The CMC group enters the Spanish market of E-Health

30 05 2013

CMC Group, Spanish consultant of the information technology environment, It has acquired the company Arctic telemedicine, pioneer in our country in the development of solutions e-Health (computerization of the health), with more than ten years of experience. With this operation, the CMC Group starts its activity in this market, who expected the firm, in 2015 will generate a turnover of 4.000 million euros in Spain.

The CMC's strategy is to develop professional solutions for clinics, hospitals,laboratories and insurance companies to enable them to optimally meet the new environment that ICTs are shaping up in the health sector. According to CMC, the new era of digitization and communications, It will radically change various aspects of this market,such as the relations between professionals, access to and exchange of information, relationships with patients, medical care or control of chronic diseases.

 

Arctic telemedicine will continue to operate with its own brand and will undertake a majorexpansion of its activity in the new environment of the mHealth (through the use of mobile health solutions), born as a result of the massive use of this type of terminals. With this acquisition, CMC will bring together innovative Artica profile, present in the main national and European r & d programmes, with the experience of CMC in the development of solutions based on new technologies for enterprises in various productive sectors, allowing the consultant to address this new market globally.

According to CMC, the fundamental factors that are pushing the Spanish e-Health market are varied. Between them they fit to stand out, the demand for a new digital list of citizens with health care providers (consequence of the mass adoption of Internet,social media or mobile devices), facing a more slow evolution of the health sector in the integration of new technologies. Another reason for the consultancy is the need for a more effective health that allows saving of costs in the present and above all future, due to the investment of the population pyramid, It draws a society increasingly aged and with chronic conditions. Linked to this reality, CMC also points to the need to develop new models of care for chronic diseases (currently consume the 70% of health resources), including the prevention of risk factors, such as weight, lack of exercise, tobacco or alcohol consumption.

 

m-Health

The massive use of the mobile devices between citizens and their ease of use have broken the digital divide in various collective, such as the population of older. For this reason,the consultant expected that these devices will be one of the triggers of the use of ICTs in the health sector (m-Health). CMC wants to consolidate in this environment in the coming years with professional solutions, since according to the signature, such devices will play a decisive role in issues such as patient monitoring or control of chronic diseases.

CMC estimates, in 2015 the 10% the m-Health market revenues it will come from direct downloads of apps for personal use (currently there are more than 40.000 health-related), and the rest will be income derived from products and services demanded by public health services, clinics, hospitals, laboratories, insurance companies and patients. The consultant wants to also export its knowledge and technology to the Latin American market, that will exist a strong implementation of this type of short term solutions.

Arctic is one of the pioneers in the development of innovative solutions for the e-Health market. The company has developed, among others, the provision of online services to chronic patients in collaboration with the Association Parkinson Madrid and the Spanish Federation of Parkinson's, including social networks, digital systems of rehabilitation and therapy (using Kinect and Wii), as well as collaborative digital networks socio-health care professionals.

Artica, has also developed for Abbvie a system e-Health, affected for Parkinson's treated with Levodopa/Carbidopa and has made Telemonitoring projects for patients with heart failure, Diabetes, teledermatology, teleconsultation pediatric or online appointment.

 

 

Muycomputerpro.com [en línea] Madrid (ESP): muycomputerpro.com, 30 de mayo de 2013 [REF. 10 in May of 2013] Available on Internet:http://www.muycomputerpro.com/2013/05/10/grupo-cmc-e-health/

 



Applications in health on Pinterest

27 05 2013

 

Pinterest has been the latest general social network to which we have devoted some entries on the blog and has emphasized since its inception as a powerful communication tool that has not yet reached large dimensions of market in our country as other social networks like Facebook or Twitter.

 

The truth is that us it was difficult at first to look for a utility in health until we got a tweet from Javier J. Diaz (@JaviJDiaz), Responsible for communication and Marketing of Qoolife where he wondered:

Javier J. Diaz (@JaviJDiaz)13/04/13 17:32Does serve you something to a hospital have @Pinterest? #socialnetworks #Hospitales #eSalud

The message had a link to a blog article We want eHealth He dedicated this post to the subject in question. The entry refers to an entry HospitalMarketing It is the original source.

In this interesting article, highly recommended reading, "we found various applications which have given to Pinterest some American health institutions based in the"cure of contents"that can be performed through the tool.

Thus Pinterest is a good way to organize the content and creating a simple access to the same.  Through the aggregation of content in the same space, either from the web site itself of the health centre or other sources, We can educate and engage patients in their process. Instead of sending a patient home with brochures of the exercises of stretching or a new plan of meals for diabetics, "just have to go to the"Rehabilitation exercises” o “Recipes for diabetics"of your health center page Pinterest.

With this we can:

  1. Be health professionals who will collect information in a dynamic way either homemade or from other sources of quality.
  2. Provide security to patients that the information collected and to which can be accessed via Pinterest page has been previously validated by their health professionals trust.

 

Many hospitals already have presence on Pinterest, and among them we highlight MD Anderson Cancer Center deHouston, thePhoenix Children's Hospitaland theMassachusetts General HospitalAcademy.

It is true that Pinterest above all in the United States has had an unexpected take-off and that your been surpassed by traffic and the loyalty of your visitors the more favourable expectations that were initially. In this way becomes an important input source of visits to the website of the health centre and therefore exerts a very beneficial to private health centers work of positioning.

They have provided us with (large) ideas for a medical use of this network with benefits for the patient and for the prestige of the institution that has their profile on Pinterest could do the same thing in our midst?, Yet we are very far away? or do you need a presence on this network?.

 

Nuevastecsomamfyc.WordPress.com [en línea] Madrid (ESP): nuevastecsomamfyc.WordPress.com, 27 de mayo de 2013 [REF. 10 in May of 2013] Available on Internet:http://nuevastecsomamfyc.wordpress.com/2013/05/10/usos-en-salud-de-pinterest/



A new robot allows to operate Epilepsies which until now had no treatment

23 05 2013

Doctors of the Hospital del Mar has successfully operated the 5 early interventions in Spain

The pink robot allows to delimit accurately the focus of epilepsy in the brain

 

Barcelona, a 13 in May of 2013-. The Hospital del Mar has carried out, for the first time in Spain, Epilepsy with a robotized arm surgery. This new technology allows the surgeon to operate patients who until now were doomed to suffer lifelong disease and puts to sea Hospital and the Catalan public health at the forefront of the treatment of epilepsy.

Thanks to the new Pink robot, doctors have managed to considerably increase the precision and effectiveness of interventions to extract brain focus where electrical discharges that cause epileptic seizures originate.

Dr. Rodrigo Rocamora, Chief of the epilepsy unit of the Hospital del Mar, explains that “therobot allows to operate highly complex Epilepsies which previously not contemplatedsurgery”. In fact, is true that only appreciates the possibility of practicing surgery in patients who do not respond to drug therapy - around a 30% of the total--, so is that in many of these not them could have the surgery because it was not possible to pinpoint the focus origin which had to be removed. With the acquisition of this new technology, doctors can overcome this obstacle and a much higher number of patients are treated to his disease.

 

Trayectorias de los electrodos en el cerebro

Trajectories of electrodes in the brain

In the 5 interventions carried out in the Hospital del Mar, the pink robot has allowed to place with great precision an average of 12 electrodes for intervention (You can reach more than place 20) without having registered any complication. This has enabled the team of epilepsy treatment study with much precision focus origin of each patient's disease and define brain functions in the areas of the brain that should be removed to cure.

 

Thus doctors can define much more precisely the part of the brain that must be removed. “This technology allows us to render images of the brain in a computer system and, Thanks to the neuronavigation, run precise trajectories to place electrodes inside the brain, avoiding any damage to veins, arteries or other sensitive areas of the brain” explains Dr. Gerard Conesa, surgeon responsible for interventions.

Another great advantage that presents the robot is its speed. “The automation of the processIt means the robot allows to reduce the duration of the intervention for electrode placementeight hours to just two, facilitating the work of surgeons and reducing the risk ofcomplications”, adds Dr. Conesa.

 

Epilepsy is a disease being treated between a 0,5 and a 1% of the population, some 400,000 people in Spain. Its origins are electric shocks that originate in the brain of patients and activate neurons suddenly and disorganized. The causes can be many different: alterations in the development of neurons, infections, tumors, vascular disorders such as brain stroke, degenerative disorders or brain blows that leave very small scars. Consequences may be very serious: the quality of life of the patient is greatly impaired by the danger of loss of consciousness during the crisis,that can lead to dangerous situations as sudden drops. Although it is not usual,seizures are, in themselves, a real danger that they might kill the patient while they occur or, If it fails to control, derive in neuropsychiatric disorders and chronic cognitive disorders.

Aside from the acquisition of the robot, Dr. Rocamora highlights that epilepsy surgery can only be practiced in certain health centres, with the infrastructure and human resources. A team of people is necessary to 24 hours at the service of the patient, Since, In addition to routine tests (Special images, magnetic resonance imaging, Neuropsychological studies, etc.) the most important is the monitoring (patient data registry),which requires entering the sick for one or two weeks to reduce or withdraw the medication in a controlled way, in order to detect crises and locate the bulbs that,subsequently, they will be removed by the surgeon.

In Spain there are very few centers with capacity for Epilepsy Surgery. One of them is the Hospital del Mar, that last September signed the agreement to form the functional unit of surgery of the epilepsy of Catalonia together with the Hospital Clínic and the Hospital of San Juan de Dios. The first robotic operation was carried out in January of 2013 and so far already is has been able to practice at a total of 5 operations, using this technology without having recorded time surgical complication.

 

Parcdesalutmar.cat [en línea] Barcelona (ESP): parcdesalutmar.cat, 23 de mayo de 2013 [REF. 13 in May of 2013] Available on Internet:http://www.parcdesalutmar.cat/es_noticies/view.php?ID = 289

 



Surgery pioneer: fetus with Sd operated larynx obstruction

20 05 2013

A multidisciplinary team of hospitals Clinic and Sant Joan de Déu It has operated in the mother's womb a fetus that was suffering from a syndrome of obstruction of the larynx (CHAOS) putting your life in danger. It's a very rare malformation and resulting in the majority of cases the death of the fetus or baby.

 

The patient was derived des del Hospital de Cartagena, where were your pregnancy. In an ultrasound in the week 21 gestation, doctors detected that the fetus had the lungs more dilated, they were compressing the heart and causing a cardiac arrest. The case was remanded to Barcelona, where the diagnosis was confirmed: the larynx of the fetus was fully blocked. Laryngeal obstruction is a strange but well known malformation. A fetus does not need to breathe, but the obstruction prevents the lungs to expel their secretions by the trachea. This makes grow inordinately lung, it compresses the heart to produce cardiac arrest.

 

In the few fetuses who survive, lung tissue is badly damaged and can not function normally. All the cases reported in the medical literature have ended in the dead or very serious sequelae in the few survivors. The importance of this case is that it met criteria to a surgery that Barcelona team had designed for when it appeared a case this com.

 

The intervention was carried out in the maternal-fetal medicine Department of the Clinic of Barcelona, in motherhood, by a team of specialists in medicine and fetal therapy of the Hospital Clínic of Barcelona and the Hospital Sant Joan de Déu pediatric surgeons.

 

The operation consisted of operating the fetus in the mother's womb in order to unblock the trachea and prevent fetal death. Scientists anesthetized the fetus, He was placed in a suitable position, and then introduced a fetoscope - special endoscope of fetal surgery, making only 3 mm thick- in the womb, they went to the fetal mouth and introduced it to the larynx, where are the vocal cords. With special instruments of fetal surgery - with diameters of less than a millimeter- drilled and eliminated the membrane.

 

Does 8 years the Hospital Clínic and Sant Joan de Déu constituted the Fetal surgery program, currently one of the largest volume in the world and which has allowed to solve with fetal therapy techniques to more of 1.200 pregnancies. At the moment, receives more than 2.500 annual consultations for the assessment and treatment of fetal diseases, which they will enter 120 i 150 they require surgery. The program treats patients from the Iberian Peninsula and international, preferably in Europe, South America and the Middle East.

 

The two hospitals have decided to take a step towards the formation of a single Medical Center maternal-fetal and neonatal based in the Clinic and Sant Joan de Déu. The Center will integrate into a single Department all clinical activity, teaching and investigacion-innovacion, This will allow to consolidate the achieved excellence and they have one of the areas in the world's largest medicine and fetal therapy. In this way, Barcelona further reaffirms its position of international leadership in fetal medicine.

 

 

Hsjdbcn.org [en línea] Barcelona (ESP): hsjdbcn.org, 20 de mayo de 2013 [REF. 09 in May of 2013] Available on Internet:http://www.hsjdbcn.org/portal/es/web/2149152853/ctnt/dD98/_/_/zlq7t7/Sant-Joan-de-Déu-y-el-Clínic-salvan-la-vida-a-un-feto-que-tenía-la-laringe-obstru.html



Challenge Your Online Learning Expectations

16 05 2013

Table of Contents:

  • Isolation and the Online Environment
  • Online Courses and Your Career
  • What You Can Do to Prepare for Online Courses

 

It’s the middle of the night. You sit alone, confused with only the cold, harsh light from your email lighting the room. Are you ever going to hear from your online college?

If this is your perception of online education, wake up. It’s the 21st century and one-third of all college students are taking at least one online course during their college careers.

For students who’ve never taken an online course, especially those who are returning to school several years after graduation, fears about taking an online course are understandable. Many unfamiliar with the format believe that online learning will be drastically different from traditional in-class experiences, that they won’t be able to interact with professors and classmates, or that online courses may not be as valuable to a career or educational endeavors as those in a classroom. While these concerns are not entirely unfounded, many students, once enrolled, quickly realize that online courses often aren’t quite how they imagine them to be.

If you’re considering taking online courses but have some reservations about their value to your career or the online learning experience itself, it can be immensely valuable to take some time to learn about what you can actually expect from an online course. You may just find that many of the common concerns students like yourself have about online education have been mediated by new technology, highly trained faculty, and online curricula that’s benefited from years of development.

 

Isolation and the Online Environment

While it’s true that online students won’t head to class each week to see their classmates in person and to interact face-to-face with their professors, that doesn’t mean that online courses will leave students without social interaction and support. In many cases, students in online courses may actually get more individual attention than they would in a traditional course, both from professors and their fellow classmates.

Some of this interaction isn’t voluntary. Most online courses require that students interact with one another through chat rooms and discussion boards, and some students may even find themselves assigned to work with classmates on projects and assignments.

Dr. Dani Babb, an online educator at American Public University and Kaplan University, says that this is one of the most common misconceptions about online courses. “Many students don’t realize how much they will interact in discussions,” says Babb. “Most courses have a minimum number of posts and content requirements every week. Additionally, schools have engagement requirements; students must respond to peers and expand on the topic, add value in their engagement and further the conversation.”

To help combat online isolation, some colleges are building special online communities to connect students to each other and the school. At Northcentral University, students will soon be able to take advantage of a Virtual Academic Center, a place where they can go to interact with professors and classmates and talk about everything from academics to their personal interests. While not every school has this kind of online environment for students, a growing number maintain social media sites that encourage students to connect not only as classmates but also as individuals.

While it’s great to get to chat with classmates and build camaraderie, students may have additional concerns that they won’t be able to get in touch with professors or find the support that they need to do well in the course. Many professors understand these concerns and actively work to keep in touch with students and cater the course materials to their individual needs.

Mary Stephens, founder of Prep Forward, an online professional development resource for teachers, and an online professor at both UMass Boston and Wheaton College, says that her students commonly believe that they won’t get the support needed to complete the course material but that those concerns are often unfounded. “Some have the misconception that an in-person class is the only way to get any individualized attention or support,” she says. “This is definitely not the case for the majority of online courses. For instance, my courses specifically diagnose the individual strengths and weaknesses of each student. This not only helps them identify what areas to focus on, it helps me understand what additional explanations or resources I need to provide each individual to help them understand the material.”

Some professors take connecting with students and ensuring classmates bond even further. “To overcome the ‘loneliness’ of completing an online course, I divide my students into teams of four students,” says Lewis University marketing professor Robert Bergman. “They are required to create accounts in Facebook, LinkedIn, Twitter, Gmail, Pinterest, YouTube and Second Life. This allows them a variety of methods for communicating throughout the semester. In addition, I require they conduct a team meeting every week via videoconference on Oovoo.com, Skype, Facebook Skype, or Google Video. I strive to attend each team meeting to provide additional content, advice, guidance and help guide the meeting when needed. I am effectively part of each team.”

Support for students isn’t limited to faculty, however. Because online courses require a great deal of technology, students will also need to get in touch with support personnel should anything go wrong and they are not able to access their course materials or other resources. Unlike professors who may have limited “office hours,” these technical support professionals are available day and night. Matthew Curtis, a professor working in USC’s Master of Communication Management online program explains, “We offer our students 24/7 technical support. This means if they are working at 3 a.m. or 3 p.m. and cannot access some material there is live human support to assist them.”

USC isn’t alone in offering this kind of support; students at nearly all online universities will be able to get assistance with technological problems at any time, which may allay some of the fears less technologically-savvy students have about online courses.

 

Online Courses and Your Career

One of the biggest benefits of online courses is their flexibility, a factor that often makes them a popular choice among those trying to balance their current jobs with taking college courses towards a degree or certification. As a result, many online learners are older, non-traditional students who are taking courses to help improve their chances of promotion, start a career path, or just to expand their knowledge and career potential. For the reason, concerns over whether or not online courses are a smart career move are common among new students.

As far as employers are concerned, students don’t need to worry too much about the value of their online degrees. A survey done by institution Excelsior College and Zogby International in 2010 found that 83% of executives they polled felt that an online degree was as credible as one earned through a traditional campus-based program. Still concerned about the quality and career prep offered by online programs? It may be better than you realize.

“Assuming an online course is good, there is no difference in the amount of career preparation you would gain in a course in a classroom setting,” says Stephens. “In fact, in some classes you may gain more career preparation experience online as the online course has the benefits of allowing an individual to quickly access additional resources, links, and opportunities online.”

At many schools, online educators aren’t just teaching courses, they’re also working professionals in their area of expertise. “Probably the most important way that online programs can prepare graduates for the real world is the focus of faculty who are practicing the craft they are teaching,” says Northcentral University professor Darren Adamson. “Not only does this give a flavor of what is really going on in the profession, but it also helps with networking as the student creates connections with professors working as professionals in the field.”

Students may also have concerns over whether or not they’ll really be learning as much as they need to in an online course. A study in 2009 by SRI International for the Department of Education found that on average students in online learning conditions actually performed better than those in traditional classrooms with face-to-face instruction.

Part of the reason may be a focus on assessment, ensuring students are doing well throughout the course. Gordon Drummond, president of the online design school Sessions College, explains, “The reality is that online education generally has to be more focused on assessment– on trying to determine whether a student has mastered a concept or skill–than a traditional class, where the focus is generally on presentation. This is key to debunking another myth, which is that online classes are easier than traditional ones. If the school is a serious school, there will actually be more evaluation of your skills as you work through the program. It will be harder, but better for you.”

If you want to pursue a career in a hands-on or clinical field, online course alone may not be able to give you the experience you need. In these cases, however, many hybrid and blended opportunities are generally available so that students can emerge from a degree program adequately prepared to take on the challenges of the workplace.

 

What You Can Do to Prepare for Online Courses

Even if some of the most common fears about online courses are unfounded, students who’ve never taken online courses will still need to prepare for the experience ahead of time.

One of the key aspects that differentiate online courses from those in class is the use of technology. Students may not realize how much their understanding of technology can plan a role in the ease with which they can complete assignments or how varied the tools they’ll need to use are. Not all online programs use the same types of technology or the same type of setup, however. “One thing that surprises students is how much technology is used,” says Babb. “Some schools have live lectures or what we call synchronous lectures. Other schools have live office hours, and others have entirely asynchronous communications. Students should know which they prefer and which the school has before attending to be sure it fits their lifestyle.”

Students taking online courses also need to prepare themselves for a serious time commitment. Online courses may be more flexible, but that doesn’t mean they’re less work. Adamson encourages students to not only set up time for listening to lectures and reading materials but also every other aspect of the educational experience. “I often suggest to students that they prepare to schedule time to ‘go to class’ every day,” he says. “Successful students ensure that each day (5-6 days per week) they have scheduled in their calendars time to study, read, research, reflect and complete the learning activity (assignment) each week. If school is left for ‘after everything else gets done’ then the student will fail in an on line environment. Online education requires that the student has a moderate level of self-discipline.”

Self-discipline may be the key to being successful in an online course. Students must be able to motivate themselves, stay organized, and keep on task even without supervision from a professor or other outside source. If you’re the type who loves to procrastinate or can’t stay on task, online learning can help strengthen that weakness. The online format challenges students to use better time management. Just like a traditional classroom, not treating online classes seriously will negatively affect your learning outcomes.

Online courses won’t be a perfect match for every student, but they often aren’t as intimidating, isolating, or risky as students might believe. New technology, highly motivated professors, and an incredibly diverse assortment of programs and institutions have helped to make online education a more flexible and customizable alternative to traditional education. It is also quickly becoming as respected and rich as any students can take in a more traditional setting. Students who are unsure about taking online courses should reach out to administrators, professors, and online learners to get a better idea of what online learning is really like so that they know what to expect, how to prepare, and ultimately, how to be successful as an online student.

 

 

 

Onlinecollegecourses.com [en línea] San Antonio (TX) (USA): onlinecollegecourses.com, 16 in May of 2013 [REF. 10 April of 2013] Available on Internet:http://www.onlinecollegecourses.com/online-learning-expectations



CUSTOM-MADE ‘PRINTED’ HUMAN ORGANS JUST A DECADE AWAY

13 05 2013

University of Wollongong (UOW) scientists are at the forefront of a medical revolution using 3D ‘printing’ to reproduce human body parts.

Director of UOW’s ACES, Professor Gordon Wallace

Director of UOW’s ACES, Professor Gordon Wallace

 

 

Researchers from UOW’s ARC Centre of Excellence for Electromaterials Science (ACES) and St Vincent’s Hospital, Melbourne, announced in Melbourne today (Friday 3 May) that they are just three years away from printing custom-made body parts, including muscle and nerve cells and cartilage. And in just over a decade, they believe will be possible to print human organs.

“It is already possible to print 3D biocompatible plastics and metals to manufacture patient-specific implants,” ACES Director Professor Gordon Wallace said.

“Within a few years, we believe it will be possible to manufacture living tissues like skin, cartilage, arteries and heart valves using cells and biomaterials. Using a patient’s own cells to create this tissue avoids issues of immune rejection. By 2025, it is feasible that we will be able to fabricate complete functional organs, tailored for an individual patient.”

Professor Wallace and his team are are meeting with clinicians, medical device manufacturers and policy makers this week in Melbourne to discuss the future of fabricated medical implants.

Professor Wallace said 3D printing, or additive fabrication, uses machines to build 3D objects layer-by-layer from digital data.

“While 3D printing is already being used in some medical applications, by bringing together the materials and scientists at ACES and the clinicians and researchers at SVH we have been able to accelerate our progress so that we are now on the verge of a new wave of technology leveraging 3D printing/additive fabrication techniques to deliver solutions to a number of medical challenges. These include bionic devices, the regeneration of nerve, muscle and bone, as well as epilepsy detection and control.”

Professor Wallace said the research would receive a huge boost next month with the launch of an additive biofabrication unit at St Vincent’s hospital in Melbourne, expanding the program from its base at the University of Wollongong’s Intelligent Polymer Research Institute (IPRI), the lead node of ACES. The St Vincent’s facility will be the first of its kind in Australia to be located in a hospital.

“This is an exciting development involving the establishment of a customised facility at St Vincent’s, Melbourne. [It] will put our scientists and engineers in direct contact with clinicians on a daily basis [and] is expected to fast track the realisation of practical medical devices and the reproduction of organs,” Professor Wallace said.

 

Media.uow.edu.au [en línea] Wollongong (AUS): media.uow.edu.au, 13 de mayo de 2013 [REF. 03 in May of 2013] Available on Internet:http://media.uow.edu.au/news/UOW148734.html



“Esto cuesta un dinerito, You know?”

9 05 2013

Merche black

 

Alpha Pam (Facebook)

Alpha Pam (Facebook)

Why Alpha not went to hospital for more than one month?

The achievement of appointments and visits the Balearic Government published yesterday leaves no doubt: the 28 February your family doctor led him to Inca hospital so they made him a chest plate, thing you did to the 5 April. It was then when you were diagnosed acute bronchitis. They prescribed the usual: anti-inflammatory and antibiotic. And Yes, They recommended that follow-up be made its ambulatory.

Sixteen days later, dying alone and without assistance at home, TB.

 

Approach, knot and outcome.Came on this day, did not appear until such date, He did not return to its health center. We could leave the story here, closing the dossier as "the strange case of the Senegalese that offering quality care does not make use of it and dies days after the motu proprio". Or maybe the first suicide self-induced by coughs, fever and sputum.

But since you are here to accompany me to look beyond, and let's ask: Why Alpha not went to hospital for more than one month?It is a long time... talk about your nationality: Senegalese minion era in an irregular administrative situation: a sinpapeles. He was already eight years in Spain, therefore I will presuppose that it knew the new health legislation which refers quite explicitly to the sector of the population represented: foreigners not registered or authorized as residents in Spain,they will receive health care in the following ways: a. Of urgency about serious illness or accident, Anyone who from any cause, even the situation of medical discharge. b. Pregnancy assistance, childbirth and postpartum. (of theRoyal Decree Law 16/2012, urgent measures to ensure the sustainability of the national health system).

Something squeaking me: the official note of the Balearic Government stated that on two occasions it was Alpha in the ambulatory normally (not as in case of emergency), and that the report of the hospital indicated you do follow-up treatment with your doctor's usual header... This behavior would be outside coverage that dictates the Royal Decree for a citizen without a residence or work permit. Do I have to doubt the veracity of the facts that will tell? Yes? Not?

The answer I get to telephone. I speak with members of Parliament that they are preparing the complaint in Palma, Coalition Month per Mallorca. They carry all the weekend talking to the collective of Senegalese and with the Alpha environment. "It seems that in several visits cast them two invoices", tell me. "And at the hospital refused to give the plate by not having the health insurance card". Go, This does not appear in the official information of the Ministry, I think. "We had leaked information that the autopsy had given positive in tuberculosis". We were deciding on whether you say it or on when we meet with the note from the Government, Recognizing that". We talk about that month that it took to go from the ambulatory to hospital. Perhaps Alpha was afraid to go too many times the doctor, Perhaps knew that in Germany for example, emergency assistance to citizens without papers is assured but always after the obligation of the health center of reporting to the authorities, and understanding them from are you Germans are being orders in Spain, would not it be play. Or perhaps he had already paid enough by his visits to the outpatient.

"The amazing thing is that the Balearic Government recognizes that it has died it a person by tuberculosis in 2013″. We reflected together. It says the official note of healing that arose in the hospital without papers of the ambulatory was cited where similar to tuberculosis symptoms. "As if what happened would have been blamed for Alpha for not wearing them!”. And I think: and although it would not lead them, do not you told, did not speak of the son of his friend who was entered by tuberculosis, circumstances which had already previously reported? I can hardly believe that it was silently, No one asked anything. From Palm make me think of another important point, It seems that it was put in danger public health: There are no health card there is no report, no reports there are no follow-up data crossing. "This happens to you, or to me and call us from the ambulatory: have you ever been to the plate? There is a monitoring protocol, more in cases of high risk of infection such as TB". I'm all, I'm looking for the network, close the circle. "We hope that", When we present the complaint with all the documentation that we are able to collect, the Court acted upon".

I hang up the phone and find myself in a sea of doubts: who believe? The official information of the Conesejeria of health fits with the dates of visits. Was answered him Yes, but we now know that you claimed him for doing so. There's nothing like comparing things. And it strikes me now a terrible question: If they refused to ask the Board for not having health insurance card, do exactly how did rule out tuberculosis to diagnose bronchitis, and not enter? Is a second: to me, with my Spanish ID in the mouth, they would have done the same to me?.

Months ago that Doctors of the world fought a great campaign of awareness against the reform Decree Law health. This organization was then and continues to do a great job of gathering data and cases. For example, points to Balearic Islandsas one of those that they applied to strictly the new law. They typify special exclusion cases which have been able to identify which put the willies. I recommend that you buceéis in the document when you have a time.

Seeking Alpha on Facebook and Yes, I find you. I try to imagine while I see your photos how was the deal that gave him his first ambulatory and hospital after. We know what his friend who accompanied him to account, now focused on repatriation of the corpse. And again I remember something, This time from this week: last Thursday I attended my health center in Barcelona in a somewhat similar situation. In front of me, a sub-Saharan citizen trying to regularize their situation and make the health insurance card. I heard that the reception staff told him very slowly and in a tone quite high: "This costs money, You know?” accompanying the words with the gesture of joining the forefinger and thumb and fingertips move in circles. At that time jumped me the alarm and I recorded with my phone. "See you tomorrow, Today they have had to leave those who do this. Here (in the roles that taught) they say that you are since 2008... well, Here they say". I didn't understand the value judgment spontaneous woman who spoke, to what was suspected about?, I understand, a contract of employment or similar?. "As you are given low, for the time being... This does not mean that, If you have an emergency, do not you visit in the hospital, huh?”. He thanked and left where it had come.

Tell me if this is not that to be treated as a second-class citizen: a beneficiary of charity in any case and not a user's rights.

You would have said to this woman than his salary also "cost a little money" or rather I, that cost me some money. And who dares not to humiliate anyone, so in my presence. But I did not. At the end, and after the, was its role and its work, put a filter, the fault was not his. I called a friend who knows a lot, but much of health. We've talked about the Hippocratic oath of toilets: "they have the duty to care for all patients". Since then, and the vast majority are doing. Then in common, We have thought: "but it is not a health the first thing an immigrant without papers is arriving at a clinic but a Manager, someone who a secured front, not to a patient".

Who you would not make the plate, Alpha, reasons you gave, seeing you coughing in the waiting room?

My friend I continues: "Health care is funded by income tax - not quotes- e VAT, both indirect taxes". I am looking for crazy cost of an x-ray according to the Balearic Government. I can not find it, but I read that a Moroccan woman in Toledo received an invoice amounting to €3,337 after giving birth, for example, When, according to the Decree, this coverage would be covered. In another case, €413 they billed for tests related to a chronic illness: asthma.

Would much have contributed over eight years living in Spain Alpha, how much VAT you already paid in goods and services? Do enough as to cover the cost of a chest plate??

I ask my friend to help me answer the assertion that "universal health care free for all is unacceptable," with data. Assembled of patience and tells me: "It is not deficient, prevents the collapse of emergency, the health control of a large group of people is not lost (the figures dance, but they are around the 150.000 people) and in addition the expenditure is not significant: There are several reports that show that the population in an irregular situation makes use of much less than the Spanish citizen health'. The causes are various: related age - they come to work and send money home, not to stay lying in a bed-, due to lack of communication or fear to come into contact with the system. It is a valid argument, I say to myself. And I add an own pill, This information I found long ago and I find it difficult to digest:The annual tax fraud - not stated, the escapee and others- It is valued by the technical finance Gestha Union in€90,000 millionannual, of them recoverable 38.000 millions still realistic if the necessary measures shall be taken (without aberrations such as the tax amnesty). Not bad, the exclusion of the undocumented immigrant population public health coverage will save the Government's coffers a few 500 million. Have not explained us where does this figure related to a subject as vaporous as the citizens without papers but, still giving it by valid blush more painting when compared with tax evasion.

"There are basically three sets of health systems", We follow contextualizing: "private systems type USA" (who has contracted insurance, has health), of assurance type joint public and private as in Germany and France, (with limited access to insured, is paid social security contributions) and national health systems, with universal public access and free, tax-financed. The latter which has been ours so far, It's the ultimate in a welfare State".

I still find the cost of a bloody chest radiograph, Alpha. I don't know how much you would have cost, and what infuriates me to not know it, not be able to give a figure so we look at it all a good time and silence.

I've been all day, thinking of you, looking at your pictures. Yours has not been a story with beginning, plot and end. Now I understand that it is the Chronicle of a death announced by health desasitencia that measures since they were announced were defined as worthy of a State of barbarism. And that they transcend the mere concept of budget cuts in an environment of economic crisis. To leave you out of coverage to a sector of citizens that you share a particular administrative situation, the first is you haveguettizadoor marked, e immediately after you have designated as "unfit" for our society.

It is ideology Alpha, no resource management. You have only made a deliberate decision.

The same day that you died, the 21 April, You colgaste on your Facebook Wall this youtube clip (how you liked the music, now I know it), with a tribal dance from Senegal. I have been able to understand translating from here and there that it is a prayer to attract good harvests: link here

 

I do not know if you were a Muslim or Christian, believer or agnostic. In any case, I wish you a good trip back to home. You're loading you my shame, for not being able to treat you as you deserve you. I have so much guilt as any other. Universal access to health care is enshrined in article 25 of the Declaration of human rights, and we have taken what you.

Le voy a pedir con tu permiso un último favor a mi amigo, He finished this article. I don't know what to say. Watch Alpha, what I wrote: We call democracy to a system that allows that someone should die for not to pay some medical tests? That's, I say: Can we?

 

 

Pintiparada.com [en línea] Madrid (ESP): pintiparada.com, 09 de mayo de 2013 [REF. 05 in May of 2013] Available on Internet:http://www.pintiparada.com/2013/05/05/alpha/



Dr Kerdel-Vegas: ADVICE TO PHYSICIANS

6 05 2013

Francisco Kerdel-Vegas

Francisco.kerdelvegas@gmail.com

www.bitacoramedica.com

 

 

The custom of inviting a character's popularity and authority, alien to medicine, to express freely their ideas about the current state of the profession, it is a healthy habit, wherever it is practised, and if it leads to a better debate, It indicates that it is a topic that deserves to be studied in depth.

 

Such is the case of the words uttered by HRH the Prince of Wales in the past 3 in May of 2012 the Royal College of Obstetricians and Gynaecologists of Britain (published in December of the same year in the journal Journal of the Royal Society of Medicine) where he insists an approach made by him exactly three decades ago (a generation) in a speech pronounced before the British Medical Association, echoed in that of well known fallacy the notion of taking the body as a machine and the disease as the result of a failure of the operation of the same, simplifying and thus assimilating the role of the physician to the mechanic able to repair machine.

 

Point of view held and maintained by the heir to the British Crown reveals its firm position in support of those who believe that there is room for concern about the lack of balance between the human medicine versus the tempting and important advances technology. the lack of a solid training humanist of medical students, they can take you to think that medicine is limited to diagnose and treat diseases, and forget that the patient is a whole body, mind and spirit, and that the true doctor should always bear in mind that the human being's own trilogy, to be able to ideally practice their profession which is said it is the oldest in the world.

 

Highlights Prince Charles in his speech to obstetricians and Gynecologists British - an opportunity to spread their views on the current state of medicine- its consistent position in favor of what it calls integrative health and medicine modern post:

 

"I fear that what was true ago 30 years remains equally true today. Is therefore, for a long time and not without criticism from some sites, I have tried to suggest that it would be beneficial to develop true integrated systems to provide health and care. Or is, not just treat the symptoms of the disease, but actively create health and put the patient at the heart of the process, incorporating fundamental human elements that are the mind, the body and the spirit. to achieve this - and there are many who support it - I would suggest medicine need to sometimes be less literal in its interpretation of the patient's needs and more inclusive in terms of which may require treatment – in other words, Is also vital to understand how symptoms can often just be a metaphor of disease and unhappiness underlying., seems to me, recognize that the treatment can often be effective due to their symbolic significance to the patient, using effects that are currently being understood by the science of the psychoneuroimmunology.

In summary, I suspect that there will be always a fight if we continue with an envelope emphasizing an approach mechanistic and technology. Please do not mistake what I say - the best of the science and technology needs to constantly be controlled and disseminated to obtain its best effect- but, I would suggest, that it wasn't at the expense of the elements humans. they, After all, They provide the rationality of medical and health care going back to our roots."

 

Difficult to disagree with the advice of the Regal character, who sums up in a few words what the great masters of medicine always we taught. only that in our days newspapers and lightning progress of technology make us forget - albeit momentarily- that the patient is not a machine but a human being and should be treated as such. to achieve it, emphasis should be put in the education and training of the physician from the first day of his studies University. for this reason the great responsibility always will fall at the end in medical schools and their teachers.

 

It is convenient and appropriate to repeat over and over again the need to "humanize" the medical practice.



Francis Collins: Necesitamos mejores medicamentos, ahora

2 05 2013

Today is day the molecular cause of 4000 diseases, but the treatments are available only for 250. So, what takes it? The doctor and geneticist Francis Collins explains why the systematic discovery of drugs is imperative, even for rare and complex diseases, and offers a couple of solutions, How to teach him new tricks to old drugs.

 

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Francis Collins: Geneticist, physician

In 2000 the world saw the first working draft of the human genome, and that ’ s in no small part thanks to Francis Collins. Under his directorship at theNational Human Genome Research Institute, the Human Genome Project was finished, a complete mapping of all 20,500 genes in the human genome, with a high-quality, reference sequence published in April 2003.

In 2009 President Obama nominated Collins as the director of the National Institutes of Health, and later that year he was confirmed by the U.S. Senate. In March 2013, Collins helped Obama introduce the BRAIN Initiative, an ambitious, well-funded program to map the human brain. Read more about theBRAIN Initiative >>

Collins is also a self-described serious Christian and the author of several books on science and faith, includingThe Language of God: A Scientist Presents Evidence for Belief.

 

Link al vídeo con subtitulos en Español: click here

Ted.com [en línea] NY (USA): ted.com, 02 in May of 2013 [REF. March of 2013] Available on internet: http://www.ted.com/speakers/francis_collins.html