clinical session one opportunity for patients with heart failure March 7, 2012 18, 00-19, 30 Madrid, February 2012.- www.cardiologiaTV.com announces the issuance of its next clinical meeting focused on heart failure. We will...
Read MoreMADRID, 16 (EUROPA PRESS) Children admitted to the hospital Infantil La Paz have received the visit of a team of unity military in emergencies (UME). With them, children have learned this unit of the armed forces work in adverse...
Read Morela Paz diagnosed four new cases per month of behavior disorders food.
Bethlehem Prado opened in the hospital a day on this type of disorder.
-experts point out that early diagnosis is essential to reduce hospitalization for eating disorders
-Medical advances promote healing and patients almost do not require hospitalization
-patients, families and professionals analyze the progress of new therapeutic approaches
Madrid, January 2012.- El Hospital Universitario La Paz, where currently deals with around a hundred of patients with eating disorders, diagnosed four new cases per month and you get a good recovery in 75 percent of cases, while occur relapse by 25 percent. In most cases, those affected do not require hospitalization. Experts point out that in the last year have increased healing among the patients who suffer from eating disorders primarily favored by early diagnosis.
On the occasion of the twentieth anniversary of the Foundation the Association in defence of the attention to the nervous Anorexia and Bulimia (ADANER), La Paz has organized a Conference to address eating disorders how bulimia and anorexia nervosa disorder binge in which patients have participatedfamily members and health professionals who have noted that one of the most important weapons against disease is early diagnosis. The day was attended by the Vice-Counsellor of health management and infrastructure, Bethlehem Prado.
At the meeting we have analyzed the mechanisms of prevention, the treatment of these diseases and some of the advances in knowledge of new therapeutic approaches.
ADANER is an organization that contributes to the improvement of the quality of life of patients with eating disorders and their families, seeks to improve the care of these patients in the medical aspects as psychological and social, contributes to the study and dissemination of all aspects related to the disease and promotes research and the study on disorders of food
History of 25 years
Peace has been 25 years trying to these diseases, always from a multidisciplinary approach involving the nutrition unit of the service of Endocrinology, with medical nurses and dietitians, the psychiatry service, nurses and psychologists.
In the center of the community of Madrid is provided to these patients personalized and comprehensive attention trying to offer all levels of care that require these from hospitalization, when gravity so demand; ambulatory monitoring oriented to the recovery of the nutritional monitoring and treatment of associated complications and nutrition education to re-establish a healthy eating pattern and support families.
The Conference aims to publicize the various projects underway for prevention and treatment of these diseases and analyse some of the new advances in the knowledge of new therapeutic approaches. Addition, the meeting wants to highlight the role of responsible for information and with common sense, by the different professionals involved in treatment and the communication, this being a piece key to deal with this disease.
Eating disorders refer to a set of attitudes, behaviors and strategies associated with a permanent concern for weight and body image.
Included in this term different diseases ranging from anorexia nervosa and bulimia nervosa disorder by binge.
The alimentary behavior disorders show great variability in its presentation and its gravity, according to experts. Its complexity, high prevalence, comorbidity associated and professional commitment presented patients, make indispensable a multi-disciplinary and highly specialized approach to their treatment.
The correct approach of these patients should consider complementary strategies, nutritional management and psicoeducacional, with different levels of intervention, ambulatory and hospital, and a therapeutic scheme that takes into account the necessary proceedings and in which each and every one of the members of the team are involved therapeutic.
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In SenoNetwork are only included seven centres Spaniards.
the Hospital La Paz joined the first international network of pathology mammary.
Madrid, December of 2011- unit of breast pathology of the Hospital Universitario La Paz is the first Center of the community of Madrid and one of the seven Spaniards joined SenoNetwork, the first global network of clinical centers dedicated to the diagnosis and treatment of breast cancer. It is a project of the European society of Mammalogy (EUSOMA) and the European School of Oncology which aims to provide the best care to cancer.
More than 100 specialists in the care of breast cancer have gathered at the Hospital Universitario La Paz to form in the treatment of patients with breast cancer through a multi-disciplinary specialist unit, which increases the chances of survival of the patients and saving costs.
This is precisely the vision of the international network SenoNetwork which includes a total of 142 centres around the world, in his guide 123 of Europe, and seven of Spain: hospital complexes of Vigo and Ourense, Hospital de Cruces, Arnaldus Hospital, Hospital La Fe, MD Anderson, and now La Paz. The European Parliament in 2009 a statement requesting the States members that ensured, by 2016, a widespread support of patients with breast cancer, through interdisciplinary centers in Mammalogy.
According to the European directive, these units must meet certain requirements as accessible equally to the entire population, to be recognized how such by health centres, all members should have specific training, in at least 90% of cases the treatment must design individually at a multidisciplinary meeting and all results must be auditable.
To be able to form part of the network, the unit must be accredited the diagnosis and treatment of more than 150 new cases a year breast cancer; have adequate means and highly qualified experts in all disciplines involved in the management of breast disease; perform weekly sessions to discuss the multicisciplinar approach in all cases, and try to achieve the quality standards recommended by EUSOMA, the European Coalition of breast cancer and the European Parliament.
250 new cases
In the unit of breast pathology of peace is multidisciplinary and it includes specialists in gynaecology, Nuclear Medicine, General Surgery, CrirugÃa plastic and reconstructive surgery, medical oncology, radiation oncology, radiology, pathology and Psychiatryas well as nurses specialized. In the unit are more than 250 new cases per year and since its inception 40 years ago have been dealt with more than 8,000 cases of breast cancer, 600 breast reconstructions have been made, and 1,000 selective Sentinel lymph node biopsies have been conducted.
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El Madrid health service appoints new managers in eight hospitals public.
Madrid, October 2011.- The Council of administration of the Madrid health service has approved on Thursday the new appointments of managers in eight public hospitals. In particular, the Madrid health service has named Ricardo Herranz, Manager of the Hospital Universitario Gregorio Marañón, which will replace Antonio Barba. To date, Herranz was managing director of the University Hospital of Getafe.
Antonio Barba left the management of the Gregorio Marañón at his own request. Meanwhile his successor, Ricardo Herranz, well known this Centre since he was 7 years director of management.
To replace Herranz in the management of the University Hospital of Getafe, the Board of Directors of the SERMAS has appointed Carlos Villoria, which to date directed Joseph Germain Psychiatric Hospital (in Leganés).
While Carlos Mur, hitherto care coordinator of the Regional Office for the coordination of Mental health, will replace Villoria, head of the management of Joseph Germain.
In addition, the Board of Directors of the SERMAS has been appointed as the new manager of the Hospital Universitario Fundación Alcorcón to Modoaldo Garrido, who exercised this same work in the Hospital of the best-preserved.
He was previously Manager of the 061 and Summa 112 before transfers.
On the other hand, Félix Grande, which to date was Manager of the hospital in the Southeast in Arganda del Rey, will be to address the growing hospital. While Carlos Sangregorio will be the new maintainer of the hospital in the Southeast after passing through the management of the hospital de Fuenlabrada, where he arrives Manuel de la Puente from the Medical Department of Hospital Universitario La Paz.
Finally, the Board of Directors of the SERMAS has been appointed as new manager of the hospital and Hospital Infanta Leonor (Vallecas) Virgin de la Torre to Carmen Pantoja, to date played the roles of Director of continuity care.
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Farmamundi Hospital La Paz inaugurated an exhibition about his humanitarian in Haiti.
Madrid, October 2011.- El Hospital Universitario La Paz of Madrid hosts, from 5 to 14 October, the exhibition ‘ new Haiti, right to health and education ’, which Farmamundi is rolling through several cities of Spain, to showcase their work in the Caribbean country since the passage of the earthquake that devastated the island in January 2010.
The official opening has been made presente:
– Rafael Pérez-Santamarina Feijóo, Manager of the Hospital Universitario La peace.
-Marisa GarcÃa-Antón, CEO institutional relations of Chiesi Spain.
-Sara Valverde, Secretary General of Farmamundi.
The exhibition will remain at the Hall of the General Hospital, in order to educate patients, families, and medical equipment on the needs of the Haitian population, one year after the disaster. Even today, nearly 80% of the population continues to live in poverty.
Through 14 very visual information panels, made in collaboration with laboratories Chiesi and Daristoteles communications agency, summarized proceedings Farmamundi is carried out in Haiti alongside Haitian NGOs to improve the health conditions of more than 40,000 people. David Puig and Miquel BenÃtez photographers portray children Haitians with formulas of several drugs essential, necessary to improve the health of thousands of people affected by the earthquake. A joint commitment to the promotion and development of a new Haiti.
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The community begins delivery of informative health bill.
Lasquetty has informed the professional bodies before implementing this strategy strictly informative.
-Madrid joins other autonomies to involve the population in the knowledge of health expenditure
-La Paz will issue the first document, which will be in a patient treated in largest ambulatory surgery
Madrid, 2011-September the Ministry of health of the Madrid will begin to distribute today 14 September informative health bill to patients who are treated in Major outpatient surgery at the Hospital Universitario La Paz, as reported by the Health Minister, Javier Fernández-Lasquetty.
As of today will be progressively delivered to all patients surgery more ambulatory of the Hospital La Paz, and subsequently, as of October, will be given to patients who also come to largest ambulatory surgery (CMA) in Santa Cristina, Prince of Asturias, Niño Jesús hospitalOctober 12, Getafe and Móstoles. In December, is provided for delivery at the time of discharge from the first informative invoice for hospitalization in La Paz and, at the end of that same month, extends the invoice by CMA in the rest of the Madrid public hospitals.
In the first half of 2012, will be effective the delivery of this document to the rest of the network of public hospitals inpatients. In addition, in March 2012, it will begin sending, in this case by mail, the first informative invoices by the use of hospital emergency and primary care during 2011. It’s a consignment addressed to those patients who have used the services of primary more than five times a year (EU average attendance rate) and emergency services.
Informative health bill for hospitalization will consist of the breakdown of the expenditure of several concepts: stay in plant, expenses of pharmacy, laboratory and diagnostic tests. For the calculation of the costs are based on the analytical accounting of the SERMAS and costs will common to all hospitals.
The sole purpose of this measure is to inform the people of Madrid the cost posed health benefits who receive and always cover through taxes paid by all citizens. The paper clearly show that it is an informative invoice.
Guide to information to the high
Informative health bill is an initiative whose basic lines were drawn in the meeting of the plenary session of the Council Interterritorial of the national health system held on March 18, 2010, between the autonomous communities and the Ministry of health, and which have already joined other autonomies as Andalusia and Valencia.
The community of Madrid wants to stress that the measure is strictly informative and that in any case it will be the collection of any amount of money for health services rendered. Users who receive this informative invoice will receive an explanatory text that will be placed on the strictly informational aim of the paper.
In cases of hospital processes and largest ambulatory surgery, the informative invoice will be included in the folder “ Guide information to the high ”, who received the patient at the time of hospital discharge.
Health Minister Javier Fernández-Lasquetty has had several meetings with representatives of the College of physicians of Madrid, of Nursing College, Madrid, of the College of pharmacists; Attention of primary, Somamfyc, Semergen and Semg societies; the Superior Council of health, the General Alliance of patients, the Federation of associations scientific medical Spanish (FACME), as well as with representatives of the main unions of health to report on this project and the views of each of these professionals. Are also planned meetings this week with the Madrid Federation of municipalities and with the Council of consumption of the community of Madrid.
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esperanza Aguirre inaugurates the Ibero-American Symposium III of treatment of support and palliation in oncology.
Control the symptoms of cancer patients is essential to treat pain and other syndromes which impair the quality of life
-this meeting is intended to update the knowledge in the treatment of the cancer patient from the point of view of the treatment of the support and palliation, remarking the importance of control of symptoms, cancer patients care and sedation.
-80% of cancer patients suffer from pain resulting from the disease itself and 20% remaining sore by the effects of the treatment itself.
-half of patients with cancer pain treated analgesic inappropriate.
– according to whothe incidence of cancer in the year 2020 is estimated at 20 million people, of which around 50% will die from the disease.
Madrid, October 2009.- On 29 and 30 October is celebrated in Madrid the Ibero-American Symposium III of treatment of support and palliation in Oncology, directed by Dr. Manuel González Baron, head of the Hospital Universitario La Paz’s Oncology medical service and Director of the Chair of medical oncology and medicine palliative of the Universidad Autónoma de Madrid; and Dr. Eduardo Bruera, Director of the Department of Control symptoms and palliative care in the M.D. Anderson Cancer Center at the University of Texas, Houston.
Opened by the President of the community of Madrid, Esperanza Aguirre, brings together over 250 oncologists, paliativistas and units of oncology nurses. Among the objectives of this symposium are to update the knowledge in the treatment of the cancer patient from the point of view of the treatment of support and palliation, remarking the importance of control of symptoms, care for this type of patient and sedation. also will address innovations in recent years has been on supportpain and support treatments and controversies that have arisen in this regard, as the toxicity that produce new antineoplastic drugs and its approach.
Symptom control
For Dr. González Baron, it is essential to control symptoms in cancer patients. The symptoms are many and varied, “ as insomnia, the nausea, vomiting, or constipation, on occasions produces it therapeutic analgesic, such as opioids. When these symptoms are addressed properly it can significantly improve the quality of life of the patient ”.
Another key symptom is pain. “ About 80% of cancer patients suffering pain from the disease itself and about 20% remaining sore by the effects of the treatment itself, of which half referred pain neuropathic, produced by own chemotherapy ”, explains Dr. González Baron.
La Paz specialist qualifies that “ sedation is linked to the control of symptoms that not be controlled by the usual means, or even raising the dose of medication that is trying to the patient. In these cases, is required to reduce the level of consciousness. These symptoms, not already difficult to control, but refractory, are those who indician sedation ”. Among the most frequent symptoms are “ breathlessness, vital anguish incorrigible by other means than the sedation, anxiety and psychological distress, suffering, massive bleeding and pain. Although pain is a rarer indication to implement sedation because it can be controlled by ordinary means ”.
Inappropriate treatment
Various studies have shown that half of patients with cancer pain receive inappropriate analgesic treatment. In this sense, Dr. Eduardo Bruera, Director of the Department of Control symptoms and palliative care in the M.D. Anderson Cancer Center at the University of Texas (Houston), explains that “ pain and many other symptoms are not adequately evaluated and therefore often is treated with excessive or inadequate doses of analgesics. Pain in cancer patients is a multidimensional complex where participate the invasion of the tumor, but also the anxiety, depression, expectations of the patient and the family, and toxicity of drugs. An assessment of these factors is crucial to be successful in relieving pain ”.
Ultimately, it is essential to make a proper assessment of every patient’s risk factors that are contributing to the painful expression of the patient, as well as assess the own tumor.
Therefore must know the type or types of pain from the point of view pathophysiological (somatic, visceral or neuropathic), radiation, intensity (measured with an objective scale), evolution throughout the day, exacerbantes and mitigating circumstances, its interference with everyday life, associated symptomsthe psychological impact on the patient and the response to previous treatments. Only it will then be able to develop an appropriate treatment plan.
With the measures set forth by the who, which divides into three ascending steps therapeutic options are available, the pain can be controlled in a high percentage of cases. The proper handling of various drugs (NSAIDs, opiates and co-Formulants), knowledge of their side effects, loss of fear of opiates and knowledge of different syndromes associated with the cancer patient, álgicos must go hand in hand with the appropriate valuation of pain according to different scalesboth in the phase of establishment of the treatment, and follow-up of the patient. For Dr. Bruera, “ opioid medications are most effective. This family of drugs including morphine, hydromorphone, methadone, fentanyl, oxycodone, codeine and hydrocodone ”. They operate mainly in the brain and are drugs that “ in the hands of a doctor with experience they very well tolerated and relieve pain successfully the the vast majority of patients ”.
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