Update on the use of fibrates: focus on bezafibrate
- Ilan Goldenberg; Michal Benderly; Uri Goldbourt
Ilan Goldenberg1, Michal Benderly2, Uri Goldbourt2,31Heart Institute and 2Neufeld Cardiac Research Institute, Sheba Medical Center Tel Hashomer, Israel; 3Division of Epidemiology and Preventive Medicine, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, IsraelAbstract: Low-density lipoprotein-cholesterol (LDL-C) is a well established coronary heart disease (CHD) risk factor. However, the ability of this metabolic risk factor alone to identify individuals at risk for future CHD events is limited. The raised triglycerides-low high-density lipoprotein-cholesterol (HDL-C) dyslipidemia was shown to be an important cardiovascular risk factor independently of LDL-C levels. Fibric acid derivatives (fibrates) have been used in clinical practice for more than 2 decades...
A newly developed snack effective for enhancing bone volume
- Hayashi Hidetaka; Matsuda Yayoi; Koseki Hiroyuki; Tsuka Natsumi; Motokawa Masahide; Kaku Masato; Kawata Toshitsugu; Fujita Tadashi; Sunagawa Hiroko; Hernandez Rene; Ohtani Junji; Abedini Sara; Tanne Kazuo
The incidence of primary osteoporosis is higher in Japan than in USA and European countries. Recently, the importance of preventive medicine has been gradually recognized in the field of orthopaedic surgery with a concept that peak bone mass should be increased in childhood as much as possible for the prevention of osteoporosis. Under such background, we have developed a new bean snack with an aim to improve bone volume loss. In this study, we examined the effects of a newly developed snack on bone volume and density in osteoporosis model mice.
Orchiectomy (ORX) and ovariectomy (OVX) were...
O emprego de auxiliares de saúde em áreas de desenvolvimento: alguns conceitos
- Nilton Tornero
In this paper the author discusses the real meaning of health auxiliary according to World Health Organization criteria. Next he discusses_ the relationship between health auxiliary and primary sanitary aid models, trying to show how the right comprehension of some elements of theses models will be of the highest importance to the definition of the auxiliary's functions. Among such elements he calls attention to the relationships between health services and other services offered to the community by other organizations: the choice of the workable area as pre-requisites to the training of personnel; relationships among the primary health aid and the...
Challenges to physician–patient communication about medication use: a window into the skeptical patient’s world
- Bezreh T; Laws MB; Taubin T; Rifkin DE; Wilson IB
Tanya Bezreh1, M Barton Laws1, Tatiana Taubin1, Dena E Rifkin2, Ira B Wilson11Health Services Policy and Practice, Brown University, Providence, RI, USA; 2Divisions of Nephrology and of Preventive Medicine, University of California, San Diego, CA, USAAbstract: Patients frequently do not take medicines as prescribed and often do not communicate with their physicians about their medication-taking behavior. The movement for “patient-centered” care has led to relabeling of this problem from “noncompliance” to “nonadherence” and later to a rhetoric of “concordance” and “shared decision making” in which physicians and patients are viewed as partners who ideally come to agreement about appropriate treatment....
Avaliação da poluição sonora no parque Jardim Botânico de Curitiba, Paraná, Brasil Evaluation of noise pollution in the Botanical Garden in Curitiba, Paraná, Brazil
- Paulo Henrique Trombetta Zannin; Bani Szeremetta
Foi realizado um estudo da poluição sonora no parque Jardim Botânico de Curitiba. Efetuaram-se medições do nível sonoro equivalente Leq em dB(A), em 21 pontos espalhados dentro da área do parque, além de entrevistas com os freqüentadores do local. Constatou-se que 47,6% dos pontos de medição apresentaram níveis sonoros acima de Leq = 65dB(A), considerado pela medicina preventiva como o nível máximo a que um cidadão pode se expor sem riscos à saúde, e 90,5% dos pontos avaliados não satisfizeram à Lei Municipal nº 8.583, que fixa o limite de 55dB(A) como nível máximo de emissões sonoras em áreas verdes....
Tuberculose no sistema prisional de Campinas, São Paulo, Brasil Tuberculosis among city jail inmates in Campinas, São Paulo, Brazil
- Helenice Bosco de Oliveira; Janaina Corrêa Cardoso
OBJETIVO: Descrever a situação da tuberculose nas prisões da Cidade de Campinas, Estado de São Paulo, Brasil. MÉTODOS: Realizou-se um estudo retrospectivo dos casos notificados de tuberculose em presidiários no período de 1993 a 2000. Foram avaliados dados de 4 293 detentos dos quatro presídios que constituem o complexo penitenciário da região. Foram utilizadas informações do banco de dados em tuberculose do Departamento de Medicina Preventiva e Social da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP). RESULTADOS: Observou-se um pico de incidência da tuberculose em 1994 (1 397,62 notificações em 100 000 indivíduos). A menor taxa foi...
The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil
- Baccaro LF; Conde DM; Costa-Paiva L; Pinto-Neto AM
Luiz Francisco Baccaro,1 Délio Marques Conde,2 Lúcia Costa-Paiva,1 Aarão Mendes Pinto-Neto11Department of Gynecology, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil; 2Breast Clinic, Hospital for Maternal and Child Healthcare, Goiânia, Goiás, BrazilAbstract: Brazil has an aging population, with an associated increase in the prevalence of chronic diseases. Postmenopausal osteoporosis is of particular concern because it leads to an increased risk of fractures, with subsequent negative impacts on health in older women. In recent years, efforts have been made to better understand the epidemiology of osteoporosis in Brazil, and to manage both direct and indirect costs to the Brazilian health care...
Consideraciones de la medicina tradicional en su combinación con la medicina occidental y el enfoque diagnósticO Considerations of traditional medicine in combination with Western medicine and diagnostic approach
- Fernando Villate Gómez
La medicina tradicional tiene un enfoque preventivo en su concepción. Sus recursos diagnósticos y terapéuticos juegan un papel fundamental en la atención de los pacientes. En Cuba la generalización de esta medicina por los profesionales médicos se ve obstaculizada al introducirla, por sus métodos; la forma de investigación se ve influenciada por el enfoque comprobatorio de los resultados, aspectos que se analizan en este trabajo en la esfera diagnóstica. Se hace un análisis de lo general y lo particular en el diagnóstico por diferentes autores y sus experiencias particulares. Se concluye con la importancia de conocer los métodos de la...
DIAGNOSIS AND THERAPEUTIC CONSIDERATIONS OF UTERINE INFECTIONS IN DAIRY CATTLE
CONSIDERACIONES DIAGNÓSTICAS Y TERAPÉUTICAS PARA INFECCIONES UTERINAS EN VACAS LECHERAS
- Risco Carlos
From an animal health-well being, welfare, and performance perspective, the postpartum period is comprised of an early window where acute health and cow survival is an issue with the development of septic metritis. Subsequently, sustained presence of endometritis is likely to be contributing to sub-fertility in lactating dairy cows with an overall herd pregnancy rate of approximately 16%. The challenge is to integrate on commercial dairies preventive medicine programs with reproductive management to improve herd fertility. Cows affected by periparturient disorders such as hypocalcemia, dystocia, and retained fetal membranes are more likely to contract uterine infections than cows that...
International Journal of Pharmacology and Clinical Sciences: a knowledge base for scientific enquiry and better patient care
- Vasudha Devi
The current health care system of the world is dependent on the modern medicine which focusses on curative rather than preventive aspects of medicine. The modern medicine has increased the life expectancy and quality of human life by delivering remedial measures for several diseases. This was possible because of advances in research and availability of evidences to practice medicine. However, in lowincome and middle-income countries, drugs account for 20—60% of health-care costs.  The large proportion of these costs is paid out-of-pocket by patients which could be due to inadequate or no coverage by health insurance. To make the condition...
The psychosocial situation of obese children: Psychological factors and quality of life
- U Korsten-Reck; K Korsten; K Haeberle; K Kromeyer-Hauschild; H H Dickhuth; E Schulz
U Korsten-Reck1, K Korsten1, K Haeberle1, K Kromeyer-Hauschild3, H H Dickhuth1, E Schulz21Department of Rehabilitative and Preventive Sports Medicine, University Medical Center, University of Freiburg, Freiburg, Germany; 2Department of Child and Adolescent Psychiatry, University of Freiburg, Freiburg, Germany; 3Institute of Human Genetics and Anthropology, Friedrich-Schiller-University Jena, Jena, GermanyAbstract: The psychosocial situation of obese children at the beginning of the Freiburg Intervention Trial for Obese Children (FITOC) program influences the course and outcome of intervention therapy. At the beginning of FITOC, mothers of 30 children (12 M age 10.5 ± 1.4, 18 F; 10.2 ± 1.3) rated the psychopathological symptoms using the Child...
Towards a national trauma registry for the United Arab Emirates
- Barka Ezedin; Eid Hani O; Shaban Sami; Abu-Zidan Fikri M
Trauma is a major health problem in the United Arab Emirates (UAE) as well as worldwide. Trauma registries provide large longitudinal databases for analysis and policy improvement. We aim in this paper to report on the development and evolution of a national trauma registry using a staged approach by developing a single-center registry, a two-center registry, and then a multi-center registry. The three registries were established by developing suitable data collection forms, databases, and interfaces to these databases. The first two registries collected data for a finite period of time and the third is underway. The steps taken...
Systems Biology and Emerging Technologies Will Catalyze the Transition from Reactive Medicine to Predictive, Personalized, Preventive and Participatory (P4) Medicine
- Leroy Hood; David J. Galas
We stand at the brink of a fundamental change in how medicine will be practiced. Over the next 5-20 years medicine will move from being largely reactive to being predictive, personalized, preventive and participatory (P4). Technology and new scientific strategies have always been the drivers of revolutions and this is certainly the case for P4 medicine, where a systems approach to disease, new and emerging technologies and powerful computational tools will open new windows for the investigation of disease. Systems approaches are driving the emergence of fascinating new technologies that will permit billions of measurements on each individual patient. The...
CIRRHOSIS OF LIVER-CARE BY INDIGENOUS AND FOLK HERBAL MEDICINE
- Rahul Dutt K; Reshmi Pushpan; Harshitha Kumari; Nishteswar K
Ayurveda, the oldest system of medicine emphasizes on the preventive and curative approach to health care. Liver and its ailments are approached in detail and the therapeutics used for its management is available throughout Ayurvedic literature. Several plants used in the management of hepatic disorders have come under the contemporary scientific scrutiny and established as effective. This paper is an attempt to review the indigenous and folk lore plant based sources used in liver diseases.
- Chief Editor
Indian Journal of Community Health (IJCH), the official publication of Indian Association of Preventive and Social Medicine (IAPSM) published from Uttar Pradesh and Uttarakhand, India is an indexed journal published quarterly. The open access policy of the journals ensure good visibility of the online content of the journals. The journal with high circulation and visibility, thus offer excellent media for promotion of your products, services or conferences through advertisement. The journal has the potential to deliver the message to the targeted audience regularly with each issue. The cost of investment per view is substantially low for our print as well...
Influence of sex on chronic obstructive pulmonary disease risk and treatment outcomes
- Aryal S; Diaz-Guzman E; Mannino DM
Shambhu Aryal,1 Enrique Diaz-Guzman,2 David M Mannino3 1Division of Pulmonary, Allergy and Critical Care Medicine, Duke University, Durham, NC, 2Division of Pulmonary, Allergy and Critical Care, University of Alabama, Birmingham, AL, 3Department of Preventive Medicine and Environmental Health, University of Kentucky, Lexington, KY, USA Abstract: Chronic obstructive pulmonary disease (COPD), one of the most common chronic diseases and a leading cause of death, has historically been considered a disease of men. However, there has been a rapid increase in the prevalence, morbidity, and mortality of COPD in women over the last two decades. This has largely been attributed to historical...
Attitudes towards morphine use among nurses and physicians working in French-speaking Switzerland
- Ferreira M; Verloo H; Vieira MMS; Marques-Vidal P
Maria Ferreira,1 Henk Verloo,2 Margarida Maria S Vieira,3 Pedro Marques-Vidal4 1Sion Hospital, Sion, Switzerland; 2Haute École de Santé La Source, Lausanne, Switzerland; 3Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisbon, Portugal; 4Institute of Social and Preventive Medicine, University of Lausanne, Lausanne, Switzerland Abstract: There is little information regarding risk perceptions and attitudes towards morphine use in Switzerland. Thus, we aimed at assessing such attitudes in a sample of health professionals drawn from five nonuniversity hospitals in the French-speaking canton of Valais, Switzerland. The sample included 431 nurses and 40 physicians (age range: 20–63 years), and risk perceptions and attitudes...
Factors associated with antenatal depression in pregnant Korean females: the effect of bipolarity on depressive symptoms
- Park CM; Seo HJ; Jung YE; Kim MD; Hong SC; Bahk WM; Yoon BH; Hur MH; Song JM
Chul Min Park,1 Hye-Jin Seo,2 Young-Eun Jung,3 Moon-Doo Kim,3 Seong-Chul Hong,4 Won-Myong Bahk,5 Bo-Hyun Yoon,6 Min Hee Hur,7 Jae Min Song31Department of Obstetrics and Gynecology, School of Medicine, Jeju National University, Jeju, 2Department of Psychiatry, Yeonkang Hospital, Jeju, 3Department of Psychiatry, 4Department of Preventive Medicine, School of Medicine, Jeju National University, Jeju, 5Department of Psychiatry, Yeouido St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, 6Department of Psychiatry, Naju National Hospital, Naju, 7School of Medicine, Jeju National University, Jeju, KoreaBackground: This cross-sectional study sought to identify factors associated with antenatal depression in pregnant Korean females, including sociodemographic...
Fundamentals for establishing and maintaining an academic centre for global surgery: the University of Utah experience
- Dr. K M Wells, MD; R R Price, MD; S G Finlayson, MD; C R deVries, MD
Background: Although departments of surgery and surgical specialties are well established components of all medical schools, these departments generally focus on the teaching of technical aspects of surgery and clinical and basic science aspects of perioperative care. Few departments have dedicated resources to the study of surgical systems or ecosystems within health care as a whole. The Center for Global Surgery at the University of Utah was founded on the mission to develop the next generation of global surgical and anaesthesia leaders able to design innovative, affordable surgical care, locally and abroad, that is accessible to all through education, research,...
The legacy of Ian Mc Whinney
- Gustavo Diniz Ferreira Gusso
Ian Renwick McWhinney nasceu em 1926 em Burnley, no noroeste da Inglaterra, filho de um médico geral. Depois de servir o exército durante a Segunda Guerra Mundial, estudou medicina no Clare College - que pertence à Universidade de Cambridge - com estágios no St. Bartholomew’s Hospital em Londres. Posteriormente, se engajou por 13 anos na clínica do pai em Stratford-upon-Avon, cidade natal de William Shakespeare.
Mc Whinney escreveu seu primeiro livro em 1964 sobre queixas vagas, sua grande área de interesse1. Em 1963, Mc Whinney foi contemplado com uma bolsa para um fellowship de oito semanas em medicina...