Friday, December 30, 2005

Welcome to The Internet Archive Wayback Machine

Welcome to The Internet Archive Wayback Machine: "Surf the web as it was
The Internet Archive Wayback Machine puts the history of the World Wide Web at your fingertips. The Archive contains over 100 terabytes and 10 billion web pages archived from 1996 to the present.
To start using the Wayback Machine to surf the web as it was, just type a URL (a web site address) into the box above, click the Take Me Back button, and start exploring the past. "

Monday, December 26, 2005

Café e Saúde / Curiosidades e Absurdos

Café e Saúde / Curiosidades e Absurdos
A Universidade de Harvard é considerada a melhor do mundo, um reconhecimento que foi recentemente endossado pelo tradicional jornal inglês FINANCIAL TIMES que colocou a Harvard da cidade de Boston, Massachusetts, Estados Unidos - www.harvard.edu - em primeiro lugar, junto com a Universidade de Cambridge na Inglaterra. As 10 melhores estão citadas abaixo.

Na América Latina a USP é a única que integra a lista das 200 melhores, sendo que a UNICAMP e a UFRJ integram a lista das 300 melhores universidades do mundo.

Veja a lista das 500 melhores universidades no website: http://ed.sjtu.edu.cn/rank/2005/ARWU2005_Top100.htm

Moral Imagination: The Missing Component in Global Health

Moral Imagination: The Missing Component in Global Health
Solomon R. Benatar is Professor of Medicine and Director of the Bioethics Centre, University of Cape Town, Cape Town, South Africa, and Visiting Professor in Medicine and Public Health Sciences at the University of Toronto, Toronto, Ontario, Canada. E-mail: sbenatar@uctgsh1.uct.ac.za

The deplorable state of global health and the failure to improve this state have been debated extensively. Recent editorials in the Lancet in relation to the failure of Roll Back Malaria and the potential failure of the 3 by 5 programme [1,2] illustrate how disappointment, surprise, and admonitions about such failures are usually followed by optimism about the success envisaged from future efforts [1,3].

There are several possible reasons for our failure to make adequate progress in improving global health. First, it seems that there is generally more interest in doing research to acquire new knowledge than in using existing knowledge, unless it is commercially profitable—illustrating how market forces are a more powerful influence on the practice of medicine than health needs [4]. Second, concern for those who are most severely affected by ill health seems to be generally transient, perhaps because they are anonymous and out of sight, but maybe also because their lives are less highly valued [5,6]. Third, there is a tendency to focus on new technologies through “silo” (narrowly contained) approaches to improving global health [7–9]. Fourth, there is insufficient attention to the social determinants of health [10,11].

Finally, while many are concerned about the plight of others, collective action through nongovernmental organisations can only achieve limited results, and there is reluctance to acknowledge and more explicitly address the indirect, causal, complex global system forces that underlie poverty and many fatal diseases [5,11–15]. Fortunately, there is now growing recognition that new infectious diseases pose a major threat to human health and security worldwide [16,17], and that imaginative new solutions are needed to improve global health [18,19].

Friday, December 23, 2005

How Google is changing medicine -- Giustini 331 (7531): 1487 -- BMJ

How Google is changing medicine -- Giustini 331 (7531): 1487 -- BMJ: "How Google is changing medicine
A medical portal is the logical next step
What a remarkable year it has been for those of us monitoring changes in the global information landscape. Since last Christmas, there has been a flurry of activity: the digitisation of the world's libraries began in earnest (despite the copyright fracas); open access publishing gained much-needed support internationally (especially in science and medicine); and Google, MSN Search, and Yahoo introduced a number of customisation tools for desktops and mobiles, podcasts, blogs, and video searches.1 2 "

How Islam changed medicine -- Majeed 331 (7531): 1486 -- BMJ

How Islam changed medicine -- Majeed 331 (7531): 1486 -- BMJ: "How Islam changed medicine
Arab physicians and scholars laid the basis for medical practice in Europe
Islamic civilisation once extended from India in the east to the Atlantic Ocean in the west. Buildings in Andalusia such as the Alhambra in Granada, the Mezquita in Cordoba, and the Giralda in Seville are reminders of the architectural imprint this civilisation left on western Europe. Less well remembered, however, is the impact of Islamic civilisation on Western science, technology, and medicine between the years 800 and 1450.1 As was argued this month at the Royal Institution, today's Western world might look very different without the legacy of Muslim scholars in Baghdad, Cairo, Cordoba, and elsewhere.2
As Islam spread out of the Arabian Peninsula into Syria, Egypt, and Iran it met long established civilisations and centres of learning. Arab scholars translated philosophical and scientific works from Greek, Syriac (the language of eastern Christian scholars), Pahlavi (the scholarly language of pre-Islamic Iran), and Sanskrit into Arabic. The process of translation reached its peak with the establishment of the 'House of Wisdom' (Bait-ul-Hikma) by the Abbasid Caliph Al-Mamun in Baghdad in 830. It made Arabic the most important scientific language of the world for many centuries and preserved knowledge that might otherwise have been lost forever.
As well as assimilating and disseminating the knowledge of other cultures, Arab scholars made numerous important scientific and technological advances in mathematics, astronomy, chemistry, metallurgy, architecture, textiles, and agriculture. Techniques they developed "such as distillation, crystallisation, and the use of alcohol as an antiseptic" are still used.
Arab physicians and schola"

Sex symbols ancient and modern: their origins and iconography on the pedigree -- Schott 331 (7531): 1509 -- BMJ

Sex symbols ancient and modern: their origins and iconography on the pedigree -- Schott 331 (7531): 1509 -- BMJ: "Sex symbols on pedigrees were illustrated quite differently 150 years ago. What brought about the change?
Nowadays no scientific paper on genetics involving an extensive family history would be complete without depiction of the pedigree, on which squares represent the male members of the family and circles represent the females. But it was not always so, and a century ago ancient and modern symbols vied with each other in the genetic and eugenic literature.1 The origin and iconography of these symbols, one pair with a history dating back many centuries, the other pair originating in 1845, are the subjects of this discussion. "/.../

Thursday, December 22, 2005

WHO | Results of survey: how healthy is your world?

WHO | Results of survey: how healthy is your world?
Avian influenza top health issue of 2005, tobacco most neglected issue
The results are now in. Over 600 people from more than 20 countries took part in our online survey entitled "How healthy is your world?". You were asked two questions: what were the top health issues of 2005 and, what global health issues were the most neglected.
Click on the links below to read more about the results of the survey.
Top 10 health issues of 2005

Avian influenza
HIV/AIDS
Tobacco
Chronic diseases, including cancer, diabetes and heart disease
Environmental health issues
Poverty
Disasters/emergencies
Malaria
Malnutrition
Inequity in access to health care

Top 10 neglected health issues of 2005

Tobacco
HIV/AIDS
Environmental health issues
Chronic diseases, including cancer, diabetes and heart disease
Poverty
Avian influenza
Malaria
Violence
Malnutrition
Inequity in access to health care

It is striking that no matter where you are from, how your circumstances differ, you care about the same health issues. Respondents to our survey from China to Nigeria to the United States of America had almost identical concerns. It is also notable that the top issues and the neglected issues were also roughly the same - perhaps reflecting that all these issues are important, but you think some require more attention. Finally, the issues you care about are also issues the World Health Organization (WHO) has been tackling in 2005, and will continue to work on.

IMF approves debt relief for poorest countries

FT.com / World / International economy - IMF approves debt relief for poorest countries:
"The International Monetary Fund's board on Wednesday approved 100 per cent debt relief on $3.3bn owed to the fund by 19 of the world's poorest countries
In a statement issued after the board meeting, Rodrigo Rato, managing director, said: "This is an historic moment, which will allow these countries to increase spending in priority areas to reduce poverty, promote growth and to make progress towards achieving the millennium development goals."/.../

Wednesday, December 21, 2005

política para a Saúde do Homem

Política de Saúde do Trabalhador
Estamos trabalhando no MS em uma proposta de política para a Saúde do Homem. Uma das questões mais freqüentes é a de gênero como determinante do processo de adoecimento.

Se houver interesse posso enviar o material que estamos coletando sobre o tema.

A revista da ABRASCO: Ciência e Saúde Coletiva tem o seu número de março de 2005 dedicado ao assunto e está disponível na INTERNET.

Neidil Espinola da Costa,
CCSW 2 Lote 4 apto 501
Brasília, DF.
CEP - 70680-250
Cel – 55-61-99726424

Tuesday, December 20, 2005

Evaluation of current strategies and future priorities for improving health in developing countries -- Evans et al. 331 (7530): 1457 -- BMJ

Evaluation of current strategies and future priorities for improving health in developing countries -- Evans et al. 331 (7530): 1457 -- BMJ: "Five years after the Millennium Declaration was signed, few of the poorest countries in the world are on track to achieve the millennium development goals for health.1 2 In September 2005, heads of state renewed their commitment to these goals and to finding the resources to achieve them. The needs are substantial. An additional $73bn (?41bn; 60bn) in external aid will be needed in 2006 alone for all the millennium development goals, with about $18.5bn for health.3 In this series we have examined whether the strategies adopted for using the available resources, and those planned for future resources, are appropriate in view of the disappointing progress, changing circumstances, and new evidence.4-8 Here, we summarise the key findings for each of the health conditions targeted by the goals and then take the perspective of a policy maker trying to achieve all of them. "

'Medicine and Sport'

Medicine and Sport
Every year, The Lancet publishes a 'bonus' themed issue.

This year our theme is 'Medicine and Sport', prompted by 2005 being declared by the United Nations to be The International Year of Sport and Physical Education with the aim to promote sport as a way to help reach the Millenium Development Goals.

If you click on the link below, you will be taken to a digital edition of our special issue. The digital edition is an exact facsimile of the print copy and is available for one month. You can turn pages just as you would with a print edition and even print off the pages for your own personal use.

http://84.233.149.205/ActiveMagazine/getBook.asp?Path=LAN/2005/1
1/30&BookCollection=LAN

I do hope that you enjoy this collection of essays, features, reviews and profiles and would be very grateful to receive your feedback. Please write to me at g.gurnhill@lancet.com

Georgina Gurnhill
The Lancet

PS. Please feel free to forward this email to any of your colleagues who may also find our Medicine and Sport issue of interest.

Measuring Mortality in Developing Countries

Measuring Mortality in Developing Countries
Some of the biggest public health successes in the Western world have come about because of simple records of people's deaths—their age at death, where they lived, and what they died of. Soaring lung cancer rates in the United Kingdom and United States around World War II, for example, led to life-saving research into the effects of smoking.

More than two-thirds of deaths worldwide are in developing countries, yet little is known about the causes of death in these nations. In India, for example, just one-third of deaths are registered, and of these, only one-third provide data on the cause of death. India's HIV/AIDS epidemic is rising—it may already have surpassed South Africa for the highest number of people infected. And like many other developing nations, the numbers of people dying from noncommunicable diseases such as heart disease and cancer are growing. Unlike most infectious diseases, the causes of noncommunicable ones can be the result of several risk factors, such as smoking, elevated blood pressure, or inherited genetic mutations.

With a population of 1 billion and growing, India urgently needs better data on the causes of death in its people if it is to take further steps to improve public health. To address this need, Prabhat Jha and colleagues designed a prospective study of 1 million deaths in India to run until 2014. They will monitor an expected 1 million deaths in nearly 14 million people across 2.4 million households to find patterns of disease according to gender, age, and region, and to better understand how risk factors such as tobacco and alcohol use and indoor air pollution are related to disease.

The study uses one of India's existing frameworks for measuring mortality, called the Sample Registration System (SRS). At present, the system covers 50,000 deaths every year. Two independent workers visit the households; one visiting every month and the other every six months. Their reports are collated and any discrepancies reconciled by a third person. To improve the system, Jha and colleagues are using an innovative method called a “verbal autopsy” to record details of death as reported by family or friends to a trained but nonmedical fieldworker. To ensure the robustness of the method, a random 10% of the fieldwork will be repeated by an independent audit team.

After validating the verbal autopsy method, the researchers began the first phase of the study, which ran from 1998 to 2003, and recorded deaths in 6.3 million people across 1.1 million urban and rural households nationwide. As of November 2005, the researchers have collected 140,000 verbal autopsy reports, and 35,000 have been coded and reconciled by two independent and trained physicians. They expect to record a total of about 300,000 deaths in the first phase and 700,000 in the second phase in 2004–2014, which will look at 7.6 million people in 1.3 million households.

Better knowledge of genetic risk factors—about which little is known in developing or developed countries—requires collection of biological samples. Jha and colleagues are also planning to test the feasibility of this by collecting dried blood spots or tubes of blood in SRS units in four to five Indian states.

Studying mortality in 14 million people is a huge challenge, but one that is necessary in view of India's vast population. As the researchers point out, direct measurement of the causes of death is a great deal more reliable than indirect estimation. By studying diseases that are common in one part of India but not in another, new risk factors should be discovered, and these are likely relevant worldwide. Mortality measurements will be key to the success of one of the world's largest public health initiatives—the Millennium Development Goals, which were set in 2000 when countries worldwide pledged to reduce by half or more the incidence of many diseases in poor countries. We will only know whether these goals have been met if we have reliable mortality statistics.

The New International Health Regulations and the Federalism Dilemma

PLoS Medicine: The New International Health Regulations and the Federalism Dilemma: "In the aftermath of severe acute respiratory syndrome (SARS) (Figure 1) and in anticipation of avian flu, the international health community has recognized that pandemic planning and response is an inherently multigovernmental concern. The ability of pathogens to cross borders and rapidly spread around the globe requires highly coordinated public health responses that involve the cooperation of local, regional, national, and supranational governments (Figure 2). The understanding of this reality has informed the current International Health Regulations (IHR) revision process."

Thursday, December 15, 2005

The State of the World's Children 2006

The State of the World's Children 2006
UNICEF's flagship publication, 'The State of the World's Children' 2006, was launched on 14 December. This year's report will closely examine key issues affecting children who are excluded and invisible as a result of armed conflict, poverty, HIV/AIDS, discrimination and inequalities. Please return here on 14 December to learn more.

The report includes supporting data and statistics and is available in French and Spanish language versions.

2006

The State of the World's Children 2006 - Excluded and Invisible

La situation des enfants dans le monde 2006 - Exclus et Invisibles

El Estado Mundial de la Infancia 2006 - Excluidos e Invisibles

“…..To meet the Millennium agenda for children, including the excluded and the invisible, the following is required:

§ A massive push is needed to boost access to essential services for those children and their families currently missing out.
This includes immediate interventions - dubbed 'quick impact initiatives' - that can provide a vital kick-start to human development and
poverty reduction.

§ Longer term initiatives that are rooted in a human rights-based approach to development - many of which are already underway - must be
stepped up or launched at the same time as the immediate interventions, helping to ensure that the latter are as effective as possible
Building up national capacities, through strategies led by national governments and local communities, is the best way to ensure the
sustainability of these initiatives over the longer term.

§ Deeper approaches must be taken that give special attention to the most vulnerable. This requires the participation of governments -
through legislation, budgets, research and programmes - along with donors, international agencies, civil society, the media and th
private sector to reach the children who are most at risk of missing out on the Millennium agenda…..”

Sunday, December 11, 2005

Probiotics get a boost

Probiotics get a boost
Sellers of 'friendly' bacteria offer evidence to back claims.
Roxanne Khamsi
Recommended by Moacyr Saffer [safferm@terra.com.br]

A dose a day kept Swedish doctors away.

© Punchstock

Can a dose of bacteria a day keep the doctor away? Yes, according to a study of Swedish workers who took supplements containing microorganisms: those on the 'friendly' bacteria pills stayed home sick half as much as their colleagues taking a placebo. The findings lend support to claims that foods with live bacteria can boost the body's immune system.

In recent years, particularly in Europe and Japan, food companies have marketed an increasing number of probiotic products, which contain microorganisms that are supposed to be good for you.

Many yogurts, for example, are promoted as conferring health benefits because they contain live bacteria such as Lactobacillus and Bifidobacterium. Proponents of such supplements say that these microbes aid the bacteria and yeast that naturally reside in the human gut, improving digestion and helping to combat pathogens.

Enthusiasm about probiotics can be traced back to the turn of the twentieth century when the Russian scientist Elie Metchnikoff suggested that Bulgarian peasants lived longer because they consume fermented milk products. Current studies have found some evidence to support the idea that eating such foods has an effect, including elevating the number of protective 'CD4+' immune cells in the blood1.

But experts say there has been a lack of evidence to support the idea that probiotic supplements provide general protection against sickness.

Live debate

Now, researchers from two Swedish companies involved in the development of probiotic products say they have more data to add to the debate.

Workers at a packaging plant received daily liquid doses of either a placebo or Lactobacillus reuteri, a bacteria that is cultured in some yogurts, for 80 days. While 23 of the 87 volunteers receiving a placebo reported sick during that period, only 10 out of the 94 volunteers that took the L. reuteri said they were ill. The results of the blind study appear in the journal Environmental Health2.

Anders Zachrisson, a scientist at the probiotics company BioGaia in Lund who led the research, adds that the average duration of sickness was slightly shorter for participants receiving the supplements. And in shift workers, he notes, the effect was particularly marked.

"It's a well established fact that shift workers have a compromised immune system and are more likely to get colds. The really dramatic finding in this study is that none of the shift workers [receiving probiotics] got sick at all," says Zachrisson.

Amy Brown, a nutritionist at the University of Hawaii at Manoa in Honolulu, says that the benefits of L. reuteri compared with the placebo are intriguing. But she adds that it is hard to tell exactly how big the effect was, because the researchers did not keep track of whether people took days off owing to illness or injury. There isn't any evidence that a broken leg, for example, will be much helped by supplements.

No one has seen such a general prophylactic effect before, says Mary Ellen Sanders of Dairy and Food Culture Technologies in Centennial, Colorado. Sanders has studied probiotic bacteria and currently consults food companies on the topic.

Sanders thinks this could alter who decides to take the supplements. "Today, most people take probiotics if they suffer from some type of gastrointestinal or vaginal malady. But evidence from these studies points to the role probiotics may play in keeping you healthy, not just helping with symptoms," she says.

References
Valeur N., Engel P., Carbajal N., Connolly E. & Ladefoged K. Appl. Environ. Microbiol., 70. 1176 - 1181 (2004). | Article | PubMed | ISI | ChemPort |
Tubelius P., Stan V. & Zachrisson A. Environ. Health, 4. 25 (2005).

Saturday, December 10, 2005

Treating obesity in individuals and populations -- Jain 331 (7529): 1387 -- BMJ

Treating obesity in individuals and populations -- Jain 331 (7529): 1387 -- BMJ:
recommended by Marcelo Gustavo Colominas [mgcolominas@gigared.com]
"I systematically searched the literature during January 2004 and synthesised the results of systematic reviews of obesity treatment and prevention. The methods and results are fully described in the monograph 'What works for obesity?' (www.unitedhealthfoundation.org/obesity.pdf). "

Friday, December 09, 2005

Ecosystems and human well-being: Health synthesis

Ecosystems and human well-being: Health synthesis
This report synthesizes the findings from the Millennium Ecosystem Assessment's (MA) global and sub-global assessments of how ecosystem changes do, or could, affect human health and well-being. All the MA authors and review editors have contributed to this report through their contributions to the underlying assessment chapters on which this text is based.

Equidade e Desenvolvimento - WDR 2006

Equidade e Desenvolvimento - WDR 2006
As desigualdades de renda, saúde e níveis educacionais são há muito tempo um fato persistente na vida de muitos países em desenvolvimento. Quando essas desigualdades originam-se de oportunidades desiguais, há motivos intrínsecos e práticos para preocupação com este problema. Como as desigualdades de oportunidade são muitas vezes acompanhadas de profundas diferenças de influência, poder e status social quer no âmbito individual, quanto no de grupo elas tendem a persistir. Por resultar em alocações menos eficientes de recursos e instituições menos eficazes, a desigualdade é inimiga do desenvolvimento de longo prazo. Conseqüentemente, existe um papel legítimo para a ação pública na promoção da justiça e busca da eqüidade, garantindo que esta ação reconheçaa a primazia das liberdades individuais e o papel dos mercados na alocação dos recursos.
O Relatório sobre o Desenvolvimento Mundial de 2006 apresenta evidências de desigualdades de oportunidades entre os países e dentro de cada um deles, além de explicar os mecanismos através dos quais o desenvolvimento é afetado.
De acordo com o Relatório, a eqüidade é uma das prioridades para o desenvolvimento: ações públicas devem buscar expandir as oportunidades para aqueles que, na ausência de intervenções políticas, teriam menos recursos, expressão e potencialidade. Domesticamente, propõe-se o investimento em pessoas, a ampliação do acesso à justiça, à terra e à infra-estrutura e a promoção da imparcialidade nos mercados. Na esfera internacional, o relatório analisa o funcionamento dos mercados globais e as regras que os regem, bem como a prestação adicional de ajuda para auxiliar os países pobres e as pessoas de baixa renda a criarem maiores recursos. Tomando por base os 60 anos de experiência em desenvolvimento do Banco Mundial, o Relatório sobre o Desenvolvimento Mundial de 2006 é uma leitura indispensível para compreender como uma maior eqüidade pode reduzir a pobreza, intensificar o crescimento econômico, promover o desenvolvimento e oferecer mais oportunidades aos grupos menos favorecidos da nossa sociedade.

eHealth and the future: promise or peril? -- Wyatt and Sullivan 331 (7529): 1391 -- BMJ

eHealth and the future: promise or peril? -- Wyatt and Sullivan 331 (7529): 1391 -- BMJ: "Despite the futuristic sound of the scenario in the box below, all the technologies mentioned are available, and some, such as computer interviewing, have been used since the 1960s.
Such a scenario raises questions about the nature of clinical practice and healthcare systems' for example, how much information and responsibility should be transferred to patients when technology allows it. This final article examines some of these issues, and ends the series where it started, with a reminder that health informatics is more about understanding people and new models of care than it is about technology"/.../

Thursday, December 08, 2005

Health Promotion Development

The purpose of this background paper is to establish a common frame of reference for the participants of the Bangkok conference in August 2005. It provides a short review of the origins of the health promotion concepts and approaches, presents some major developments in health promotion since the adoption of the Ottawa Charter for Health Promotion and highlights some of the major present day challenges in health and health promotion. It provides orientation for some of the key issues that will be presented and debated in the four tracks of the Bangkok conference and identifies issues that can inform the completion of the Charter to be adopted at the Bangkok conference. It should be noted that the scope of this background paper is neither to be extensive, nor to provide a health promotion handbook. The status of the paper is still a draft. It will capitalize on contributions made during the conference and can potentially also expand on items that cannot be accommodated in the Bangkok Charter. A final version will be compiled after the Bangkok Conference

ICD-10:

ICD-10::
"International Statistical Classification of Diseases and Related Health Problems
10th Revision. Version for 2003.
Tabular List of inclusions and four-character subcategories"

About Health Metrics Network

WHO | About Health Metrics Network
The Health Metrics Network is a global collaboration focused on strengthening country health information systems to generate sound data for decision-making at country and global levels./.../

Obesity, hunger, and agriculture: the damaging role of subsidies -- Elinder 331 (7528): 1333 -- BMJ

Obesity, hunger, and agriculture: the damaging role of subsidies -- Elinder 331 (7528): 1333 -- BMJ:
Recommended by Coleman, Catherine [CCOLEMAN5@PARTNERS.ORG]
"Being overweight is becoming the norm rather than the exception in most developed countries, and obesity is a serious health problem worldwide.1 Many people see obesity as a lifestyle issue. However, behavioural interventions to prevent obesity in both adults and children have generally been ineffective,2 indicating strong influences beyond individual control. Considerable resources are currently invested in developing drugs to prevent and treat obesity. However, from a societal perspective, prevention of obesity through diet and physical activity should be given priority for both economic and ethical reasons.1 3 Chopra and DarntonHill recently suggested that we need a global strategy on food similar to the Framework Convention on Tobacco Control.4 Their suggested actions are mainly aimed at reducing demand for food. But we argue it is equally important to tackle the oversupply of food, driven by agricultural subsidies. "

Tuesday, December 06, 2005

world's most brilliant scientists & Bill Gates

Better Bananas, Nicer Mosquitoes
By DONALD G. McNEIL Jr.
SEATTLE - Addressing 275 of the world's most brilliant scientists, Bill Gates cracked a joke:

"I've been applying my imagination to the synergies of this," he said. "We could have sorghum that cures latent tuberculosis. We could have mosquitoes that spread vitamin A. And most important, we could have bananas that never need to be kept cold."

They laughed. Perhaps that was to be expected when the world's richest man, who had just promised them $450 million, was delivering a punchline. But it was also germane, because they were gathered to celebrate some of the oddest-sounding projects in the history of science.

Their deadly serious proposals - answers to the Grand Challenges in Global Health that Mr. Gates posed in a 2003 speech in Davos, Switzerland - sounded much like his spoofs: laboratories around the world, some of them led by Nobel Prize winners, proposing to invent bananas and sorghum that make their own vitamin A; chemicals that render mosquitoes unable to smell humans; drugs that hunt down tuberculosis germs in people who do not even know they are infected; and vaccines that are mixed into spores or plastics or sugars and can be delivered in glasses of orange juice or modified goose calls.

Coffee or Tea May Reduce Risk of Liver Disease

Coffee or Tea May Reduce Risk of Liver Disease - CME Teaching Brief - MedPage Today: "SILVER SPRING, Md., Dec. 5 - Drinking two or more cups of coffee or tea per day may help protect the liver.
This effect of coffee and tea emerged from an NIH-supported analysis of National Health and Nutrition Examination Survey (NHANES) data on nearly 10,000 people, from a survey administered from 1971 to 1975 and again from 1982 to 1984. The cumulative incidence of liver disease in the study sample was 1.4%.
The analysis found that those who drank two or more cups of coffee or tea a day had about half the rate hospitalization or death from liver disease over two decades years as those who drank one cup a day or less, Constance E. Ruhl, M.D., Ph.D., of Social & Scientific Systems here and James E. Everhart of the National Institute of Diabetes and Digestive and Kidney Diseases reported in the December issue of Gastroenterology.
Participants were followed through 1992-1993 for hospitalization or death from chronic liver disease or cirrhosis. Average follow up was 19 years. About 14% of respondents reported drinking one cup or less per day, 45% reported drinking one to two cups daily, and 41% drank two or more cups of coffee or tea per day. "/.../

Monday, December 05, 2005

Cerremos Guantánamo! Amnistia Internacional

AI: Cerremos Guantánamo!: "Guantánamo es el símbolo de la 'la guerra contra el terror' iniciada por el Gobierno de Estados Unidos a raíz del 11 de Septiembre. Las reclusiones prolongadas de miles de personas en esta guerra, tanto en Guantánamo como en otros centros de detención, algunos de ellos secretos, ha propiciado el uso de la tortura y los malos tratos.

Estados Unidos está legitimando prácticas detestables y brutales que la comunidad internacional había declarado ilegales hace tiempo. La tortura no da seguridad. La tortura es terror. Acabemos con la tortura en todo el mundo. Actúa!

Sunday, December 04, 2005

The 2005 World Summit: High-level Plenary Meeting of the 60th Session of the General Assembly

The 2005 World Summit: High-level Plenary Meeting of the 60th Session of the General Assembly
2005 WORLD SUMMIT OUTCOME
The world?s leaders, meeting at United Nations Headquarters in New York from 14 to 16 September, agreed to take
action on a range of global challenges/.../

Saturday, December 03, 2005

G A P M I N D E R: Human Development 2005

G A P M I N D E R: HOME
Gapminder is a non-profit venture for development and provision of free software that visualise human development. This is done in collaboration
with universities, UN organisations, public agencies and non-governmental organisations. Gapminder is a Foundation registered at Stockholm county
administration board (L�nstyrelsen) (reg. nr. 802424-7721). It was founded by Ola Rosling, Anna Rosling R�nnlund and Hans Rosling on 25 February 2005, in Stockholm. Gapminder Foundation will advance software development that have been done earlier by the non-profit company Gapminder Ltd. Funding has been and is mainly by grants from Sida for the Trendalyzer project. Being a producer of global public goods Gapminder benefit from free and creative inputs from pilot-testers and other end-users in many institutions and organisations.

Social Medicine Portal

Social Medicine Portal:
"The portal contains over a hundred links to websites, documents and presentations devoted to Social Medicine. 'New to Social Medicine?' contains information for those new to social medicine or to this site. You can also read our article, 'What is Social Medicine?' published in the January 2005 Monthly Review.

Our goal in creating this site is to link together the diverse international community of people working in social medicine and health activism. We encourage visitors to e-mail us materials for inclusion. "/.../

The Biomedical Literary Companion

The Arrowsmith Project Homepage
TOOLS: The Biomedical Literary Companion
You've found a PubMed abstract for a paper by A. Chen and want to track down other publications by the same author. You could try winnowing the more than 1500 hits on that name, or you could click over to the Arrowsmith Project Web site from neuroscientist Neil Smalheiser of the University of Illinois, Chicago, and colleagues. The project's "Authority" tool weighs criteria such as researcher affiliation, co-author names, journal title, and medical subject headings to identify the papers most likely written by your chosen scientist. The site offers other helpers for squeezing information out of PubMed results, such as the Arrowsmith feature, which pinpoints common terms in two lists of search results.






Virtual Cell Animation Collection

Virtual Cell Animation Collection: "An Introduction to Virtual Cell's Educational Animations
In addition to Virtual Cell's online game modules, animations have been developed to introduce students to new concepts. By walking through the still images and movies included for each topic, viewers can easily choose between either studying a specific step from one of the processes or taking a more immersive look at the process in it's entirety. In order to better serve all levels of educational interest, each topic is being offered with a choice between two approaches:"/.../

Resources for Practicing Evidence Based Medicine

PedsCCM/IntensiveCare.com: Resources for Practicing EBM
Want to find out more about evidence based medicine (EBM) and don't know where to start? http://pedsccm.wustl.edu/EBJ/EB_Resources.html is a site that is full of resources for practising EBM. It may not suit everyone?it is a large and detailed site?but many visitors are likely to find it is a well stocked launch pad to finding EBM resources on line. This substantial collection comprises journal articles and websites catalogued in a single page. To prevent people getting lost as they scroll down, the main subject areas?for example, "What is EBM?" "EBM databases," and "Medline search strategies"?repeat themselves every so often.

Clinical Cases and Images

Clinical Cases and Images
We all know that there is a big difference between what we read in the books, and what we see in our clinical practice every day. Somehow, the patients are different from their disease description in the textbooks. An experienced physician used to say: "his CHF did not read the book". How to bridge this gap between theory and practice? By creating a case-based curriculum of clinical medicine. See what the real medicine looks like. No disease is an island and very often patients have more than one concurrent condition. And, of course, sometimes life is stranger than fiction. See the real cases and learn how to manage them (check the disclaimer below)./.../

Friday, December 02, 2005

Sustainable Development in the 21st Century

ESSD Network - Sustainable Development in the 21st Century: "Sustainable Development in the 21st Century

Development in the 21st Century is a multi-dimensional concept which combines five perspectives, all of which are key to making development sustainable.

Financial capital: sound macroeconomic planning and prudent fiscal management.

Physical capital: infrastructure assets such as buildings, machines, roads, power plants, and ports.

Human capital: good health and education to maintain labor markets.

Social capital: people's skills and abilities as well as the institutions, relationships, and norms that shape the quality and quantity of a society's social teractions.

Natural capital: natural resources, both commercial and non-commercial, and ecological services which provide the requirements for life, including food, water, energy, fibers, waste assimilation, climate stabilization, and other life-support services.

Action plans for sustainable development, such as Agenda 21 or the Millennium Development Goals (MDG's) adopted at the UN Millennium Summit 2000, can only be achieved if all involved stakeholders make an effort to find effective long-term solutions together and then commit themselves to implement them in partnerships. It is through collective action that hope can be brought about for billions of people around the globe."

Chronic Diseases Prevention

The Lancet:
"Lancet Editor Richard Horton introduces the Chronic Diseases Series: 'Without concerted and coordinated political action, the gains achieved in reducing the burden of infectious disease will be washed away as a new wave of preventable illness engulfs those least able to protect themselves. Let this series be part of a new international commitment to deny that outcome.' "/.../

Politics of Health Group

Politics of Health Group:
"Who we are:
The Politics of Health Group (PoHG) consists of people who believe that power exercised through politics and its impact on public policy is of fundamental importance for health. PoHG is a UK based group but with a clear international perspective and members throughout the world.
Our core principles:
PoHG believes that:
The opportunity for good health is the fundamental human right
It is the responsibility of governments to strive for equitable social, economic and environmental conditions in which the health of all can thrive
PoHG's charter sets out in full sixteen principles that should guide political action and policy development for health.
PoHG wants:
The elimination of suffering caused by bad public policy
To build better understanding of the political causes and consequences of health and ill health
The promotion of health to be a central concern of politics so that public policy and social interventions focus on improving health
Health services developed in accordance with the principles set out in the PoHG charter "

Tábuas Completas de Mortalidade

Tábuas Completas de Mortalidade: "T�buas Completas de Mortalidade - 2004


Em cumprimento ao disposto no Artigo 2, do Decreto Presidencial no. 3266 de 29 de novembro de 1999, o IBGE vem divulgando anualmente a T�bua Completa de Mortalidade, referente ao ano anterior, no primeiro dia �til do m�s de dezembro de cada ano.
A T�bua de Mortalidade de 2004 � uma proje��o com base na mortalidade calculada para os anos de 1980, 1991 e 2000, as quais resultaram de uma ampla discuss�o durante uma oficina de trabalho entre T�cnicos da Coordena��o de Popula��o e Indicadores Sociais (COPIS/DPE/IBGE) e do Centro Latinoamericano y Caribe�o de Demograf�a (CELADE/CEPAL/Na��es Unidas), realizada entre 24 e 28 de mar�o de 2003, em Santiago, Chile.
A T�bua de Mortalidade calculada para o ano 2000 incorpora os dados populacionais do Censo Demogr�fico 2000, a taxa de mortalidade infantil estimada com base na informa��o proveniente do mesmo Censo e as estat�sticas de �bitos do Registro Civil relativas ao tri�nio 1999 - 2001."

Alzheimer May be Insulin-Dependent Disease -

Alzheimer May be Insulin-Dependent Disease - CME Teaching Brief - MedPage Today: "MedPage Today Action Points

Review
PROVIDENCE, R.I., Nov. 30 - Insulin and associated signaling molecules begin to disappear from the brain during early Alzheimer's, suggesting the possibility of therapy to boost levels of insulin in the brain, researchers here reported. They call Alzheimer's 'type 3 diabetes.'
Mean levels of insulin, the signaling molecule insulin-like growth factor I (IGF-I), and its receptor decline significantly in the brain during the early stages of Alzheimer's, compared with normal controls, and decrease by 80% or more in late-stage disease, according to Suzanne M. de la Monte, M.D., and colleagues at Brown Medical School here. "/.../
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