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- Cardiovascular epidemiology (29)
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Articles 31 - 60 of 71
Full-Text Articles in Community Health and Preventive Medicine
Air Pollutants And Respiratory Symptoms Among Adults, Paulo A. Lotufo
Air Pollutants And Respiratory Symptoms Among Adults, Paulo A. Lotufo
Paulo A Lotufo
Air pollutants are associated with adverse respiratory effects mainly in susceptible groups such as children, elderly people and people with pre-existent respiratory disease. This study was designed to assess the impact of the inorganic composition of particulate matter on 33 adult asthmatics respiratory functions in São Paulo city, Brazil. From May to July 2002, fine and coarse particulate matter fractions were collected and trace metals (Fe2+, Mn2+, Zn2+, Pb2+, Cu2+) and major ions (Na+, Mg2+, K+, Ca2+, NH4 +, Cl-, NO3-, SO42-) composition was determined in each aqueous-extract fraction by Atomic Absorption Spectrometry with Graphite Furnace (AAS-GF) and Ion Chromatography, …
The Acute-Phase Proteins Serum Amyloid A And C Reactive Protein In Transudates And Exudates, Paulo A. Lotufo
The Acute-Phase Proteins Serum Amyloid A And C Reactive Protein In Transudates And Exudates, Paulo A. Lotufo
Paulo A Lotufo
The distinction between exudates and transudates is very important in the patient management. Here we evaluate whether the acute-phase protein serum amyloid A (SAA), in comparison with C reactive protein (CRP) and total protein (TP), can be useful in this discrimination. CRP, SAA, and TP were determined in 36 exudate samples (27 pleural and 9 ascitic) and in 12 transudates (9 pleural and 3 ascitic). CRP, SAA, and TP were measured. SAA present in the exudate corresponded to 10% of the amount found in serum, that is, the exudate/serum ratio (E/S) was 0.10±0.13. For comparison, the exudate/serum ratio for CRP …
Epidemiological Studies In The Information And Genomics Era: Experience Of The Clinical Genome Of Cancer Project In São Paulo, Brazil, V Wunsch, Jose Eluf-Neto, Paulo A. Lotufo, Marco A. Zago
Epidemiological Studies In The Information And Genomics Era: Experience Of The Clinical Genome Of Cancer Project In São Paulo, Brazil, V Wunsch, Jose Eluf-Neto, Paulo A. Lotufo, Marco A. Zago
Paulo A Lotufo
No abstract provided.
Additional Cardiovascular Risk Factors Associated With Excess Weigth In Children And Adolescents. The Belo Horizonte Heart Study, Paulo A. Lotufo
Additional Cardiovascular Risk Factors Associated With Excess Weigth In Children And Adolescents. The Belo Horizonte Heart Study, Paulo A. Lotufo
Paulo A Lotufo
OBJECTIVE: To examine the association of overweight and obesity with physical activity, blood pressure (BP) and serum lipid profiles. METHODS Epidemiologic investigation of 1,450 students, between the ages of 6 and 18, in the city of Belo Horizonte, MG. Data: weight, height, BP, skinfold thickness, waist circumference, physical activity, total cholesterol (TC), LDL-c, HDL-c, and dietary habits. RESULTS The prevalence rates for overweight and obesity were 8.4% and 3.1%, respectively. In relation to the students in the lower quartile (Q1) of the distribution of subscapular skinfold, the students in the upper quartile (Q4) presented a 3.7 times higher risk (odds …
Higher Burden Of Hemorrhagic Stroke Among Women An Autopsy-Based Study In São Paulo, Brazil, Paulo A. Lotufo
Higher Burden Of Hemorrhagic Stroke Among Women An Autopsy-Based Study In São Paulo, Brazil, Paulo A. Lotufo
Paulo A Lotufo
The aim of this study was to verify the gender difference in sudden cardiovascular death, mainly comparing brain infarction and hemorrhagic stroke. We analyzed 970 autopsy cases from a total of 3,802 nonviolent deaths (448 considered as sudden deaths, 296 undetermined, and 226 non-sudden deaths) including patients aged 30–69 years. All cardiovascular diseases were responsible for 69% of sudden deaths, and all types of stroke for only 14%. The proportions of sudden death for all cardiovascular diseases, coronary heart disease and ischemic stroke deaths were similar for both sexes. However, sudden deaths due to all types of stroke (women 20.0%; …
Stroke In Brazil: A Neglected Disease, Paulo A. Lotufo
Stroke In Brazil: A Neglected Disease, Paulo A. Lotufo
Paulo A Lotufo
The turning point in the transition from infectious diseases to non-transmittable diseases in Brazil occurred in the 1960s, taking the country as a whole. However, considering the main cities, such as São Paulo and Rio de Janeiro, cerebrovascular disease mortality rates have surpassed the “old cardiovascular diseases” like rheumatic heart disease and syphilitic aortic disease since the end of World War II. Until the end of the 1980s, the burden of stroke mortality observed in the main Brazilian cities was higher than in the United States, Canada and western European countries, and similar to what is observed in Eastern Europe …
Trends Of Stroke Subtypes Mortality In Sao Paulo, Brazil (1996-2003), Paulo A. Lotufo, Isabela M. Bensenor
Trends Of Stroke Subtypes Mortality In Sao Paulo, Brazil (1996-2003), Paulo A. Lotufo, Isabela M. Bensenor
Paulo A Lotufo
The decline of stroke mortality rates has been described in Brazil; however, there is no data about stroke subtypes. We described the changes of stroke mortality rates in the city of Sao Paulo (1996-2003) emphasizing intracerebral hemorrhage and cerebral infarction. We categorized mortality data by gender and 10-year age-strata from 30 to 79 years-old. For men, an annual reduction of all types of stroke (-3.9%), and of stroke subtypes as intracerebral hemorrhage (-3.0%) and cerebral infarction was observ e d (-2.7%) as well as, a decline of ill-defined stroke (-7.4%). For women, a decline was observed for all types of …
Why Brazil Does Not Have An Epidemic Of Chronic Diseases: Some Answers From Cardiovascular Diseases, Paulo A. Lotufo
Why Brazil Does Not Have An Epidemic Of Chronic Diseases: Some Answers From Cardiovascular Diseases, Paulo A. Lotufo
Paulo A Lotufo
No abstract provided.
The "Common Soil" Theory: Coronary Disease, Diabetes And Inflammation., Paulo A. Lotufo
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
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
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
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
Effects Of Diesel Exhaust Emissions And Symptoms Of Asthma, Paulo A. Lotufo
Paulo A Lotufo
No abstract provided.
Stroke Mortality In Sao Paulo (1997-2003). A Description Using The Tenth Revision Of The International Classification Of Diseases, Paulo A. Lotufo
Stroke Mortality In Sao Paulo (1997-2003). A Description Using The Tenth Revision Of The International Classification Of Diseases, Paulo A. Lotufo
Paulo A Lotufo
Stroke mortality rates are higher in Brazil when compared to other countries. The city of Sao Paulo has a good system of mortality surveillance that allow us to describe the epidemiology of the stroke in the city. Our aim was to describe the stroke mortality pattern by gender and age characterizing the ischemic/hemorrhagic ratio. We categorized mortality data by gender and a 10-year age-strata from 30-39 years-old to 70-79 years-old. To avoid random variations, we calculated the mean of all deaths occurred during the period of 1997 to 2003. Mortality rates were calculated using the population from the Brazilian National …
A Comunicação Médica: Alguns Comentários E Observações, Paulo A. Lotufo
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
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
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
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) …
Migraine And Coronary Heart Disease In Women And Men, Paulo A. Lotufo
Migraine And Coronary Heart Disease In Women And Men, Paulo A. Lotufo
Paulo A Lotufo
Objective.—We evaluated migraine as an independent risk factor for subsequent coronary heart disease (CHD) events among women in the Women’s Health Study (WHS) and men in the Physicians’ Health Study (PHS). Background.—Although several studies have suggested that migraine is associated with increased risk of stroke, there are few and conflicting data on whether migraine predicts risk of future CHD events. Methods.—The WHS is an ongoing randomized, double-blind, placebo-controlled trial of low-dose aspirin and vitamin E in the primary prevention of cardiovascular disease and cancer in 39,876 women health professionals aged 45 years in 1993, and the PHS is a completed …
Epidemologia Das Doenças Cardiovasculares No Brasil [Portuguese], Paulo A. Lotufo
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
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
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
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
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
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
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
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
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
Ervilhas, Gado E Gente [Portuguese], Paulo A. Lotufo
Paulo A Lotufo
No abstract provided.
Winter And Cardiovascular Mortality, Paulo A. Lotufo
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.