Arquivo
Prepare-se para Parar de Fumar – Get Ready to Quit Smoking
Prepare-se para parar de Fumar
COMECE seu esforço para parar de fumar, seguindo estes 5 passos:
Coloque na Agenda: defina uma data para parar de fumar! Pode ser o seu aniversario, sua data de casamento, ou o dia Mundial sem Tabaco, 31 de maio.
Espalhe: conte para família, amigos e colegas de trabalho que pretende abandonar o cigarro.
-Pode ser um pouco mais facil quando outras pessoas do seu circulo de amizade param de fumar junto com você. Para começar tente convencer a sua esposa( ou esposo) a parar de fumar ou a pelo menos respeitar e não fumar na sua proximidade.
Antecipe e planeje-se para os desafios e dificuldades que vai enfrentar quando parar de fumar.
Remova cigarros, isqueiros e outros produtos associados ao tabaco na sua casa, carro e trabalho.
Procure ajuda: Converse com seu médico sobre como obter ajuda para parar e quais tratamentos estão disponiveis de acordo com as diretrizes de cessação de tabagismo da SBPT.
Fontes:
PULMAOSA – Sua Atmosfera, Sua Vida! Siga a @PulmaoSA no Twiter
SBPT- Diretrizes de Cessação de Tabagismo da SBPT
NIH – US. National Institutes of Health
ENGLISH
Get Ready to Quit
Every day is No Tobacco Day
START your effort to quit smoking by taking these 5 steps:
Set a quit date: it can be your birthday or wedding anniversary or World No Tobacco Day on May 31.
Tell family, friends and co-workers that you plan to quit.
– It can be more easier to stop smoking if you have support from your friends, family and co-workers. Try asking your spouse or friends to quit with you, or at least not to smoke around you.
Anticipate and plan for the challenges you’ll face while quitting.
Remove cigarettes and other tobacco products from your home, car and work.
Talk to your doctor about getting help to quit. Ask your Physician about some possible Pharma treatment if necessary targeting the FDA guidelines to quit smoking.
Sources:
PULMAOSA – Lungs, Your Atmosphere, Your Life! Follow @PulmaoSA on Twitter
SBPT – Brazilian Thoracic Society guidelines;
NIH/ FDA.
Novas Rotas para Fibrose Cística – New directions for Cystic Fibrosis
Novas rotas para formas graves da Fibrose Cística
Fibrose Cística - Cistic Fibrosis New Directions
A Fibrose Cística (FC) é uma doença genética causada por uma mutação no braço longo do cromossoma 7, que é responsável pela codificação da proteína reguladora da condutância transmembrana ou CFTR.
Embora todos os pacientes com FC carregue o gene mutado da FC, os sintomas podem variar muito de paciente para paciente.
Para o diagnóstico de FC é necessário:
- Pelo menos um achado fenotípico;
- História familiar positiva; de FC
- Ou triagem neonatal positiva mais disfunção da CFTR (teste do suor positivo).
Trata-se de uma doença comum na população caucasiana e menos frequente entre negros e asiáticos. Hoje nos EUA 36% dos pacientes têm uma idade superior a 18 anos de idade. Assim, o aumento constante da longevidade na FC se deveu ao desenvolvimento da antibiótico terapia, a possibilidade de reposição de enzimas e a cooperação de vários profissionais de saúde para a causa.
Como os sintomas podem variar muito de paciente para paciente, alguns pacientes podem ter doença pulmonar tão graves que eles podem ir a óbito em torno de 10 anos de idade, enquanto outros podem ter a função pulmonar quase normal com a idade de 35 anos.
Apesar de ser uma doença multi- sistêmica, o envolvimento pulmonar é a causa principal de morbidade e mortalidade na FC.
As regiões do genoma que afetam a severidade da doença genética fibrose cística (FC), a mais frequente doença genética letal que afetam as crianças na América do Norte foram descobertas por um grupo de pesquisadores americanos e canadenses.
Um estudo cujo “abstract” foi apresentado esta semana online, na revista Nature Genetics, está entre os primeiros relatos de varreduras genomicas de um distúrbio por um único gene. O trabalho da América do Norte “FC gene modificador Consortium” identificou quais regiões do genoma são associados com a gravidade da doença de pulmão em quase 3.500 pacientes com FC.
Estudos de associação ampla de genoma, ou na sigla em inglês “GWAS”, como são chamados, permitiram o exame simultâneo de centenas de milhares de variantes genéticas. O Consórcio analisou 570.725 variantes entre os cromossomos de 3.467 pacientes com FC e descobriu que as variações em uma pequena região tanto do cromossomo 11, quanto uma outra pequena região do cromossomo 20 que foram associadas com a gravidade da doença pulmonar de um paciente.
Os membros do consórcio estão agora tentando entender como as variações nessas regiões afeta a progressão da doença.
Segundo o Dr. Marcos Nascimento, editor Médico da PULMAOSA, este trabalho abre uma enorme perspectiva para que a terapia genética se converta em realidade clínica e pode resultar em novos fármacos que possibilitarão uma sobrevida ainda melhor e maior para os pacientes portadores de Fibrose Cística.
Clique e acesse o “Abstract” do trabalho publicado na Nature Genetics
FONTES:
PULMAOSANEWS – PULMAO SA – Sua Atmosfera, Sua Vida!
Nature Genetics
New directions for Cystic Fibrosis
Cystic Fibrosis (CF) is a genetic disease caused by a mutation in the long arm of chromosome 7, which is responsible for encoding the protein transmembrane conductance regulator or CFTR.
Although all patients with CF carry the mutated gene of CF, the symptoms can vary widely from patient to patient.
For CF diagnosis it is necessary:
- At least one phenotypic finding;
- Positive family history of CF;
- Or more positive newborn screening CFTR dysfunction (sweat test positive).
This is a common disease in the Caucasian population and less common among blacks and Asians. Today in USA 36% of patients are aged over 18 years of age. Thus, the steady increase in longevity in CF was due to the development of antibiotic therapy, the possibility of enzyme replacement and cooperation of the health professionals for the cause.
Because symptoms can vary greatly from patient to patient, some patients may have pulmonary disease so severe that they can go to death around 10 years old, while others may have near normal lung function at 35 years old.
Despite being a multi-systemic disease, pulmonary involvement is the leading cause of morbidity and mortality in CF.
New Links to Worsening of Cystic Fibrosis:
The regions of the genome that affect the severity of the genetic disease cystic fibrosis (CF), the most common lethal genetic disease affecting children in North America was discovered by a group of American and Canadian researchers.
A study with the “abstract” was presented this week online in Nature Genetics, is among the first reports of genomic scans of a single gene disorder. The work of the North American Consortium CF modifier gene identified which regions of the genome are associated with severity of lung disease in nearly 3,500 patients with CF.
Studies of genome wide association, or its acronym “GWAS,” as they are called, have enabled the simultaneous examination of hundreds of thousands of genetic variants.
The Consortium reviewed 570,725 variants among 3467 chromosomes of CF patients and found that variations in a small region of chromosome 11 , as another small region of chromosome 20 that were associated with severity of lung disease in a patient.
Consortium members are now trying to understand how variations in these regions affects the progression of the disease.
According to Dr. Marcos Nascimento, Medical editor of PULMAOSA, this work opens up a huge prospect for gene therapy becomes a clinical reality and may lead to new drugs that will enable an even better and greater survival for patients with CF.
Click here to go to the “Abstract” of the paper published in Nature Genetics
SOURCES:
PULMAOSANEWS – LUNGS – Your atmosphere, Your Life!
Nature Genetics
North Carolina asks your help to save its Tobacco Prevention Program
North Carolina asks Your Help
North Carolina Asks Your Help
North Carolina House developed a budget that Abolishes Health and Wellness Trust Fund of NC and that means that the TRU (Tobacco Realisty Unifiltered) teen prevention program goes too. The budget cut was passed in the House of parliament and was sent to State Senate to receive approval or be denied.
These cuts may appear to have economic justification. But a cut of this magnitude only worsened the scenario with increased incidence of cardiovascular, respiratory and oncology diseases, which in turn will impact negatively the state budget.
Like a Hurricane this is an attack on the North Carolina Public Health and a dangerous bias for the other American States.
NC needs National and international support to resist such pressure. The PULMAOSA supports the below Petition from TRU Movement Campaign directed to the NC Senate, so that not give the pressures mentioned above, on the risk of threat to public health not only for NC but worldwide.
You can help to protect the public health in North Carolina by signing the petition to the NC Governor and the Members of the State Senate. It is a simple manner to remember the North Carolina representatives’main mission: to protect its citizens life.
Thank you!
PLEASE COMPLETE LOCATION AS FOLLOWS: (City & State OR City, State & Zip Code)
Last week HB200 (the 2011 Budget Proposal) passed the NC House and was sent to the Senate. It is now in the Senate Appropriations Committee. This budget propsal intends to ELIMINATE the Health and Wellness Trust Fund(HWTF), the agency that funds the Tobacco Reality Unfiltered (TRU) Youth program, as of this December. Legislators plan to use this funding to fund other programs, while ignoring the huge tobacco toll in North Carolina. Over 200 people will lose their jobs and thousands of NC citizens will lose much needed resources.
The Health and Wellness Trust Fund was established with Tobacco Settlement funds (not taxpayer dollars) and was intended to help states address the health and financial toll of tobacco. The North Carolina General Assembly established the HWTF to protect those funds and use them as intended for health purposes, and tobacco prevention and cessation in particular. Eliminating the Health and Wellness Trust Fund would be against the original purpose of the Master Settlement Agreement– leaving North Carolinians without access to tobacco prevention and cessation resources.
Abolishing the HWTF will halt the significant success HWTF programs have seen in the areas of tobacco prevention and cessation and the success they hope to replicate in the area of obesity prevention. Both issues are the most critical and pressing health issues facing North Carolina’s youth today as the top two preventable causes of death. Since 2003, when the HWTF began funding teen tobacco use prevention and cessation efforts (including local programs and an evidence-based, highly effective media campaign), North Carolina has seen the following health benefits:
- There are 53,000 fewer youth smokers than in 2003 when HWTF tobacco prevention programs began.
- The middle school smoking rate in North Carolina has been cut by more than half since HWTF efforts began (from 9.3% to 4.3%), and the high school smoking rate has dropped by a third (from 27.3% to16.7%). (Data based on North Carolina Youth Tobacco Survey, 2009);
- These are the lowest rates ever recorded in our state’s history.
- Thanks to the efforts of the HWTF, over 28,000 people enrolled in QuitlineNC- the ONLY free cessation resource for smokers in the entire state.
For every $1 that HWTF invested in its programs, approximately $2.54 is generated in financial benefits for our State.
CLICK: http://www.ncforhealth.org to contact your representatives!!!
OR give them a CALL:
Calling a politician isn’t as scary as it might seem; besides you’ll probably either talk with an aide or leave a message. No sweat, right? Politicians care about their voting public and just a few people voicing their concerns has been known to sway their vote. Need Talking Points? Click HERE!
- Senator Peter Brunstetter, co-chairman
(336) 747-6604 - Senator Neal Hunt, co-chairman
(919) 781-3464 - Senator Richard Stevens, co-chairman
(919) 851-0228 - Senator Tom Apodaca, vice chairman
(828) 696-0574 - Senator Linda Garrou, vice chairman
(919) 733-5620 -
Martin Nesbitt (Senate Democratic Leader)
(919) 715-3001 - Harry Brown, Senate Majority Leader
(919) 715-3034
OR “Like” your Senators on Facebook…and let them know what you think.
Politicians check their Facebook! Share your comments, facts, and even pictures with your local policymakers and get your opinions heard.
If you submit your email, we may contact you with updates from the Save the TRU Movement Campaign.
Risco Maior de UTI em Crianças Expostas a Fumo Passivo
Risco duplo
Risco Maior de UTI em Crianças Expostas a Fumo Passivo.
Denver- USA (PULMAOSANEWS) Por ocasião da reunião anual da Pediatric Academic Societies foi divulgado nesta terça-feira 3 de maio em Denver, Estados Unidos, um estudo sobre a repercussão do fumo passivo em crianças. O Estudo revelou que crianças expostas ao fumo passivo têm mais chances de ao adquirir gripe serem internadas em unidades de tratamento intensivo, e são mais propensas ao uso de ventilação invasiva.
O Estudo fora realizado no Centro Médico da Universidade de Rochester (NY), onde os pesquisadores analisaram prontuáriosde 91 crianças internadas entre 2002 e 2009. Destas, cerca de 30% havia história de ter exposição domiciliar ao fumo passivo.
A análise do prognóstico entre as crianças expostas ao fumo passivo com gripe versus crianças com gripe sem exposição, revelou que:
- Quando hospitalizadas por gripe, crianças expostas ao fumo passivo registraram maior permanência de internação hospitalar;
- Elas apresentaram maior probabilidade de necessitar de tratamento em Unidades Intensivas (31% X 9%); e necessitaram mais de ventilação invasiva – intubação traqueal (19% X 2%).
- Após controlar condições subjacentes como asma bronquica, o risco de sofrer internação em UTI encontrado para as crianças expostas ao fumo passivo foi cinco vezes maior, e a chance de precisar de ventilação invasiva foi 11 vezes superior a de crianças não expostas.
O Editor médico da PULMAOSA, Dr. Marcos Nascimento chama a atenção para o fato de o estudo indicar que: “o tabagismo passivo além de exercer alto impacto sobre a morbi-mortalidade da gripe, elevando os custos das internações hospitalares, invoca a necessidade dos pais obedecerem a regras claras como não fumar em casa ou no carro e que eles deveriam procurar tratamento e suporte médico para parar de fumar”.
“Uma vez que há maior risco para as crianças expostas, seria prudente a recomendação de estarem protegidas com a vacina antiinfluenza.” O estudo supracitado constitui, portanto uma excelente ferramenta para os gestores tanto de política pública quanto dos planos de saúde privada,” complementa o Dr. Nascimento.
FONTES:
PulmaosaNews – Pulmao SA – Sua Atmosfera, Sua Vida!
ZOO LOGIC ? The obligation to be creative to save the atmosphere of our children
ZOO LOGIC ?
Hey friends we will go to another visit to the Zoo but with new perpective: an animal perspective:
…In the monkeys’ cage, monkeys are playing in the jump ropes and branches of trees and begin to observe a group of human adults and children who are “behind bars” draws attention to them.
…children are playing with our friends The Lungs:”Lunggy Right”, “Lunggy Left” and a Heart named:” Hearty”!
“Lunggy Left” says: Hello, how are you?
Hearty says: I am fine.
Lunggy Right is enchanted seeing one banana’s piece and also answer he’s also fine.
One of monkeys, the youngest one, call the Lunggy Right’s attention about an unusual situation …- “Right” !
-“What is that? “
Right asks: “What?”
The baby monkey asked again:
“Right”, the adult human is on fire!
Zoo Logic?
-Help him! Help him! Says the little monkey so afraid and worrying about that strange and unsual situation!
As everybody knows, where there is smoke, there is fire!
Baby Monkey, Hearty, Right and Left shouted:
” -Call the Fire Department! Call the elephants and seals! ”
“-Help! Heeeellllpp! ”
Right and Left looked at where the “Baby monkey was pointing with all his ten fingers and one tail…
And in fact, it seemed that was a really true situation: an human adult was just putting smoke out of your mouth!
Oh no, says another monkey, the adult is also putting smoke into the mouth!!!
– “For the Veterinary’s sake!” said all the monkeys,together!
That situation also drew the attention of other zoo’s animals!
-You know about the perception sense of the animals…They simple know since they were little children what represent a danger, a hazard situation!
And what will they do when see a danger situation? They keep out the danger! The fire and smoke represent one of greatest dangers to the life!
Right, Left and Heartty understood what are happening.
And explains that it was a smoking situation…
Smoking constitutes a terrible menace to the life!
All animals moving their heads up and down showing absolutely concordance with them.
Lunggy Right calls a doctor named “Hakin” to explain that situation…
The Doctor “Hakin” was a medicine doctor.
And Doctor “Hakin” says: Childrrrennn!
“-In fact, both smoke and fire represent a hazard to our lives and also to our health!
Dr. Hakin:”-And,Childrrennn!”We MUST keep out of them!”
Dr Hakin continues:”-People could not smoking! The smoking air contains a substance called Nico, Nico, Nico, AtchIN!(The doctor sneezing!). Sorry, Childrrrennn! As I am saying, the smoking air contains NICOTINE!
The Little Elephant says: Oh no! Then, if an adult be smoking close to me could I become sick?
The Doctor “Hakin” says:- Unfortunately “yes”, Childrrrennn!
Little Elephant: -Oh, For veterinary’s sake! My little nose gonna be sick… SICK!
-I am feeling my nose will snooze because of that Nico, Nico, NICO ATCHIN !
Some Children says: – “Hey Right and Left & Hearty! We need start an Educational campaing against the tobacco smoking because it is a hazard thing to our Life, to our HEALTH and to the our atmosphere and the environment !
-We, the kids need as the animals take care of our Health and our Enviroment! Responsible Care!
Let’s create a Free Tobacco Zone in the Zoo! Here, nobody likes smoke or fire ! This will protect the children and adults’ Health, and our friends Right, Left, Hearty !
The Little Monkey baby says: To this act let’s take a Great Yuupy Hurray!
-From that day on, the children and the animals stay away from secondhand smoking in a free smoking zoo. Then, the Zoo was named by everybody as the Zoo LOGIC !
Since December 2008 I have created a site called “PULMAO SA which in English means LUNG-SA : “Your atmosphere, Your Life!”
Disposable at: http://www.pulmaosa.com.br
The site’s slogan sums up my role in trying to protect the “real atmosphere of the people, or, in other words, the air that is inside of us make up our real atmosphere.
The SA of the name has the objective to draw attention to the goal of our mission of providing information to the sector 3 S:
State (Government), SA (companies) and schools (children and youth). Thus could be able to build a network of protection around the smoker that permit quit smoking and even do not start this dependence on cigarettes or tobacco products.
As children are my main focus, I created some characters with universal values to talk and tell stories about the dangers of tabacco.
I would like you to Invite everyone to know some of them in the little story above.
With All respect,
Dr. Marcos Nascimento,Md.
Chief Editor of http://www.pulmaosa.com.br
Respiratory Care Professor at college of Medicine of PUCPR
Curitiba-Brazil
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