Month: October 2011

Cardiovascular diseases are that most frequently pass the temporary disability to the permanent.

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Cardiovascular disease are that most frequently pass the temporary disability to the permanent

Spain, 2011-October the address Provincial of the Institute national of Social Security, through the assessment teams, disabilities, performing work that often ends with the denial of the condition of disabled permanent, and therefore in the courts. Thus, the transition from temporary incapacitation to permanent incapacitation may require several years in which good advice, both medical and legal, it is very important.

For the attainment of permanent incapacitation, it usually is of having obtained the status of disabled temporary. In this situation other 6 months has only you can stay for a maximum period of 12 months, extendable. After this time, he incapacitated must look for its permanent as incapacitated final qualification or denial of that status.

According to a study by Ibermutuamur, diseases with highest percentage passing of temporary inability to permanent disability are cardiovascular diseases, which is carried out by 8.9 per cent of the time. Followed malignant tumors with 7.9 per cent, diseases of the nervous system with a 5.6%, and mental disturbances with 3.2%.

Of these diseases, which require more sick days, within the temporary disability, are malignant tumors, with 183 days on average. Mental disturbances followed with 153 days, diseases of the nervous system require 135 days of media and cardiovascular disease in 128 days. Instead the diseases that need less days of temporary disability leave are respiratory diseases, with 25 days: the latter passed to permanent disability only 1.3 per cent of the cases.

The law medical group is the main medico specialized in the processing of pension for permanent incapacity in Spain, that it offers to those who have illnesses which prevent them from working, medical, technical and legal advice for the sole purpose that the patient can get permanent disability which has the right.

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Early detection of diseases such as glaucoma, diabetic retinopathy and cataracts is key to avoid visual loss.

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The early detection of diseases such as glaucoma, diabetic retinopathy and cataracts is key to avoid losing visual.

el Ópticos-Optometristas General Schools Council recommends a visual periodic revision to correct vision problems and avoid, in the most unfavourable situations blindness.

-13 October, world day of vision

-cataracts, glaucoma and degeneration macular (DMAE) are the main problems of the vision of the elderly. A review on time helps prevent associated problems, and even blindness

-the 50 per cent of the cases of visual loss are preventable with early detection and adequate treatment

Madrid, 2011-October in the same way than in the rest of the parts of the body, prevention is key to our eyes continue to operate correctly for as long as possible, and it is no exaggeration to say that up to 50 per cent of cases of visual loss are preventable with early detection and adequate treatment. On the occasion of the celebration of the world sight day on 13 October, the General Council of Ópticos-Optometristas schools wishes to recall that a simple recognition can become our main ally to retain the sense “ most important ”.

“ Is important to take care of our eyes and make regular eye and Visual reviews, not only to correct vision problems, but also to prevent blindness in unfavorable situations, ”, explains the President of the Council General of schools of Ópticos-Optometristas, Juan Carlos Martínez morality.

By means of a visual examination, clarifies Martínez morals, “ the óptico-optometrista is not only able to determine if we suffer any refractive, such as myopia, hyperopia, or astigmatism defect, but it can be seen evidence of possible anomalies affecting our eye health, such as cataracts or visual impairments that initially we are not aware, such as glaucoma, but that cause irreversible loss of vision ”.

But the usefulness of the ocular reviews does not stop there: the eyes are Windows to other parts of the body, so many diseases have their eye manifestation. Thus hypertension can manifest itself in the blood vessels in the back of the eye, for example, diabetes damages the ocular structures and some brain tumors can create signs, detectable in a visual field test. The óptico-optometrista is able to discover the early signs of these diseases and recommend to the patient than go to the specialist.

From the age of 55, major problems

In the population over 55 age group, the use of visual correction amounts up to 92% of the total population. And that, as well as presbyopia, from this age people are more likely to suffer a series of vision problems associated with the passage of the years, such as cataracts, glaucoma, or the AMD. A visit in time to the óptico-optometrista help to detect in time these pathologies in more unfavourable cases, can lead to blindness.

Falls

Cataracts are a normal consequence of aging and it is the leading cause of vision loss among people over 55 years. The greater is the person, greater is the probability of occurrence and progression of cataracts. Almost 3 out of 4 people over 75 years of age suffer from cataracts. However there are occasions when cataracts appear in ages more early, especially if they suffer from certain diseases such as diabetes, intraocular inflammation and high myopia, among others.

Typically cataracts are manifested by a slow, progressive decline in vision: it appears cloudy, blurred or as if through a veil, and does not improve when switching glasses. In addition, the hue of the color is lost. A regular eye exam is all that is needed to detect cataracts.

Glaucoma

Glaucoma, increased intraocular pressure, lack of drainage of aqueous humor, which produces lesions in the optic nerve with problems in the vision is and, if not corrected in time, blindness. This disease is one of the leading causes of blindness in developed countries. In our country suffers more than one million of people older than 40 years, but almost half unknown. With a visit to the óptico-optometrista know how is the ocular tension and if we have risk for glaucoma.

Macular degeneration (AMD) to

Macular degeneration associated with age is a degenerative disease that affects the macula and causes loss of vision central, essential for activities such as reading, driving, watching television or recognize faces. It is the second leading cause of blindness more common in the elderly, behind diabetes. Several theories have arisen as the cause of this degeneration macular. Ultraviolet light is partly blamed, but other scenarios speak of nutritional factors. What is demonstrated is that early diagnosis is essential to minimize the consequences of the AMD. Periodic control of the Fund’s eye performs the óptico-optometrista it can prevent and/or warn the emergence of some forms of degeneration macular.

Diabetic retinopathy

Diabetes can cause progressive damage to the tiny blood capillaries that supply the retina, which causes inflammation of the retinal tissue and blurred vision. This condition usually affects both eyes. The more time take a person to suffer diabetes, more likely to have of developing diabetic retinopathy, which increases the risk of blindness.

Retinal detachment

It is a tear or separation of the retina from the underlying tissue. It can be caused by trauma, health problems such as diabetes or inflammatory disorders. But most often occurs spontaneously as a result of changes in the vitreous fluid found in the back of the eye. If it is not in time, can cause a permanent loss of vision, which is why, if there are changes in spots or flashes of light, should go as soon as possible to the specialist.

with what frequency should review we view?

– during childhood, most advisable is to perform the first visual examination as soon as possible, taking into account that by the age of five children are learning to read, and repeat them every year, especially at the beginning of each course. These reviews are used to assess both eye health and visual functionality and the ability of understanding.

– between twenty and forty years, will have to revise our vision every two years, unless the presence of a visual problem advice to shorten that period.

-from forty years increases the risk of abnormalities or Visual dysfunctions, is recommended at least once a year to attend the óptico-optometrista.

Day vision world

The world day of vision, which was held the second Thursday of October, is intended to draw attention to blindness, visual impairment and rehabilitation of the visually impaired. The central theme of this year is the eye health and equal access to eye care.

At the global level, the highest prevalence of visual impairment is observed in people older than 50 years of both sexes. Although the majority of eye diseases that afflict this age group can be treated with ease, as it is the case of cataracts, in some parts of the world still must be men and women to receive equal eye care services.

The world vision day is celebrated globally and it involved all concerned organizations in the prevention of visual impairment. Also the promotional activities more important to promote the prevention of blindness and the global initiative “ vision 2020: the right to see ”, driven by the World Health Organization (who) and the International Agency for prevention of blindness.

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Spain, host of the “VII Congress International of promotion to the consumption of fruits and vegetables”.

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Spain, host of the “ VII International Congress of promotion to the consumption of fruit and vegetables ”.

will take place in Madrid the 18 October in IFEMA the motto y19 “ 5 to day, issue of health ”. The Minister of environment and Rural and Marine Affairs, Rosa Aguilar, close this important event.

-In the papers will be learn about the benefits of consumption, at least 5 portions of fruit and vegetables a day

-La Asociación Española “ 5 a day ” organises the biggest international event aimed at sectors linked to the different links in the chain of fruit and vegetables: wholesalers, production, trade, origin, distribution and services companies. This group joined the members of the scientific and medical community

-Joaquín Rey, President of “ 5 to day ” Spain, stresses the importance of the meeting in our country, which is the largest producer of fresh fruit and vegetables of high quality in the world and will feature significant speakers in different areas, among other David Bosshart, of the Gottlieb Duttweiler Institute of Switzerland, Tim Lobstein, Director of policies and programmes of the International Association for the study of obesity and Agneta Yngve, specialist in nutrition and public health of the Karolinska Institute of Norway

– in this edition will be special emphasis on issues related to the fruit and vegetable sector and the fight to eradicate childhood obesity. It will also conduct a special session of cooked

Madrid, 2011-October “ Spain is one of the five countries of the world with the largest number of obese children, along with Britain, Canada, United States and Italy. In just two decades, our country has gone from 5% to 16.1% of obese children between 6 and 12 years, reaching Spain at the head of the overweight in Europe together with Italy, Malta and Britain ” says Joaquín Rey, President of “ 5 to day ” Spain.

A widespread problem in the entire population, which is concerned not only to the scientific and medical community but also to the companies in the sector, it is not leverage and protect the fruit and vegetable sector in our country “ the so-called crisis of cucumber was a clear example of the need to protect the production of fruit and vegetables, but not only from a point of Defense, but also for the promotion of these products, with which we all agree that are healthy for people and prevents many diseases with the resultant saving of expenditure on health ” said King, who adds that “ a good policy for the promotion of dietary habits is good health policy ”.

“ 5 a day ” organizes the VII Congress international promotion for the consumption of fruit and vegetables, under the motto ‘ 5 to the issue of health day ’ in which for two days and free of charge for all the interested public, will discuss the new challenges for the industry foodthe scientific evidence related to the consumption of fruit may discuss with the leading specialists and vegetables in different diseases, will explore best practices in the promotion in the area of business and marketing chain and will be different international experiences in this field and the opportunities of a generating sector of employment and wealth in Spain.

Finally point out that during the celebration of the Congress held a special sitting of cooked by two important chefs.

What is “ 5-day ”

It is an international movement which promotes the consumption of fruit and vegetables. It arose in United States in 1989, in response to the alarming deterioration of eating habits, which included a notable decline in the consumption of fruit and vegetables which resulted in an increased risk of suffering from different diseases. It is now present in more than forty countries on five continents, representing the greater strategy of promoting the consumption of fruit and vegetables in the world.

“ 5 a day ” works in the line of important forums and organizations around the world, which also show their support and interest in the initiative:

-World Health Organization (who)

-United Nations food and Agriculture (FAO)

-European Institute for cancer research

-EU

“ 5 a day” in Spain:

in Spain, the entity that manages this initiative since the year 2000 in an autonomous way is the Association for the promotion of the consumption of fruit and vegetables “ 5 a day ”. It is an association without spirit of profit and at the national level, which is composed of the different links in the chain of the sector of fruit and vegetables: wholesalers, production, trade, origin, distribution and services companies. This group joined the members of the scientific and medical community.

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ViiV Healthcare starts clinical phase III programme of r Celsentri/Selzentry (maraviroc) (R) vs. Truvada (tenofovir + 3TC), in combination with an inhibitor of the protease in patients infected with HIV.

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ViiV Healthcare starts clinical phase III programme of Celsentri / Selzentry ® (maraviroc) versus Truvada ® (tenofovir + 3TC), in combination with a protease inhibitor in patients infected with the HIV.

first phase III on a large scale of Celsentri/Selzentry dose once a day in combination with an inhibitor of the protease in HIV patients naive to treatment

London, October 2011.- ViiV Healthcare Announces the beginning of the MODERN study of phase III (maraviroc once daily with darunavir boosted with ritonavir in a system of initiation of antiretroviral therapy), also called A4001095, which compares his antagonist of CCR5, Celsentri / Selzentry ® (maraviroc) with emtricitabine/tenofovir (Truvada ®), both in combination with darunavir/ritonavir. 96 Weeks study will evaluate a QD (once a day) regime of 2 drugs versus 3 drugs in patients infected with HIV-1 CCR5-tropic viruses and naive to antiretroviral treatment.

“ Antiretroviral treatment has come a long way, although it is essential that we continue looking for new treatment effective strategies that minimize toxicity at the same time to maximise the tolerability and convenience. The MODERN study is designed to achieve these objectives in a regime which includes Celsentri ® ”, points out Dr. John Pottage, director doctor and scientist from ViiV Healthcare. ““ ViiV Healthcare is committed to understanding the needs of the patient and treat those needs through treatment approaches innovators that directly reflect what we learn”.

The research of regimes against the HIV virus that does not include an nuecleósido analog reverse transcriptase inhibitor (ITIAN), which is currently recommended as part of the standard in home therapy treatment, continues to be an area of interest given its potential to alleviate certain long-term toxicities associated with ITIAN schemes and to preserve future treatment options.

About the MODERN Studio

MODERN is a comparative phase III at 96 weeks, multicenter study, alatorizado and double-blind. It will include approximately 804 patients naive to treatment antiretroviral and CCR5-tropic HIV from over 250 centres in EU, US and Australia. The primary objective of the MODERN is the proportion of patients with HIV-1 RNA < 50 copies/ml at week 48. Secondary objectives include the proportion of patients with HIV-1 RNA below the detection limit per week 96; variation in the count of CD4 + and CD8 + at 48 and 96 weeks; assessment of the safety and tolerability of Celsentri / Selzentry ®, including the effect on the ratio of the distribution of the peripheral body fat and trunk/limbs; effect on bone mineral density; usefulness of genotípico and phenotypic test; change of tropism and evolution of viral resistance.

MODERN is also the first large phase III study that compares a genotípico test with a phenotypic test results and evaluates prospectively the CCR5 condition of patients to determine the eligibility of Celsentri / Selzentry ®. Patients were aleatorizarán to undergo a well genotypic or phenotypic screening test. Siemens Healthcare Diagnostics will facilitate the genotypic tropism test and Monogram Biosciences will make for phenotypic testing (Trofile ®).

About ViiV Healthcare

ViiV Healthcare is a global company specializing in HIV, created in November 2009 by GlaxoSmithKline (NYSE: GSK) and Pfizer (NYSE: PFE). It is dedicated to providing treatment and care to people living with HIV. Our goal is to focus in a way wider and deeper in the HIV/AIDS, as no other company has done before, focused on providing new and effective drugs for the treatment of HIV at the same time we support the communities affected by HIV.

On the tropism test

HIV enters the CD4 cell to join one of the two types of co-receptor expressed on their surface: CCR5 and CXCR4, defining the tropism according to what co-receptor use. To determine if patients can be suitable for the use of Celsentri / Selzentry ®, must undergo tropism tests to verify that they have only a R5-tropic virus. The use of Celsentri / Selzentry ® is not recommended in patients that submit an HIV-1 X 4 virus or dual/mixed, given that the effectiveness in this type of patients showed no in a phase II study of done.

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Hospital Santa Teresa USP and platform SinDOLOR presented his programme “Hospital without pain”, the correct approach to pain in hospitalized patients.

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The Hospital Santa Teresa USP and platform SinDOLOR presented its programme “ Hospital without pain ”, for the correct approach to pain in the patient hospitalized.

53% of patients attending the doctor feel any pain.

-pain is a symptom less tolerated by the patients and the only non-quantitative vital constant

-A survey conducted by the La Coruña Centre concludes that the treatment of pain is due more to the discretion of the physician to the need of the patient

-scale EVA allows to evaluate objectively the pain with equally valid criteria for the doctor and the patient

A Coruña, 2011-October the Hospital USP Santa Teresa is the first private hospital in Galicia in commit to optimally control the pain of his patients and has launched the program Hospital without pain, driven by the SinDOLOR platform, a joint initiative of the Grünenthal Foundation and FUINSA, aimed at promoting the improvement of care for the patient with pain. The experience of the USP Santa Teresa hospital will soon move to the rest of the USP hospital network centres.

In the presentation of the Hospital program without pain there have been Ms Marta Taboada, Managing Director of USP Santa Teresa; Dr. Paul Asensio, Medical Director of USP Santa Teresa; Mrs. Carmen Zárate, of Grünenthal Foundation; the DRA. Margarita Izquierdo, Director doctor FUINSA, and Dr. Pedro Rico, Director Healthcare of USP hospitals.

Marta Taboada, Managing Director of USP Santa Teresa explains that, “ the implementation of the project Hospital without pain in USP Santa Teresa supposes an institutional commitment of the staff of the Centre to improve the quality of care of patients with pain. This is one further demonstration of the will of the Hospital to always innovate service and for the benefit of the patient “.

Pain is the most common symptom that patients attend the doctor’s and the worse tolerated. It is estimated that it is present in 53% of consultations in primary care, and however, management is difficult because it’s the only vital sign not quantitative – temperature, pulse, heart rate and breathing rate has a system of measure – and indeed a reference usually not reflected in history of the patient.

The USP Santa Teresa hospital has implemented all the necessary tools for the optimal management of acute pain in their patients admitted and in a next phase will also address the chronic pain of patients who come to consultation. “ The treatment of pain is still a chance of improvement ”, said Dr. Paul Asensio, Medical Director of USP Santa Teresa.

La Coruña Centre had a unit of the pain. However, it was detected that admitted patients continue to suffer pain frequently and, after a study, they found that the treatment of pain was more due to criteria of health personnel (doctors and nurses) to the real needs of the patient, because of the difficulty in quantifying pain more objective.

The main difference between a unit of pain and pain-free Hospital lies in that the pain unit work anesthesiologists, and specialists in palliative care, while the Hospital without pain program requires that the pain relief is an institutional objective for all professionals working in the Centre, since the own pain unit nursing staff, specialists in rheumatology, geriatric, pharmacy and ER, among others.

To become a Hospital without pain, USP Santa Teresa has launched a clear system of record clear and regular assessment of the acute pain of the hospital patient, within the routine practice of taking the rest of constants with the maximum to avoid that the patient suffers pain.

To this end, are taught to the patient how to convey your pain to health professionals, telling them the location, frequency and intensity, with the complexity that is the fact that is not equally measurable by the doctor and the patient. In this sense the pain is evaluated with the help of the scale EVA, a scale with aspect of rule, divided in equal parts from 0 to 10, which provides the scale of pain clinicians, and the reference “ mild ”, “ moderate ” and “ intense ”, conforms more to the expression of the level of pain by the patient.

Previously, the staff has received training within the framework of the course CHANGE PAIN, which is part of an international campaign aimed at health professionals, supported by EFIC (European Federation of international associations for the study of pain) and implemented in Spain by the platform without pain. “ From the SinDOLOR platform contribute to this project our experience in the development of activities aimed at improving the approach to pain with awareness-raising, training and protocolización strategies, provided support and materials for the development of these activities ”, has featured Carmen Zárate, Grünenthal Foundation.

Also, a protocol for treatment of postoperative pain, which unified the criteria of treatment, with the aim of improving the patient care, decrease your pain and facilitating the work of medical personnel has been established.

The experience of USP Santa Teresa in this program will serve to implement it in the rest of the USP hospital network facilities, according to announced the aid Director of the group, Dr. Pedro Rico, within the initiatives being taken to improve the quality of care.

On USP hospital

Founded in 1998 and headquartered in Madrid, USP hospital is the first hospital private group in the Spanish market. Currently, USP hospital boasts a network of 12 hospitals, 23 health centres and 4,000 doctors annually serving more than two million patients. In 2010 the company recorded 331.494 clinical stays, 118.931 surgery, 11.202 births and 424.511 er.

About platform SinDOLOR

The SinDOLOR platform is an initiative launched in October 2008 by FUINSA (Foundation for health research) and the Grünenthal Foundation with the aim of improving care to the patient with pain and their families. The SinDOLOR platform aims to raise awareness of health structures and society on the importance of pain for those who suffers from, coordinating actions of training, research and patient care initiatives to improve the current situation.

On the Grünenthal Foundation

Grünenthal Foundation is a private non-profit, with full capacity to act and own resources. With its motto “ live without pain, better ”, the Foundation defines his dedication to training, dissemination of scientific knowledge, collaboration with scientific societies and supporting research. These activities are mainly developed in the fields of pain and palliative medicine and neurodegenerative diseases.

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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