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Remember the past negatively impaired health.

Remember the past negatively impaired health.

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Remember the past negatively impaired health.

the study is published in the magazine “Universitas Psychologica”.

Spain, September of 2011- the return to work after the holidays is to many a nightmare. improving health remember the past in a positive way? A research of the University of Granada (UGR) States that the attitude of people towards the past events, the present experiences and future expectations, influences the perception of health and their quality of life.

“ We have observed that when people have a negative attitude toward the past of his life, and at the same time events, is a pessimistic or fatalistic attitude towards the present events, generated major problems in its relations and these people are posing the worst indicators on quality of health ”, explains to SINC Christian Oyanadelthe UGR researcher and co-author of the study that publishes the magazine Universitas Psychologica.

The researchers assessed by means of questionnaires and tests of time estimate to 50 individuals (25 women and 25 men between 20 and 70 years) of a random sample. The profile of temporal orientation was measured applying the test called inventory of temporal orientation of Zimbardo, designed in United States and validated in many countries – included Spain –. This test contains five dimensions describing attitudes towards the past, present and future.

Once grouped by profiles according to his estimate of the time, applied to the respondents an quality of life questionnaire to measure their physical and mental health.

“ As noted in our study, the most influential dimension is the perception of the past. A vision negative of this is highly related to worst health indicators ”, pointing the researcher.

People with this negative trend reported difficulties to work physically in daily activities and physical limitations for the work performance; they perceive greater bodily pain and have increased susceptibility to illness.

people with the past negative perception reported difficulty to physically work in daily activities and physical for the work performance limitations

“ also present tendency to anxious depressive States and behavioral alterations in general ”, added Oyanadel.

Thinking about the future does not damage the health

Three temporary profiles found among the study participants correspond to three styles: predominantly negative and predominantly oriented to the future – the two more extreme – and another more balanced.

“ Balanced profile is the ideal job that results from a healthy attitude in all three time zones. They are people who learn positively from past experiences, are aimed at the fulfilment and autoexigencias of targets in the future, but not to neglect the possibility of living pleasant and enjoyable experiences and emotions ”.

Also, these people have a higher score on the capabilities of physical effort, better overall mental health, less tendency to become ill and less perception of discomfort and body aches.

“ On the other hand, people oriented to the future, in other words, to leave everything to meet goals and demands personal forgetting to live pleasant experiences present and with little connection to their positive past experience, have poor physical and mental health, but this is of lesser quality than the balanced group ”, concludes Oyanadel.

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bibliographic reference:

Christian Oyanadel, Gualberto Buela-Casal. “ the perception of time: influences on physical and mental health ”. Universitas Psychologica 10 (1): 149-161, January – April 2011.

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Ultrasound allows to shorten the time of diagnosis and pending specific indications in internal medicine.

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Ultrasound allows to shorten the time of diagnosis and pending specific indications in internal medicine.

the Spanish society of internal medicine (SEMI) creates the Working Group of ultrasound clinic, which already boasts 150 internists.

-the main objective of the Working Group is planning a strategy for training in clinical ultrasound for internists

-The SEMI considers that basic clinical ultrasound should be practiced by the internist, as reflected in the map of competencies of the internist Spanish

-ultrasound is useful for the evaluation of patients with acute respiratory failure, hypotension, tachycardia, and acute renal failure, among other

-portable ultrasound equipment avoids awkward movements, provide a great independence and facilitate repeat tests often need to be

Madrid, 2011-September ultrasound has been until recently a tool bit used in internal medicine services. However, recently it is becoming a very useful tool for the medical internist, to improve their capacity for physical examination of patients.

“ Ultrasound is a diagnostic procedure that is available to any doctor. It is currently used by radiologists, cardiologists, urologists and other specialists, and is now a reality in daily practice of the internist ” points out Dr. Gonzalo García de Casasola, Coordinator of the Group of ultrasound clinic recently created by the Spanish society of internal medicine (SEMI). “ There are certain procedures echographic to which it is possible to get great performance with a basic training ”, adds the expert.

The creation of the new group will have as main objectives the planning of a strategy of training in medical ultrasound society, stimulate interest on it and bring together all internists with affinity and interest in ultrasound and its application within the scope of the specialty.

In relation to these objectives, the group is organizing already basic courses – at the end of 2011 will have provided about 20 of them – and in 2012 to make others more specialized on ultrasound cardiac insufficiency, cardiovascular risk, or thromboembolic disease. Also, since the group is preparing a manual of clinical ultrasound directed specifically to the internist.

The advantages of ultrasound clinic in practice of the internist

Technological advances have given the possibility of having very manageable laptops that allow doctors to make explorations on foot of bed. According to Dr. García de Casasola, this “ greatly facilitates their use by doctors who have direct responsibility for patients, avoids awkward movements that usually determine waits often impractical, provides a great independence and makes it easy to repeat the test many times as necessary. Ultrasound is very likely to be one instrument available to the internist in process diagnostic and therapeutic, which will be used almost as frequently as the fonendoscopio. Without a doubt, will help us become better doctors ”, explains the expert.

There are several processes in which ultrasound is useful for the internist, as the evaluation of patients with acute respiratory failure, hypotension, and tachycardia and acute renal failure.

“ At least ”, indicates Dr. García de Casasola, “ talking about very specific aspects within the ultrasound; for example, it is especially useful for the assessment of the State of infusing the sick, deep venous thrombosis detection, assessment of fluid free intra-abdominal, the estimation of the size of the liver and spleen. It is also useful for the study of gallbladder and bile duct, the evaluation of hydronephrosis and acute retention of urine, the initial guidance of patients with cardiomegaly, alterations electrocardiographic or heart failure, etc. ”.

On the other hand, ultrasound is helpful to guide invasive procedures usually performed the internists, such as thoracentesis and paracentesis and accessing central venous lines.

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50% Of Visual disorders in adults could have been prevented during childhood.

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50% Of the adult visual disorders could have been prevented for the childhood

-Bavarian clinic specialists recommend periodic reviews

-the lack of interest in reading and writing, the constant flashing and headaches may be symptoms of eye problems

-A bad vision of children impacts negatively on their school performance

Madrid, 2011-September amblyopia or lazy eyestrabismus and the problems of refractive errors like nearsightedness and astigmatism, hyperopia, are some of the most common ophthalmologic complications among children. So the vision to develop correctly, both eyes must function normally during childhood, because it is considered that visual maturity is reached approximately at the age of six. For this reason, Bavaria clinic specialists consider that 50% of ocular dysfunctions of adults could have been prevented during childhood.

“ An early diagnosis is essential to tackle such problems. It is very important that a specialist review in view of our children every two years. The ideal would be to conduct a comprehensive review at the time of the birth, a review six months and, subsequently, biannual explorations ”, said Dr. Fernando Llovet, Medical Director of Clínica Bavaria. “ That Yes, if at some point we suspect that your child has any visual difficulty must go to specialist immediately ”, recommends Dr. Llovet.

When a child turns his head or closing one eye when reading, he writes in twisted lines, does not show special interest in reading and writing because he is tired, was very close to the television, excess blinking or suffers from frequent headaches, there are signs that should alert parents and teachers. Solve these problems is very important because a bad view has a negative impact on the achievement of the child.

“ The smaller is the child, more complicated is detect a visual problem. It is important to monitor their eyes from birth, also during the first months and particularly when the child sees the TV or sits down to do games or work at a short distance ”, says specialist clinic Bavaria. “ Usually the child doesn’t notice that has a visual problem, because it is customary to see wrong. For this reason, we must be very attentive to any strange symptoms ”, concludes Dr. Llovet.

Clinic Bavaria

Clínica Baviera is a Spanish medical institution specializing in ophthalmology, with 60 centres, is present in several European countries (Spain, Germany, Austria, Holland, Italy). Founded more than 25 years ago, the quality of care, the permanent improvement of results and the incorporation of innovative and solvent techniques have been its raison d ’ être.

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Grünenthal Pharma launches Spain Palexia ® retard, a new generation of central action analgesics

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Grünenthal Pharma launches retard, a new generation of analgesics of central action in Spain Palexia ®

-Palexia ® retard is the representative of a new generation of analgesics of central action called MOR-NRI1, 2

– has shown broad efficacy in severe chronic pain, whether of origin nociceptivo or neuropático3-7

-sinérgico8 (MOR-NRI) and dual action mechanism provides an efficiency comparable to the of the classic powerful opioids such as oxycodonewith a lower incidence of reactions adverse that they lead to a lower rate of terminations of tratamientos3-6.

Madrid, September of 2011. Grünenthal Pharma, pharmaceutical company relating to the treatment against pain worldwide, launches in Spain tapentadol, already available in hospitals and in Spanish pharmacies under the name Palexia ® retard. Tapentadol retard is the first molecular entity developed for the treatment of severe chronic pain on the market since more than 25 años2, as well as representative of a new generation of so-called central action analgesics MOR-NRI1, 2 (the µ-opioid receptor agonist and norepinephrine reuptake inhibitor). The results of numerous studies show that Palexia ® retard is effective in nociceptivo pain and neuropathic pain, as demonstrated in models preclínicos9 and clinical studies on indications of severe chronic pain as lumbar pain crónico3, arthrosis of knee 4 or polyneuropathy diabética7.

Complementary mechanisms of action

Tapentadol combines in a single molecule a mechanism of dual and synergistic action and presents únicas2 pharmacokinetic characteristics, 8, 10. Both the agonismo µ-opioid (MOR), such as the inhibition of reuptake of norepinephrine (NRI), contribute complementary and sinérgica8 to the effectiveness of tapentadol in conditions of nociceptivo and neuropático9 pain. At the spinal level, tapentadol reduces transmission of painful signal via ascending through the activation of the µ-opioids recipient pre and post synaptic. In addition, tapentadol inhibits reuptake of norepinephrine (NA) in via downward, increasing levels of it in the synaptic cleft. This NA join α2 receptors, thus reducing the transmission of the dolor10. The combination of these two mechanisms of action in a single molecule can be advantageous in indications that often involve both components of pain, nociceptivo and neuropathic, as chronic low back pain intensa3.

This dual and synergistic action in the same molecule mechanism provides efficient both in pain nociceptivo as neuropathic, as well as a saving effect µ-opioid, giving rise to a smaller number of adverse effects usually associated with powerful opioid clásicos10.

Improving the control of pain

Pain is a serious health problem with more than six million Spaniards (17,25%), and if we speak of chronic pain, 20% of the population of Europe is affected by él11. Numerous studies have shown that pain has an impact very negatively on the quality of life of patients. In fact, more than half of people with severe pain (53%) recognize that they have been forced to reduce or limit their usual social activities. It is also closely linked to low labour productivity: 39,39% of people who suffer severe pain are absent from their jobs, compared with a 3.32% of the population not as padece12.

Currently, pharmacological treatment of severe chronic pain is typically inefficient due to the difficulty of maintaining the balance between adequate pain relief and an acceptable tolerability. This is what is known as the vicious circle, of which often is the interruption of treatment. Patients with chronic pain leave more frequently its treatment with opioids because of adverse effects that due to lack of eficacia13.

The best approach to pain needs to identify its mechanism and their symptoms and decide as well, the most appropriate for different types of dolor14 treatment, 15. The mechanisms of modulation Palexia ® MOR-NRI retard contributes to the analgesic effect and are complementarios1, 10.

Also, tapentadol has been included as a narcotic substance in Spain following the recent adoption of Royal Decree 1194 / 2011, which regulates the procedure by which a substance is considered narcotic.

About Grünenthal

Grünenthal is a pharmaceutical company concerning the treatment of pain worldwide, both for patients and for doctors and health managers. Innovation is one of its fundamental principles and one of the keys to be leaders in the global market for moderate to severe pain. Grünenthal is an independent German company family-owned, with offices in 36 countries around the world. Founded in 1946, Grünenthal has 347 employees in the region of Iberia and approximately 4,900 at the global level. In 2009 global sales figures reached 881 million euros. Also, Grünenthal Pharma ranked 17 in the Group of companies of between 250 and 500 employees in the prestigious ranking ‘ Best WorkPlaces 2011 Spain ’, produced by Great Place to Work ®

references

1. Kress HG. Tapentadol and its mechanism of action two: Is there a new pharmacological class of centrally acting analgesic on the horizon?. EUR J Pain 2010; 14 (8): 781-783.
2. Blasco, Berzosa M, Iranzo V, Camps C. Update in cancer pain. Cancer Chemother Rev 2009; 4 (2): 95-109
3. Buynak R Shapiro DY, Okamoto A., Van Hove I, Rauschkolb C, Steup to et to the. Efficacy and safety of tapentadol extended release for the management of chronic low back pain: Results of to prospective, randomized, double-blind, placebo-and active-controlled Phase 3 study. Expert Opin Pharmacother. 2010; 11 (11): 1787-1804.
4. Afilalo M Etropolski MS Kuperwasser B, Kelly K, Okamoto A., Van Hove I, et to the. Efficacy and safety of tapentadol extended release compared with oxycodone controlled release for the management of moderate to severe chronic pain related to osteoarthritis of the knee: Results of a randomized, double-blind, placebo-and active controlled Phase 3 study. Clin Drug Invest. 2010; 30 (8): 489-505.
5. Lange B, B Kuperwasser, Okamoto, Steup, Häufel T, Ashworth J et to the. Efficacy and safety of tapentadol prolonged release for chronic osteoarthritis pain and low back pain. ADV Ther. 2010; 27 (6): 381-399.
6. Wild JE, Grond S, B Kuperwasser, Gilbert J, McCann B, Lange B, et to the. Long-term safety and tolerability of tapentadol extended release for the management of chronic low back pain or osteoarthritis pain. Pain Pract. 2010; (10) 5: 416-427.
7. Schwartz S, Etropolski M, Shapiro DY, Okamoto A., Lange R, J. Haeussler, et to the. Safety and efficacy of tapentadol ER in patients with painful diabetic peripheral neuropathy: Results of to randomized-withdrawal, placebo-controlled trial. Curr Med Res Opin. 2011; 27 (1): 151-162.
8. W. Schröder, Tzschentke TM, Terlinden R, De Vry J, U Jahnel, Christoph T, et to the. Synergistic interaction between the two mechanisms of action of tapentadol in analgesia. J aliment Exp Ther. 2011; 337 (1): 312-320.
9. W. Schröder, De Vry J, Tzschentke T, U Jahnel, Christoph T. Differential contribution of opiod and noradrenergic mechanism of tapentadol in rat models of nociceptive and neuropathic pain. EUR J Pain. 2010; 14 (8): 814-21.
10. Tzschentke T Jahnel U B Kögel, Christoph T, Englberger W, De Vry J et to the. Tapentadol hydrochloride: next generation, centrally acting analgesic with two mechanism of action in a single molecule. Drugs Today. 2009, 45 (7): 483-496.
11. Breivik H Collet B, Ventafridda V, Cohen R, Gallacher D. (2006). Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. EUR J Pain. 2006; 10 (4): 287-333.
12. Langley PC… The prevalence, correlates and treatment of pain in Spain. J Med Econ. 2011; 14 (3): 367-380.
13. Varrasi G, Mmuller – Schwefe G, Pergolizzi J, Ornska A, B Morlion, Mavrocordatos P, et to the. Pharmacological tratment of chronic pain: the need for a CHANGE. Curr Med Res Opin. 2010; 26: 1231-45.
14. Woolf CJ, Mannion RJ. Neuropathic pain: aetiology, symptoms, mechanisms, and management. Lancet. 1999; 353: 1959-64
15. Woolf CJ, Max MB. Mechanism-based pain diagnosis, for analgesic drug development issues. Anaesthesiology. 2001; 95: 241-249

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Mint cigarette: easier to begin with, more difficult to leave

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Mint cigarette: easier to begin with, more difficult to leave

the pulmonologists recommended the exclusion of the menthol as an additive in cigarettes to avoid its harmful effects

-menthol increases the number of extra-thin particles in the smoke of tobacco with a higher risk for the health.

-smokers of menthol cigarettes are more addicts than not menthol smokers

– Softness and freshness of menthol cigarettes provide the home the habit.

Spain, 2011-September The prevention magazine of the smoking of the Spanish society for Pneumology and thoracic surgery has published an editorial prepared by a group of respiratory experts in smoking which, based on the review of the existing scientific literature, analyzes the characteristics of menthol cigarettes. The article concludes that far from the popular image driven by advertising for tobacco companies that menthol cigarettes was the “ least bad ” for health, the reality is that due to its characteristics it favors the home CHD habit, creates greater dependence and hinders the abandonment, so the pulmonologists demand the authorities to investigate the prohibition of the use of the menthol as an additive in cigarettes.

Menthol is a secondary alcohol found in the oils of peppermint. The main reason for mixing it with tobacco is using sensory effects of Mint to mask the negative effects of the roughness, hardness (irritability) tobacco smoke and superimpose their positive qualities. On the one hand, thanks to stimulate cold receptors, it gives the feeling of a fresh and deep breathing, and on the other hand, its local analgesic effect softens the effect of smoking. This is the reason why Mint smoking favors uptake and retention of young people and adolescents to tobacco.

A study of Hersey 2006 et to the showed that menthol cigarette consumption is significantly more common in middle school students and that adolescents who began to smoke were higher percentage with menthol cigarettes compared with non-menthol. “ Menthol is added in part because it is known that he has an attractive feature for inexperienced smokers or those who reject the roughness of the tobacco and menthol cigarettes more “ easy ” smoking ” explains to Dr. Sigismund Solano, Hospital General Universitario Gregorio Marañón pulmonologist and member of the SEPAR.

Another known effect of menthol is its ability to nicóticos recipients desensibilizadora is greater than the nicotine itself and the recovery of this desensitization is slower. The research carried out in recent years by teams of neurologists as Ahijevych K et to the. Je Muscat et to the. they establish not only are addicted to nicotine but also to the impact and perceptions of menthol smokers of menthol. “ An example is the time passed until the first cigarette in the morning of smokers with menthol is shorter than normal cigarettes smokers, which is indicative of greater addiction ” points Dr. Solano.

Perhaps because it increases the level of addiction, menthol cigarette smokers have low percentages of cessation and high relapse because the effect nicotine reward joined also the reward associated with menthol: freshness and softness. Dr Solano also emphasizes the study of Pletcher. It was the first to find significant number of relapses and the greatest difficulty increases to quit but also noted that the effects on health are very similar between menthol and not menthol cigarettes. “ This is important to note because he has often wanted to relate the cigarette Mint with the benefits associated with remedies medicinal with menthol as balsams, liniments or throat tablets, and presented to the cigarette Mint as a healthy and safe with no Mint cigarette alternative, but it is shown that this idea is completely false and smoking is harmful to health ” explains Dr. Solano.

“ After this study, concludes Dr. Solano seems demonstrated that menthol increases damage in smokers because it facilitates the initiation, reinforces the dependence and reduces the success of the processes of abandonment ”. Complex interactions with the addictive effects of nicotine has also been noted. For example, some evidence suggests that adding menthol power damage to increase the number of extra-thin particles in the tobacco smoke which implies higher risk of myocardial infarction. Therefore, the authors pose competent authorities should assess the exclusion of the menthol as an additive in cigarettes.

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Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips

Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips