Changements épidémiologiques au Canada : un regard sur les causes de décès des personnes âgées de 65 ans et plus, 1979-2007

La mortalité aux jeunes âges devenant de plus en plus faible, l’augmentation de l’espérance de vie est de plus en plus dépendante des progrès en mortalité aux âges avancés. L’espérance de vie à 65 ans et à 85 ans n’a cependant pas connu un rythme de progression continu depuis les trois dernières décennies. Ces changements dans l’évolution de l’espérance de vie proviennent de changements dans les tendances de certaines causes de décès et de leurs interactions. Ce mémoire analyse la contribution des causes de décès aux changements qu’a connus l’espérance de vie, mais aussi l’évolution spécifique des taux de mortalité liés aux principales causes de décès au Canada entre 1979 et 2007. Finalement, une analyse de l’implication de ces changements dans un contexte de transition épidémiologique sera réalisée, par un questionnement sur le fait que l’on assiste ou non au passage de certaines pathologies dominantes à d’autres. La réponse à ce questionnement se trouve dans l’étude de l’évolution par âge et dans le temps des causes de décès. Les résultats montrent que les progrès en espérance de vie à 65 ans et à 85 ans sont encore majoritairement dus à la diminution de la mortalité par maladies cardiovasculaires. Toutefois, ces dernières causes de décès ne sont pas les seules à contribuer aux progrès en espérance de vie, puisque les taux de mortalité dus aux dix principales causes de décès au Canada ont connu une diminution, bien qu’elles n’aient pas toutes évolué de la même manière depuis 1979. On ne semble ainsi pas passer d’un type de pathologies dominantes à un autre, mais à une diminution générale de la mortalité par maladies chroniques et à une diversification plus importante des causes de décès à des âges de plus en plus avancés, notamment par la diminution des «grandes» causes de décès.

Análisis de la relación entre la accidentalidad y el incremento de trabajo en un proyecto de la construcción en Colombia durante los años 2012 y 2013

La construcción es una de las industrias que mayores accidentes laborales genera, en esta investigación se realizó un análisis retrospectivo para determinar si existe alguna relación entre la ocurrencia de accidentes y la fecha de entrega de una meta, debido al incremento en la cantidad de trabajo expresado por la cantidad de días y horas extras trabajados, se cuenta con información de la accidentalidad de cinco empresas constructoras de un gran proyecto vial en Colombia en los años de 2012 y 2013. Se analizó la información correspondiente a la nómina de las mismas empresas, con el valor de la nómina mensual, el valor de las incapacidades mensuales y la cantidad de trabajadores por cada empresa en cada periodo. El manejo de los datos se hizo con EXCEL y el análisis estadístico con STATA 11.1, se usó la correlación de Spearman para encontrar la relación entre la cantidad de accidentes acumulados y: la cantidad acumulada de días trabajados en cada mes, la cantidad acumulada de horas extras trabajadas mensualmente y el costo acumulado en porcentaje de la nómina mensual, encontrándose en todos los casos una relación lineal. Por otra parte, se realizó una prueba binomial para establecer la relación de la fecha de entrega de la meta con la accidentalidad 30 días antes y después, encontrando que la accidentalidad aumenta en la proximidad previa a la entrega de la meta

Epidemiología y perdurabilidad empresarial en Colombia: Grupo Éxito

La muerte empresarial es un proceso que se ha venido presentando en compañías de las diferentes industrias a nivel nacional. La causa son los diferentes factores externos que impactan directamente las operaciones y estructura de estas. Con base en lo anterior es importante resaltar que existen diferentes tipos de muerte empresarial que para efectos de este trabajo se encontraron importante referenciar, pues son el marco del análisis de caso sobre Almacenes Éxito S.A. perteneciente al sector retail, donde se buscaba determinar cuál fue el tipo de cesión que tuvo, como consecuencia de la venta de acciones a la Compañía Francesa Casino Guichard-Perrachon S.A. Además del marco teórico empleado, se encontró importante realizar una reseña histórica de las diferentes empresas que han integrado el sector con el fin de entender posibles generalidades que se han venido replicando y que han llevado a la muerte empresarial de importantes compañías. Este trabajo permite la comprensión de las diferentes transformaciones que pueden tener los entes económicos a lo largo de su vida empresarial, no solo con lo que puede entenderse como el cese de operaciones sino también como apertura a nuevas estrategias de crecimiento y expansión.

Women on March in Goa : the gender transition in Higher Education after the Statehood

This paper attempts to address the interesting phenomenon of dominance of women in higher educational sector of Goa-a remarkable postcolonial event which occurred after Goa attained statehood in 1987. The Indian state of Goa has been experiencing a rapid socio-economic and cultural transformation. At present it enjoys many of the highest human development indicators in India, matching some of the developed countries. Its’ projected population at present is 1.45 million (Indian decennial census 2001 reported 1.348 million). When the Portuguese rule ended, the literacy was just 31 % whereas it stood at 82 % in 2001. Goa is a highly urbanized state in India. In 1960 there were just five towns and 15 % urban population. In 2001 the figures were, 44 towns and 50 % urban population. On economic front Goa has made tremendous progress mainly on account of the growth of mining, tourism and the service sector. Tourist arrivals in Goa have exceeded the state’s population from 2001. The Gross state domestic product (GSDP) at current prices in 2003-04 was Indian Rupees (Rs.) 96570 million, up from Rs. 3930 million when Goa became a full-fledged state. The banks are flush with funds indicating a booming economy. Goa has lowest birth and death rates and a life expectancy of 68 years for the males and 72 for females. The sex ratio however has shown a declining trend since 1960, from 1066 to 960 in 2001 (Table 1).The sex ratio for 0-6 years age group was 933. On this background we intend to examine the changing pattern of female education in Goa.

Effects of body size and lifestyle on evolution of mammal life histories

It has recently been proposed that life-history evolution is subject to a fundamental size-dependent constraint. This constraint limits the rate at which biomass can be produced so that production per unit of body mass is inevitably slower in larger organisms than in smaller ones. Here we derive predictions for how changes in body size and production rates evolve in different lifestyles subject to this constraint. Predictions are tested by using data on the mass of neonate tissue produced per adult per year in 637 placental mammal species and are generally supported. Compared with terrestrial insectivores with generalized primitive traits, mammals that have evolved more specialized lifestyles have divergent massspecific production rates: (i) increased in groups that specialize on abundant and reliable foods: grazing and browsing herbivores (artiodactyls, lagomorphs, perissoclactyls, and folivorous rodents) and flesh-eating marine mammals (pinnipeds, cetaceans); and (ii) decreased in groups that have lifestyles with reduced death rates: bats, primates, arboreal, fossorial, and desert rodents, bears, elephants, and rhinos. Convergent evolution of groups with similar lifestyles is common, so patterns of productivity across mammalian taxa reflect both ecology and phylogeny. The overall result is that groups with different lifestyles have parallel but offset relationships between production rate and body size. These results shed light on the evolution of the fast-slow life-history continuum, suggesting that variation occurs along two axes corresponding to body size and lifestyle.

Life-history evolution under a production constraint

The recently formulated metabolic theory of ecology has profound implications for the evolution of life histories. Metabolic rate constrains the scaling of production with body mass, so that larger organisms have lower rates of production on a mass-specific basis than smaller ones. Here, we explore the implications of this constraint for life-history evolution. We show that for a range of very simple life histories, Darwinian fitness is equal to birth rate minus death rate. So, natural selection maximizes birth and production rates and minimizes death rates. This implies that decreased body size will generally be favored because it increases production, so long as mortality is unaffected. Alternatively, increased body size will be favored only if it decreases mortality or enhances reproductive success sufficiently to override the preexisting production constraint. Adaptations that may favor evolution of larger size include niche shifts that decrease mortality by escaping predation or that increase fecundity by exploiting new abundant food sources. These principles can be generalized to better understand the intimate relationship between the genetic currency of evolution and the metabolic currency of ecology.

Sex and socioeconomic inequalities of lung cancer mortality in Barcelona, Spain and Sao Paulo, Brazil

The objective of this paper was to assess sex and socioeconomic inequalities in lung cancer mortality in two major cities of Europe and South America. Official information on mortality and population allowed the estimation of sex- and age-specific death rates for Barcelona, Spain and Sao Paulo, Brazil (1995-2003). Mortality trends and levels were independently assessed for each city and subsequently compared. Rate ratios assessed by Poisson regression analysis addressed hypotheses of association between the outcome and socioeconomic covariates (human development index, unemployment and schooling) at the inner-city area level. Barcelona had a higher mortality in men (76.9/100000 inhabitants) than Sao Paulo (38.2/100 000 inhabitants); although rates were decreasing for the former (-2%/year) and levelled-off for the [after. Mortality in women ranked similarly (9.1 for Barcelona, 11.5 for Sao Paulo); with an increasing trend for women aged 35-64 years (+ 7.7%/year in Barcelona and + 2.4%/year in Sao Paulo). The socioeconomic gradient of mortality in men was negative for Barcelona and positive for Sao Paulo; for women, the socioeconomic gradient was positive in both cities. Negative gradients indicate that deprived areas suffer a higher burden of disease; positive gradients suggest that prosmoking lifestyles may have been more prevalent in more affluent areas during the last decades. Sex and socioeconomic inequalities of lung cancer mortality reinforce the hypothesis that the epidemiologic profile of cancer can be improved by an expanded access to existing technology of healthcare and prevention. The continuous monitoring of inequalities in health may contribute to the concurrent promotion of well-being and social justice.

Entomopathogenic fungal activity against pupae and adult Haematobia irritans (Diptera: Muscidae)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Peritoneal Dialysis-Related Peritonitis Due to Staphylococcus aureus: A Single-Center Experience over 15 Years

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Patterns of alcohol use between genders: A cross-cultural evaluation

Introduction: Alcohol use by men and women is very much influenced by social habits and customs. Cultural peculiarities and biological differences between the sexes require more focused and standardized studies. The objective was to systematize information on patterns of alcohol use between the sexes.Method: A literary review (1972-2004) identified 96 publications (Lilacs, Scielo, Medline) and some related books.Results and conclusions: Men drank more and presented more problems (legal, family, social, clinical, traumas and mortality) associated with alcohol use; the consequences of alcohol use in developing countries with low death rates is even higher. Women can face more discrimination by using alcohol as well as worse health problems when they abuse drinking (liver, pancreas, and central and peripheral nervous system problems, psychiatric comorbidity, etc.); sexual abuse is more commonly associated with women than discussing the different responses to treatment. As for social roles/responsibilities exercised by women, there are indications that marriage, employment, and children have a good influence, discouraging alcohol use, while divorce, unemployment, and no children contribute to higher consumption. For both sexes, religion was a protective factor for alcohol use; acculturation was a strong influence in the pattern of alcohol use, and alcohol worsened the evolution of existing psychiatric disorders. (c) 2006 Elsevier B.V. All rights reserved.

Atividade física para prevenção e tratamento das doenças crônicas não transmissíveis e da incapacidade funcional

A atividade física pode ser efetivar tanto na atenção primária quanto secundária e terciária da saúde. Os objetivos do artigo são analisar a associação entre atividade física e prevenção ou tratamento das doenças crônicas não-transmissíveis e incapacidade funcional e rever os principais mecanismos biológicos responsáveis por essa associação e as recomendações atuais para a prática de exercícios nessas situações. Diversos estudos epidemiológicos mostram associação entre aumento dos níveis de atividade física e redução da mortalidade geral e por doenças cardiovasculares em indivíduos adultos e idosos. Embora ainda não estejam totalmente compreendidos, os mecanismos que ligam a atividade física à prevenção e ao tratamento de doenças e incapacidade funcional envolvem principalmente a redução da adiposidade corporal, a queda da pressão arterial, a melhora do perfil lipídico e da sensibilidade à insulina, o aumento do gasto energético, da massa e força muscular, da capacidade cardiorrespiratória, da flexibilidade e do equilíbrio. No entanto, a quantidade e qualidade dos exercícios necessários para a prevenção de agravos à saúde podem ser diferentes daquelas para melhorar o condicionamento físico. de forma geral, os consensos para a prática de exercícios preventivos ou terapêuticos contemplam atividades aeróbias e resistidas, preferencialmente somadas às atividades físicas do cotidiano. Particularmente para os idosos ou adultos, com co-morbidades ou limitações que afetem a capacidade de realizar atividades físicas, os consensos preconizam, além dessas atividades, a inclusão de exercícios para o desenvolvimento da flexibilidade e do equilíbrio.

Effects of Natural Infestations of the Mite Varroa destructor on the Development of Africanized Honeybee Workers (Apis mellifera)

The mite Varroa destructor (Anderson & Treuman 2000) has caused extensive damage to beekeeping worldwide. In Brazil, weather conditions and the strains of bees do not provide ideal conditions for mite parasitism, which is reflected in the low number of deaths of colonies caused by varroatosis well as the stability of infestation levels. The aim of this study was to evaluate the damage caused by the mite infestation in hives maintained in natural conditions. For this purpose the number of mites per bee was calculated and used to quantify the level of infestation in each colony. To record the mortality rates of parasitized bees during development daily checks were performed. The data were analyzed by G test of independence and a Test of Proportions. The results indicate that the rate of mortality of pupae and larvae was proportional to the degree of infestation in each colony, and all colonies showed mortality rates significantly higher than the control rate. A significant interaction among death rates recorded between the third and fourth days of larval life and the total death of larvae was found (G Test = 50.22; P < 0.0001). So, it can be concluded that bee inbreeding contributed significantly to the increase of the larval rate of mortality. In Africanized honeybee colonies infested by the mite Varroa destructor mortality rates in conditions of natural infestation varied from 6.65 to 9.89% in pupae (<(x)over bar>= 8.78%) and from 6.13 to 13.48% in larvae ((x) over bar = 9.91%), against 3.85% and 3.74% in the control colony, respectively. Therefore, in the infested colonies the average rates of mortality caused by the harmful effects of the mite were, respectively, 2.28 times and 2.65 times greater in those two developmental stages.

Mesocosm experiment on the impact of invertebrate predation on zooplankton of a tropical lake

Invertebrate predation on zooplankton was investigated in mesocosms in the shallow tropical Lake Monte Alegre, Sauo Paulo State, Brazil, in the summer of 1999. Two treatments were applied: one with natural densities of prey and the predators Chaoborus brasiliensis and the water mite Krendowskia sp. (Pr+), and another without predators (Pr-). Three enclosures (volume: 6.6 m(3) of water per enclosure) per treatment were installed in the sediment of the deepest area of the lake (5.0 m). At the beginning, Chaoborus larvae were present in Pr- enclosures, because of technical difficulties in preventing their entrance, but they virtually disappeared in the course of the experiment. Water mites were almost absent in Pr- enclosures. Chaoborus predation negatively influenced the Daphnia gessneri population, but not the populations of the copepods Tropocyclops prasinus and Thermocyclops decipiens and the rotifers Keratella spp. Death rates of Daphnia were generally significantly higher in the Pr+ treatment; Daphnia densities increased after the disappearance of Chaoborus in Pr-. Copepod losses to predation in the experiment may be compensated by higher fecundity, shorter egg development time, and lower pressure on egg-bearing females, resulting in a lower susceptibility to Chaoborus predation. The predation impact of water mite on microcrustaceans and rotifers in the experiment was negligible.

Oral cancer mortality trends in Brazilian geographical regions from 1996-2001

The purpose of this study was to analyse the oral cancer mortality trends in Brazil by geographic region, age and sex, from 1996 to 2001. The Brazilian Ministry of Health database DATASUS and the Brazilian Institute of Geography and Statistics were used as the source of data. Oral cancer mortality rates per 100,000 population were estimated. Statistical analyses comprised estimates of oral cancer mortality rates, grouped according to the study variables, in 1996, 1997, 1998, 1999, 2000 and 2001; also, the three-year periods 1996-1998 and 1999-2001 were analysed, allowing the oral cancer mortality trends between these two periods to be calculated. For comparison, in each geographical region, the ratio between two death rates (related to period or sex) was calculated. In the period 1996-2001, a total of 25,972 deaths due to oral cancer were reported, giving a mortality rate of 2.67. The rates for the periods 1996-1998 and 1999-2001 were 2.53 and 2.73, respectively, showing a slight increase in the rate. There was a predominance of oral cancer in males with a male/female ratio of approximately 4. All regions exhibited an increase in mortality rates, with the exception of the Southeast region. From 1996 to 2001, the average mortality rates were 3.55 and 3.58 for the Southeast and South regions, and 1.94, 1.41, and 0.86 for the Mid-West, Northeast, and North regions, respectively. Over the age of 40, oral cancer mortality rates were seen to increase rapidly with age. Oral cancer mortality increased in all regions, except in the Southeast, and was considerably higher among males and older individuals.

Simulação em protótipo do sistema respiratório com ventilador de pressão positiva e análise das alterações devido às obstruções do fluxo aéreo pulmonar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)