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The "Common Soil" Theory: Coronary Disease, Diabetes And Inflammation., Paulo A. Lotufo Jan 2005

The "Common Soil" Theory: Coronary Disease, Diabetes And Inflammation., Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Progress Testing: Evaluation Of Four Years Of Application In The School Of Medicine, University Of São Paulo, Paulo A. Lotufo Jan 2005

Progress Testing: Evaluation Of Four Years Of Application In The School Of Medicine, University Of São Paulo, Paulo A. Lotufo

Paulo A Lotufo

Progress testing is a longitudinal tool for evaluating knowledge gains during the medical school years. Objectives: (1) To implement progress testing as a form of routine evaluation; (2) to verify whether cognitive gain is a continuous variable or not; and (3) to evaluate whether there is loss of knowledge relating to basic sciences in the final years of medical school. Methods: A progress test was applied twice a year to all students from 2001 to 2004. The mean percentage score was calculated for each school year, employing ANOVA with post hoc Bonferroni test evaluation for each test. Results:Progress testing was …


A Wintertime Study Of Pahs In Fine And Coarse Aerosols In Sa˜O Paulo City, Brazil, Paulo A. Lotufo Dec 2004

A Wintertime Study Of Pahs In Fine And Coarse Aerosols In Sa˜O Paulo City, Brazil, Paulo A. Lotufo

Paulo A Lotufo

The Polycyclic aromatic hydrocarbons PAHs (naphthalene, acenaphthylene, acenaphthene, phenanthrene, fluoranthene, pyrene, benzo(a)anthracene, chrysene, benzo(b)fluoranthene, benzo(k)fluoranthene, benzo(a)pyrene, indeno(1,2,3-cd)pyrene and benzo(ghi)perylene) concentrations in fine (PM2.5) and coarse (PM2.5–10) atmospheric particulate matter were measured at Sa˜o Paulo city, Brazil. The dominant PAHcompounds were indeno(1,2,3-cd)pyrene, benzo(ghi)perylene and benzo(b)fluoranthene for both the fractions. The calculated ratios of some specific PAHs were in close agreement with those attributed to direct emissions of car exhaust. The factor analysis for PM2.5 produced four factors: Factor 1 was attributed to diesel emissions, Factor 2 was attributed to stationary combustion source, Factor 3 was attributed to vehicular emissions and Factor …


Framingham Score For Cardiovascular Diseases Among Civil Servantes,Sao Paulo, 1998.[Portuguese], Paulo A. Lotufo Aug 2004

Framingham Score For Cardiovascular Diseases Among Civil Servantes,Sao Paulo, 1998.[Portuguese], Paulo A. Lotufo

Paulo A Lotufo

Lecture presented the first meeting for a cohort study addressing cardiovascular diseases in Brazil. Hospital Universitario/ Universidade de Sao Paulo, August, 2004.


Effects Of Diesel Exhaust Emissions And Symptoms Of Asthma, Paulo A. Lotufo Jun 2004

Effects Of Diesel Exhaust Emissions And Symptoms Of Asthma, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


A Comunicação Médica: Alguns Comentários E Observações, Paulo A. Lotufo Jan 2004

A Comunicação Médica: Alguns Comentários E Observações, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Brazil Is Getting Older: Some Lessons From The Bambuí Health And Aging Study, Paulo A. Lotufo Jan 2004

Brazil Is Getting Older: Some Lessons From The Bambuí Health And Aging Study, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Impact Of Clinical Experience On Quantification Of Clinical Signs At Physical Examination, Luciano F. Drager, Paulo A. Lotufo, Isabela M. Bensenor Jan 2003

Impact Of Clinical Experience On Quantification Of Clinical Signs At Physical Examination, Luciano F. Drager, Paulo A. Lotufo, Isabela M. Bensenor

Paulo A Lotufo

Purpose. Although physical examination is a fundamental component of medical decision making, relatively few studies have evaluated how physicians quantify clinical signs and whether different methods of assessment have different effects on clinical practice. Objectives. To evaluate a possible impact of clinical experience when attending physicians, medical residents and medical students quantify qualitative signs of physical examination in a teaching hospital. Setting. Hospital das Clı´nicas, University of Sa˜o Paulo, Brazil. Subjects. A total of 244 randomly selected physicians and medical students completed a reliable and consistent eight-item questionnaire. Main outcome measures. To compare how they quantified clinical signs of cyanosis, …


Screening At Worksite Applying The Framingham Heart Study Score., Paulo A. Lotufo Dec 2002

Screening At Worksite Applying The Framingham Heart Study Score., Paulo A. Lotufo

Paulo A Lotufo

The first evaluation of class of occupation and cardiovascular risk factors in a Brazilian sample of civil servants. 1) context: Cardiovascular diseases are the main causes of death in Brazil. The high-risk approach to cardiovascular risk factors by screening test at worksite is one possible strategy of prevention. 2) objective: to verify the impact of a risk factors screening according to occupational levels. 3) type of study: cross-sectional 4) setting: occupational division of University of Sao Paulo 5) participants: 6,587 employees aged 20 to 69 years-old classified according three occupational grades (non-skilled, both manual and non-manual jobs; technical; faculty). 6) …


Epidemologia Das Doenças Cardiovasculares No Brasil [Portuguese], Paulo A. Lotufo Jan 2002

Epidemologia Das Doenças Cardiovasculares No Brasil [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Diabetes And All-Cause And Coronary Heart Disease Mortality Among Us Male Physicians, Paulo A. Lotufo, Joann E. Manson Jan 2001

Diabetes And All-Cause And Coronary Heart Disease Mortality Among Us Male Physicians, Paulo A. Lotufo, Joann E. Manson

Paulo A Lotufo

Background: While diabetes has long been associated

with increased risk of coronary heart disease (CHD), the

magnitude of risk of diabetes-related CHD is uncertain.

Objective: To evaluate the impact of diabetes and prior

CHD on all-cause and CHD mortality.

Methods: In a prospective cohort study of 91 285 US

male physicians aged 40 to 84 years, participants were

divided into 4 groups: (1) a reference group of 82 247

men free of both diabetes and CHD (previous myocardial

infarction and/or angina) at baseline, (2) 2317 men

with a history of diabetes but not CHD, (3) 5906 men

with a history …


Coffee, Samba, Football And Social Inequalities: Some Lessons From Mortality In Brazil, Paulo A. Lotufo Jan 2001

Coffee, Samba, Football And Social Inequalities: Some Lessons From Mortality In Brazil, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


O Nosso Amigo Esfigmomanômetro [Portuguese], Paulo A. Lotufo Jan 2001

O Nosso Amigo Esfigmomanômetro [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


O Exame Físico Com Finalidade De Prevenção: Estudos De Base Populacional. [Portuguese], Paulo A. Lotufo Jan 2001

O Exame Físico Com Finalidade De Prevenção: Estudos De Base Populacional. [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Increasing Obesity In Brazil: Predicting A New Peak Of Cardiovascular Diseases, Paulo A. Lotufo Jan 2000

Increasing Obesity In Brazil: Predicting A New Peak Of Cardiovascular Diseases, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Male Pattern Baldness And Coronary Heart Disease: The Physicians' Health Study, Paulo A. Lotufo Jan 2000

Male Pattern Baldness And Coronary Heart Disease: The Physicians' Health Study, Paulo A. Lotufo

Paulo A Lotufo

Is baldness a risk factor for heart attack? Aim: To examine the association between male pattern baldness and the risk of coronary heart disease (CHD) events. Desing, setting and participants:Retrospective cohort study among 22,071 US male physicians aged 40 to 84 years enrolled in the Physicians' Health Study. Of these, 19,112 were free of CHD at baseline and completed a questionnaire at the 11-year follow-up concerning their pattern of hair loss at age 45 years. Response options included no hair loss, frontal baldness only, or frontal baldness with mild, moderate, or severe vertex baldness. Main outcome measures: Coronary heart disease …


Moratoria Para A Crise Hipertensiva [Portuguese], Paulo A. Lotufo Jan 2000

Moratoria Para A Crise Hipertensiva [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Alcohol Consumption And Risk Of Coronary Heart Disease By Diabetes Status, Paulo A. Lotufo Dec 1999

Alcohol Consumption And Risk Of Coronary Heart Disease By Diabetes Status, Paulo A. Lotufo

Paulo A Lotufo

Background—An inverse association between moderate alcohol consumption and coronary heart disease (CHD) has been observed in several epidemiological studies. To assess whether a similar association exists among diabetics, we examined the relation between light to moderate alcohol consumption and CHD in men with and without diabetes mellitus in a prospective cohort study. Methods and Results—A total of 87 938 US physicians (2790 with diagnosed diabetes mellitus) who were invited to participate in the Physicians’ Health Study and were free of myocardial infarction, stroke, cancer, or liver disease at baseline were followed for an average of 5.5 years for death with …


Ervilhas, Gado E Gente [Portuguese], Paulo A. Lotufo Jan 1999

Ervilhas, Gado E Gente [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Winter And Cardiovascular Mortality, Paulo A. Lotufo Jan 1999

Winter And Cardiovascular Mortality, Paulo A. Lotufo

Paulo A Lotufo

Winter time and mortality due to heart failure in Sao Paulo, Brazil during the 1930's.


Tropicalizando A Medicina [Portuguese], Paulo A. Lotufo Dec 1998

Tropicalizando A Medicina [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


A Odisseia Do Paje, Paulo A. Lotufo Oct 1998

A Odisseia Do Paje, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Premature Mortality From Heart Diseases In Brazil. A Comparison With Other Countries[Portuguese], Paulo A. Lotufo Jan 1998

Premature Mortality From Heart Diseases In Brazil. A Comparison With Other Countries[Portuguese], Paulo A. Lotufo

Paulo A Lotufo

Chronic diseases have been the main cause of mortality in the Brazilian metropolitan areas since 1960. Circulatory diseases are the main causes of chronic diseases. The aim was to compare the heart disease related premature deaths in Brazil with other countries in 1984-87. Methods: We studied the deaths from the official mortality statistics from eight metropolitan areas with good assurance of information: Belém, Recife, Salvador, Belo Horizonte, Rio de Janeiro, São Paulo, Curitiba, Porto Alegre. Death causes analyzed were coronary heart disease (410-414); and heart diseases [ischemic heart disease (410-414) plus heart failure (428) plus, hypertension (401-404)]. The population was …


Tratamento Anti-Hipertensivo. Prescrição E Custo De Medicamentos. Pesquisa Em Hospital Terciário, Paulo A. Lotufo Jan 1998

Tratamento Anti-Hipertensivo. Prescrição E Custo De Medicamentos. Pesquisa Em Hospital Terciário, Paulo A. Lotufo

Paulo A Lotufo

To study the most prescribed anti-hypertensive drugs, evaluating their agreement with established guidelines and drug cost. Methods - One hundred and forty one (101 women, mean age = 53.3 years) hypertensive patients who searched spontaneous attention were interviewed in a tertiary-care hospital. The inclusion criteria were previous diagnosis of hypertension and non cardiovascular complaints. Results - The majority of the 107 (75.9%) patients were on medical treatment. In those receiving monotherapy, thiazides were the most utilized drugs, followed by methyldopa, ACE inhibitors, calcium channel-blockers, a n d b e t a - b l o c k e r s …


Epidemiologia Das Doenças Isquemicas No Brasil [Portuguese], Paulo A. Lotufo Jan 1998

Epidemiologia Das Doenças Isquemicas No Brasil [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


O Estado Atual Do Controle Do Diabetes, Da Dislipidemia E Da Hipertensão [Portuguese], Paulo A. Lotufo Dec 1997

O Estado Atual Do Controle Do Diabetes, Da Dislipidemia E Da Hipertensão [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Premature Mortality From Chronic Diseases In Brazil. [Portuguese], Paulo A. Lotufo May 1996

Premature Mortality From Chronic Diseases In Brazil. [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

This thesis evaluated the pattern of chronic diaseases mortality in Brazil during the 1980´s. We studied the age strata from 35-years-old to 64-years-old to analyze the chronic disease-related premature deaths. The questions are the following: 1. Are chronic disease-related premature deaths higher in Brazil than abroad? 2. Is premature mortality higher in males than in females? Which is the best indicator for premature mortality, age-adjusted rates or the impact of deaths elimination by Chiang’ method? Are there geographic or temporal differences in chronic diseases mortality rates among Brazilian metropolitan areas? 5. Which are the social and economics determinants of chronic …


Smoking And Mortality From Cerebrovascular Disorders In Brazil [Portuguese]L: Comparative Study Of Capital Cities Of Metropolitan Regions, 1988 [Porug, Paulo A. Lotufo Jan 1995

Smoking And Mortality From Cerebrovascular Disorders In Brazil [Portuguese]L: Comparative Study Of Capital Cities Of Metropolitan Regions, 1988 [Porug, Paulo A. Lotufo

Paulo A Lotufo

The role of smoking as risk factor for stroke is controversial. An ecological design study was performed to test the association between stroke mortality and smoking in Brazil. Lung cancer mortality was used as a surrogate for smoking habit.The mortality rate for stroke (ICD-9:430-438) and lung cancer (ICD-9: 162) were determined in the following metropolitan areas: Belém, Recife, Salvador, Belo Horizonte, Rio de Janeiro, São Paulo, Curitiba and Porto Alegre for males and females between 30 years-old and 69 years-old. ANOVA test was used to compare both age-adjusted mortality rates. A negative association by ANOVA was determined between age-adjusted rates …


Tendencias De Mortalidade Por Doencas Cardiovasculares No Estado De Sao Paulo [Portuguese], Paulo A. Lotufo Jan 1995

Tendencias De Mortalidade Por Doencas Cardiovasculares No Estado De Sao Paulo [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Doenças Cardiovasculares: Panorama Da Mortalidade No Brasil., Paulo A. Lotufo Jan 1995

Doenças Cardiovasculares: Panorama Da Mortalidade No Brasil., Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.