hot water to freeze faster than cold, reports Anna Demming for Physics World. In its classical form, the Mpemba effect can be caused by a system of water molecules falling into a “metastable state,” as Adam Mann wrote for Quanta in 2022. Yet, surprisingly, the quantum system exhibiting the Mpemba effect contains no such metastable states. The Power of Forgetting The neuroscientist Tomás Ryan studies how our brains forget. He explains how forgetting may help our brains to learn in an interview with Daisy Yuhas for Scientific American. Forgetting is one strategy that our brains use to sift through our massive storehouses of experiences to keep important memories at the forefront, as Dalmeet Singh Chawla described for Quanta in 2018.

#SBC

78º Congresso Brasileiro de Cardiologia   28-30 setembro 2023 Na FIERGS

Esta mensagem é para lhe fornecer os dados de acesso ao 78º Congresso Brasileiro de Cardiologia / 2023 CARDIO - 78º Congresso Brasileiro de Cardiologia.

3.154 AMICOR (26)

 3.154 AMICOR (26) 

#Com Dra. Valderês Antonietta Robinson Achutti (*13/06/1931+15/06/2021)

Em Paris, no século passado

Re-Publicando artigos meus

PESADELO (artigo enviado para ZH, provavelmente na década de noventa)
Aloyzio Achutti

A busca da segurança parece ter sido sempre um objetivo da humanidade, se não o é também de todo o ser vivo, que se reveste de acessórios (espinhos, secreções cáusticas, carapaças, etc...) para se defender de potenciais agressões.

Não é sonho não! O mal é real e antigo. Muda de forma e intensidade, exigindo constante adaptação nas estratégias de defesa. Já foram bandoleiros nas estradas, hordas de bárbaros, “bucaneiros” e piratas, cangaceiros, juventude transviada, as máfias de várias nacionalidades, as gangues urbanas, os sem isso ou sem aquilo, os “hackers”, agora são os traficantes atrapalhados em seus negócios e os presidiários muito bem articulados com seus sócios extra muros.

Enquanto der resultado, enquanto o negócio for rentável e houver clientela interessada na mercadoria ou nos resultados políticos da contravenção, o comportamento anti-social do momento continuará existindo.

E não é só por eficiência mercadológica escusa, sabe-se que chamar atenção para os rejeitados e marginalizados, a vingança por maus tratos, a busca de uma identidade ou notoriedade - mesmo que por caminhos escabrosos, servem também como objetivo na vida para muita gente.

As prisões têm hoje a eficiência das muralhas depois que foi descoberta a pólvora e o dinamite: não passam de um símbolo passado de segregação social, onde a elite da contravenção tem condições ideais de trabalho para estudar, planejar, discutir, comandar e controlar seus projetos, utilizando recursos sofisticados e - por que não – alguns agentes duplos que, mal pagos como funcionários públicos, encontram formas de renda mais compensadoras.

A simples reclusão restringe um bem muito importante que é a liberdade de ir e vir, mas em compensação abre novas oportunidades de organização. Algum tipo de trabalho, mesmo que forçado, faria muito bem para a saúde dos presos, pode ser uma forma de reeducação, competiria com o ócio recompensado, e daria uma oportunidade para pagar dívidas com a sociedade, se alguma pontinha de culpa ainda existir.

Enquanto dormia-se em berço esplêndido, deixou-se construir uma sociedade paralela, a revelia, com a função de fazer o serviço sujo, mais rentável do que os empregos formais que lhes são oferecidos.

Ao se acordar para um novo governo, uma fração significativa de concidadãos está acionando o despertador para a necessidade de um novo “Ministério da Defesa Social” que não busque apenas jogar uma elite contra a outra, encerrando uns em masmorras e outros atrás de grades residenciais com seguranças privadas.

Este é o pesadelo, e deve haver uma solução científica, racional, lúcida, política, comprometida e de boa vontade para se conseguir mais do que o simples crescimento do produto interno bruto.

#NSF news

 

Research News Genes that shape bones identified, offering clues about our past and future September 14, 2023 Using artificial intelligence to analyze tens of thousands of X-ray images and genetic sequences, researchers, including two NSF Graduate Research…

NSF News New $50 million institute aims to use the power of math to model, predict biological processes September 14, 2023 Building a mathematics-based understanding of biology at all scales of life — from individual cells to interactions between species — is the goal of a…

#Academia Sul-Riograndense de Medicina

#Neuroscience News Sep 13 Could a Brain Pathobiome Be The Hidden Culprit in Alzheimer’s Development? New research points to the possibility that the development of a pathobiome in the brain could play a role in Alzheimer's and related dementias. Studying brain samples, researchers discovered Alzheimer’s-affected brains had markedly different bacterial profiles compared to non-affected peers. #   COGNITION Hearing Aids Stave Off Cognitive Decline Hearing aids may help maintain better brain functions in older people and better health overall. By Josh Fischman,Tanya Lewis,Carin Leong,Elah Feder | 12:19 #   CLIMATE CHANGE Carbon in the Oceans Is Altering the Micro-Fabric of Life Humans are feeding the invisible world of ocean microbes a punishing diet of pollutants, boosting the impact of climate change and hastening the destruction of life as we know it By David Ewing Duncan # Parkinson’s Onset Theory Challenged: Synaptic Dysfunction Before Neuron Death Contrary to the widely held belief that Parkinson’s disease originates from the degeneration of dopaminergic neurons, a new study suggests a precursor: synaptic dysfunction. This revelation unveils the dysfunction of dopaminergic synapses prior to neurodegeneration. Read more of this post # QUANTUM PHYSICS | ALL TOPICS   Physicists Observe ‘Unobservable’ Quantum Phase Transition By CHARLIE WOOD Measurement and entanglement both have a “spooky” nonlocal flavor to them. Now physicists are harnessing that nonlocality to probe the spread of quantum information and control it. Read the article QUANTUM COMPUTING   Machine Learning Aids Classical Modeling of Quantum Systems By LAKSHMI CHANDRASEKARAN By using “classical shadows,” ordinary computers can beat quantum computers at the tricky task of understanding quantum behaviors. Read the article Related:  New Codes Could Make Quantum Computing 10 Times More Efficient By Charlie Wood GEOMETRY   A Tower of Conjectures That Rests Upon a Needle By JORDANA CEPELEWICZ On its surface, the Kakeya conjecture seems like just a simple statement about rotating needles. But it underpins a wealth of mathematics, including a set of major problems in harmonic analysis. Read the blog Related:  New Proof Threads the Needle on a Sticky Geometry Problem By Jordana Cepelewicz BIODIVERSITY   ‘Species Repulsion’ Enables High Biodiversity in Tropical Trees By VERONIQUE GREENWOOD Because tree seedlings don’t grow as well when close to their parents, more tree species can be packed into tropical forests. Read the blog QUANTA SCIENCE PODCAST   Chatbots Don’t Know What Stuff Isn’t Article by MAX G. LEVY; Podcast hosted by SUSAN VALOT Researchers still don’t understand whether machines will ever truly know the word “no.” Listen to the podcast Read the article Around the Web A Crushing Problem A computer scientist analyzed the complexity of a popular mobile game, Candy Crush, and found that it is NP-hard — that is, it’s hard to solve, but answers are easy to verify. Manon Bischoff reports on the finding for Scientific American. Complexity theory helps to clarify what kinds of problems can be solved easily by classical computers, and how quantum computers can solve some of the harder problems. In 2018, Kevin Hartnett wrote a short guide to the different complexity classes for Quanta. Cut to the Good Stuff What’s the fairest way to split a cake? When dividing between two people, the “I cut, you choose” method works, but among more people, the division gets more complicated, Stephen Ornes writes for Science News. The cake-cutting problem is a deceptively tricky one, and mathematicians have grappled with it for years. Back in 2016, Erica Klarreich reported for Quanta on a new algorithm that fairly splits a cake among any number of people. #Our World in Data Our recent publications What are people dying from? This question is essential to guide decisions in public health and to find ways to save lives. Many leading causes of death receive little mainstream attention. If news reports reflected what children died from, they would say that around 1,400 young children die from diarrheal diseases, 1,000 die from malaria, and 1,900 from respiratory infections — every single day. This can change. Over time, death rates from these causes have declined across the world. A better understanding of the causes of death has led to the development of technologies, preventative measures, and better healthcare, reducing the chances of dying from a wide range of different causes, across all age groups. In the past, infectious diseases dominated. But death rates from infectious diseases have fallen quickly — faster than other causes. This has led to a shift in the leading causes of death. Now, non-communicable diseases — such as heart diseases and cancers — are the most common causes of death globally. More progress is possible, and the impact of causes of death can fall further. On our new topic page, you will find global data and research on leading causes of death and how they can be prevented. This includes the number of people dying from each cause, their death rates, how they differ between age groups, and their trends over time. You will also find all of our writing on the topic, which includes four new articles: How do researchers estimate the death toll caused by each risk factor, whether it’s smoking, obesity, or air pollution? How are causes of death registered around the world? Risk ratios, odds ratios, risk differences: How do researchers calculate the risk from a risk factor? Why isn’t it possible to sum up the death toll from different risk factors? Terrorism is a rare cause of death globally, but in some countries it is common and on the rise Terrorism is the threat or use of violence to intimidate or coerce in the pursuit of political or ideological goals. It is usually understood to be done by non-state actors — individuals or organizations not part of any government. Terrorism can take many forms, including bombings, armed assaults, hijackings, or hostage-taking. Its targets can also vary and can be aimed at civilians, state actors, or public infrastructure. Globally, terrorist attacks and deaths are rare. But this varies a lot worldwide: in some countries, they are common and on the rise, while in others, there are few attacks or none. Terrorism is also a big concern for people across the world. Attacks are rare, but often shocking, as they are meant to scare and subdue. On our new topic page, you will find all of our data and writing on how common terrorism is, how it differs across countries, and whether it is becoming more or less frequent over time. This includes a new article on how researchers measure terrorism. Explore our featured work Extreme poverty: how far have we come, how far do we still have to go? Two centuries ago the majority of the world population was extremely poor — even those living in today’s richest countries. Back then it was widely believed that widespread poverty was inevitable. But this turned out to be wrong. Economic growth is possible and poverty can decline. The world has made immense progress against extreme poverty. Yet even after two centuries of progress, extreme poverty is still the reality for every tenth person in the world. This means roughly 800 million people. In this article we explain that the poorest people today live in countries which have achieved no economic growth. This stagnation of the world’s poorest economies is one of the largest problems of our time. Unless this changes, millions of people will continue to live in extreme poverty. ​​Breaking out of the Malthusian trap: How pandemics allow us to understand why our ancestors were stuck in poverty Homicides: how common are they and how is this changing over time? The mission of Our World in Data is to make data and research on the world’s largest problems understandable and accessible. #IHME September 12, 2023 View in browser | Sign up | Translate Future COVID-19 prospects for this fall season      COVID cases are on the upswing in the US and other countries where reporting is continuing. IHME Director Dr. Chris Murray discusses the rising trend of cases and what to expect during the upcoming fall and winter seasons.   There has been increased tracking and reporting of some new variants, particularly BA.2.86, which has a number of new mutations. Anyone who has not had a recent infection, people who have not been vaccinated recently, at-risk groups, and those over 65 with co-morbidities should consider a fall COVID booster.    It’s important to remember that the pandemic isn’t really over. It’s common to feel tired of hearing about COVID, but we should continue to monitor new variants and work together to protect ourselves and our communities.  Watch the video Top stories IHME data used in a Netflix docuseries     A new Netflix series explores “blue zones” -- areas around the world where people are living significantly longer than average. Hosted by National Geographic explorer Dan Buettner, the new show, “Live to 100: Secrets of the Blue Zones,” uses IHME data to understand global life expectancy.  Watch the trailer→ 1 in 4 people are affected by anemia     Anemia is the third-largest cause of disability around the world. Men, women, and children of all ages suffer from anemia. IHME researchers illustrated how pervasive and widespread this disease is in a recent piece for The Conversation.  Read the story→ IHME in the news A recent study found that nearly 1 in 4 people have anemia (KCBS Radio) » This is a condition where blood lacks enough healthy red blood cells to carry oxygen trough the body. Jennifer Hodges spoke with Will Gardner -- research scientist, Institute for Health Metrics and Evaluation. Long Covid symptoms create a greater burden of disability than heart disease or cancer, new study shows (CNN) » That means long Covid creates a higher burden of disability than either heart disease or cancer, which cause about 52 and 50 DALYs for every 1,000 Americans, respectively, according to the Institute for Health Metrics and Evaluation’s Global Burden of Disease study. LinkedIn post of the week  Congratulations to Dr. Ibrahim Abubakar for receiving the Roux Award from the Institute for Health Metrics and Evaluation for his decades of work improving health outcomes in Nigeria and around the world. We’re fortunate to have his deep experience and dedication on both the RTSL Nigeria Board and our Strategic Advisory Board. — Tom Frieden What we're reading These Rwandan women were sent to jail for having an abortion. Now free, they speak out » Even without a conviction for abortion, life is difficult for many unmarried girls and young women who become pregnant. (NPR) ‘Many patients are dying blind’: South Africa’s struggle to save eyesight » In a race to prevent blindness, a small team in the remote Northern Cape do their best to treat thousands of patients waiting in hope that their sight could be restored to them. (The Guardian)    Featured datasets Global Burden of Disease Study 2019 (GBD 2019) Healthcare Access and Quality Index 1990-2019   Global Burden of Disease (GBD) Cardiovascular Burden Estimates 1990 and 2021 # ACADEMIA SUL-RIO-GRANDENSE DE MEDICINA   A Academia Sul -Rio-Grandense de Medicina, em nome de suas confreiras e confrades, manifesta seu profundo pesar pelo falecimento de seu Fundador e Membro Emérito Acadêmico César Amaury Ribeiro da Costa, ocorrido neste dia 11 de setembro, em Porto Alegre.   Nesse momento de perda irreparável, encaminha seus sentimentos de solidariedade aos familiares, amigos e admiradores de sua notável trajetória. https://www.facebook.com/100047270497099/posts/pfbid02xiJq5bRuYADbs1qgxriLvQXSYHVsbfavZipwNhwax5PYPkpt1LZjnCyFxZEzh3L6l/?mibextid=Nif5oz  por Nadine Clausell #X - Twitter.com Amazing Astronomy @MAstronomers · 13 h 0:34 NEWS: NASA managed to record the sound of a black hole. This sonification is unlike anything done before Sound has Not crossed space and been "recorded" by us or a spacecraft X-rays & light data, allowed ripples in gas to be seen. Their size allows frequency to be estimated. If you were there you could Not hear them, as freq. soo low. The video freq. scaled up by 144 Quadrillion! https://www.nasa.gov/mission_pages/chandra/news/new-nasa-black-hole-sonifications-with-a-rem # Global Governance for Achieving the SDGs From Viewpoint of Sociology of Domination   SDGs and global governance Sustainable development is the challenge of how to build a society in which humanity can live with dignity in this global environment. The SDGs set 17 goals and 169 targets to achieve sustainable development. Goals 16 and 17 are aimed precisely at building global governance through the formation of global […]