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Tuesday, April 22, 2008

MAPA DIGITAL MUNICÍPIOS DO BRASIL

Mapa digital reúne 800 dados municipais
Ferramenta do Ministério das Cidades traz desde resultado de eleições até indicadores sociais, econômicos, financeiros e administrativos
Crédito: Reprodução
Conheça o projeto
Saiba mais sobre o apoio do PNUD à elaboração e à implantação do SNIC (Sistema Nacional de Informações das Cidades)
Leia também
Brasil terá mapa digital de indicadores
OSMAR SOARES DE CAMPOS
da PrimaPagina

Já está na internet um mapa digital elaborado pelo Ministério das Cidades que reúne cerca de 800 indicadores sociais, demográficos, eleitorais e econômicos das regiões, Estados e de todos os 5.564 municípios brasileiros. Chamada GeoSNIC e ainda em versão inicial, a ferramenta permite obter e cruzar dados sobre temas como resultados e participação nas eleições, déficit habitacional, IDH (Índice de Desenvolvimento Humano), renda, movimentação bancária, receita com impostos e quantidade de estabelecimentos como salas de cinema e de shoppings centers./.../

Monday, April 21, 2008

Water profile: Brazil


Geography and population

Brazil is politically divided into twenty-six states and one federal district, in five regions: north, northeast, southeast, south and center-west. The total area of the country is 854.7 million hectares (ha), out of which the extension of cultivated land area was 49.1 million ha in 1996. A large amount of land is still available for further agricultural production, especially in the center-west of the country in the so-called "cerrado" areas. The annual population growth in 1997/98 was close to 1.3%. The average population density varies according to region: the north has 3.3 inhabitants/km2, the northeast 29.8, the southeast 73.8, the south 41.0 and the center-west 6.76 inhabitants/km2.

Thursday, April 17, 2008

Equity oriented Tool Kit

Equity Oriented Tool Kit


Welcome to the Equity-Oriented Tool Kit for Health Technology Assessment!
A needs-based health technology assessment model is used to provide methods to match the identified health needs of a population, to the most appropriate interventions. The existing tool kit focused on averages, but this ignored distributional issues and equity gradients.

We are now expanding this toolkit. It is based on clinical and population health status and takes into account issues of gender equity, social justice and community participation.

Wednesday, April 16, 2008

Guest Authorship and Ghostwriting in Publications Related to Rofecoxib

Article recommended by Dr. Maria Inês Reinert Azambuja
Context Authorship in biomedical publication provides recognition and establishes accountability and responsibility. Recent litigation related to rofecoxib provided a unique opportunity to examine guest authorship and ghostwriting, practices that have been suspected in biomedical publication but for which there is little documentation.
Objective To characterize different types and the extent of guest authorship and ghostwriting in 1 case study.
Data Sources Court documents originally obtained during litigation related to rofecoxib against Merck & Co Inc. Documents were created predominantly between 1996 and 2004. In addition, publicly available articles related to rofecoxib identified via MEDLINE.
Data Extraction All documents were reviewed by one author, with selected review by coauthors, using an iterative process of review, discussion, and rereview of documents to identify information related to guest authorship or ghostwriting.
Data Synthesis Approximately 250 documents were relevant to our review. For the publication of clinical trials, documents were found describing Merck employees working either independently or in collaboration with medical publishing companies to prepare manuscripts and subsequently recruiting external, academically affiliated investigators to be authors. Recruited authors were frequently placed in the first and second positions of the authorship list. For the publication of scientific review papers, documents were found describing Merck marketing employees developing plans for manuscripts, contractingwith medical publishing companies to ghostwrite manuscripts, and recruiting external, academically affiliated investigators to be authors. Recruited authors were commonly the sole author on the manuscript and offered honoraria for their participation. Among 96 relevant published articles, we found that 92% (22 of 24) of clinical trial articles published a disclosure of Merck’s financial support, but only 50% (36 of 72) of review articles published either a disclosure of Merck sponsorship or a disclosure of whether the author had received any financial compensation from the company.
Conclusions This case-study review of industry documents demonstrates that clinical trial manuscripts related to rofecoxib were authored by sponsor employees but often attributed first authorship to academically affiliated investigators who did not always disclose industry financial support. Review manuscripts were often prepared by unacknowledged authors and subsequently attributed authorship to academically affiliated investigators who often did not disclose industry financial support.
JAMA. 2008;299(15):1800-1812 www.jama.com

The inflammation paradigm: Towards a consensus to explain coronary heart disease mortality in the 20th century

The inflammation paradigm: Towards a consensus to explain coronary heart disease mortality in the 20th century
Maria Ines Azambuja a,*, Aloyzio Achutti b, Richard Levins c
a Department of Social Medicine, School of Medicine, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos 2600, 4/420, 90035-003 Porto Alegre, RS, Brazil
b Moinhos de Vento Hospital, Porto Alegre, Brazil
c Department of Population and International Health, Harvard School of Public Health, United States
Received 2 November 2007; accepted 8 February 2008
Available online 20 March 2008
KEYWORDS
Coronary disease; Inflammation; Influenza; Arachidonic acid; Lipid hypothesis; Vulnerability
Summary The etiology of coronary heart disease (CHD) has been debated over the last 60 years. There exists an alternative explanation to the rise in CHD mortality, consonant with knowledge about the role of inflammation. It is proposed that a cohort association existed between rates of vulnerability to influenza deaths in 1918 and CHD mortality among survivors from those vulnerable birth cohorts.
According to this hypothesis, hypercholesterolemia may have been a marker of the 1918 immune-priming, with CHD deaths resulting from bursts of endothelial inflammation and thrombosis associated with influenza re-infections during the following decades. We propose a reconsideration of the way we model atherogenesis, from ‘‘initiation’’ and ‘‘promotion’’ to ‘‘vulnerable substrate(s)’’ and ‘‘trigger(s)’’.
Also suggested, based on this hypothesis, is a possible shared condition between vulnerable substrates, which upon triggering, is associated with evolution to acute events, through an imbalance between COX and LOX products. This paradigm has implications for global prevention policies.
 2008 World Heart Federation. Published by Elsevier Ltd. All rights reserved.

Monday, April 14, 2008

2382 - AMICOR10 - 14/04/2008

Monday, April 14, 2008

Resistant Hypertension: Diagnosis, Evaluation, Treatment
New Guidelines Issued for Hypertension that Defies TreatmentLabels:
posted by Aloyzio Achutti at 10:46 AM 0 comments

Friday, April 11, 2008

Inflammation May Be Link Between Heart Disease and Fetal Growth
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posted by Aloyzio Achutti at 12:22 PM 0 comments

Thursday, April 10, 2008

Físico diz que "partícula de Deus" será encontrada em breve Terra - Pesquisas

posted by Aloyzio Achutti at 11:13 AM 0 comments

Tuesday, April 08, 2008

Trends and Challenges since the Public Health in the Americas Initiative, 2000-2007
posted by Aloyzio Achutti at 4:22 PM 0 comments

"Mapa da Saúde do Brasileiro"

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posted by Aloyzio Achutti at 12:14 PM 0 comments

National Health Information System
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posted by Aloyzio Achutti at 12:01 PM 0 comments

Monday, April 07, 2008

Instituto Difusor da Língua Portuguesa
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posted by Aloyzio Achutti at 4:13 PM 0 comments

World Health Day 2008
World Health Organization – April 2008Available online as PDF file [34p.] at:http://www.who.int/world-health-day/toolkit/report_web.pdf
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posted by Aloyzio Achutti at 11:54 AM 0 comments

Sunday, April 06, 2008

UNNATURAL CAUSES....

posted by Aloyzio Achutti at 8:42 PM 0 comments

Saturday, April 05, 2008

World Health Day 2008: protecting health from climate change
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posted by Aloyzio Achutti at 9:21 AM 0 comments

Thursday, April 03, 2008

Lung Cancer Investigator 'Discloses' Funding of Tobacco Money
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posted by Aloyzio Achutti at 7:55 AM

Resistant Hypertension: Diagnosis, Evaluation, Treatment

New Guidelines Issued for Hypertension that Defies Treatment
Download Complimentary Source PDF

By Judith Groch, Contributing Writer, MedPage TodayPublished: April 11, 2008Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco
BIRMINGHAM, Ala., April 11 -- The American Heart Association has issued consensus guidelines for treating resistant hypertension, a common, difficult-to-manage condition.
Resistance is also established if hypertension is controlled but it's taken four or more drugs to get there.
The exact prevalence of resistant hypertension is unknown, but clinical trials suggest that it is not rare, involving 20% to 30% of study participants, the guideline committee wrote.
Older age and obesity are two of the strongest risk factors associated with resistant hypertension, and the condition is likely to become more common as the population ages and becomes heavier, the committee authors said.
As a first step in management, they emphasized, it is important to determine that a person's condition is resistant, not merely uncontrolled.
The committee's diagnostic advice:
Confirm treatment resistance. In addition to use of medications as noted above, office blood pressure, taken with good technique, should be greater than 140/90 or over 130/80 in patients with diabetes or chronic kidney disease;
Rule out the "white-coat effect" by use of ambulatory monitoring, if necessary;
Identify and reverse contributing lifestyle factors, such as obesity, physical inactivity, excessive alcohol ingestion, high salt and low-fiber diet;
Discontinue or minimize interfering substances, such as non-steroidal anti-inflammatory agents, diet pills, decongestants, stimulants, oral contraceptives, licorice, and ephedra;
Screen for secondary causes of resistant hypertension, such as obstructive sleep apnea, renal artery stenosis, primary aldosteronism, Cushing's syndrome, aortic co-arctation, and pheochromocytoma. /.../

Friday, April 11, 2008

Inflammation May Be Link Between Heart Disease and Fetal Growth

Inflammation May Be Link Between Heart Disease and Fetal Growth
By Crystal Phend, Staff Writer, MedPage TodayPublished: April 10, 2008Reviewed by
Zalman S. Agus, MD; Emeritus Professor University of Pennsylvania School of Medicine.
LONDON, April 10 -- Low birth weight followed by excessive weight gain during adolescence may put the heart at risk by increasing low-grade inflammation, researchers said.
Explain to interested parents that the study suggested that growth in the womb and in adolescence can have an impact on inflammation, which has been linked to cardiovascular risk.
Note that the observational study did not include correlation with cardiovascular events because there were too few events in the young cohort.
Levels of the inflammatory marker C-reactive protein were 16% higher at age 31 for every 1 kg lower weight at birth and for each unit increase in body mass index from age 14 on, reported Paul Elliott, Ph.D., of Imperial College London, and colleagues, online in the European Heart Journal

Thursday, April 10, 2008

Físico diz que "partícula de Deus" será encontrada em breve Terra - Pesquisas

Físico diz que "partícula de Deus" será encontrada em breve Terra - Pesquisas
Físico diz que "partícula de Deus" será encontrada em breve
Alexander G. Higgins
O pai de uma partícula subatômica teórica apelidada de "partícula de Deus" diz estar quase certo de que ela será confirmada no ano que vem, em uma corrida entre poderosos equipamentos de pesquisa instalados nos Estados Unidos e na Europa.
» Físicos tentam decifrar a "partícula de Deus"
O físico britânico Peter Higgs, que mais de 40 anos atrás postulou a existência dessa partícula como parte da composição do átomo, disse que sua visita a um novo acelerador de partículas em Genebra, no final de semana passada, o levou a acreditar que o bóson de Higgs deva em breve ser observado.
O Large Hadron Collider, um projeto de US$ 2 bilhões em construção desde 2003, deve começar suas operações em junho no Laboratório Europeu de Física de Partículas, conhecido como CERN.
É provável que sejam precisos alguns meses antes que centenas de cientistas de todo o mundo estejam prontos para começar a promover colisões entre prótons a fim de estudar sua composição.
Higgs disse na última segunda-feira que a partícula já pode ter sido criada no Laboratório Nacional Fermi dos Estados Unidos, perto de Chicago, que abriga o maior acelerador de partículas em operação no mundo, o Tevatron. "O Tevatron tem muita energia em fluxo", disse Higgs. "É só a dificuldade de análise dos dados que nos impede de saber rapidamente o que os dados estão ocultando".
Acelerador de partículasO novo acelerador de partículas do CERN, uma imensa construção instalada em um túnel circular de 27 quilômetros de comprimento sob a fronteira entre a França e a Suíça, será ainda mais poderoso, e terá mais capacidade de demonstrar que partículas foram criadas nas colisões entre feixes de prótons viajando à velocidade da luz.
O novo acelerador de Genebra recriará as condições rapidamente mutáveis que existiam no universo uma fração de segundo depois do Big Bang. Será o mais perto que os cientistas terão chegado do evento que a teoria designa como o começo do universo. Eles esperam que o novo equipamento permita que estudem partículas e forças até agora não observadas.
Mas o Fermilab ainda tem tempo de vencer a corrida caso possa demonstrar que descobriu o bóson de Higgs, disse Higgs. Leon Lederman, físico que conquistou um Nobel em sua disciplina, definiu o bóson teórico como "partícula de Deus", porque sua descoberta poderia unificar a compreensão da física de partículas e ajudar os seres humanos a "conhecer a mente de Deus".
Higgs disse a jornalistas que ele tem a esperança de receber a confirmação de sua teoria antes de seu 80° aniversário em maio de 2009. Caso isso não aconteça, ele brincou "terei de pedir ao meu médico que me mantenha vivo por um pouquinho mais de tempo". Higgs não usa o termo "partícula de Deus" para designar o bóson que leva seu nome, por medo de ofender algumas pessoas.
Ele previu a existência do bóson quando estava pesquisando na Universidade de Edimburgo com o objetivo de provar como os átomos ¿ e os objetos que eles compõem - têm peso. Sem a partícula, a teoria física básica ¿ o modelo padrão - carece de um elemento crucial, porque não explica como outras partículas subatômicas, a exemplo de quarks e elétrons, têm massa.
A teoria de Higgs é a de que os bósons criam um campo através do qual as demais partículas passam. As partículas que enfrentam dificuldade para atravessar o campo, como se estivessem presas em um pote de melaço, ganham mais inércia, e massa. As que passam com mais facilidade são mais leves.
Higgs disse que ficaria "muito, muito intrigado", caso a existência da partícula jamais venha a ser provada, porque ele não consegue imaginar o que mais explicaria a maneira pela qual partículas adquirem massa. O físico contou que a reação inicial às suas idéias, nos anos 60, foi bastante cética.
"Meus colegas achavam que eu fosse meio idiota", ele disse, lembrando que seu primeiro estudo explicativo do funcionamento de sua teoria havia sido rejeitado por um editor do CERN. Ele conta que um colega passou alguns meses trabalhando no CERN pouco depois que Higgs desenvolveu sua teoria.
"Ele me procurou na volta e disse que no CERN as pessoas não pensavam que aquilo que eu estava fazendo tivesse muito a ver com a física de partículas", conta. "Eu acrescentei alguns parágrafos ao estudo, depois disso, e o enviei à Physical Review Letters, do outro lado do Atlântico, que o aceitou para publicação", conta Higgs. "A menção àquilo que viria a se tornar conhecido como bóson de Higgs estava em um desses parágrafos adicionais".
AP
Copyright 2007 Associated Press. Todos os direitos reservados. Este material não pode ser publicado, transmitido, reescrito ou redistribuíd

Tuesday, April 08, 2008

Trends and Challenges since the Public Health in the Americas Initiative, 2000-2007

De: Ruggiero, Mrs. Ana Lucia (WDC)
The Essential Public Health Functions as a Strategy for Improving Overall Health Systems Performance: Trends and Challenges since the Public Health in the Americas Initiative, 2000-2007

Available online as PDF file [20p.] at: http://www.paho.org/english/DPM/SHD/HR/EPHF_2000-2007.pdf
“…..The Pan American Health Organization/World Health Organization (PAHO/WHO) defines the Essential Public Health Functions (EPHF) as the indispensable set of actions, under the primary responsibility of the state, that are fundamental for achieving the goal of public health which is to improve, promote, protect, and restore the health of the population through collective action.
Through the Public Health in the Americas Initiative, PAHO/WHO defined the 11 Essential Public Health Functions and developed a methodology that allows countries to evaluate in a comprehensive manner their public health systems. As part of the Initiative, 41 countries and territories of the Region of the Americas applied the assessment tool…”

"Mapa da Saúde do Brasileiro"

Governo divulga mapa da saúde do brasileiro
O Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (Vigitel) revela como está a saúde dos brasileiros maiores de 18 anos. O estudo foi realizado pelo Ministério da Saúde em parceria com o Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde da Universidade de São Paulo, nas capitais dos 26 estados do País e no Distrito Federal.As entrevistas, realizadas entre julho e dezembro de 2007, contaram com uma equipe de 60 entrevistadores, quatro supervisores e um coordenador. No questionário, perguntas sobre tabagismo, consumo de bebidas alcoólicas, obesidade, ingestão de frutas e hortaliças, atividade física, proteção contra raios ultravioletas, auto-avaliação do estado de saúde, diagnóstico autodeclarado de hipertensão e diabetes e, para as mulheres, exame de mamografia e preventivo de colo de útero (Papanicolau).A pesquisa consistiu em mais de 54 mil entrevistas telefônicas, com um mínimo de dois mil indivíduos adultos em cada uma das 26 capitais e no Distrito Federal. A amostragem foi realizada a partir de cadastros das linhas telefônicas residenciais de cada cidade, onde um morador foi selecionado para ser o entrevistado. O Vigitel foi divulgado na sexta-feira (4).

National Health Information System

Assessing the National Health Information System - An Assessment Tool
VERSION 4.0 – 2008

Health Metrics Network HMN- World Health Organization

Available online as PDF file [77p.] at: http://www.who.int/healthmetrics/tools/3_HMN_Assessment_Tool_Version_4_0_Eng.pdf

Health Metrics Network HMN is a global health partnership that focuses on two core requirements of health system strengthening in low and low-middle income countries:
- First, the need to enhance entire health information and statistical systems, rather than focus only upon specific diseases.
- Second, to concentrate efforts on strengthening country leadership for health information production and use.
In order to help meet these requirements and advance global health, it has become clear that there is an urgent need to coordinate and align partners around an agreed-upon “framework” for the development and strengthening of health information systems

Monday, April 07, 2008

Instituto Difusor da Língua Portuguesa

O RESENHAS é um método inovador para disseminar a Língua Portuguesa por via de endereço eletrônico.


A quem se destina:

O Instituto Difusor da Língua Portuguesa oferece-lhe oportunidade de receber, no endereço eletrônico que for indicado, coletâneas de regras gramaticais elaboradas por renomados mestres da nossa língua, instrumento de apoio fundamental para você reorganizar e esmerar a sua maneira de utilizar o seu idioma, resultando num ganho de conhecimentos diversos que, certamente, proporcionarão um meio mais completo de comunicar.

World Health Day 2008

World Health Organization – April 2008
Available online as PDF file [34p.] at:
http://www.who.int/world-health-day/toolkit/report_web.pdf
“………..There is now widespread agreement that the earth is warming, due to emissions of greenhouse gases caused by human activity. It is also clear that current trends in energy use development and population growth will lead to continuing – and more severe – climate change.

The changing climate will inevitably affect the basic requirements for maintaining health: clean air and water, sufficient food and adequate shelter. Each year, about 800 000 people die from causes attributable to urban air pollution, 1.8 million from diarrhoea largely resulting from lack of access to clean water supply and sanitation, and from poor hygiene, 3.5 million from malnutrition and approximately 60 000 in natural disasters.

A warmer and more variable climate threatens to lead to higher levels of some air pollutants, increase transmission of diseases through unclean water and through contaminated food, to compromise agricultural production in some of the least developed countries, and to increase the hazards of extreme weather.

Climate change also brings new challenges to the control of infectious diseases. Many of the major killers are highly climate sensitive as regards temperature and rainfall, including cholera and the diarrhoeal diseases, as well as diseases including malaria, dengue and other infections carried by vectors. In sum, climate change threatens to slow, halt or reverse the progress that the global public health community is now making against many of these diseases.

In the long run, however, the greatest health impacts may not be from acute shocks such as natural disasters or epidemics, but from the gradual build-up of pressure on the natural, economic and social systems that sustain health, and which are already under stress in much of the developing world. These gradual stresses include reductions and seasonal changes in the availability of fresh water, regional drops in food production, and rising sea levels. Each of these changes has the potential to force population displacement and increase the risks of civil conflict.

Sunday, April 06, 2008

UNNATURAL CAUSES....

DID YOU KNOW:
The U.S. loses over $1 trillion every year in work productivity due to chronic illness. (Milken Institute, 2007)

Personal message: Please forward this to all your netowrks and contacts. Explore case studies, interactivities, resources, video clips, and action tools. Learn about the documentary and search organizations working towards health equity. Visit the Unnatural Causes Web site: http://www.unnaturalcauses.org
Premiering nationally on PBS in spring 2008. Buy the DVD at
http://www.unnaturalcauses.org/buy_the_dvd.php
Documentary series - Why is the most powerful country in the world not one of the healthiest? Why do the rich, on average, live longer, healthier lives than the rest of us? Unlike films that examine how health care cures us, UNNATURAL CAUSES explores the unequal conditions that make us sick in the first place.
Public engagement campaign - Together with leading public health, policy and community-based groups, UNNATURAL CAUSES aims to reframe our national debate over health and stimulate dialogue about what we can -- and should -- do to tackle inequities in society.
UNNATURAL CAUSES is produced by California Newsreel with Vital Pictures, Inc. Presented by the National Minority Consortia of public television. Public Engagement Campaign in association with the Joint Center Health Policy Institute.

Saturday, April 05, 2008

World Health Day 2008: protecting health from climate change

World Health Day, on 7 April, marks the founding of the World Health Organization and is an opportunity to draw worldwide attention to a subject of major importance to global health each year. In 2008, World Health Day focuses on the need to protect health from the adverse effects of climate change.
The theme “protecting health from climate change” puts health at the centre of the global dialogue about climate change. WHO selected this theme in recognition that climate change is posing ever growing threats to global public health security.
Through increased collaboration, the global community will be better prepared to cope with climate-related health challenges worldwide. Examples of such collaborative actions are: strengthening surveillance and control of infectious diseases, ensuring safer use of diminishing water supplies, and coordinating health action in emergencies./.../

Thursday, April 03, 2008

Mapa da Saúde do Brasileiro adulto 2006-2008

03/04/2008 - 12h43
Publicado na Folha de SP e recomendado por Mário Maranhão
Mapa da saúde do brasileiro mostra que 43,4% estão acima do peso

Apenas 17,7% dos brasileiros cumpre recomendação da OMS de comer cinco porções diárias de vegetais
Estudo encomendado pelo Ministério da Saúde revela que 43,4% da população adulta está com excesso de peso, ou seja, apresenta Índice de Massa Corporal (IMC) igual ou superior a 25. O resultado pode ter uma explicação: a pesquisa mostra que apenas 17,7% dos brasileiros cumpre as recomendações da OMS de comer cinco porções diárias de frutas, hortaliças e verduras. O uso de carne com gorduras aparentes está no cotidiano de 32,8% da população e 29% dos adultos são sedentários. De uma forma geral, as brasileiras têm cuidado mais da saúde: alimentam-se melhor, fumam menos, são menos sedentárias, bebem menos e têm menos excesso de peso. EntrevistasOs números fazem parte da pesquisa realizada pelo Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico - Vigitel, em parceria com o Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde da Universidade de São Paulo.O levantamento é feito anualmente desde 2006 com pessoas a partir dos 18 anos, em todas as capitais e no Distrito Federal. Foram entrevistadas pelo telefone 54 mil pessoas, com um mínimo de 2.000 indivíduos em cada capital, além do Distrito Federal. Confira os principais resultados:TABAGISMOA freqüência de fumantes no país todo é de 16,4%. A capital onde o hábito de fumar está mais disseminado é Porto Alegre (21.7% da amostra) e o local onde se dão menos baforadas é em Salvador, com 11,5%.Os homens (20,9%) fumam mais que as mulheres (12,6%). Em ambos os sexos, a freqüência de fumantes cai após 54 anos de idade, alcançando menor regularidade entre os indivíduos com 65 anos ou mais. EXCESSO DE PESO E OBESIDADEA maior parcela de adultos com excesso de peso foi encontrada em Cuiabá (49,7%) e a menor, em Palmas (33,4%). Em geral, a ocorrência do excesso de peso é mais freqüente em homens do que em mulheres. Entre homens, o maior número de indivíduos acima do peso está entre os de maior escolaridade. Já entre mulheres o aumento do peso ocorre quanto menor a escolaridade. A pesquisa mostrou que o país contra com 13% de obesos (IMC igual ou maior que 30), sendo que a maior parcela foi encontrada no Macapá (16%) e a menor, em Palmas (8,8%). CONSUMO DE FRUTAS, LEGUMES E VERDURASA maior regularidade no consumo de vegetais foi encontrada em São Paulo (23% da amostra). O menor índice foi observado em Porto Velho (10%). CARNES COM GORDURAQuem se alimenta mais de carnes com a gordura aparente são os moradores de Campo Grande, com uma freqüência de 45%. A capital baiana é o local onde os entrevistados se alimentam menos de carne gorda (23%). Em todo o país, homens tendem a consumir mais (42,7%) que mulheres (24,3%). LEITE INTEGRALA freqüência no consumo de leite integral, mais rico em gordura, foi de 53% em todo o país. A menor taxa foi encontrada em Vitória (42%) e a maior, em Belém (64%). REFRIGERANTESA freqüência de adultos que consomem refrigerantes em cinco ou mais dias da semana variou de 21%, em Aracaju, a 38%, no Macapá. No país todo, 26,7% dos entrevistados afirmaram consumir a bebida com essa freqüência. Os homens bebem com mais regularidade (31,7%) que as mulheres (22,4%). ATIVIDADE FÍSICA NO LAZERSão poucos os adultos que praticam atividade física suficiente, ou seja, 30 minutos diários de intensidade leve ou moderada em cinco ou mais dias da semana. O índice variou entre 11,3%, em São Paulo, e 20,5%, em Vitória. No país inteiro, a prática regular foi observada em 15,5% da amostragem. Entre os homens, o hábito de se exercitar durante o tempo livre foi encontrado em 19,3%. Entre mulheres, o índice foi de apenas 12,3%. A prática regular de exercício mais freqüente entre homens acontece em Belém (25%). A menos freqüente, em São Paulo (16%). Os sedentários, ou seja, que não praticam nenhuma atividade física, estão mais concentrados em Recife (34%). O menor índice foi encontrado em Porto Velho (25%). Quanto maior é a faixa etária, menor é a quantidade de exercícios que se faz, tanto em homens, quanto em mulheres.BEBIDAS ALCOÓLICASO consumo abusivo de bebidas alcoólicas (considerando-se cinco doses para homens e quatro para mulheres em uma mesma ocasião, nos últimos 30 dias) variou entre 13,4%, em São Paulo; e 23%, em São Luís (ingestão com mais regularidade). A freqüência nacional foi de 17,5%. Na maioria das cidades, a ingestão abusiva foi três vezes maior entre os homens (27,2%) que entre as mulheres (9,3%). BEBIDA E DIREÇÃOPela pesquisa, 2% dos brasileiros dirigem após consumir bebidas alcoólicas. O hábito é mais freqüente em Palmas (4,5% da amostra) e menos, no Rio de Janeiro (1%). Os homens (4%) cometem mais esse tipo de infração que as mulheres (0,3%). AUTO-AVALIAÇÃOCerca de 5% dos brasileiros avaliaram seu estado de saúde como ruim. A freqüência variou entre 3,3% em Belo Horizonte e 7,9% em Manaus. Entre homens, o maior percentual foi em Salvador, com 7%, e entre mulheres, em Manaus, com 10%. De uma maneira geral, as mulheres tendem a achar seu estado de saúde pior que os homens.PREVENÇÃO DE CÂNCER DE COLO DE ÚTEROO Ministério da Saúde recomenda o exame de colo de útero (papanicolau) a cada três anos para todas as mulheres entre 25 e 59 anos que apresentaram resultado normal no exame anterior. O maior percentual de mulheres que fizeram o procedimento nos últimos três anos foi observado em São Paulo e Porto Alegre (90%). Os menores foram registrados em Teresina (68%) e Fortaleza (69%). MAMOGRAFIAA maior freqüência de mulheres entre 50 e 69 anos que realizaram mamografia nos dois últimos anos foi observada em Florianópolis (85%), seguido de Vitória (84%) e Porto Alegre (81%). As capitais Boa Vista (52%) e Macapá (54%) são os locais onde uma parcela menor de mulheres fizeram o exame nesse período. PROTEÇÃO CONTRA O SOLFlorianópolis é a capital onde os indivíduos mais se protegem contra a radiação ultravioleta (70%). É considerada proteção usar filtro solar e/ou chapéu e não se expor por mais de 30 minutos por dia ao sol. No outro extremo, onde menos pessoas se protegem, está Cuiabá, com 46,9%. As mulheres (62%) previnem-se mais que os homens (43%). HIPERTENSÃOA maior quantidade de indivíduos que se autodeclararam hipertensos foram os entrevistados do Rio de Janeiro (27%). O menor foi encontrado em Palmas (13,8%). DIABETESNatal é a capital onde há maior quantidade de diabéticos autodeclarados - eles somam 7,5% da amostra. A capital com menor parcela é Boa Vista, com 1,8% da população. Considerando toda a população adulta das capitais estudadas, 5,7% das mulheres referem ter diabetes, contra 4,8% dos homens. O diagnóstico da doença torna-se mais comum com o aumento da idade.

Lung Cancer Investigator 'Discloses' Funding of Tobacco Money

BOSTON, April 2 -- Claudia I. Henschke, M.D., Ph.D., principal investigator of the controversial 2006 I-ELCAP (International Early Lung Cancer Action Program) study, has formally disclosed to the medical community that tobacco-industry money funded the study.

In a letter published online in the New England Journal of Medicine, Dr. Henschke said "$3.6 million . . . was contributed in 2000 through 2003 as an unrestricted gift by the Vector Group, the parent company of Liggett Tobacco, which manufactures cigarettes."


The New England Journal of Medicine has also issued an online correction and a clarification regarding the once-again controversial study of spiral CT detection of lung cancer.


Last week, the New York Times reported that funding for the study by Dr. Henschke and colleagues at Weill Cornell Medical Center in New York had been channeled through a foundation set up by Dr. Henschke and officials at Weill Cornell (See: Early Lung Cancer Study Found Funded by Tobacco Money). /.../

Wednesday, April 02, 2008

2381 – AMICOR10 – 02/04/2008

RHEUMATIC FEVER/RHEUMATIC HEART DISEASE IN SOUTH AMERICA

Estimados amigos do coração (AMICOR)

Durante o próximo Congresso Mundial de Cardiologia que se realizará em Buenos Aires de 18 a 21 do mês de maio próximo, terei como um dos meus compromissos falar sobre Febre Reumática e Cardiopatia Reumática na América do Sul, durante a sessão intitulada Desafios Regionais para as Doenças Cardiovasculares ao redor do mundo, no dia 19 às 16 horas.

Embora as estatísticas tenham magnitude bem menor e decrescente quando comparadas com outros subgrupos Cardiovasculares, a doença persiste e merece nossa atenção por afetar predominantemente escolares e adultos jovens, por se dispor de recursos preventivos efetivos e por não contar com o interesse da indústria nem estar no foco da pesquisa acadêmica.

Os investimentos na doença, além de custo-efetivos, podem ser – como foi no caso do Brasil em 1972 – uma boa estratégia para sensibilizar a saúde pública a abordar com sucesso outras doenças cardiovasculares e doenças crônicas.

Estou interessado em receber informações sobre o problema e sua abordagem na América do Sul, e/ou nomes de pessoas que possam contribuir para uma apresentação atualizada, na qual os respectivos créditos serão obviamente assegurados.

Dear friends of the heart (AMICOR)

During the next World Congress of Cardiology to be held in Buenos Aires (18-21 of May) I am committed to talk on Rheumatic Fever and Rheumatic Heart Disease in South America, in the Session "Regional challenges for CVD around the world".

Although the statistics show downtrend magnitude comparatively with other CVD subgroups, the disease follows present and deserves our attention because affects predominantly school-children and young adults, and there are effective prevention methods of control, even not being in the focus of the industry and academic research interest.

Investments in the disease, parallel to be cost-effective, may be – as was the case of Brazil in 1972 – a good strategy to sensitize public health to approach successfully other CVD and Chronic Diseases.

I am interested in to receive information on the problem and related activities in South America, and/or name of people that may contribute to an updated presentation (with the correspondent credits respected, obviously).

Labels: Rheumatic Fever, Rheumatic Heart Disease

U.N. Seeks to Curb World's Traffic Deaths - washingtonpost.com


Tai Chi May Help Improve Markers of Pre-Diabetes

Monday, March 31, 2008

Sweetener scrutiny: Are sugar substitutes a helpful tool or an ineffective crutch?

Labels: obesity

Sunday, March 30, 2008

Cholesterol Lowering and Ezetimibe

Labels: cholesterol, exetimibe

Saturday, March 29, 2008

13.73 Billion Years - The Most Precise Measurement of the Age of the Universe Yet

Friday, March 28, 2008

Heart Beat February/March 2008

LEARN MORE ABOUT OUR ACTIVITIES
http://www.world-heart-federation.org/

Labels: Heart Beat

Wednesday, March 26, 2008

Virtual Library museums pages and more...


Musei del Mondo... Una buona giornata MUSEUS NO MUNDO
Recomendado por Anne Schneider
Alemanha
http://www.smb.spk-berlin.de/
Canadá
http://www.national.gallery.ca/ ; http://www.mmfa.qc.ca/
China
http://www.chinapage.com/
Espanha
http://www.museoprado.mcu.es/
Estados Unidos
http://www.amnh.org/ ; http://www.metalab.unc.edu/ ; http://www.metmuseum.org/ ; http://www.tamu.edu/ ; http://www.artic.edu/
Finlandia
http://www.nba.fi/
França
http://www.louvre.fr/ ; http://www.lyon.cci.fr/ ; http://www.museedelapub.org/
Israel
http://www.imj.org.il/
Japão
http://www.kyohaku.go.jp/
México
http://www.arts-history.mx/
Reino Unido
http://www.nms.ac.uk/ ; http://www.tate.org.uk/
Rússia
http://www.hermitagemuseum.org/
Suécia
http://www.nationalmuseum.se/
Vaticano
http://www.christusrex.org/
http://www.vanmuseum.bc.ca/
MUSEUS NO BRASIL
www.visualnet.com.br/cmaya/
Rio Vale a visita em dois museus: Castro Maia - Açude e Chácara do Céu - são dois primores. O do Açude tem uma localização bucólica, porcelanas da Cia das Ìndias, Debrets...
www.mamrio.com.br/ Museu de Arte Moderna - Rio de Janeiro De linhas retas, jardins de Burle Marx, temAnita Malfatti, Di Cavalcanti, Portinari... www.mnba.gov.br/ Museu Nacional de Belas Artes - Rio de Janeiro. Prédio em estilo renascentista. Tem Victor Meireles, Rodolfo Amoedo, Almeida Jr. Eliseu Visconti. Coleção de barrocos italianos e 8 obras de Franz Post. www.tempero.com.br/dicas/museus.htm Essesite dá boas indicações de museus. www.museuimperial.gov.br/Petrópolis-RJ - Imperdível. Tem até espetáculo de son et lumière duas vezes por semana.
São Paulo
http://www.masp.art.br/ Museu de Arte de São Paulo - São Paulo - Velasquez, Rembrandt, Rafael, Cézanne, Monet, Renoir, Van Gogh, Matisse, Picasso... http://www.mam.org.br/ MAM - Museu de Arte Moderna - São Paulo Veja obras de Tarsila do Amaral, Anita Malfatti, Tomie Otake...

Labels: World Museums

Sunday, March 23, 2008

ECG standards in elderly 'should be revised'


Transcendental meditation may give 'clinically meaningful' BP reductions

Genetics and Smoking addiction

New studies show ‘double whammy' link to addiction and cancer


WASHINGTON - Scientists say they have pinpointed a genetic link that makes people more likely to get hooked on tobacco, causing them to smoke more cigarettes, making it harder to quit, and leading more often to deadly lung cancer.
The discovery by three separate teams of scientists makes the strongest case so far for the biological underpinnings of the addiction of smoking and sheds light on how genetics and cigarettes join forces to cause cancer, experts said. The findings also lay the groundwork for more tailored quit-smoking treatments.
"This is kind of a double whammy gene,'' said Christopher Amos, a professor of epidemiology at the M.D. Anderson Cancer Center in Houston and author of one of the studies. "It also makes you more likely to be dependent on smoking and less likely to quit smoking.''/.../

RHEUMATIC FEVER/RHEUMATIC HEART DISEASE IN SOUTH AMERICA

Estimados amigos do coração (AMICOR)

Durante o próximo Congresso Mundial de Cardiologia que se realizará em Buenos Aires de 18 a 21 do mês de maio próximo, terei como um dos meus compromissos falar sobre Febre Reumática e Cardiopatia Reumática na América do Sul, durante a sessão intitulada Desafios Regionais para as Doenças Cardiovasculares ao redor do mundo, no dia 19 às 16 horas.

Embora as estatísticas tenham magnitude bem menor e decrescente quando comparadas com outros subgrupos Cardiovasculares, a doença persiste e merece nossa atenção por afetar predominantemente escolares e adultos jovens, por se dispor de recursos preventivos efetivos e por não contar com o interesse da indústria nem estar no foco da pesquisa acadêmica.

Os investimentos na doença, além de custo-efetivos, podem ser – como foi no caso do Brasil em 1972 – uma boa estratégia para sensibilizar a saúde pública a abordar com sucesso outras doenças cardiovasculares e doenças crônicas.

Estou interessado em receber informações sobre o problema e sua abordagem na América do Sul, e/ou nomes de pessoas que possam contribuir para uma apresentação atualizada, na qual os respectivos créditos serão obviamente assegurados.

Dear friends of the heart (AMICOR)

During the next World Congress of Cardiology to be held in Buenos Aires (18-21 of May) I am committed to talk on Rheumatic Fever and Rheumatic Heart Disease in South America, in the Session "Regional challenges for CVD around the world".

Although the statistics show downtrend magnitude comparatively with other CVD subgroups, the disease follows present and deserves our attention because affects predominantly school-children and young adults, and there are effective prevention methods of control, even not being in the focus of the industry and academic research interest.

Investments in the disease, parallel to be cost-effective, may be – as was the case of Brazil in 1972 – a good strategy to sensitize public health to approach successfully other CVD and Chronic Diseases.

I am interested in to receive information on the problem and related activities in South America, and/or name of people that may contribute to an updated presentation (with the correspondent credits respected, obviously).

U.N. Seeks to Curb World's Traffic Deaths - washingtonpost.com

U.N. Seeks to Curb World's Traffic Deaths - washingtonpost.com: "U.N. Seeks to Curb World's Traffic Deaths

Who's Blogging» Links to this article
By E.J. Mundell
HealthDay Reporter
Tuesday, April 1, 2008; 12:00 AM
TUESDAY, April 1 (HealthDay News) -- Over 1.2 million people die each year on the world's roadways -- more than are killed by major scourges such as malaria or diabetes.
In response to this growing epidemic, the United Nations' General Assembly on Monday approved the first ever conference on road safety, to be held next year in Russia.
It's high time the issue of traffic fatalities got the attention it deserves, advocates said, especially since experts expect vehicle ownership in populous nations such as China and India to double in the next 20 years."/.../

Tai Chi May Help Improve Markers of Pre-Diabetes

Tai Chi May Help Improve Markers of Pre-Diabetes
By Charles Bankhead, Staff Writer, MedPage TodayPublished: April 01, 2008Reviewed by
Dori F. Zaleznik, MD; Associate Clinical Professor of Medicine, Harvard Medical School, Boston.

BRISBANE, Australia, April 1 -- For patients at risk of metabolic syndrome and type 2 diabetes, the Chinese exercises Tai Chi and Qigong may improve clinical parameters associated with the conditions, two small studies suggested.
Action Points --->
Explain to patients that ancient exercises may help improve metabolic markers of pre-diabetes and may be more acceptable to patients compared with other forms of physical activity.
Note that the findings came from studies involving small numbers of patients.
After 12 weeks of regular Tai Chi and Qigong exercises, 11 patients with hyperglycemia had significant improvement in body mass index, waist circumference, and blood pressure, Xin Liu, Ph.D., of the University of Queensland, and colleagues, reported online in the British Journal of Sports Medicine.
Additionally, glycosylated hemoglobin, fasting insulin, and insulin resistance all decreased.

Monday, March 31, 2008

Sweetener scrutiny: Are sugar substitutes a helpful tool or an ineffective crutch?

Sweetener scrutiny: Are sugar substitutes a helpful tool or an ineffective crutch?
Artificial sweeteners are considered safe, but questions persist as to what role they play in helping patients lose weight of if, in fact, they cause people to eat more.
By
Victoria Stagg Elliott, AMNews staff. April 7, 2008.

The rats in the West Lafayette, Ind., laboratory of Susan Swithers, PhD, don't lose weight when they eat artificially sweetened food. They eat more, and gain more. "Rather than these kind of products making it automatically easier to lose weight, they might make it automatically harder," said Dr. Swithers, a Purdue University associate professor of psychological sciences.
Her study documenting this phenomenon, in the February Behavioral Neuroscience, is the latest flare-up in the decades-long debate regarding the safety of artificial sweeteners and whether they aid weight loss. Cancer fears related to these products may have faded, but the theory they might trigger overeating lives on./.../

Sunday, March 30, 2008

Cholesterol Lowering and Ezetimibe

Jeffrey M. Drazen, M.D., John A. Jarcho, M.D., Stephen Morrissey, Ph.D., and Gregory D. Curfman, M.D.
In this issue of the Journal, we publish the results of the Ezetimibe and Simvastatin in Hypercholesterolemia Enhances Atherosclerosis Regression (ENHANCE) trial,1 which addresses the question of whether additional lowering of low-density lipoprotein (LDL) cholesterol with ezetimibe beyond the level achieved with simvastatin beneficially affects the progression of atherosclerosis. As a surrogate clinical marker for such progression, the study used imaging of the intima–media thickness of the carotid and femoral arteries. In contrast to statins, which lower LDL cholesterol by increasing its clearance, ezetimibe selectively inhibits the absorption of cholesterol by binding to Niemann–Pick C1-like 1 (NPC1L1) protein, which is involved in cholesterol processing. When administered in combination, ezetimibe and a statin lower plasma LDL cholesterol below the level that can be achieved with a statin alone.
The ENHANCE trial was conducted in patients with familial hypercholesterolemia, a condition characterized by high levels of LDL cholesterol. Patients were randomly assigned to receive either simvastatin alone or a combination of simvastatin plus ezetimibe. Combination therapy resulted in LDL cholesterol levels that were 27% lower than those achieved with monotherapy, and C-reactive protein levels were also significantly lower with combination therapy. Unexpectedly, however, the trial showed that despite increased lowering of LDL cholesterol in the group that received ezetimibe, the rate of progression of atherosclerotic disease, as measured by intima–media thickness, was the same in the two study groups. It is this paradox, which is at odds with our traditional understanding of the relationship between LDL cholesterol and atherosclerosis, that has puzzled investigators and clinicians alike. The paradox and other important questions that are raised by the trial, including the rationale for the use of carotid intima–media thickness as a surrogate end point, are discussed in detail by Brown and Taylor in an accompanying editorial.2
........
Until such data are available, it seems prudent to encourage patients whose LDL cholesterol levels remain elevated despite treatment with an optimal dose of a statin to redouble their efforts at dietary control and regular exercise. Niacin, fibrates, and resins should be considered when diet, exercise, and a statin have failed to achieve the target, with ezetimibe reserved for patients who cannot tolerate these agents.
/.../

Saturday, March 29, 2008

13.73 Billion Years - The Most Precise Measurement of the Age of the Universe Yet

Universe Today » 13.73 Billion Years - The Most Precise Measurement of the Age of the Universe Yet: "13.73 Billion Years - The Most Precise Measurement of the Age of the Universe Yet
Written by Ian O'Neill

NASA's Wilkinson Microwave Anisotropy Probe (WMAP) has taken the best measurement of the age of the Universe to date. According to highly precise observations of microwave radiation observed all over the cosmos, WMAP scientists now have the best estimate yet on the age of the Universe: 13.73 billion years, plus or minus 120 million years (that's an error margin of only 0.87%… not bad really…)."/.../

Friday, March 28, 2008

Heart Beat February/March 2008

LEARN MORE ABOUT OUR ACTIVITIES
http://www.world-heart-federation.org/
TELL US WHAT YOU THINK
feedback@worldheart.org

HIGHLIGHTS

Pakistani women's heart health campaign advances
One year since it was launched under the direction of World Heart Federation President Shahryar Sheikh, the Go Red for Women national campaign in Pakistan is raising Pakistanis’ awareness that cardiovascular disease is Pakistani women’s greatest health threat.
Activity defines Go Red for Women in Indonesia
As Vice-President of the World Heart Federation from 2006 to 2007, Laksmiati “Mia” Hanafiah gained a deeper appreciation for the Go Red for Women international campaign for women’s heart health. Under her direction, a Go Red for Women national campaign for Indonesia was launched in February 2006 with a high profile gala dinner in the capital of Jakarta. The Indonesian campaign has ambitious plans for 2008.

IN THIS ISSUE
Chile launches national Go Red for Women campaign
In December 2007, Chile became the first South American country to develop a national Go Red for Women campaign for women’s heart health.
“Red Dress Italia” works hard for women's heart health
The Italian Heart Foundation’s history of attention to the special health needs of women became longer and more illustrious with the launch in February 2007 of the Go Red for Women national campaign for Italy, formally called Red Dress Italia.
President-Elect Puska explains World Heart Federation's “useful” collaboration with diabetes, stroke bodies
World Heart Federation President-Elect Pekka Puska says that there are good reasons for “heart people” to collaborate closely with “diabetes people” and “stroke people”.
Rheumatic Heart Disease screening goes mobile in South Africa
An initiative of the Pan African Society of Cardiology and the World Heart Federation to control rheumatic heart disease in Africa soon will bear fruit in the Republic of South Africa with the deployment of a mobile heart-health clinic. The mobile clinic will detect cases of rheumatic heart disease with the help of an echocardiogram provided by the World Heart Federation.

Working Towards Wellness Initiative gains momentum
The movement to promote health in the workplace as a means to address the proliferation of cardiovascular and other major noncommunicable diseases gained momentum at the World Economic Forum’s annual meeting in Davos, Switzerland. World Heart Federation Chief Executive Officer Janet Voûte moderated a two-hour private workshop entitled “Working Towards Wellness: Health and Workforce Productivity”.
World Health Organization drafts action plan to prevent and control noncommunicable diseases
The World Health Organization has drafted an action plan for the implementation of its global strategy to prevent cardiovascular disease and the other major noncommunicable diseases. The plan recognizes that the “global burden of noncommunicable diseases continues to grow” and that “tackling it constitutes one of the major challenges for development in the twenty-first century”.

Wednesday, March 26, 2008

Virtual Library museums pages and more...

Mu s e u m s Welcome to the World Wide Web (WWW) Virtual Library museums pages (VLmp) A comprehensive directory of on-line museums and museum-related resources
You may relocate to a more local VLmp site if response is slow.
Please contact Jonathan Bowen if you would like to maintain information on a particular topic, or support / sponsor the pages in some way. For additions to a particular page, please contact the maintainer concerned. Currently the main page receives thousands of "visitors" each week.



Musei del Mondo... Una buona giornata MUSEUS NO MUNDO
Recomendado por Anne Schneider
Alemanha http://www.smb.spk-berlin.de/
Canadá http://www.national.gallery.ca/ ; http://www.mmfa.qc.ca/
China http://www.chinapage.com/
Espanha http://www.museoprado.mcu.es/
Estados Unidos http://www.amnh.org/ ; http://www.metalab.unc.edu/ ; http://www.metmuseum.org/ ; http://www.tamu.edu/ ; http://www.artic.edu/
Finlandia http://www.nba.fi/
França http://www.louvre.fr/ ; http://www.lyon.cci.fr/ ; http://www.museedelapub.org/
Israel http://www.imj.org.il/
Japão http://www.kyohaku.go.jp/
México http://www.arts-history.mx/
Reino Unido http://www.nms.ac.uk/ ; http://www.tate.org.uk/
Rússia http://www.hermitagemuseum.org/
Suécia http://www.nationalmuseum.se/
Vaticano http://www.christusrex.org/ http://www.vanmuseum.bc.ca/
MUSEUS NO BRASIL
www.visualnet.com.br/cmaya/
Rio Vale a visita em dois museus: Castro Maia - Açude e Chácara do Céu - são dois primores. O do Açude tem uma localização bucólica, porcelanas da Cia das Ìndias, Debrets... www.mamrio.com.br/ Museu de Arte Moderna - Rio de Janeiro De linhas retas, jardins de Burle Marx, temAnita Malfatti, Di Cavalcanti, Portinari... www.mnba.gov.br/ Museu Nacional de Belas Artes - Rio de Janeiro. Prédio em estilo renascentista. Tem Victor Meireles, Rodolfo Amoedo, Almeida Jr. Eliseu Visconti. Coleção de barrocos italianos e 8 obras de Franz Post. www.tempero.com.br/dicas/museus.htm Essesite dá boas indicações de museus. www.museuimperial.gov.br/Petrópolis-RJ - Imperdível. Tem até espetáculo de son et lumière duas vezes por semana.
São Paulo http://www.masp.art.br/ Museu de Arte de São Paulo - São Paulo - Velasquez, Rembrandt, Rafael, Cézanne, Monet, Renoir, Van Gogh, Matisse, Picasso... http://www.mam.org.br/ MAM - Museu de Arte Moderna - São Paulo Veja obras de Tarsila do Amaral, Anita Malfatti, Tomie Otake...

Sunday, March 23, 2008

ECG standards in elderly 'should be revised'

ECG standards in elderly 'should be revised': "ECG standards in elderly 'should be revised'

20 March 2008

MedWire News: Reference ranges for average electrocardiogram (ECG) intervals should be revised for the elderly, say US experts who found that these ranges were significantly higher than currently recommended thresholds in men and women aged 80 years and older.

Current standard ECG interval cut-offs are based largely on data for healthy middle-aged men, note Latha Stead from Mayo Clinic in Rochester, Minnesota, and colleagues.

'What is normal for a population of middle-aged individuals may not be the same for the steadily increasing elderly population in this country,' Stead pointed out."/.../

Transcendental meditation may give 'clinically meaningful' BP reductions

Transcendental meditation may give 'clinically meaningful' BP reductions: "Transcendental meditation may give 'clinically meaningful' BP reductions

20 March 2008

MedWire News: Regularly practicing Transcendental Meditation can provide clinically meaningful reductions in systolic and diastolic blood pressure (BP), say US researchers.

They note that 'sustained BP reductions of this magnitude are likely to significantly reduce risk for cardiovascular diseases.'"/.../

Saturday, March 22, 2008

2380 – AMICOR10 – 22/03/2008 – Happy Easter – Feliz Páscoa!

Saturday, March 22, 2008

Understanding collective behavior

Edge 240:
By Iain Couzin
/.../"In science even if I wrote a paper just by myself and I was the only author, I would still write 'we' in the paper. It is mostly a convention. But it is partly because you are always building upon what has come before. People would like to think that their work is brand new—it never is. Sometimes a different take on the same problem can be illuminating. I tend to interact with many people from different disciplines."/.../


Pharmaceuticals lurking in U.S. drinking water

Friday, March 21, 2008

Dietary Phosphorus and BP


Corporate Social Responsibility

Human Rights Reader 190 [No.1 of 3 in a short series on non-actors in the human rights arena].

CORPORATE SOCIAL RESPONSIBILITY DOES NOT REVOLVE AROUND HUMAN RIGHTS CONCERNS OR CHARITABLE INTENTIONS; IT REVOLVES AROUND BUSINESS INTERESTS.

Drug abuse

New research challenges traditional accounts of why we wallow in chemical gratification
March 21, 2008
World Science staff

Happy Marriages Keep Blood Pressures Normotensive - in Psychiatry, General Psychiatry from MedPage Today

Monday, March 17, 2008

Mental Health and Poverty


Poor awareness of cardiac, stroke symptoms can delay care

Friday, March 14, 2008

AFP: To live longer, go back to school: study

Tuesday, March 11, 2008

Evidence on Urban Health and Healthy Weights

Saturday, March 08, 2008

Corporate influences on epidemiology -- Pearce 37 (1): 46 -- International Journal of Epidemiology

Labels: epidemiology

Friday, March 07, 2008

Appropriateness Criteria for Stress Echocardiography

Labels: echocardiography


understanding collective behavior

Edge 240:
By Iain Couzin
/.../"In science even if I wrote a paper just by myself and I was the only author, I would still write 'we' in the paper. It is mostly a convention. But it is partly because you are always building upon what has come before. People would like to think that their work is brand new—it never is. Sometimes a different take on the same problem can be illuminating. I tend to interact with many people from different disciplines."/.../

Pharmaceuticals lurking in U.S. drinking water

Key findingsHere are some of the key test results obtained by the AP:
Officials in Philadelphia said testing there discovered 56 pharmaceuticals or byproducts in treated drinking water, including medicines for pain, infection, high cholesterol, asthma, epilepsy, mental illness and heart problems. Sixty-three pharmaceuticals or byproducts were found in the city’s watersheds.
Anti-epileptic and anti-anxiety medications were detected in a portion of the treated drinking water for 18.5 million people in Southern California.
Researchers at the U.S. Geological Survey analyzed a Passaic Valley Water Commission drinking water treatment plant, which serves 850,000 people in Northern New Jersey, and found a metabolized angina medicine and the mood-stabilizing carbamazepine in drinking water.
A sex hormone was detected in San Francisco’s drinking water.
The drinking water for Washington, D.C., and surrounding areas tested positive for six pharmaceuticals.
Three medications, including an antibiotic, were found in drinking water supplied to Tucson, Ariz.

Friday, March 21, 2008

Dietary Phosphorus and BP

Dietary Phosphorus and Blood Pressure
International Study of Macro- and Micro-Nutrients and Blood Pressure Paul Elliott; Hugo Kesteloot; Correspondence to Paul Elliott, Department of Epidemiology and Public Health, Faculty of Medicine, Imperial College London, St Mary’s Campus, Norfolk Place, London W2 1PG, United Kingdom. E-mail p.elliott@imperial.ac.uk

Raised blood pressure is a leading cause of morbidity and mortality worldwide; improved nutritional approaches to population-wide prevention are required. Few data are available on dietary phosphorus and blood pressure and none are available on possible combined effects of phosphorus, magnesium, and calcium on blood pressure. The International Study of Macro- and Micro-Nutrients and Blood Pressure is a cross-sectional epidemiologic study of 4680 men and women ages 40 to 59 from 17 population samples in Japan, China, United Kingdom, and United States. Blood pressure was measured 8 times at 4 visits. Dietary intakes were obtained from four 24-hour recalls plus data on supplement use. Dietary phosphorus was inversely associated with blood pressure in a series of predefined multiple regression models, with the successive addition of potential confounders, both nondietary and dietary. Estimated blood pressure differences per 232 mg/1000 kcal (2 SD) of higher dietary phosphorus were –1.1 to –2.3 mm Hg systolic/–0.6 to –1.5 mm Hg diastolic (n=4680) and –1.6 to –3.5 mm Hg systolic/–0.8 to –1.8 mm Hg diastolic for 2238 "nonintervened" individuals, ie, those without special diet/nutritional supplements or diagnosis/treatment for cardiovascular disease or diabetes. Dietary calcium and magnesium, correlated with phosphorus (partial r=0.71 and r=0.68), were inversely associated with blood pressure. Blood pressures were lower by 1.9 to 4.2 mm Hg systolic/1.2 to 2.4 mm Hg diastolic for people with intakes above versus below country-specific medians for all 3 of the minerals. These results indicate the potential for increased phosphorus/mineral intake to lower blood pressure as part of the recommendations for healthier eating patterns for the prevention and control of prehypertension and hypertension.

Corporate Social Responsibility

Human Rights Reader 190 [No.1 of 3 in a short series on non-actors in the human rights arena].

CORPORATE SOCIAL RESPONSIBILITY DOES NOT REVOLVE AROUND HUMAN RIGHTS CONCERNS OR CHARITABLE INTENTIONS; IT REVOLVES AROUND BUSINESS INTERESTS.

"There is one and only one social responsibility of business --to use its resources and engage in activities designed to increase its profits so long as it stays within the rules of the game, which is to say, engage in open and free competition without deception or fraud". (Milton Friedman)

1. Beware: corporate social responsibility (CSR) is not just another buzz-word and it does have relevance in human rights (HR) work. CSR is to be understood as a branding strategy. More often than not, it represents a series of initiatives by some of the global giants to deviously position themselves as labor-friendly and as environmental stewards. Accordingly, corporation leaders are prone to say nice things about social and environmental matters, only to, then, carry-on business as usual. In al truth, the ultimate relevance of CSR still really is to please the shareholders who are the ones who (in principle) call the shots.
[In Coca Cola's I. Neville's words: "Governments can enforce accountability, but they cannot engender responsibility. Responsibility is a choice, and CSR standards allows us businesspeople to make that choice". ...Indeed, it would seem that it is high time for Coca Cola to make that choice].

2. There is thus often reason to doubt honest commitment to CSR. More often than not, the social responsibility standards set by Western-based transnational corporations remain unconvincing --and if those are unconvincing, so are the HR principles they purport to espouse. Voluntary, vague and unenforceable, in last instance, social responsibility standards are not a step towards a more fundamental reform of corporate structures in the direction of the respect of HR; instead, they are distraction from it. Only exposing and rejecting these standards for what they really are is a step towards addressing the abuse of corporate power.

3. The question that this leaves us with is: Are more sinister corporate interests camouflaged through 'CSR-talk' making host-communities-where-corporations-operate believe that their interests coincide with those of the respective corporation?

4. It is simply not enough for corporations to engage in 'make-believe', sometimes making deceiving (or 'half-baked') commitments to its workers and the communities they are drawn from. Fancy brochures in which companies congratulate themselves on such achievements cannot be trusted to the word. The CSR-card should thus not be allowed to play itself out as a, in our case, HR public relations card, particularly in the case of corporations with spotty records on labor rights and on the rights of nature.

5. In any case, CSR standards make a series of pledges, most of which, one may believe, are self-evident to any responsible person. Moreover, they often promise action will be taken 'where appropriate' and 'over time'... Therefore, for practical purposes, these standards are meaningless.

6. For even a pinch of credibility, the certification of CSR actions must, at the very least, be carried out by external auditors (...but when auditors announce they will be coming-by to inspect, you can imagine what happens at the industrial plant beforehand...). (M. Busse) Therefore, only bottom-up initiatives from local communities are a guarantee of autonomously monitored adherence to CSR principles.

7. Furthermore, having stated CSR documents from many companies must not result in local authorities relinquishing their responsibilities in the area of monitoring social responsibility, the compliance with labor rights and other human rights, i.e., situations in which CSR initiatives purport to compensate for local governance failures in this area.

8. For us in HR work, if CSR is to make sense, it must genuinely and sustainably contribute to the fight for HR, for dignity, and against poverty, hunger, abuses in the workplace, despair and destitution.
Otherwise, at best, CSR programs will achieve little islands of improvement in oceans of HR abuses.

Claudio Schuftan, Ho Chi Minh City
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Adapted from D+C, 34:4, April, 2007 and D+C, 34:12, December 2007.