WEBLOG DO FRAGA - - WEBLOG DO FRAGADaily News in Health and Aging Sunday, January 07, 2018 How Alzheimer's disease spre... WEBLOG DO FRAGA - - WEBLOG DO FRAGADaily News in Health and Aging Sunday, January 07, 2018 How Alzheimer's disease spreads throughout the brain – new studyHarmful tau protein spreads through networks.Alzheimer's disease is a devastating brain illness that affects an estimated 47m people worldwide. It is the most common cause of dementia in the Western world. Despite this, there are currently no treatments that are effective in curing Alzheimer's disease or preventing its relentless progression. Alzheimer's disease is caused by the build-up of two abnormal proteins, beta-amyloid and tau. Tau is particularly important because it causes neurons and their connections to die, preventing brain regions from communicating with each other normally. In the majority of cases, tau pathology first appears in the memory centres of the brain, known as the entorhinal cortex and hippocampal formation. This has been shown to occur many years before patients have any symptoms of disease. Over time, tau begins to appear in increasing quantities throughout the brain. This causes the characteristic progression of symptoms in Alzheimer's diseases, where initial memory loss is followed by more widespread changes in thinking and behaviour that lead to a loss of independence. How this occurs has been controversial. Transneuronal spread In our study, published in Brain, we provide the first evidence from humans that tau spreads between connected neurons. This is an important step, because stopping this spread at an early stage might prevent or freeze the symptoms of Alzheimer's disease. This idea, called "transneuronal spread", has been proposed before and is supported by studies in mice. If abnormal tau is injected into a healthy mouse brain, it quickly spreads and causes the mice to manifest dementia symptoms. However, it had not previously been shown that this same process occurs in humans. The evidence from mouse studies was controversial, as the amount of tau injected was relatively high, and disease progression occurred much more rapidly than it does in humans. In our study, we combined two advanced brain imaging techniques. The first, positron emission tomography (PET), allows us to scan the brain for the presence of specific molecules. With this, we were able to directly observe the abnormal tau in living patients, to see exactly how much of it was present in each part of the brain. The second, functional magnetic resonance imaging (fMRI), measures blood flow in the brain in real time. This allowed us to observe the activity produced by brain regions communicating with each other. For the first time, by scanning the same people with both methods, we were able to directly relate the connections of the brain to the distribution of abnormal tau in living humans with Alzheimer's disease. Artist’s impression of tau spreading between connected neurons.We used a mathematical technique called "graph analysis" to analyse brain connectivity. This technique involved splitting the brain up into 598 regions of equal size. We then treated the connectivity between regions like a social network, assessing factors such as the number of contacts a brain region had, how many "friendship" groups it took part in, and how many of a brain region's contacts were also contacts of each other. In a flu epidemic, people with a large number of social contacts are most likely to become infected and then to pass the infection on to others. Similarly, the transneuronal spread hypothesis predicts that strongly connected brain regions will accrue most tau. This is what we observed. This relationship was present within each brain network individually, as well as across the whole brain. We were also able to exclude potential alternative explanations for the appearance of tau throughout the brain. It had previously been suggested that tau might appear at brain regions that were vulnerable because of high metabolic demand or a lack of support from their neighbours. While it is possible that these factors are important in neuronal death, our observations were not consistent with them being the primary drivers of the initial accumulation of abnormal tau. In addition, by looking at patients with a range of disease severity, from mild cognitive impairment through to established Alzheimer's disease, we were able to disentangle the causes of tau accumulation from its consequences. We showed that increasing amounts of tau in Alzheimer's disease caused the brain to become less connected overall, and the connections that remained became increasingly random. Long-range connections Finally, we contrasted the findings in Alzheimer's disease to a rarer condition called progressive supranuclear palsy (PSP), which affects approximately three in every 100,000 people. This condition is also caused by tau, but it remains confined to the base of the brain. We demonstrated that in PSP the evidence did not support transneuronal spread. This might be because of the different structure of abnormal tau pathology in the two diseases. In Alzheimer's disease, tau is present in "paired helical filaments", while in PSP it is in "straight filaments". We showed that as PSP progresses, direct long-range connections are preferentially damaged, meaning that information had to take a more indirect route across the brain. This might explain why, when asked a question, patients with PSP usually respond slowly but correctly. Overall, evidence of transneuronal spread in humans with Alzheimer's disease provides proof of concept for exciting new treatment strategies to lock up tau pathology before it can cause significant damage. This article was originally published on The Conversation. Read the original article. Provided by The ConversationNo comments: Labels:Alzheimer disease Thursday, January 04, 2018 Do you take calcium and vitamin D to protect your bones? A new study says it doesn't help If taking more vitamin and mineral supplements is part of your plan for a healthier new year, a new study may prompt you to reconsider. Researchers who scoured the medical literature for evidence that calcium and vitamin D pills could help prevent bone fractures came up empty. 04 JAN 2018--Their analysis focused on adults older than age 50 who lived on their own (that is, not in a nursing home or other type of residential care facility). Fractures are a serious health concern for this population—previous studies have found that about 40 percent of women in this age group will wind up with at least one "major osteoporotic fracture" at some point in their lives, and that among adults who break a hip, 20 percent died within a year of their injury. The researchers, led by Dr. Jia-Guo Zhao of Tianjin Hospital in northeastern China, combed through clinical trials, systematic reviews and other reports published in the last decade, since late 2006. They identified 51,145 people who were included in studies assessing the role of calcium and/or vitamin D in preventing bone fractures. Their findings appear in Tuesday's edition of the Journal of the American Medical Association. Among the 14 trials that pitted calcium supplements against either a placebo or no treatment, there was no statistically significant relationship between use of the mineral (in pill form) and the risk of suffering a hip fracture. Nor was there any clear link between calcium supplements and fractures involving the spine or other bones. Even when the researchers accounted for each study participant's gender, past history of bone fractures, the amount of calcium they consumed in their diets and the dose of the calcium pills they took (if they did), there was still no sign that supplements were helpful. An additional 17 trials examined the role of vitamin D, which helps the body absorb calcium. Once again, they found no statistically significant link between supplement use and hip fracture risk. Ditto for fractures in the spine and elsewhere. Upon drilling down to certain subgroups, they found that for people who started out with at least 20 nanograms of vitamin D per milliliter of blood, adding more vitamin D through supplements was associated with a greater risk of hip fractures. The same was true for people who took high doses of vitamin D supplements just once a year. Finally, there were 13 trials involving people who took a combined calcium-vitamin D supplement. As before, there was no statistically significant link between supplement use and the risk for any kind of fracture or combination of fractures. That held up even when accounting for gender, past fractures, supplement dose, dietary calcium or baseline blood levels of vitamin D. The researchers noted that thousands of people in this final group were participants in the Women's Health Initiative, a long-term study sponsored by the National Heart, Lung and Blood Institute in the U.S. Earlier reports based on data gathered by the Women's Health Initiative found that calcium and vitamin D supplements were associated with a lower risk of fractures, but only for women who took hormone therapy after menopause. To get a clearer picture of the direct link (if any) between supplements and fracture risk, Zhao and his colleagues opted not to include data from women on hormone therapy. It's still possible that calcium and vitamin D supplements are useful for people who live in nursing homes or other residential facilities, the study authors wrote. Such people are more likely to have osteoporosis, due to a combination of poor diet, less sun exposure (which the body needs to synthesize vitamin D) and other factors. But for older adults who live on their own, they wrote, the results are clear: "These findings do not support the routine use of these supplements." More information: Jia-Guo Zhao et al. Association Between Calcium or Vitamin D Supplementation and Fracture Incidence in Community-Dwelling Older Adults, JAMA (2017). DOI: 10.1001/jama.2017.19344No comments: Labels:Calcium,d vitamin Saturday, December 30, 2017 New medical advances marking the end of a long reign for 'diet wizards' French fries and chocolate milkshakes affect people differently. Some are tempted by them, and others are not.For many years, the long-term success rates for those who attempt to lose excess body weight have hovered around 5-10 percent. In what other disease condition would we accept these numbers and continue on with the same approach? How does this situation sustain itself? 30 dec 2017--It goes on because the diet industry has generated marketing fodder that obscures scientific evidence, much as the Wizard of Oz hid the truth from Dorothy and her pals. There is a gap between what is true and what sells (remember the chocolate diet?). And, what sells more often dominates the message for consumers, much as the wizard's sound and light production succeeded in misleading the truth-seekers in the Emerald City. As a result, the public is often directed to attractive, short-cut weight loss options created for the purposes of making money, while scientists and doctors document facts that are steamrolled into the shadows. We are living in a special time, though – the era of metabolic surgeries and bariatric procedures. As a result of these weight loss procedures, doctors have a much better understanding of the biological underpinnings responsible for the failure to lose weight. These discoveries will upend the current paradigms around weight loss, as soon as we figure out how to pull back the curtain. As a dual board-certified, interventional obesity medicine specialist, I have witnessed the experience of successful weight loss over and over again – clinically, as part of interventional trials and in my personal life. The road to sustained transformation is not the same in 2018 as it was in 2008, 1998 or 1970. The medical community has identified the barriers to successful weight loss, and we can now address them. The body fights back For many years, the diet and fitness industry has supplied folks with an unlimited number of different weight loss programs – seemingly a new solution every month. Most of these programs, on paper, should indeed lead to weight loss. At the same time, the incidence of obesity continues to rise at alarming rates. Why? Because people cannot do the programs. First, overweight and obese patients do not have the calorie-burning capacity to exercise their way to sustainable weight loss. What's more, the same amount of exercise for an overweight patient is much harder than for those who do not have excess body weight. An obese patient simply cannot exercise enough to lose weight by burning calories. Second, the body will not let us restrict calories to such a degree that long-term weight loss is realized. The body fights back with survival-based biological responses. When a person limits calories, the body slows baseline metabolism to offset the calorie restriction, because it interprets this situation as a threat to survival. If there is less to eat, we'd better conserve our fat and energy stores so we don't die. At the same time, also in the name of survival, the body sends out surges of hunger hormones that induce food-seeking behavior – creating a real, measurable resistance to this perceived threat of starvation. Third, the microbiota in our guts are different, such that "a calorie is a calorie" no longer holds true. Different gut microbiota pull different amounts of calories from the same food in different people. So, when our overweight or obese colleague claims that she is sure she could eat the same amount of food as her lean counterpart, and still gain weight – we should believe her. Strength conditioning builds muscle mass, which can help increase capacity. Credit: Rudd Center for Food Policy and Obesity, CC BY-SALots of shame, little understanding Importantly, the lean population does not feel the same overwhelming urge to eat and quit exercising as obese patients do when exposed to the same weight loss programs, because they start at a different point. Over time, this situation has led to stigmatizing and prejudicial fat-shaming, based on lack of knowledge. Those who fat-shame most often have never felt the biological backlash present in overweight and obese folks, and so conclude that those who are unable to follow their programs fail because of some inherent weakness or difference, a classic setup for discrimination. The truth is, the people failing these weight loss attempts fail because they face a formidable entry barrier related to their disadvantaged starting point. The only way an overweight or obese person can be successful with regard to sustainable weight loss, is to directly address the biological entry barrier which has turned so many back. Removing the barrier There are three ways to minimize the barrier. The objective is to attenuate the body's response to new calorie restriction and/or exercise, and thereby even up the starting points. First, surgeries and interventional procedures work for many obese patients. They help by minimizing the biological barrier that would otherwise obstruct patients who try to lose weight. These procedures alter the hormone levels and metabolism changes that make up the entry barrier. They lead to weight loss by directly addressing and changing the biological response responsible for historical failures. This is critical because it allows us to dispense with the antiquated "mind over matter" approach. These are not "willpower implantation" surgeries, they are metabolic surgeries. Second, medications play a role. The FDA has approved five new drugs that target the body's hormonal resistance. These medications work by directly attenuating the body's survival response. Also, stopping medications often works to minimize the weight loss barrier. Common medications like antihistamines and antidepressants are often significant contributors to weight gain. Obesity medicine physicians can best advise you on which medications or combinations are contributing to weight gain, or inability to lose weight. Third, increasing exercise capacity, or the maximum amount of exercise a person can sustain, works. Specifically, it changes the body so that the survival response is lessened. A person can increase capacity by attending to recovery, the time in between exercise bouts. Recovery interventions, such as food supplements and sleep, lead to increasing capacity and decreasing resistance from the body by reorganizing the biological signaling mechanisms – a process known as retrograde neuroplasticity. Lee Kaplan, director of the Harvard Medical School's Massachusetts Weight Center, captured this last point during a recent lecture by saying, "We need to stop thinking about the Twinkie diet and start thinking about physiology. Exercise alters food preferences toward healthy foods … and healthy muscle trains the fat to burn more calories." The bottom line is, obese and overweight patients are exceedingly unlikely to be successful with weight loss attempts that utilize mainstream diet and exercise products. These products are generated with the intent to sell, and the marketing efforts behind them are comparable to the well-known distractions generated by the Wizard of Oz. The reality is, the body fights against calorie restriction and new exercise. This resistance from the body can be lessened using medical procedures, by new medications or by increasing one's exercise capacity to a critical point. Remember, do not start or stop medications on your own. Consult with your doctor first. This article was originally published on The Conversation. Read the original article. Provided by The ConversationNo comments: Labels:weight loss Thursday, December 28, 2017 Feeling sad? Here's how to beat the holiday bluesThe holiday blues might be a common phenomenon, but there's plenty you can do to protect your mental health this time of year. Even in a tumultuous year like 2017. "With its combination of natural and human disasters, this year was especially traumatic for many people," said Dr. Richard Catanzaro, chief of psychiatry at Northern Westchester Hospital in Mount Kisco, N.Y. 28 dec 2017--In addition, "social media can make it seem like everyone you know is having the best time of their lives, while what you're really seeing is everyone's 'greatest hits,' " he said in a hospital news release. "This adds to the pressure many people feel to have a good time during the holidays. If they are not enjoying themselves, they may feel out of step with everyone else," Catanzaro said. Along with causing and intensifying depression and anxiety, the holiday season can trigger sadness about relatives and friends who are no longer alive, feelings of exhaustion and stress about money, he noted. What to do? Catanzaro suggests taking preventive steps. If you do feel depressed, don't isolate yourself, Catanzaro said. If you're already seeing a therapist, be sure to continue over the holidays—and if you're not seeing a therapist, consider seeking help. Also, if you know or suspect you have a condition called Seasonal Affective Disorder (SAD)—a form of depression that occurs in the winter months due to less daylight—there are effective treatments such as light therapy, psychotherapy and medications. More information: The National Alliance on Mental Illness has more on beating the holiday blues.No comments: Labels:holiday blues Wednesday, December 27, 2017 Cancer screening burdens elderly patientsElena Altemus is 89 and has dementia. She often forgets her children's names, and sometimes can't recall whether she lives in Maryland or Italy. Yet Altemus, who entered a nursing home in November, was screened for breast cancer this summer. "If the screening is not too invasive, why not?" said her daughter, Dorothy Altemus. "I want her to have the best quality of life possible." 27 dec 2017--But a growing number of geriatricians, cancer specialists and health-system analysts say there are many reasons. Such testing in the nation's oldest patients is highly unlikely to detect lethal disease, hugely expensive and more likely to harm than help since any follow-up testing and treatment is often invasive. And yet such screening is widespread in the United States, the result of medical culture, aggressive awareness campaigns and financial incentives to doctors. By looking for cancer in people who are unlikely to benefit, "we find something that wasn't going to hurt the patient, and then we hurt the patient," said Dr. Sei Lee, an associate professor of geriatrics at the University of California-San Francisco. Nearly 1 in 5 women with severe cognitive impairment—including older patients like Elena Altemus—are still get regular mammograms, according to the American Journal of Public Health—even though they're not recommended for people with a limited life expectancy. And 55 percent of older men with a high risk of death over the next decade still get PSA tests for prostate cancer, according to a 2014 study in JAMA Internal Medicine. Among people in their 70s and 80s, cancer screenings often detect slow-growing tumors that are unlikely to cause problems in patients' lifetimes. Such patients often die of something else long before their cancers would ever have become a threat, said Dr. Deborah Korenstein, chief of general internal medicine at New York's Memorial Sloan Kettering Cancer Center. Prostate cancers, in particular, are often harmless. Patients with dementia, for example, rarely live longer than a few years. "It generally takes about 10 years to see benefit from cancer screening, at least in terms of a mortality benefit," Korenstein said. Enthusiasm for cancer screenings runs high among patients and doctors, both of whom tend to overestimate the benefits but underappreciate the risks, medical research shows. In some cases, women are being screened for tumors in organs they no longer have. In a study of women over 30, nearly two-thirds who had undergone a hysterectomy got at least one cervical cancer screening, including one-third who had been screened in the past year, according to a 2014 study in JAMA Internal Medicine. Even some patients with terminal cancer continue to be screened for other malignancies. Nine percent of women with advanced cancer—including tumors of the lung, colon or pancreas—received mammograms and 6 percent received cervical cancer screening, according to a 2010 study of Medicare recipients over age 65. Among men on Medicare with incurable cancer, 15 percent were screened for prostate cancer. Although screenings can extend and improve lives for healthy, younger adults, they tend to inflict more harm than good in people who are old and frail, Korenstein said. Testing can lead to anxiety, invasive follow-up procedures and harsh treatments. "In patients well into their 80s, with other chronic conditions, it's highly unlikely that they will receive any benefit from screening, and more likely that the harms will outweigh the benefits," said Dr. Cary Gross, a professor at the Yale School of Medicine. By screening patients near the end of life, doctors often detect tumors that don't need to be found and treated. Researchers estimate that up to two-thirds of prostate cancers are overdiagnosed, as are a third of breast tumors. "Overdiagnosis is serious," Gross said. "It's a tremendous harm that screening has imposed. . It's something we're only beginning to reckon with." A variety of medical specialties—from the American College of Surgeons to the Society of General Internal Medicine—have advised doctors against screening patients with limited time to live. For example, the American Cancer Society recommends prostate and breast cancer screenings only in patients expected to live 10 years or more. In November, a coalition of patient advocates, employers and others included prostate screenings in men over age 75 in its list of the top five "low-value" medical procedures. Dr. A. Mark Fendrick, co-director of the coalition, referred to the five procedures as "no-brainers," arguing that health plans should consider refusing to pay for them. Prostate cancer screening in men over 75 cost Medicare at least $145 million a year, according to a 2014 study in the journal Cancer. Mammograms in this age group cost the federal health plan for seniors more than $410 million a year, according to a 2013 study in JAMA Internal Medicine. And while cancer screenings generally aren't expensive—a mammogram averages about $100—they can begin a series of follow-up tests and treatments that add to the total cost of care. Most spending on unnecessary medical care stems not from rare, big-ticket items, such as heart surgeries, but cheaper services that are performed much too often, according to an October study in Health Affairs. Many older patients expect to continue getting screened, said Dr. Mara Schonberg, an associate professor at Harvard Medical School and Boston's Beth Israel Deaconess Medical Center. "It's jarring for someone who's been told every year to get screened and then at age 75 you tell them to stop," she said.No comments: Labels:Cancer Screening Tuesday, December 26, 2017 Experts say these two things are the secret to living a longer lifeCosta Rica’s Nicoya Peninsula is home to the second-largest community of centenarians in the world. "Blue zones" are areas of the world where people live considerably longer lives. On these territories we can find octogenarians, nonagenarians and many centenarians, and even some supercentenarians (people who have reached the age of 110). These regions were named "blue zones" after the Belgian demographer Michel Poulain and the Italian doctor Gianni Pes discovered a population with such features in the region of Barbaglia (Sardinia, Italy), and they marked out the area with blue ink 26 dec 2017--A demographic study carried out at the beginning of this century showed that one out of 196 people who were born between 1880 and 1990 reached the age of 100 years old. Later on, the American researcher Dan Buettner embarked on a project aimed at identifying other areas with high longevity rates. He found four additional regions. These were also named "blue zones": Okinawa (Japan), Icaria (Greece), Loma Linda (California) and Nicoya Peninsula (Costa Rica). In all these territories there is a high proportion of long-lived people, and each area is characterised by specific features which relate to that condition. In the region of Barbaglia, located in the Sardinian mountain area, there is the world's largest concentration of centenarians. Okinawa Island is inhabited by the oldest women on Earth. Icaria – an island which is located in the Aegean Sea – has the long-lived population with the lowest senile dementia levels. Loma Linda is home to a community of Seventh-day Adventists whose life expectancy is 10 years over the average lifespan in the United States. And in Nicoya we can find the second-largest community of centenarians in the world. What is the secret behind this great longevity; the mystery of the blue zones, where so many centenarians live? A team composed of several specialists (doctors, anthropologists, demographers, nutritionists, epidemiologists) – and led by Dan Buettner himself – travelled many times to the different blue zones. They identified the following nine general longevity factors, which are related to diet and lifestyle: intense and regular physical activity in the performance of daily duties. The concept of a sedentary lifestyle is unknown to the people living in these regionshaving an "ikigai" – a Japanese word (Okinawa) which is used to define our own "reasons for being" or, more precisely, the reasons why we wake up every morningreduction of stress, a factor which is closely linked to almost all ageing-related diseases. Stress reduction means interrupting the normal pace of our daily lives in order to allow time for other activities which are part of normal social habits. For example, taking a nap in Mediterranean societies, praying in the case of Adventists, the tea ceremony of women in Okinawa, and so on."Hara hachi bu" – a Confucian teaching that means we should not continue to eat until we are full, but only until 80% of our eating capacityprioritising a diet that is rich in plant-based products. Meat, fish and dairy products may be consumed, but in lower amountsa moderate consumption of alcoholic beverages, which confirms the belief that moderate drinkers live longer lives than nondrinkersengaging in social groups that promote healthy habitsengaging in religious communities with common religious practicesbuilding and maintaining solid relationships between family members: parents, siblings, grandparents and others.To sum up, the above nine longevity factors could be synthesised in just two. Firstly, maintaining a healthy lifestyle – which implies regular intensity exercise, including routines to "break" from daily stress, and including mainly plant-based products in our diets, eating without filling up and not drinking excessively. Secondly, integrating in groups that promote and support those "good practices": family, religious communities, social groups, and so on – all of which must have their own "ikigai", that is, their own "reason to live". There is a personal "ikigai", but there is also a collective "ikigai" that sets the goals for each community as well as the challenges to overcome in order to achieve them. Living this way means living better and longer. Longevity may be determined by genetics, but it is also something that can be trained, as can be seen in the example of the inhabitants of the blue zones. Rafael Puyol, Director of the Observatory of Demography and Generational Diversity, IE Business School This article was originally published on The Conversation. Read the original article. Provided by The ConversationNo comments: Labels:blue zones,centenarians,longevity Sunday, December 24, 2017 What psychiatrists have to say about holiday bluesHoliday parties, fun though they may be, can also bring conflict. This time of the year brings a lot of changes to the usual day-to-day life of hundreds of millions of people: The weather is colder, trees are naked, snowy days become plentiful and friendly critters are less visible around the neighborhood. Especially in the Western Hemisphere, this time of the year is also linked to a lot of joyous celebrations and traditions. Most children and many adults have been excited for this time of the year to come for months, and they love the aura of celebrations, with their gatherings, gifts, cookies, emails and cards. 24 dec 2017--Alas, there are also millions who have to deal with darker emotions as the world literally darkens around them. The holiday blues – that feeling of being in a lower or more anxious mood amid the significant change in our environment and the multitude of stressors that the holidays can bring – is a phenomenon that is yet to be researched thoroughly. However, as academic psychiatrists and neuroscience researchers, we have seen how several factors contribute to this experience. Why feel blue in the red and green season? There are many reasons to feel stressed or even downright overwhelmed during this time of year, in addition to the expectations set around us. Memories of holidays past, either fond or sad, can create a sense of loss this time of year. We may find ourselves missing people who are no longer with us, and carrying on the same traditions without them can be a strong reminder of their absence. The sense of burden or obligation, both socially or financially, can be significant. We can get caught up in the commercial aspects of gift giving, wanting to find that perfect item for family and friends. Many set their sights on special gifts, and we often can feel stretched thin trying to find a balance between making our loved ones happy and keeping our bank accounts from being in the black. It's also a time for gathering with those close to us, which can stir up many emotions, both good and bad. Some may find themselves away from or without close connections and end up isolated and withdrawn, further disconnected from others. On the other hand, many people find themselves feeling overwhelmed by the combination of potlucks and Secret Santas stacking up through multiple invitations, be it at school, work, or from friends and family – leaving us with the difficult position of not wanting to disappoint others, while not getting totally depleted by all the constant socializing. Great expectations People often feel disappointed when reality does not meet expectations. The larger the mismatch, the worse the negative feelings. One of us (Arash) often finds himself telling his patients: Childhood fairy tales can set an unrealistic bar in our minds about life. I wish we were told more real stories, taking the bad with the good, as we would get hurt less when faced with difficult realities of life, and learn how to especially appreciate our good fortunes. These days viewers are showered with Christmas and New Year's Eve movies, almost all of which sound and feel like fairy tales. People get married, get rich, fall in love or reconnect with their loved ones. Even unhappy events within "A Christmas Carol" conclude with a happy ending. These all, besides exposure to only happy moments and beautiful gifts (courtesy of Santa), dazzling Christmas decorations, and picturesque family scenes on social media, often set an unrealistic expectation for how this time of the year "should" feel. Reality is different, though, and at its best is not always as colorful. There may be disagreements about hows, wheres, whats and whos of the celebration, and not all family members, friends and relatives get along well at parties. And as we feel lonelier, we may find ourselves spending more time immersed in TV and social media, leading to more exposure to unrealistic views of the holidays and feeling all the worse about our situation. When is blue a red flag? While many experience the more transient "holiday blues" this time of year, it is important not to miss more serious conditions like seasonal mood changes, which in its most severe case leads to clinical depression, including Seasonal Affective Disorder. SAD consists of episodes of depression or a worsening of existing depression during the late fall and early winter. The person may feel depressed and hopeless, or they may find it difficult to focus, sleep, or be motivated – they can even feel suicidal. As our emotions can color our thoughts and memories, a depressed person may remember more negative memories, have a more negative perception and interpretation of the events, and feel upset about the holidays. In such cases, the sadness is "coincident" with the holidays and not caused solely by its circumstances. It is important to seek professional help with SAD, as we have effective treatments available, such as medications and light therapy. What to do to minimize the blues? While the holiday blues are most often temporary, it's important to identify when things have crossed over into clinical depression, which is more severe and longer lasting. It also impairs daily functioning. For these symptoms it is often helpful and necessary to seek professional help. This can consist of counseling or use of medications, or both, to help treat symptoms. This article was originally published on The Conversation. Read the original article. Provided by The ConversationNo comments: Labels:holiday blues Saturday, December 23, 2017 Laser shoes prevent 'freezing' in Parkinson patientsFigure1: laser shoes.Freezing of gait, an absence of forward progression of the feet despite the intention to walk, is a debilitating symptom of Parkinson's disease. Laser shoes that project a line on the floor to the rhythm of the footsteps help trigger the person to walk. The shoes benefit the wearer significantly, according to research by the University of Twente and Radboud university medical center, which will be published on December 20 in Neurology, the scientific journal of the American Academy of Neurology. 23 dec 2017--Walking problems are common and very disabling in Parkinson's disease. In particular, freezing of gait is a severe symptom which generally develops in more advanced stages. It can last seconds to minutes and is generally triggered by the stress of an unfamiliar environment or when medication wears off. Because the foot remains glued to the floor but the upper body continues moving forward, it can cause the person to lose her balance and fall. Lines on the floor Parkinson patient experience a unique phenomenon. By consciously looking at objects on the floor, such as the lines from a zebra crossing ('visual cues'), and stepping over them, they are able to overcome their blockages during walking. This activates other circuits in the brain, hereby releasing the blockages and allowing the person to continue walking. This is why patients often make use of floor tiles at home. With the laser shoes, these useful cues can be continuously applied in everyday life, to walk better and safer. The principle behind the laser shoes is simple: upon foot contact, the left shoe projects a line on the floor in front of the right foot. The patient steps over or towards the line, which activates the laser on the right shoe, and so on (see videos below the text). Beneficial effect The present research study shows a beneficial effect in a large group of patients. The number of 'freezing' episodes was reduced by 46% with the use of the shoes. The duration of these episodes was also divided by two. Both effects were strongest in patients while they had not taken their medication yet. This is typically when patients experience the most problems with walking. But an improvement was also seen after the patients had been taking their medication. "Our tests were administered in a controlled lab setting with and without medication," says researcher Murielle Ferraye. " Further research in their everyday environment is necessary. We plan on testing this using laser shoes that in the meantime came on the market." Activating the laser Of the nineteen patients who tested the shoes, the majority would be happy to use them. The patients did not seem to mind that the laser was activated for each single step. "Ideally, the laser should only be activated once the blockage is detected, but we're not quite there yet," says Ferraye. "Freezing is a very complex phenomenon." Murielle Ferraye, who developed the laser shoes, conducted her study at the Donders Institute at Radboud university medical center and the MIRA Institute for Biomedical Technology and Technological Medicine at the University of Twente. Provided by Radboud UniversityNo comments: Labels:Parkinson disease Thursday, December 21, 2017 USPSTF reviews use of ECG for preventing A-fib, CVD eventsThe U.S. Preventive Services Task Force (USPSTF) has found that the current evidence is inadequate to assess the benefits and harms of screening with electrocardiogram (ECG) for atrial fibrillation (AF) in older adults; and for low-risk adults, screening with resting or exercise ECG is not recommended for preventing cardiovascular disease (CVD) events. These findings form the basis of two draft recommendation statements published online Dec. 19 by the USPSTF. 21 dec 2017--Researchers from the USPSTF reviewed the evidence on screening for and the treatment of nonvalvular AF among adults aged 65 years and older. The evidence was inadequate to assess whether screening with ECG identified older adults with previously undiagnosed AF more effectively than usual care. The Task Force found adequate evidence that screening is associated with small-to-moderate harms. Based on these findings, the USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of AF screening with ECG (I statement). USPSTF researchers also examined the evidence on screening asymptomatic adults for CVD risk using resting or exercise ECG. The evidence was inadequate to examine whether incremental information offered by resting or exercise ECG can reduce CVD events. However, the Task Force found adequate evidence that screening can lead to small or moderate harms. Based on these findings, the USPSTF concludes that the potential harms of screening are equivalent to or exceed the potential benefits among asymptomatic adults at low risk for CVD events (D recommendation). The two draft recommendation statements have been posted for public comment. Comments can be submitted through Jan. 22, 2018. More information: Evidence Review - A-FIB Draft Recommendation Statement - A-FIB Comment on Recommendation Statement - A-FIB Evidence Review - CVD Draft Recommendation Statement - CVD Comment on Recommendation Statement - CVDNo comments: Labels:Atrial Fibrillation Tuesday, December 19, 2017 Factors affecting the health of older sexual and gender minorities A special issue of LGBT Health includes the latest research, clinical practice innovations, and policy aimed at addressing disparities and enhancing healthcare for older LGBT populations. A collection of informative and insightful articles that contribute to the understanding of factors that affect the health of older gay, lesbian, bisexual, and transgender Americans is published in LGBT Health. Guest Editors Judith B. Bradford, PhD and Sean R. Cahill, PhD coordinated this special issue of LGBT Health. Included is an article entitled "Health Indicators for Older Sexual Minorities: National Health Interview Survey, 2013-2014," in which Christina Dragon, MSPH, Centers for Medicare & Medicaid Services (Baltimore, MD) and coauthors from NORC at the University of Chicago (Bethesda, MD), KPMG (McLean, VA), and The Fenway Institute (Boston, MA) explored differences between older sexual minorities and heterosexuals across multiple health indicators. The researchers found better outcomes or health-related behaviors among sexual minorities for some of the indicators, but sexual minorities were more than twice as likely to report binge drinking compared with their heterosexual peers. Stuart Michaels, PhD, NORC at the University of Chicago, IL and colleagues from NORC and the Centers for Medicare & Medicaid Services coauthored the article entitled "Improving Measures of Sexual and Gender Identity in English and Spanish to Identify LGBT Older Adults in Surveys." They demonstrated that efforts to identify LGBT older adults may be hindered by language-related obstacles among non-LGBT Spanish speakers who might have difficulty understanding terms used to designate sexual identities. In the article "Transgender Medicare Beneficiaries and Chronic Conditions: Exploring Fee-for-Service Claims Data," a team of authors from the Centers for Medicare & Medicaid Services and NORC at the University of Chicago (Bethesda, MD), led by Christina Dragon, MSPH, report on differences in the chronic conditions burden between transgender and cisgender Medicare beneficiaries. Overall, transgender beneficiaries were found to have a greater burden of chronic conditions, and higher rates of asthma, autism spectrum disorder, chronic obstructive pulmonary disease, depression, hepatitis, HIV, schizophrenia, and substance use disorders compared with cisgender beneficiaries. Transgender Medicare beneficiaries also had higher observed rates of potentially disabling mental health and neurological/chronic pain conditions. "This special issue of LGBT Health highlights innovations in research, practice, and policy to improve healthcare and services for LGBT older adults. The articles in the issue contribute to our understanding of health disparities and resiliencies in these populations, and suggest ways to improve care and integrate support services to ensure healthy aging," says Guest Editor Sean Cahill, The Fenway Institute. "The timing of this special issue is important, as the federal government is rolling back sexual orientation and gender identity nondiscrimination regulations and data collection. The special issue is dedicated to Judy Bradford, a leader in LGBT aging and LGBT health research, and to her vision of LGBT health and equality." Provided by Mary Ann Liebert, IncNo comments: Labels:lgbt Older PostsHomeSubscribe to:Posts (Atom)GOOGLE TRANSLATESELECIONE UM IDIOMA NA CAIXA ACIMA PARA TRADUÇÃO!RUBENS DE FRAGA JÚNIOR CRM 9639 PRWELCOME TO FRAGA'S WEBLOG!THIS SITE PROVIDE UPDATE IN HEALTH AND AGING.CONTACT ME IN THIS [email protected] This site complies with the HONcode standard for trustworthy health information: verify here. Search only trustworthy HONcode health websites: Total PageviewsFollow by EmailBlog ArchiveHONcode Web 2.0 rules as followingPrinciple 1 - Authorityall commenters are by default considered as nonmedical professionals.commenters must behave at all times with respectand honesty.Principle 3 - Confidentialityposts in weblog do fraga are visible toeveryone andcommenters don't be able to modify or erase theirposts.Principle 4 - Attributioncommenters could give references (links for ex.)to the health/medical information they provide.What we mean by personal experience is anything the person has undergone himself/herself.Principle 5 - Justifiabilityplatform users must post informationwhich are true and correct to their knowledge.Principle 8 - Honesty in advertising & editorial policy advertisement from the commenters (links, banners,content, etc.) is not permitted on the blog.The information contained above is intended for general reference purposes only.It is not a substitute for professional medical advice or a medical exam. Always seek the advice of your physician or other qualified health professional before starting any new treatment. Medical information changes rapidly, some information may be out of date. The information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor.This blog don't have any advertisement. "The Web site owners undertake to honour or exceed the legal requirements of medical/health information privacy that apply in Brazil and will not share any of the visitors information." Ver mais

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Consultório Particular Dr. Mauro Scharf Pinto Clínica Endomed

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Diabetes News - - skip to main | skip to sidebarDiabetes NewsNotícias médicas, novidades em medicina, endocrinologia e ... Diabetes News - - skip to main | skip to sidebarDiabetes NewsNotícias médicas, novidades em medicina, endocrinologia e DiabetesUm informativo do Centro de Diabetes Curitiba domingo, 24 de julho de 2011 Casein or whey protein? O que você deve saber para uma boa suplementaçãoThere seems to be a great deal of controversy over which one is better. From the following information you can see that each offers distinct advantages. Here's information that directly compares casein and whey. Casein Protein Casein Protein constitutes 80 percent of milk protein. It is recognized for its excellent amino acid content, slow digestion, and anti-catabolic effect. Benefits: It's slow to digest, clots in the stomach, and appears to be anti-catabolic due to this effect. It contains dairy calcium (which is important for bone health and body comp effects). Disadvantages: Slow digestion can be a negative before or after training when you are trying to get amino acids into the system quickly. People who have problems with lactose may have gas, and some people are allergic, which can cause bloating. The sodium content can cause bloating as well (important before a bodybuilding contest and for making weight). Recommendations: It should be used at meals (can be combined with other proteins) and at bedtime. It should not be used when trying to accelerate amino acid absorption. Sources: Dairy, Casein Concentrates. Whey Protein Whey is a natural byproduct of the cheese-making process (from milk). Approximately 20 percent of the protein found in milk is whey protein. Whey is rich in branch chain amino acids, lactose, minerals, and vitamins and contains lactalbumin (similar to serum albumin) and traces of fat. Whey protein has been shown to increase protein synthesis. Some studies have also indicated that whey contributes to immune function among others. Whey has also shown powerful antioxidant effects as it enhances glutathione levels. Glutathione is a tri-peptide that contains one amino acid residue from each of the following: glutamic acid, cysteine, and glycine. Glutathione occurs widely in plant and animal tissues and plays a major role in protecting skeletal muscle and other body tissues from oxidative damage. Glutathione helps maintain compounds such as iron in its proper oxidation state in hemoglobin. Protein sources containing high levels of cysteine (whey contains 2-2.5 percent cysteine) may be effective in maintaining or replenishing whole blood glutathione. Whey Protein Supplements Whey protein isolate is the most pure and concentrated form of whey protein available. It contains 90 percent or more protein and very little (if any) fat and lactose. Whey protein concentrate has anywhere between 29-89 percent protein depending upon the product. As the protein level in whey protein concentrate decreases, the amounts of fat and/or lactose usually increases. Another type of whey protein supplement is whey protein hydrolysates, meaning that the whey is predigested into peptides (small chains of amino acids). These supposedly help the protein be absorbed better. Benefits: Increased protein synthesis, enhanced immune function and antioxidant activity, and fast absorption. Disadvantages: It has not been shown to be effective at decreasing protein degradation (in most cases). Recommendations: This is excellent to consume around workout time due to its fast absorption rate. Consume it pre-, during, or immediately post-workout. Sources: Milk, byproduct of cheese production, milk protein isolates, whey protein supplements. Casein Versus Whey There seems to be a great deal of controversy over which one is better. I get the question all the time. From the information above, you can see that each offers distinct advantages and disadvantages. Below is information that directly compares casein and whey. A study conducted by Yves Boirie looked at healthy subjects with a normal protein intake. They fasted for ten hours then were either given 30 grams of whey protein or 30 grams of casein (milk) protein. The study showed blood leucine levels peaked in one hour after ingestion of whey or casein. However, the whey group peaked at higher levels and returned to baseline after four hours. The casein group peaked at a lower level but didn't return to baseline until seven hours later. Whey protein enhanced protein synthesis (postprandial protein synthesis was stimulated by 68 percent with the whey protein), but did not effect protein degradation. Casein decreased protein degradation, (protein breakdown was inhibited by 34 percent after casein ingestion) but did not effect protein synthesis. Postprandial whole body leucine oxidation over seven hours was lower with casein. Leucine intake was identical in both meals. Therefore, the net leucine balance over the seven hours after the meal was more positive with casein than with whey. The study conducted by Boirie points out the benefits of both proteins as we mentioned earlier. Keep in mind that a mixed protein meal would have a different absorption rate that might change the effects on protein synthesis and breakdown. With the information from the study above, we must question the old saying, "We need to eat every three hours or we will lose muscle" (probably started by a supplement company).Postado porDr. Mauro Scharfàs13:15Nenhum comentário: domingo, 24 de abril de 2011 Treino longo de Páscoa. Meia maratona de Curitiba por garminmauroscharf no Garmin Connect - DetalhesTreino longo de Páscoa. Meia maratona de Curitiba por garminmauroscharf no Garmin Connect - DetalhesPostado porDr. Mauro Scharfàs21:43Nenhum comentário: terça-feira, 8 de março de 2011 Bombas Osmóticas implantáveisAs bombas Osmóticas implantáveis estão chegando e prometem revolucionar diversas terapias contínuas. Os diabéticos serão os primeiros beneficiados. Em um artigo recentemente apresentado, os Drs. J. Rosenstock, diabetologista de Dallas Diabetes and Endocrine Center, R.R.Henry, da Universidade da California, San Diego, R. Cuddihy, do International Diabetes Center de Minneapolis e os Drs. T. Alessi e K. Luskey, de uma empresa privada, apresentaram o estudo ITCA 650. São amplamente conhecidos os benefícios da terapia com GLP-1 para os diabéticos tipo 2. Diversos estudos evidenciaram uma potente redução na A1C, somados a uma redução efetiva do peso corporal e um baixo risco de hipoglicemia, quando utilizado em aplicações diárias. As terapias com análogos do GLP-1 quando aplicados semanalmente trouxeram ao paciente a vantagem de diminuir o número de picadas, aumentando a aderência e obstando também boa redução da A1C. Infelizmente ambas as terapias são relegadas a 3° ou 4° linha de escolha e o fato de serem injetáveis explica em parte essa escolha, pois cria resistência a muitos médicos e pacientes. O estudo ITCA 650, apresentou resultados de redução de peso, diminuição de variabilidade glicêmica, com 100% de aderência, melhora da tolerabilidade e o melhor, sem a necessidade de injeções. A bomba Osmótica apresentada pelos pesquisadores e utilizada neste estudo, foi registrada como DUROS e trata-se de uma mini bomba Osmótica implantável, que entrega a exenatida no tecido celular subcutâneo, com possibilidade de liberação continuada porém mais de 12 meses com um único implante. A bomba tem o tamanho inferior a um palito de fósforo e sua implantação não demora mais do que 10 minutos, podendo ser realizada no próprio consultório médico. Os resultados preliminares demonstraram redução das náuseas, aumento da aderência e um consistente controle glicêmico com redução de hemoglobina glicada A1C. A fase 2 deste estudo foi conduzida nos Estados Unidos, em estudo multicêntrico e randomizado, open-label, e envolveu 50 sites, com 150 pacientes incluídos. A metformina era a única droga de uso dos pacientes na inclusão. nas semanas 1 a 12, os pacientes receberam o ITCA 650, 20 e 40 mcg/dia contra um grupo controle usando exenatida injetável 2X/dia. Nas semanas 13 a 24, os pacientes que estavam usando a exenatida injetável foram movidos para o grupo do ITCA 650 e metade dos pacientes tiveram suas doses aumentadas para 60 ou 80 mcg/dia. Na semana 1-12, 93% dos pacientes do grupo ITCA 650 completaram o estudo, contra 89% do grupo injetável. A taxa de abandono por náuseas foi de apenas 3,9% no ITCA 650 contra 5,7% no grupo da exenatida injetável. 7,7% dos pacientes apresentaram abandono antes da re-randomização. Na semana 13-24, a taxa de pacientes ITCA 650 que completaram a fase foi de 95%, com menos de 1% de abandonos por náuseas. A redução da hemoglobina glicada nas semanas 1-12, de forma significativa nos três grupos apresentadas, com maiores reduções nos grupos ITCS 650 com 20 e 40 mcg/dia, respectivamente. A mudança persistiu e aumentou nas semanas 12-24(linha basal) nos quatgrupos. A performance da bomba foi melhor ainda em pacientes com uma hemoglobina glicada basal mais elevada, na titulação de 60 mcg/ dia.A mudança de peso foi evidente nos grupos de 40, 60 e 80 mcg/dia. A tolerância a droga, em comparação a exenatida injetável foi similar. Porém maior incidência de náuseas nos primeiros dias com a dose de 40 mcg/ dia, porém com uma media de duração da meusea de apenas 17 dias, contra 47,7 dias com a exenatida injetável. As diferenças ficas ainda mais evidentes, na semana 12-24 onde as doses foram aumentadas e observou-se uma melhor tolerância as náuseas em relação a exenatida injetável. Um aumento na QoL foi também observado e o artigo foi publicado no Diabetes Care 32-5, 2009 por Anderson e Girman. Em conclusão, o estudo mostrou que o ITCS 650 quando escalonado de 20 a 60 mcg/dia, resultou em melhor perfil de tolerabilidade e perfil de ação, com redução significativa na A1C e peso em 24 semanas , com aumento da qualidade de vida observado ao compararmos ITCA 650 com a injeção de exenatida e também com aumento da QoL quando efetuada a troca das injeções pela implantação subcutânea. Ainda não existe previsão para lançamento deste produto no mercado e o produto está agora entrando na fase 3. Se aprovado, ajudará pacientes e também médicos, que após realizar o implante subcutâneo em seus pacientes, terão a certeza do uso e da ação do medicamento, que será apresentado com durações de 3, 6 e 12 meses.La bomba osmótica implantables vienen y prometen revolucionar varias terapias continuas. Los diabéticos se beneficiarán en primer lugar. En un documento presentado recientemente, los doctores J. Rosenstock, Dallas Diabetes y Endocrinología del Centro diabetólogo, RRHenry de la Universidad de California en San Diego, R. Cuddihy, el Centro Internacional de Diabetes en Minneapolis y los Dres T. Alessi y K. Luskey, una empresa privada, presentó el estudio ITCA 650. Son ampliamente conocidos los beneficios del tratamiento con GLP-1 para los diabéticos tipo 2. Varios estudios mostraron una reducción de potencia en A1C, además de una reducción efectiva del peso corporal y un bajo riesgo de hipoglucemia cuando se utiliza en aplicaciones de uso diario. El tratamiento con análogos de GLP-1 cuando se aplica semanalmente para el paciente, la ventaja de reducir el número de picaduras, aumentar el cumplimiento y también dificulta la reducción del A1C buena. Desafortunadamente ambas terapias son relegados a 3 ª o 4 ª línea de elección y el hecho de que se inyecta explican en parte esta elección, ya que crea resistencia a muchos médicos y pacientes. El estudio ITCA 650, mostró resultados de la reducción de peso, la reducción de la variabilidad glucémica, con 100% de adherencia, tolerabilidad y mejor, sin necesidad de inyecciones. La bomba osmótica presentados por investigadores y utilizado en este estudio, se registró lo más fuerte y es una mini bomba osmótica implantada que ofrece exenatida por vía subcutánea, con la posibilidad de liberación continua de más de 12 meses, pero con un solo implante. La bomba es menor que una cerilla y su implementación no debe tomar más de 10 minutos y puede realizarse en el consultorio del médico. Los resultados preliminares mostraron una reducción de las náuseas, el aumento de la adherencia y el control glucémico con una reducción consistente de la hemoglobina glicosilada A1C. La segunda fase de este estudio se llevó a cabo en los Estados Unidos en un ensayo multicéntrico, aleatorizado, abierto, y participan 50 centros, con 150 pacientes incluidos. La metformina fue el uso de drogas sólo a la inclusión de los pacientes. 1 a 12 semanas, los pacientes recibieron el ITCA 650, 20 y 40 mcg / día frente a un grupo de control 2 veces al día mediante inyección de exenatida. En las semanas 13-24, los pacientes que estaban usando grupo de exenatida inyectable se trasladaron a la ITCA 650 y la mitad de los pacientes tenía su dosis mayor a 60 o 80 mcg / día. En 1-12 semanas, el 93% de los pacientes en el grupo ITCA 650 completaron el estudio, frente al 89% del grupo inyectado. La tasa de interrupción debido a las náuseas fue sólo el 3,9% en el ITCA 650 frente a 5,7% en el grupo de la inyección de exenatida. 7,7% de los pacientes antes de salir de la re-asignación al azar. En las semanas 13-24, la tasa de 650 pacientes que completaron la fase de ITCA fue del 95%, menos del 1% de los abandonos de náuseas. La reducción de la hemoglobina glicosilada en 1-12 semanas, de manera significativa en tres grupos presentaron, con mayores reducciones en ITCS 650 grupos con 20 y 40 mcg / día, respectivamente. El cambio persistió y aumentó a 12-24 semanas (de referencia) en quatgrupos. El rendimiento de la bomba fue aún mejor en los pacientes con niveles basales de hemoglobina glicosilada superior, la titulación de 60 mcg / día. El cambio de peso fue evidente en grupos de 40, 60 y 80 mcg / día. La tolerancia a la droga, la inyección de exenatida en comparación era similar.Sin embargo, una mayor incidencia de náuseas en los primeros días con una dosis de 40 mcg / día, pero con una duración media de las minas de sólo 17 días, frente a 47,7 días con la inyección de exenatida. Las diferencias se queda aún más evidente en 12-24 semanas y las dosis se incrementaron y hubo un náuseas mejor tolerancia respecto de la inyección de exenatida. Un aumento en la calidad de vida se observó también, y el artículo fue publicado en Diabetes Care 32-5 de 2009 por Anderson y Girman. En conclusión, el estudio demostró que las TIC's 650 cuando a escala 20 a 60 mcg / día, dio lugar a un mejor perfil de tolerabilidad y perfil de acción, con una reducción significativa en HbA1c y el peso en 24 semanas, con una mayor calidad de vida que se ve como ITCA 650 en comparación con la inyección de exenatida y el aumento de la calidad de vida también se realiza cuando el intercambio de las inyecciones de la implantación subcutánea. Aunque no existe ninguna disposición para el lanzamiento de este producto en el mercado y el producto está entrando en la tercera fase. Si se aprueba, se ayudará a los pacientes y los médicos que realizan después de la implantación subcutánea en sus pacientes, se garantizará el uso y la acción de la droga, que se presentará con una duración de 3 meses, 6 y 12.Postado porDr. Mauro Scharfàs22:26Nenhum comentário: Marcadores:bombas,bombas Osmóticas,Centro de Diabetes Curitiba,osmotic pumps sexta-feira, 24 de dezembro de 2010 40˚ treino para o Cruce de los Andes - Maringá, ênfase em subidas por garminmauroscharf no Garmin Connect - Detalhes40˚ treino para o Cruce de los Andes - Maringá, ênfase em subidas por garminmauroscharf no Garmin Connect - DetalhesPostado porDr. Mauro Scharfàs14:28Nenhum comentário: terça-feira, 7 de dezembro de 2010 Treino de 10k , preparatório para o cruce de los andesTreino com Jaime Kulak para o cruce de los andes, 10K Parque Barigui, em Curitiba http://t.co/SQt19du via @AddThisPostado porDr. Mauro Scharfàs11:28Nenhum comentário: sexta-feira, 12 de novembro de 2010 Chat ao vivochat ao vivo Dia mundial do Diabetes. Tire sua dúvida com o especialista das o8 as 12h http://www.labfa.com.brPostado porDr. Mauro Scharfàs11:16Nenhum comentário: quarta-feira, 6 de outubro de 2010 OSTEOPOROSEIdosos devem adotar medidas especiais para evitar quedas e fraturas Um simples tropeção ou tombo na maioria das vezes causa dor, incômodo ou uma marca roxa na pele. Mas o que era simples pode se tornar um grave acidente quando falamos em quedas na terceira idade. Segundo dados do Projeto Diretrizes, da Sociedade Brasileira de Gerontologia, a estimativa da incidência de quedas é de 28% a 35% nas pessoas com mais de 65 anos e aumenta significativamente nas que têm 75 anos. Os idosos estão mais propensos a quedas, que podem culminar em uma fratura que, muitas vezes, podem gerar internações hospitalares e longos períodos de imobilização com consequências como infecções pulmonares, tromboses nas veias, dentre outras. Cuidados básicos do dia-a-dia podem fazer toda diferença quando o assunto é prevenção de quedas e tombos. A alimentação é um deles. O consumo de alimentos que contém cálcio e vitamina D ou que sejam enriquecidos com estas substâncias ajuda a prevenir a osteoporose, doença responsável pelo enfraquecimento dos ossos. Uma rotina de atividade física é essencial para a força muscular, além de ajudar muito na postura, agilidade e mobilidade, permitindo melhor equilíbrio. O simples ato de caminhar, respeitando sempre os próprios limites, é uma atividade excelente. Exercícios como musculação e hidroginástica também são recomendados, desde que sejam realizados após avaliação médica e orientados por um profissional especializado. O consumo de fumo e de álcool deve ser evitado. O controle de doenças e deficiências, como diminuição da visão, da audição, de deformidades e outras limitações é essencial em relação à segurança, principalmente em ambientes externos e pouco conhecidos. É importante que o idoso consulte sempre seu médico e tente manter as suas atividades habituais, mas sempre recorrendo aos seus familiares e cuidadores para auxilio. “Deve-se estar atento ao uso correto das medicações, pois muitas quedas que resultam em fraturas são decorrentes de efeitos colaterais como tonteiras, perda dos sentidos e turvação visual. Os acidentes devem ser prevenidos com várias medidas a serem tomadas tanto em casa como na rua. A adoção destas medidas simples reduz o risco de quedas e, consequentemente, de fraturas da pessoa idosa”, diz Rosita Fontes, médica do Frischmann Aisengart/ DASA - CRM:5233846-4. Abaixo estão algumas mudanças que podem ser adotadas nos ambientes externos e, principalmente, em casa: • Manter os recintos sempre bem iluminados. Em casa, durante a noite, manter uma luz acesa de modo a iluminar parcialmente o quarto. Nunca ir ao banheiro sem acender as luzes. Ao levantar-se da cama, tomar o cuidado de, primeiro, permanecer alguns minutos sentado, depois ficar de pé parado e, somente então, começar a andar. • Nos locais de circulação em que não haja apoio deve-se colocar barras com este fim. Elas são especialmente importantes ao lado da cama, para auxiliá-los a levantar-se durante a noite, no banheiro, dentro do box, próximo ao vaso sanitário e também em escadas e rampas. O idoso jamais deve subir ou descer de algum local sem apoiar-se nelas. • Ainda no banheiro, caso haja dificuldade para levantar-se do vaso sanitário, existem tampas especiais que elevam a altura do assento. Se houver dificuldade de equilíbrio, existem cadeiras especiais para que a pessoa fique sentada durante o banho. • Todos os pisos e degraus de escadas devem ser antiderrapantes. Caso não tenha esta característica existem adesivos para este fim comprados em lojas de material de construção. Deve-se evitar tapetes, não somente nas salas, mas também no quarto, banheiro e cozinha. Eles são responsáveis por grande parte dos acidentes. • Os móveis devem ser adaptados às necessidades da pessoa idosa. Por exemplo: a altura da cama pode necessitar ser rebaixada, para que ele se sente tocando os pés no chão, mas não ser demasiadamente baixa a ponto de dificultar quando ele se levante. Os móveis devem ter os cantos arredondados ou com protetores e deve-se estar atento à distância entre eles ou das paredes, que precisa ser suficientemente larga para que a pessoa transite com segurança. A altura de prateleiras deve ser ajustada para que não fiquem muito altas ou muito baixas. • Do mesmo modo, é importante a organização dos ambientes evitando- se deixar objetos, fios e calçados fora de lugar, para que não haja tropeços. Um cuidado especial também deve ser dado a quem tem animais domésticos, pois podem enroscar-se nas pernas ou pular sobre os donos, tirando-lhes o equilíbrio. • É muito importante evitar o uso de chinelos ou andar de meias dentro de casa. O uso de sapatilhas cômodas, fechadas e antiderrapantes é o mais indicado. • Ao andar na rua, caso tenha um acompanhante, este não deve segurar o idoso pelos ombros, braços ou cotovelos, mas sim, fornecer-lhe o braço dobrado para que o idoso se apoie.Postado porDr. Mauro Scharfàs13:20Nenhum comentário: Postagens mais antigasPágina inicialAssinar:Postagens (Atom)remotetwitcountanalyticsFacebook BadgeMauro ScharfCreate Your Badgereceber informativos diabetes newschange the languageNotas do autorNote: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care. For medical emergencies, dial 911! Nota: O conteúdo deste blog tem a proposta informativa e não é um substituto da opinião médica. Para emergências contate seu serviço médico Note2: The publicity contents are automaticaly powered by google and do not reflect the autor opinion or recomendation. Note2: O conteúdo publicitário deste blog é automaticamente atualizado pelo Google e não reflete a opinião ou recomendação do autorBem VindosBem Vindos ao Blog. Aqui, notícias sobre temas relevantes da medicina, endocrinologia e Diabetes.Tenham uma ótima leituraSeguidoresFacebook BadgeMauro ScharfCreate Your BadgeInscrever-sePostagens Atom PostagensComentários Atom ComentáriosLINKS RÁPIDOSQue assunto você se interessa mais e gostaria de ver publicado no blog?Arquivo do blogQuem sou euDr. Mauro ScharfMédico CuritibanoFundador do Centro de Diabetes CuritibaConsultor médico DASAVisualizar meu perfil completocounter Ver mais

Endocrinologista - Dra. Elisangela Cubas

Av. Iguaçu, 1236 - Rebouças, Curitiba - PR, 80250-190, Brasil

(41) 3259-6581

Elisangela Cubas – Endocrinologia & Metabologia em Curitiba | Médica formada pela Faculdade Evangélica do Para... Elisangela Cubas – Endocrinologia & Metabologia em Curitiba | Médica formada pela Faculdade Evangélica do Paraná. Residência em Clínica Médica no Hospital de Clínicas da UFPR. Endocrinologista pelo Hospital de Clínicas da UFPR. Título de especialista certificado pela Sociedade Brasileira de Endocrinologia. Mestre em Medicina Interna pelo Hospital de Clínicas da UFPR. Membro da Sociedade Brasileira de Endocrinologia (SBEM). Membro da Sociedade Brasileira de Diabetes (SBD). Membro da Associação Brasileira para estudo da obesidade (ABESO). Membro da Sociedade Brasileira de Cirurgia Bariátrica e Metabólica (Coesas). - - ARTIGOSCONTATO Dra. Elisangela CubasEndocrinologista CRM – PR 19447Ver mais AGENDE SUA CONSULTA Marque sua consulta, informe seus dados e entraremos em contato com opções de horário. CALCULE O SEU IMC Calcule seu índice de massa corporal e descubra seu peso ideal. Bioimpedância Como proceder para se obter resultados precisos com Inbody. O que é Endocrinologia? A Endocrinologia é o ramo da Medicina que estuda os transtornos das glândulas endócrinas. O termo “endócrino” denota secreção interna de substâncias com atividade biológica (hormônios), ao contrário de “exócrino” que denota secreção para fora do corpo, através, por exemplo, das glândulas sudoríparas ou dos ductos que deságuam no trato gastrointestinal. O sistema endócrino usa a secreção interna de hormônios para o interior da circulação para conduzir informações às células-alvo. Também tem relações complexas com os sistemas nervoso e imune e exerce efeitos disseminados sobre o desenvolvimento, o crescimento e o metabolismo. Hormônios são as substâncias liberadas por glândulas endócrinas e transportadas pela corrente circulatória para os tecidos e regulam o funcionamento de um ou mais órgãos do corpo. Os hormônios controlam a reprodução, o metabolismo (“queima” dos alimentos e eliminação de resíduos), o crescimento e o desenvolvimento. Os hormônios também controlam a maneira pela qual você responde ao meio ambiente, e ajudam a regular a quantidade exata de energia e nutrientes que o seu corpo precisa para funcionar.O nome “Endocrinologia” é derivado do grego, endo = interno, e krino = separar, secretar, ou seja, “secreção interna”, referindo-se aos hormônios.E a Metabologia?A metabologia nada mais é do que o estudo do metabolismo humano, ou seja, o estudo das transformações energéticas que dão ao ser humano a vida, tendo como fonte elementar de energia os alimentos que consome. A metabologia é uma palavra oriunda do grego, sendo que metabolé: transformação, mudanças e lógos: tratado. O metabolismo é definido como o conjunto de mecanismos químicos que o organismo necessita para a formação, desenvolvimento e renovação de estruturas celulares, bem como para a produção da energia necessária.O campo de atuação do endocrinologista é extremamente vasto, visto que os hormônios regulam praticamente todas as funções orgânicas, e, portanto, as alterações hormonais podem provocar doenças as mais variadas, envolvendo o organismo como um todo. Para se tornar um especialista em Endocrinologia, é necessário ser formado em medicina, ter dois anos de residência em clínica médica e dois anos de residência na especialidade ou cinco anos de trabalho comprovado, além de ser aprovado em concurso anual para receber o título de especialista promovido pela SOCIEDADE BRASILEIRA DE ENDOCRINOLOGIA E METABOLOGIA (SBEM).Campos de Atuação da EndocrinologiaVocê sabe de que forma o endocrinologista pode ajudar? Conheça, aqui, os campos de atuação desse especialista: ARTIGOSMais da metade das pessoas com diabetes não sabem que tem a doença21 de dezembro de 2016Imagine uma sala com 11 pessoas. Dessas, uma [.]Read More 0 0Perguntas que você sempre quis fazer sobre obesidade21 de dezembro de 2016A obesidade está aumentando assustadoramente [.]Read More 1 0Seu corpo funciona lentamente? Investigue o hipotireoidismo21 de dezembro de 2016O organismo de algumas pessoas é mais lento [.]Read More 2 0Load More [email protected] © Copyright - Desenvolvido por: Azempresas.com.br Ver mais

Nádia Aparecida Pereira de Almeida

Av. Silva Jardim, 2121 - Rebouças, Curitiba - PR, 80250-200, Brasil

(41) 3342-8998

Dr. Juliano Vilaverde Schmitt - Dermatologista

Rua 24 de Maio, 412 - Rebouças, Curitiba - PR, 80230-080, Brasil

Agueda Maria Wendhausen Barreto

Av. Silva Jardim, 2121 - Rebouças, Curitiba - PR, 80250-200, Brasil

(41) 3243-6000

OncoPelle - Núcleo de Dermatologia Oncológica

Av. Iguaçu, 1236 - Rebouças, Curitiba - PR, 80250-190, Brasil

(41) 3259-6666

Início | OncoPelle - - Skip to content Faça um Check-up OncoDermatológicoConte com a OncoPelle para cuidar da sua saúde... Início | OncoPelle - - Skip to content Faça um Check-up OncoDermatológicoConte com a OncoPelle para cuidar da sua saúde! Atendimento Integral em Câncer de PeleProfissionalismo, carinho e respeito que você e sua família merecem. Você conhece suas pintas?Atitudes preventivas são essenciais para uma pele saudável. Proteja o maior órgão do seu corpoUse protetor solar todos os dias. CLÍNICAA OncoPelle - Núcleo de Dermatologia Oncológica é uma clínica especializada em prevenção, diagnóstico precoce e tratamento do câncer de pele. Nosso objetivo é fornecer um atendimento integrado e de qualidade àqueles que se preocupam com o câncer de pele, através de:ESTRUTURA E TECNOLOGIASEQUIPE MÉDICAMapeamento Corporal Total Dermatoscopia Digital Cirurgia Micrográfica Cirurgia Oncológica Terapia Fotodinâmica Eletrocauterização e Crioterapia Tratamento Tópico Linfonodo Sentinela DIFERENCIAISMapeamento Corporal TotalSerá que surgiu alguma pinta nova? Este exame vai nos apontar. SAIBA MAISDIFERENCIAISDermatoscopia DigitalAnálise das pintas no detalhe. Este exame faz o acompanhamento e indica qual delas necessita de um tratamento. SAIBA MAISDIFERENCIAISCirurgia MicrográficaCirurgia que visa a remover a menor área possível, respeitando princípios oncológicos, com margens livres da doença. SAIBA MAISDIFERENCIAISCirurgia OncológicaCirurgia especializada para o tratamento do câncer de pele SAIBA MAISDIFERENCIAISTerapia FotodinâmicaTratamento para o câncer de pele superficial, sem cicatrizes cirúrgicas. SAIBA MAISDIFERENCIAISEletrocauterização e CrioterapiaTratamento de lesões mais superficiais: benignas ou pré-malignas. SAIBA MAISDIFERENCIAISTratamento TópicoEm alguns casos, basta usar uma pomada. SAIBA MAIS DIFERENCIAISLinfonodo SentinelaEm Melanomas mais invasivos é necessário saber se o linfonodo sentinela foi atingido pela doença. SAIBA MAISNOTÍCIASImunoterapia no tratamento do câncer.LEIA MAISCuidados com a pele ao longo da vida.LEIA MAISCuidados diários com a pele, principalmente no invernoLEIA MAISVER TODOSNOSSA LOCALIZAÇÃOCentro Médico Hospitalar Sugisawa Av. Iguaçu, 1236 l Salas 01 e 06 (térreo) Rebouças l Curitiba / PRCOMO CHEGAREntre em contato41. 3259-6665 41. 3259-666641.3259-6665 41. 3259-6666AGENDAR CONSULTA Ver mais

Dr. Roger Setogutte

Av. Iguaçu, 1236 - Rebouças, Curitiba - PR, 80250-190, Brasil

(41) 3259-6770

José Rocha Faria Neto / CONSULTÓRIO

Av. Pres. Getúlio Vargas, 2932 - Rebouças, Curitiba - PR, 80240-040, Brasil

(41) 3024-3045

Dr. Lázaro Abud Neto - Cardiologia

Rua 24 de Maio, 1950 - Rebouças, Curitiba - PR, 80220-060, Brasil

(41) 3332-1652

Sugisawa Cardiologia

R. Lamenha Lins, 769 - Rebouças, Curitiba - PR, 80250-200, Brasil

(41) 3259-6770

Centro M?dico Hospitalar Sugisawa - Página Estrutura - Página Estrutura do site do hospital Sugisawa" />Centro M?dico Ho... Ver mais

Angiologia

Rebouças, Curitiba - PR, 80250-190, Brasil

Anestesiologia

Rebouças, Curitiba - PR, 80250-190, Brasil

KENKO Massage - Saúde & Beleza

Av. Iguaçu, 399 - Rebouças, Curitiba - PR, 80230-020, Brasil

(41) 3024-0047

Kenko Massage - - Tratamentos? ? Beleza Facial Beleza Corporal Serviços ? ? ? ?FAQ? ? ? ? ? ?Fale Conosco? ? ? ? ? ... Ver mais

Executive Massagens e Saunas

R. Alm. Gonçalves, 1345 - Rebouças, Curitiba - PR, 80230-060, Brasil

(41) 3334-5035

Sauna Executive - - Pensando no bem estar e na tranquilidade de seus clientes, SAUNA EXECUTIVE oferece, sauna Finlande... Ver mais

Zen Massagens

Av. Iguaçu, 1427 - Rebouças, Curitiba - PR, 80250-190, Brasil

(41) 3019-2288

Zen Massagens | - - Escolha uma Página Venha conhecer a Clínica Zen Massagens e desfrute dos serviços das mais belas m... Ver mais

Thai Massagens

Av. Iguaçu, 1427 - Rebouças, Curitiba - PR, 80250-190, Brasil

(41) 3022-0005

Thai Massagens - -

Mamãe Básica Moda Gestante Curitiba

Av. Pres. Kennedy, 4100 - Rebouças, Curitiba - PR, 80610-010, Brasil

(41) 3229-5336

Mãe Moda Gestante – Mamãe básica agora é mãe moda gestante - - Pular para o conteúdo Mãe Moda Gestante Mamãe bás... Ver mais

Fleury Sa

Av. Mal. Floriano Peixoto, 1895 - Rebouças, Curitiba - PR, 81830-140, Brasil

(41) 3045-0595

- - This app works best with JavaScript enabled.ClienteMédicoAgendar exameResultado de examesExames oferecidosConvênio... Ver mais

Laboratório de Análise de Água e Resíduos-Limnobras

R. Lamenha Lins, 2498 - Rebouças, Curitiba - PR, 80220-080, Brasil

(41) 3333-0538

- Laboratórios - LegislaçõesFale conosco Preencha seu e-mail, que lhe enviaremos sua senha! Os laboratórios LIMNOBRA... Ver mais

Laboratorio de Analises Clinicas Sugisawa

Av. Iguaçu, 1186 - Rebouças, Curitiba - PR, 80250-190, Brasil

(41) 3223-3527

LABORATÓRIO DE ANÁLISES CLÍNICAS SUGISAWA - - Usuário Senha Tipo de usuárioSelecione o tipoPacienteMédicoConvênioOrige... Ver mais

LABAC-Laboratório de Bacteriologia e Análises Clínicas

Av. Mal. Floriano Peixoto, 1895 - Rebouças, Curitiba - PR, 81670-430, Brasil

(41) 3082-2120

Centro Auditivo Audiponta

Centro Auditivo Audiponta Curitiba - R. Alferes Poli, 1040 - Rebouças, Curitiba - PR, 80220-050, Brasil

(41) 3077-4440

Audiponta - Um Centro Auditivo que se importa! -

Fisiobras Ind. Comercial Mat. Esp. Fisioterapeuticos LTDA

Av. Mal. Floriano Peixoto, 1934 - Rebouças, Curitiba - PR, 80230-110, Brasil

(41) 3232-2727

Fisiobras – O Seu Portal da Saúde, produtos e equipamentos para Fisioterapia, Estética, Pilates, Fitness, ... Fisiobras – O Seu Portal da Saúde, produtos e equipamentos para Fisioterapia, Estética, Pilates, Fitness, Ortopedia, Cardiologia e Anatomia Didática. - - MEU CADASTRO MEUS PEDIDOS CENTRAL DE ATENDIMENTO SEJA BEM-VINDO(A) VISITANTE Buscar COMPRE TAMBÉM PELO TELEVENDAS (41)3232-2727 Departamentos FISIOTERAPIA ESTERILIZACAO HIDROTERAPIA RESPIRATORIO MESAS AUXILIARE MASSAGEADORES + Veja mais ESTETICA AVALIACAO ESTERILIZACAO DIVAS E MACAS CUNHAS BIOMBOS + Veja mais PILATES ACESSORIOS EQUIPAMENTOS BOLAS + Veja mais FITNESS BICIC. HOR. SEM ESTEIRAS SEMIPR ESTEIRAS RES. SIMUL. RES. PLAT. DE VIBRAC + Veja mais ORTOPEDIA IMOBILIZADORES CALCANHEIRA COTOVELEIRAS TIPOIAS COXAL + Veja mais HOSPITALAR ELETROCARDIOGRA CAMAS/ACESSORIO PRESSOTERAPIA AP. DE PRESSAO FLUXOMETROS + Veja mais ANATOMIA PES DNA COLUNAS UTERO BRACO MUSCULADO + Veja mais Parceiros ____________________________________________ ___________________________ ? Whatsapp Novidade Financiamento BNDES Mais Informações Crédito Newsletter Nome E-mail DESTAQUES DA SEMANA COLCHONETE COURVIN D.28 03 X130 X50CM AZ MARINHO Cód: 28061 Em Promoção De R$ 112,60 Por R$ 109,22 FISIOTERAPIA COLCHONETES STIMULUS R - HTM Cód: 1008 De R$ 4.051,62 Por R$ 3.930,07 ou 10 X de R$ 405,16 FISIOTERAPIA ELETROTERAPIA ULTRA-SOM 1 MHZ SONIC COMPACT Cód: 17119 De R$ 1.416,42 Por R$ 1.373,93 ou 10 X de R$ 141,64 FISIOTERAPIA ELETROTERAPIA BOLA BOBATH 55 CM - L.UP -ROXA Cód: 24395 De R$ 106,90 Por R$ 103,69 FISIOTERAPIA BOLAS BEAUTY STEAM VAPOR DE OZONIO/AGUA/DISPLAY LCD Cód: 20564 De R$ 1.526,22 Por R$ 1.480,43 ou 10 X de R$ 152,62 FISIOTERAPIA ELETROTERAPIA NEURODYN RUBY MULTI CORRENTES 4 CANAIS N-43 - IBRAMED Cód: 26850 De R$ 2.485,86 Por R$ 2.411,28 ou 10 X de R$ 248,59 FISIOTERAPIA ELETROTERAPIA VACUO BEAUTY DERMO-DIG/LCD/CONT/PULSADO-HTM Cód: 16875 De R$ 6.061,00 Por R$ 5.879,17 ou 10 X de R$ 606,10 FISIOTERAPIA ELETROTERAPIA LASERPULSE L-42 IBRAMED Cód: 26535 De R$ 1.292,40 Por R$ 1.253,63 ou 10 X de R$ 129,24 ESTETICA SONOPULSE 1,0 E 3,0 MHZ ULTRA-SOM - IBRAMED Cód: 26530 De R$ 1.920,90 Por R$ 1.863,27 ou 10 X de R$ 192,09 ESTETICA FES E TENS 4 CANAIS CLINICO Cód: 16627 De R$ 1.283,40 Por R$ 1.244,90 ou 10 X de R$ 128,34 FISIOTERAPIA ELETROTERAPIA HOOKE RADIOFREQUÊNCIA, MEDICINA, ESTÉTICA - IBRAMED Cód: 26544 De R$ 17.089,74 Por R$ 16.577,05 ou 10 X de R$ 1.708,97 ESTETICA FES E TENS 2 CANAIS CLINICO Cód: 20328 De R$ 1.196,82 Por R$ 1.160,92 ou 10 X de R$ 119,68 FISIOTERAPIA ELETROTERAPIA SONOPULSE III ULTRA-SOM 1 E 3 MHZ - IBRAMED Cód: 24574 De R$ 1.479,72 Por R$ 1.435,33 ou 10 X de R$ 147,97 FISIOTERAPIA ELETROTERAPIA BOLA BOBATH 75 CM - L. UP - AMARELO Cód: 24079 De R$ 142,18 Por R$ 137,91 FISIOTERAPIA BOLAS HF ALTA FREQUÊNCIA DE ELETROESTIMULAÇÃO - IBRAMED Cód: 26861 De R$ 489,06 Por R$ 474,39 ou 4 X de R$ 122,27 FISIOTERAPIA ELETROTERAPIA MESA DE RPG REGULAVEL ALTURA E HASTE - FISIOBRAS Cód: 20335 De R$ 1.070,00 Por R$ 1.016,50 ou 10 X de R$ 107,00 FISIOTERAPIA RPG ARES CARBOXITERAPIA P/ RUGAS, FLACIDEZ, CELULITE, ESTRIAS Cód: 26869 De R$ 7.460,78 Por R$ 7.236,96 ou 10 X de R$ 746,08 ESTETICA ELETROESTETICA DERMOTONUS SLIM - VACUOTERAPIA E ENDERMOLOGIA - IBRAMED Cód: 26882 De R$ 3.026,98 Por R$ 2.936,17 ou 10 X de R$ 302,70 FISIOTERAPIA ELETROTERAPIA ? Na Fisiobras você também pode encontrar: Institucional Sobre a Fisiobras Privacidade e Segurança Dúvidas e Sugestôes Como Chegar Formas de Pagamanto Cartões de Crédito e Debito Transferência e Boleto Redes Sociais Contato Email: [email protected] Marketing: [email protected] Whatsapp: (41)98437-3902 Tele-Vendas (41)3232-2727 FISIOBRAS/BRASFISIO - Av. Marechal Floriano Peixoto, 1934 - Rebouças - Curitiba - Paraná - CNPJ: 01.068.993/0001-04 Horário de funcionamento: Segunda a Sexta das 08h45 às 18h00 e Sabado das 9h00 as 12h00 Copyright©2016 fisiobras.com.br - Todos direitos reservados. Em breve a Fisiobras lançará um novo site, mais moderno, mais seguro e mais comodidade para VOCÊ! Mas você já pode conferir como está ficando, acesse www.fisiobras.com Ver mais

Redes Reabilitação Desportiva e Saúde

R. Chile, 2027 - Rebouças, Curitiba - PR, 80220-181, Brasil

(41) 3618-9969

Redes Fisioterapia Desportiva Curitiba - - A Redes Reabilitação Desportiva e Saúde oferece atendimento personalizado p... Ver mais

ISP Saúde

Rua Des Westphalen, 1465 - Rebouças, Curitiba - PR, 80230-100, Brasil

0800 707 0010

- -

Orto Sorriso

R. Alferes Poli, 1820 - Rebouças, Curitiba - PR, 80220-050, Brasil

(41) 3334-2929

Ortosorriso | Clínica Odontológica em Curitiba, Dentista no Pinheirinho, Spa Odontológico - - Unidades Ortosorriso Reb... Ver mais

Centro Odontológico Pio XII

Av. Silva Jardim, 1347 - Rebouças, Curitiba - PR, 80250-200, Brasil

(41) 3232-6195

Centro Odontologico PIO XII | O Centro Odontologico Pio XII atende 24h por dia, com localização central em Curitiba. Cad... Ver mais

Ortosorriso Odontologia

R. Alferes Poli, 1820 - Rebouças, Curitiba - PR, 81920-250, Brasil

(41) 3016-2929

Ortosorriso | Clínica Odontológica em Curitiba, Dentista no Pinheirinho, Spa Odontológico - - Unidades Ortosorriso Reb... Ver mais

Neo Odontologia

Av. Silva Jardim, 3455 - Rebouças, Curitiba - PR, 80240-021, Brasil

(41) 3343-1444

- - Jump toSections of this pageAccessibility HelpPress alt + / to open this menuFacebookJoin or Log Into Facebook ? E... Ver mais

Odontoclinic Curitiba

80250-000 - R. Nunes Machado, 1119 - Rebouças, Curitiba - PR, 80250-000, Brasil

(41) 3013-3664

- Odontoclinic Clínicas Odontológicas | Os Melhores Dentistas do Brasil. Há mais de 15 anos oferecendo excelência em tr... - Odontoclinic Clínicas Odontológicas | Os Melhores Dentistas do Brasil. Há mais de 15 anos oferecendo excelência em tratamentos odontológicos. 0800 200 9008 - X EverestSeja um franqueado 0800 200 9008 11 94386 3137 EverestSeja um franqueado Lcalize uma unidade+ DE 170 CLÍNICAS em todo o Brasil Aplicação de Flúor A aplicação de flúor é importantíssima pois o flúor é um grande aliado no fortalecimento dos dentes, favorecendo a formação de cálcio e potássio.Saiba mais Aplicação de Selante O Selante é uma película protetora aplicada sobre os sulcos dos dentes pré-molares e molares.Saiba mais Bruxismo O popular bruxismo é o hábito de ranger os dentes durante o sono ou durante o dia.Saiba mais Endodontia Tratamento odontológico que visa tratar o canal dentário comprometido.Saiba mais Extração Dental A remoção de um dente deve ser feita com muita cautela e prévia análise do cirurgião-dentista.Saiba mais Odontopediatria Especialidade odontológica de dentistas dedicados a atender a saúde bucal de bebês e crianças.Saiba mais Periodontia (Raspagem) Tratamento odontológico eficaz na remoção da placa bacteriana presente entre os dentes e a gengiva.Saiba mais Radiografia Panorâmica Um importante exame radiográfico utilizado para o diagnóstico e planejamento das doenças dos dentes e dos ossos da face.Saiba mais Restauração Dental Dentística restauradora, ou obturação, é a área da odontologia que busca eliminar a cárie e recuperar dentes danificados.Saiba mais Clareamento a Gel Clareamento externo a gel (ou clareamento caseiro) é uma das formas mais utilizadas para se fazer um branqueamento dentário.Saiba mais Clareamento Office O clareamento dental externo a laser é o tipo de clareamento adequado para quem busca o branqueamento do sorriso.Saiba mais Clareamento Interno Padrões estéticos vão se alterando através dos tempos. Hoje em dia, o nível de clareza dos dentes faz parte do repertório de signos de beleza.Saiba mais Aparelho Ortodôntico Fixo Recomendado para fins estéticos e/ou funcionais para quem busca ter os dentes alinhados e em harmoniaSaiba mais Aparelho Ortodôntico Móvel É o mais indicado para pequenas movimentações dentárias e pacientes em fase de crescimento (ortopedia funcional dos maxilares)Saiba mais Documentação Ortodôntica Documentação ortodôntica é um conjunto de exames, incluindo radiografias, que visam ajudar o dentista a analisar casos de ortodontia (aparelho nos dentes).Saiba mais Prótese Parcial Fixa A prótese fixa é a restauração parcial ou total da coroa de um dente, quando se denomina prótese fixa unitária, ou a substituição de um ou mais dentes perdidos, quando se denomina prótese parcial fixa (ou ponte fixa).Saiba mais Prótese Parcial Removível O seu principal objetivo é a reabilitação bucal, em todas as suas funções: estática, fonética e mastigação. Repõe ou restaura os dentes ausentes ou perdidos.Saiba mais Prótese Total Próteses totais, popularmente conhecidas como dentaduras, são substitutos para os dentes ausentes que podem ser retiradas e recolocadas na boca.Saiba mais Enxerto Ósseo Tratamento indicado para pacientes que possuem perda óssea (osso que segura a raiz dos dentes).Saiba mais Implante de Carga Imediata Implante com carga imediata é o ideal para quem busca uma reposição rápida dos dentes perdidos, recuperando a força mastigatória e elevando a autoestima e confiança.Saiba mais Implante Overdenture Implante ideal para quem procura reabilitação mastigatória, elevando a autoestima e confiança.Saiba mais Implante Parcial Fixo Implante parcial fixo é o ideal para quem procura reabilitação mastigatória, elevando a autoestima e confiança.Saiba mais Protocolo Fixo Implante ideal para quem procura reabilitação mastigatória, elevando a autoestima e confiança.Saiba mais Seção Aplicação de FlúorAplicação de SelanteBruxismoEndodontiaExtração DentalOdontopediatriaPeriodontia (Raspagem)Radiografia PanorâmicaRestauração Dental Seção Clareamento a GelClareamento a LaserClareamento Interno Seção Aparelho Ortodôntico FixoAparelho Ortodôntico MóvelDocumentação Ortodôntica Seção Prótese Parcial FixaPrótese Parcial RemovívelPrótese Total Seção Enxerto ÓsseoImplante de Carga ImediataImplante OverdentureImplante Parcial FixoProtocolo Fixo Porque sorrir é tudo Atraia mais olharesO sorriso é o nosso cartão de visitas. Mantê-lo bonito é uma das chaves para o sucesso. Invista em você. Conquiste mais as pessoas com o seu sorrisoNão tenha vergonha de sorrir, sorria mais para o mundo e para todos. Recupere a sua autoestima e confiançaUma saúde bucal mal preservada gera prejuízos a toda a saúde do corpo, inclusive a psicológica. Renove-se, dê um up na autoestima! Blog Próxima Página » Seja um franqueadoAcessar Ver mais

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