No caminho para o urbanismo. Saturnino de Brito e Édouard Imbeaux, trajetórias profissionais entre Brasil e França

The aim of this work is to establish a dialogue between the professional trajectories of two engineers: Saturnino de Brito (1864-1929) and Édouard Imbeaux (1861-1943). They both focussed on the city as object of action and reflection based on an innovative knowledge of hygiene and sanitation issues. The specificity of these trajectories is the association of practice, theoretical reflection and dissemination: these two professionals respectively contributed, in their countries, to the construction of Town planning as a discipline, in particular in relation to its technical approach. The international scene is an important dimension of their activity as it made possible the circulation / comparison of technical knowledge between Europe and Brazil and it contributed to find a specific and appropriate response to the problems of the city. The interaction of local, national and international scene allows another perspective of the professional trajectories of Saturnino de Brito and Edouard Imbeaux.O objetivo deste trabalho é estabelecer um diálogo entre duas trajetórias profissionais, a de Saturnino de Brito (1864-1929) e a de Édouard Imbeaux (1861-1943), que privilegiaram a cidade como objeto de ação e de reflexão, as quais são construídas a partir de um conhecimento inovador sobre as questões de higiene e saneamento. A especificidade desses percursos é a associação da prática com a reflexão teórica e sua difusão: estes dois profissionais contribuíram, assim, cada um em seu país, para a construção da disciplina urbanística, especialmente em sua abordagem técnica. O cenário internacional constitui uma dimensão importante de sua ação, que tornou possível a circulação/confronto de saberes técnicos entre Europa e Brasil e contribuiu com a pesquisa de uma resposta concreta e adaptada aos problemas da cidade. A interação do cenário local, nacional e internacional permite trazer um outro olhar sobre as trajetórias profissionais de Saturnino de Brito e Édouard Imbeaux

Subgroups of monocytes predict cardiovascular events in patients with coronary heart disease. The PHAMOS trial (Prospective Halle Monocytes Study)

BACKGROUND: Monocytes can be differentiated by the presence of CD14 and CD16 (CD14++CD16-, classical; CD14++CD16+, intermediate and CD14 + CD16++, non-classical monocytes). Recent studies have reported conflicting results regarding an association between subtypes of monocytes as defined by the expression of these two surface markers in atherosclerosis. METHODS: We investigated subtypes of monocytes in n = 994 patients with angiographically documented coronary artery disease (CAD). We compared total numbers of monocyte subgroups stratified by tertiles with the occurrence of the pre-defined combined endpoint (non-fatal myocardial infarction, cardiovascular death and non-haemorrhagic cerebral insult). Patients were followed up for a minimum of 52 weeks. Classical risk factors of coronary heart disease were included in multivariate analysis. RESULTS:The primary endpoint occurred 134 times at a median time of 34.5 weeks (IR 10.6/59.6). Intermediate (p = 0.813), non-classical (p = 0.725) and the number of total monocytes (p = 0.626) stratified by tertiles showed no significant association with the combined endpoint. However, a higher absolute number of classical monocytes divided in tertiles was associated with incidence of the combined endpoint {T1 = 8.9% vs T2 = 14.2% vs T3 = 16.0% (p = 0.021)}. When comparing the third with the first tertile of Mo1 population, multivariate analysis showed a hazard ratio of 1.646 (CI: 1.005-2.699, p = 0.048). CONCLUSONS: The absolute counts of classical monocytes divided in tertiles are predictive of major adverse cardiac events in patients with CAD. A tremendous shift from classical to intermediate monocytes was also confirmed in patients with CAD. These data highlight the importance of CD14++ monocytes in cardiovascular diseases