Chronic kidney disease in disadvantaged populations
- Garcia-Garcia,G.; Jha,V.
The increased burden of chronic kidney disease (CKD) in disadvantaged populations is due to both global factors and population-specific issues. Low socioeconomic status and poor access to care contribute to health care disparities and exacerbate the negative effects of genetic or biological predisposition. Provision of appropriate renal care to these populations requires a two-pronged approach: expanding the reach of dialysis through development of low-cost alternatives that can be practiced in remote locations, and implementation and evaluation of cost-effective prevention strategies. Kidney transplantation should be promoted by expansion of deceased donor transplant programs and use of inexpensive, generic immunosuppressive drugs. The...
Predictors of intentions to quit smoking in Aboriginal tobacco smokers of reproductive age in regional New South Wales (NSW), Australia: quantitative and qualitative findings of a cross-sectional survey.
- Gould, GS; Watt, K; McEwen, A; Cadet-James, Y; Clough, AR
To assess the predictors of intentions to quit smoking in a community sample of Aboriginal smokers of reproductive age, in whom smoking prevalence is slow to decline.
EPMA position paper in cancer: current overview and future perspectives
- Grech, Godfrey; Zhan, Xianquan; Yoo, Byong Chul; Bubnov, Rostyslav; Hagan, Suzanne; Danesi, Romano; Vittadini, Giorgio; Desiderio, Dominic M
At present, a radical shift in cancer treatment is occurring in terms of predictive, preventive, and personalized medicine (PPPM). Individual patients will participate in more aspects of their healthcare. During the development of PPPM, many rapid, specific, and sensitive new methods for earlier detection of cancer will result in more efficient management of the patient and hence a better quality of life. Coordination of the various activities among different healthcare professionals in primary, secondary, and tertiary care requires well-defined competencies, implementation of training and educational programs, sharing of data, and harmonized guidelines. In this position paper, the current knowledge to...
Lenea Gaelzer, Certificado como ministrante da palestra "Promoção de saúde - atividade de tempo livre"
- Departamento de Medicina Preventiva, Saúde Pública e Medicina do Trabalho da Faculdade de Medicina
Certificado à Lenea Gaelzer por ter ministrado palestra sobre a temática “Promoção de saúde – Atividade de tempo livre” que integrou o ciclo de palestras sobre “A saúde e o crescimento intelectual da criança”. O evento foi promovido pelo Departamento de Medicina Preventiva, Saúde Pública e Medicina do Trabalho da Faculdade de Medicina. O mesmo ocorreu de 31de Agosto a 09 de Novembro de 1979.
The Spanish Working Group on MDR-TB†
- Servicio De Microbiologı́a; Hospital Universitario; Miguel Servet; Medicina Preventiva Y Salud
We used spoligotyping and restriction fragment length polymorphism (RFLP) of the IS6110-insertion sequence to study the molecular epidemiology of multidrug-resistant (MDR) tuberculosis in Spain. We analyzed 180 Mycobacterium tuberculosis complex isolates collected between January 1998 and December 2000. Consecutive isolates from the same patients (n 23) always had identical genotypes, meaning that no cases of reinfection occurred. A total of 105 isolates (58.3%) had unique RFLP patterns, whereas 75 isolates (41.7%) were in 20 different RFLP clusters. Characterization of the katG and rpoB genes showed that 14 strains included in the RFLP clusters did not actually cluster. Only 33.8 %...
EPMA summit 2014 under the auspices of the presidency of Italy in the EU: professional statements
- Golubnitschaja, Olga; Costigliola, Vincenzo;
Over the next 10–20 years, a pessimistic prognosis considers pandemic scenario for type 2 diabetes mellitus, neurodegenerative disorders and some types of cancer followed by the economic disaster of healthcare systems in a global scale. Well-recognised deficits of currently provided medical services result from the delayed ‘disease care’. Herewith EPMA releases the long-term strategies for the effective promotion of predictive, preventive and personalised medicine (PPPM) considered as the medicine of the future. Under the EPMA-umbrella, an international forum of currently 45 countries is actively contributing to the development and implementation of the innovative PPPM concepts. EPMA is open for collaboration...
Responsabilitat professional mèdica. Barcelona ciutat: 2004-2009
- Giménez Pérez, Mª Dolors
Professional responsibility in medicine exists since the beginning of medicine itself. The Hammurabi Code, which dates from 1728 bC, already mentions some articles related to the professional responsibility of the doctor.
In all eras, laws and medicine haven been forced to adapt to all the scientific advances and social changes that haven been made. Medical responsibility has has had to change as well.
The current approach of responsibility is not supposed to be anymore the search of “guilt” but the searching of all those factors that have influenced in a non desired attending procedure so that it has provoked in a...
Targeting the RSV N0/P complex with constrained alpha-helical peptides
- Galloux, Marie; Gaillard, Vanessa; Le Goffic, Ronan; Sizun, Christina; Larcher, Thibaut; Eleouet, Jean Francois; Nyanguile, Origène
Each year, the infection of infants with RSV is the cause of a large number of hospitalizations and deaths
worldwide. The current standard of care, Synagis, is used as a preventive medicine for premature children only, and there is no drug available to treat the patients who are suffering from this infection. Targeting the polymerase replication complex is a strategy that has been used successfully to develop drugs against other viruses such as HIV, HCV and HBV. In this project, we wish to inhibit the replication complex by disrupting the N0/P interaction. N0 is the nucleoprotein species that is bound as...
Protective Effect of a Fish Egg Homogenate Marine Compound on Arterial Ultrastructure in Spontaneous Hypertensive Rats
- Zerbinati, Nicola; Marotta, Francesco; Nagpal, Ravinder; Singh, Birbal; Mohania, Dheeraj; Milazzo, Michele; Italia, Angelo; Tomella, Claudio; Catanzaro, Roberto
We assessed the effect of a sturgeon eggs–based nutraceutical (LD-1227) versus eicosapentaenoic acid (EPA)/docosahexaenoic acid (DHA) on the ultrastructure of spontaneously hypertensive rat (SHR) aortas. Sixty SHR were randomly divided into three groups that were fed (1) rat chow, (2) rat chow plus 10 mg of EPA/DHA, or (3) rat chow plus 10 mg of LD-1227, for 18 weeks. Afterward, aortas of these rats were used for blind measurements of the thickened intima area and examination by electron microscopy. Control SHR showed an expanded subendothelial space and leukocyte infiltration of the intima that were reduced in LD-1227–fed rats (p<0.05) and less in...
Statin use and risk of haemorrhagic stroke in a community-based cohort of postmenopausal women: an observational study from the Women's Health Initiative
- Salmoirago-Blotcher, Elena; Hovey, Kathleen M; Andrews, Christopher A; Robinson, Jennifer G; Johnson, Karen C; Wassertheil-Smoller, Sylvia; Crawford, Sybil; Qi, Lihong; Martin, Lisa W; Ockene, Judith; Manson, JoAnn E
Objectives: To determine whether statin treatment is associated with increased risk of haemorrhagic stroke (HS) in older women. A secondary objective was to evaluate HS risk in users of combined statin and antiplatelet treatment. Design: Observational study: secondary data analysis from the Women's Health Initiative (WHI) clinical trials. Setting: Women were recruited from 40 participating sites. Participants: Cohort of 68 132 women followed through 2005 (parent study) and for an additional 5 years in the extension study. Main outcome measures Statin use was assessed at baseline and at follow-up visits (1, 3, 6 and 9 years). Women brought medications in...
Health Promotion and Preventive Medicine
- Maj Mark; K. Davis; Ms. Judy Harris; Maj Ann Grediagin; Maj Leo; H. Mahony; Ltc Yvonne; L. Tucker-harris; Ltc Mike Chisick; Ltc Sandra Goins; Ltc Rebecca Torrance; Ms. Bethann Cameron; Brigadier General; Patrick D. Sculley
and Preventive Medicine (USACHPPM) is heir to the legacy of the Army Industrial Hygiene Laboratory (AIHL), which was established in 1942 to conduct occupational health surveys and investigation within the Department of Defense’s industrial production base. This organization proved to be beneficial to America’s World War II efforts. In 1960, environm ental health activities were added to the occupational health mission of AIHL to create the U.S. Army Environmental Hygiene Agency (AEHA). The AEHA developed an internal reputation for quality environmental and occupational health services, such as consultations, investigations, and training, which were available to the Army, Department of Defense,...
The Continuing Response 181 Chapter Seven The Continuing Response
In t r o d u c t i o n The experiences of medical personnel in the response to the 9/11 attack on the Pentagon provided valuable lessons to regional hospitals, the Army Medical Command (MEDCOM), the Army Center for Health Promotion and Preventive Medicine (CHPPM), and military and civilian mental health professionals. During the months and years following the terrorist attacks, these organizations and individuals revised disaster plans, improved communications, strengthened alliances, expanded readiness training, and wrote new procedures and doctrine. As a result, responders are much more prepared for a terrorist attack today than they had been...
A Spatial Agent-Based Model for the Simulation of Adults ’ Daily Walking Within a City
- Yong Yang; Ana V. Diez Roux; Amy H. Auchincloss; Daniel A. Rodriguez; Daniel G. Brown
Abstract: Environmental effects on walking behavior have received attention in recent years because of the potential for policy interventions to increase population levels of walking. Most epidemiologic studies describe associations of walking behavior with environmental features. These analyses ignore the dynamic processes that shape walking behaviors. A spatial agent-based model (ABM) was developed to simulate people’s walking behaviors within a city. Each individual was assigned properties such as age, SES, walking ability, attitude toward walking and a home location. Individuals perform different activities on a regular basis such as traveling for work, for basic needs, and for leisure. Whether an...
STANDARD OPERATING PROCEDURE RECEIVING, QUARANTINE, ACCLIMATION, AND PREVENTIVE HEALTH MANAGEMENT MEDICINE STANDARDS FOR CATTLE
County Farm personnel relating to the receiving, quarantine, and acclimation procedures for beef and dairy cattle used for research or instruction at the College of Veterinary Medicine 1.2 The individual assigned to perform the duties and tasks listed in this SOP is responsible for its implementation. 2.0 STANDARDS: 2.1 All animals should be housed and husbanded in accordance with the environmental, primary enclosure and enrichment standards outlined in the applicable husbandry SOP for cattle. 2.2 Animals will be obtained only from vendor/sources approved by AR. 2.3 All animals must undergo a seven (7) day quarantine and acclimation period. 2.4 Animals...
STANDARD OPERATING PROCEDURE RECEIPT, QUARANTINE, ACCLIMATION, AND PREVENTIVE MEDICINE STANDARDS FOR DOGS 1.0 PURPOSE:
the receipt, quarantine, and acclimation procedures for all dogs used for research or instruction at the College of Veterinary Medicine. It also specifies the standards for preventive medical care for this species. 1.2 The individual assigned to perform the duties and tasks listed in this SOP is responsible for its implementation. 2.0 STANDARDS: 2.1 All dogs should be housed and husbanded in accordance with the environmental, primary enclosure and enrichment standards outlined in SOP 01.001, “Husbandry of Dogs”, or SOP 01.020, “Husbandry of Dogs (Bldg 2379)”. 2.2 All dogs, whether acquired as random-source/pound source animals or from licensed dealers for...
STANDARD OPERATING PROCEDURE RECEIPT, ACCLIMATION, AND PREVENTIVE MEDICINE STANDARDS FOR CATS 1.0 PURPOSE:
relating to the receipt and acclimation procedures for all cats used for research or instruction at the College of Veterinary Medicine. It also specifies the standards for preventive medical care for this species. 1.2 The individual assigned to perform the duties and tasks listed in this SOP is responsible for its implementation. 2.0 STANDARDS: 2.1 All cats should be housed and husbanded in accordance with the environmental, primary enclosure and enrichment standards outlined in relevant SOPs for Animal Resources. ”. 2.2 All cats will be obtained from licensed dealers for purpose-bred animals. These sources will be approved by AR. Animal...
BioMed Central Analytic perspective Chinese journals: a guide for epidemiologists
- Isaac Ch Fung
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Chinese journals in epidemiology, preventive medicine and public health contain much that is of potential international interest. However, few non-Chinese speakers are acquainted with this literature. This article therefore provides an overview of the contemporary scene in Chinese biomedical journal publication, Chinese bibliographic databases and Chinese journals in epidemiology, preventive medicine and public health. The challenge of switching to English as the medium of publication, the development of publishing bibliometric data from Chinese databases, the prospect of an Open Access publication model in...
COMMISSION ON AGROCHEMICALS AND THE ENVIRONMENT* IUPAC Reports on Pesticides (39) OPTIMUM USE OF AVAILABLE RESIDUE DATA IN THE ESTIMATION OF DIETARY INTAKE OF PESTICIDES (Technical Report) Prepared for publication by
- D. J. Hamilton; P. T. Holland; B. Ohlin; W. J. Murray; A. Ambrus; G. C. De Baptista; J. Kovacicova
- Rafael Correia; Fabio Kon
Public homecare programs such as the Brazilian Family Health program, initiated in the late 1990s, have proven to be a very effective tool for Preventive Medicine. The goal of these programs is to bring physicians, nurses, and social workers to the homes of the lower income population in lesser-attended regions within multi-million people metropolis. However, there is practically no IT support for the operation of these programs, leading to inefficiencies. For example, in a particular Primary Homecare Program our group is involved with, nurses visit the homes of their patients carrying a pencil and a piece of paper and, during...
A Personalized Health Information System to foster Preventive Medicine
- Sebastian Klenk; Julia Möhrmann; Andre Burkovski; Peter Fritz; Gunther Heidemann
Abstract—The first and foremost task of all health information systems is to inform the users about their current health level. Good systems give information on what action might change their status quo for the better. A excellent system would engage the user in these actions to improve their health in a sustainable way. In the course of this paper we will demonstrate how such a system might look like. Our main emphasis will be on its attainability with currently available data sources. I.