Month: November 2011

Manifesto of Oviedo against stigma in Mental health.

Manifesto of Oviedo – against stigma in Health Mental.

Spain, November of 2011- the Spanish Constitution, one of their fundamental rights, guarantees the right to equality and non-discrimination of all Spanish

The strategy on Mental Health 2009-2013 of the Ministry of health, Social Affairs and equality, manifest as one of its general objectives, in point 3: “ eradicate stigma and discrimination associated with people with mental disorders ”.

The diagnosed person disorder in general and of serious mental disorder in particular has suffered and suffered the stigma of much of society, which together with the consequences of their pathology complicate their personal development.

Inappropriate media treatment, lack of knowledge that they are disorders associated with abnormal function of the brain, sometimes unpredictable developments, the taboo against suicide and above all the fear of violence, always magnified, cause an unwarranted and harmful social isolation.

Fundamental rights such as access to studies, access to work, integration with your environment, the couple’s life, greatly hinder added if the vulnerability and loss of self-esteem, almost always depending on their level of integration of the involvement of the family.

In the framework of the 15th National Congress of Psychiatry in Oviedo, and in order to disclose this problem, the Spanish psychiatric society, the Spanish society of Biological Psychiatry and the Spanish Foundation of Psychiatry and Mental health would like to state:

-a better informed societyloses the fears and reacts in a way more solidarity.

– dangerous and relationship with violent acts of the person with a mental illness is not the norm in their behavior and they must be considered, as they are, facts isolated.

-that the person with mental illness does not have any responsibility on the emergence and evolution of the same.

-that mental illness is not sinóNimo of incompetence or incapacity to develop the basic tasks of life

-that break the taboos of the disease and do understand that each person is a different patient can help see them differently from all areas of society.

-the person with a mental illness is obviously like any other but requires even more care and acceptance of the environment for its improvement.

– that the intellectual capacities of the person with mental illness are as those of the rest of the population and therefore can have the same ability to face training academic.

– skills and competences of the person with mental illness are similar to the person without mental illness and may therefore have the same capacity to develop a profesión or ex officio.

– which some people with mental illness may not develop a standard work, but in the majority of these cases can do it way monitored and adapted to their level of functioning.

-health authorities can and must redouble efforts for the integration of persons with mental illness as citizens of full right.

-That the offensive, inaccurate, inadequate terms that generate confusion, alarm and apprehension must be eradicated.

-That the media can help eradicate the stigma associated with mental illness.

Finally, we wish to disappear altogether all forms of discrimination, conscious or not, with the conviction that coupled to advances in treatments and better professional knowledge, it will be a fundamental pillar for the normalization of many people today suffering from mental health problems.

Manifesto of Oviedo against stigma in Mental Health

Oviedo, 8 to 11 November 2011

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Psychiatrists advocates the adoption of new measures to improve care to people with mental illness unit.

Psychiatrists advocates the adoption of new measures to improve care to people with disease unit mental.

Appeal within the 15th National Congress of Psychiatry

-The current situation shows the existence of large imbalances among the various CC. AA in caring for people with mental illness unit

– the measures are directed both politicians and administrations and the mental health professionals

Oviedo, 2011 November- Joseph Giner, Professor of Psychiatry of the University of Seville has made last Wednesday an appeal so that in the forthcoming reform of the law on promotion of the Autonomy Personal and care to persons in a situation of dependence, is taken into account a number of criteria, in order to provide better care to people with mental health disorders.

The psychiatrist has made their statements in Oviedo, in the context of the 15th National Congress of Psychiatry, which met in the capital of the Principality until November 11 to over 2,000 psychiatrists and mental health of Spain and overseas professionals.

Giner has pointed out that “ the inclusion of persons with mental illness in the ‘ dependency law ’ became almost at the final moment of processing at the Congress, after a hard work to make this as well by the Spanish psychiatric society (SEP), the Spanish society of Biological Psychiatry (SEPB) and the Spain Foundationwave of Psychiatry and Mental Health (FEPSM). Originally “ this law was designed primarily with regard to persons with physical dependence, without giving due importance to persons with neuropsychiatric pathologies that show serious dependency problems ”.

All this resulted “ the adoption of a series of changes, increasing the implementation guides item ”. In this way, it has come to “ a situation in which professionals responsible for the implementation of guidelines develop this work based on a few training courses. The diversity of courses has led to the law of unit with more restrictive criteria is is implemented in the various autonomous communities of Spain in a few and wider elsewhere. All this has resulted a great inequality and heterogeneity in the attention to persons with a diagnosis of mental illness that is significantly damaging to patients and their families ”.

Measures to improve

The Professor of psychiatry has exhibited at the 15th National Congress of Psychiatry “ four key steps to try to alleviate the flagrant imbalance in the attention to neuro-psychiatric patients in a situation of dependence on the forthcoming reform of the dependency law, ”.

The first of the measures advocated by psychiatrists is heading to the “ adoption of new standards on which is collected in a manner expresses and clear the situation of persons with mental illness within the dependency law ”.

The second initiative take to “ awareness by those responsible for the implementation of this law in the autonomous communities in order to reach a consensus to enable the application in a uniform way of attention this field-dependent patients ”.

The expert pointed out as a third point “ the need to improve the training of professionals responsible for the implementation of the scales, increasing their knowledge about the characteristics of this group ”.

Finally, the fourth of the desgranados points is geared towards their own collective of mental health professionals, and is none other than the of “ that psychiatrists take an increased awareness of this problem, become better acquainted with the scales and participate more actively to assess patients ”.

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Pink Luis: “the Hospital Provincial de Castellón has become a reference in Oncology”.

Council of Government of the Consortium hospital Provincial de Castellón.

luis Rosado: “ El Hospital Provincial de Castellón has become a reference in the Oncology ”.


-Javier Moliner highlights six lledo requested the specialist change day to be served in the Consortium

-surgical activity of the Consortium has increased 77%

-the Council gives green light to several social collaboration agreements

-hospital renews dental care to people with mental disabilities

Castellón, November 2011- the Minister of health, Luis Rosado, stressed on Tuesday after the meeting of the Council of Government of the Consortium hospital Provincial de Castellón “ evolution and modernisation experienced by the Centre, who has managed to become a benchmark in areas as important as the Oncology ”.

In this connection gave the President of the Diputación, Javier Moliner, who assured that “ proof of the quality of care from the hospital and the satisfaction of the patients is the day, six Castellón that no proper Hospital call for change of specialist to be cared for by professionals of the Center ”.

Rose and Miller made these statements after the meeting in which the managing director of the Hospital Centre, Nicolás Martínez, reported the new members of the Council of the evolution of the Consortium since its creation, in January 2004.

According to the balance of activity, during this period the hospital admissions have increased 43 percent and the average stay has dropped 25 percent from the 12.6 9.5 days.

In 2010 there were 189.723 outpatient, representing an increase of 58 percent during the analyzed period, while surgical interventions have increased by 77 per cent.

The Minister stressed also bet by modernization with the application of new techniques and the acquisition of equipment that has allowed the improvement of the quality of care as linear accelerators, the TAC of 16 cuts, the gamma camera, the litotrictor or the densitometer, among others.

With regard to the new facilities, economic director of the Center has referred to the new unit of critics, with six beds; two intelligent operating and the renovation of the central of sterilization, among others.

During the first six years of work of the Consortium service portfolio has been expanded with new specialties such as Pulmonology, plastic surgery and Reconstructive, intensive care medicine, Vascular Surgery, Hematology clinic, preventive medicine, Allergology and microbiology.

New cancer treatments

Brachytherapy, intraoperative radiotherapy, intraperitoneal chemotherapy, cryosurgery or radiosurgery are some of the new medical techniques introduced in order to improve the quality of care for cancer patients.

Also, the Consortium has created devices aimed at the prevention and early detection of cancer as the unit of genetic counselling and joined programs of “ screening ” of colorectal and breast tumors.

Collaboration agreements

The members of the Council today gave green light to several collaboration agreements with associations as the company of the daughters of the charity of St. Vincent de Paul to provide support partner-health for homeless at the social centre Marillac. convalencientes

other agreements include the provision of assistance on the premises of the consortium to the patients of the Association of multiple Esclerois and of the Foundation Borja Sánchez.

The directors of the consortium announced the meeting scheduled to sign a cooperation agreement between the Consortium and the Ministry of Justice to advance transplantation of cornea from the deceased in the Institute of Legal Medicine.

In sports, the Consortium expanded its agreements with several organizations of sportsmen of the province so that they can receive assistance in sport medicine unit.

Program oral

After the meeting of the Council, was signed the Convention referred to in the renewal of the programme for the treatment oral of mentally disabled persons, an initiative of the Consortium, the provincial government and the Provincial Hospital Foundation.

The program allows that both children and adults with an intellectual disability of medium or severe degree hindering dental management do not have to go to specialized centres located outside the province of Castellón or go to private clinics.

This consultation provides benefits such as explorations and reviews, medical and pharmacological treatment, dental, sealed pieces, root canals, fillings and extraction activities for the promotion and education for health, among others.

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A study on brain stimulation deep in USP Sagrado Corazón, Award Best Ideas 2011 of Diario Médico.

A study on brain stimulation deep in USP Sagrado Corazón, Award Best Ideas 2011 medical journal.

Seville, November 2011- A study on deep brain stimulation in psychosurgery for the treatment of psiquiátrico-neuróticos disorders of obsesivo-convulsivo type, aggressive, depressive and syndromes of Tourettes Gilles carried out by the doctors Francisco Trujillo, José Manuel Montero, Ruben Franco, neurosurgeons, and the doctors Juan Rodríguez Uranga and Hernando Perez Diaz neurologistsUSP Sagrado Corazón and IENSA, it has been awarded one of the best Ideas 2011 awards of Diario Médico. This technique has been a pioneer in Andalusia

brain stimulation profound, revolutionary technique of functional neurosurgery, applies in the case of psychiatric disorders that do not respond to medication to stimulate certain brain areas involved in the production of the symptoms of certain diseases. The Stimulator, which is connected to electrodes, makes the functions of a pacemaker and can be programmed and controlled from abroad.

The surgical technique, involves the implantation of electrodes in the nodes of the base, by neuronavigation and stereotactic – surgical minimally invasive technique – assisted surgery; the electrodes are connected to a stimulator makes the functions of a pacemaker programmed and controlled externally.

Advantages of the technique

The main advantages are that it is a reversible process, that allows to adjust the parameters of stimulation according to the requirements of the patient and that presents few complications to be minimally invasive.

This technique is widely proven and already has been used for the treatment of disorders of the movement, such as Parkinson’s or tics. Its use is also increasing in chronic neuropathic pain, certain headaches and epilepsy. In the field of psychiatry has its indication in obsessive-compulsive disorder, depression and aggressiveness, which do not respond to medication. As you can imagine these pathologies condition an important social and labour involvement in common

Two patients operated successfully

So far have been operated with this new technique two patients on USP Sagrado Corazón, the first featured a compulsive obsessive syndrome and the second a pattern of aggressiveness. The result of interventions, in both cases, has been highly satisfactory, sending much of symptoms and allowing better programming and dosage of the medication

Obsessive-compulsive disorder

Neuropsychiatric disorders of obsessive type – compulsive, are highly disabling, incapacitating in many cases, social and employment for people with this disorder and creating a huge social burden to families, the more cases that don’t respond to medication.

It is estimated that 2% of the population suffers from an obsesivos-compulsivos disorders and that approximately 10% of these do not respond to medication. Deep brain stimulation of areas known as internal capsules has proved to be an alternative in these patients because it manages to reduce significantly the obsession, the compulsions and the anxiety and depression these condition; and improve the quality of life.

Obsessive-compulsive disorder is the presence of obsessions that lead to compulsive acts. Obsessions are recurrent, without sense and involuntary thoughts. The compulsions are repetitive acts that turn into rituals aimed at avoiding the obsession and anxiety that it generates. Typical compulsions tend to be the wash hands repeatedly, check if one closed door again and again, count, or sort a rigid and particularly, for example. This disorder can completely dominate the life of the patient for ideas and compulsions are inevitable.

Depression

Depression has become the major source of disability over the 50 years in United States and is known that, like that in obsessive-compulsive disorder, approximately 10% of patients do not respond to medication. In those patients that are not associated manic episodes as a result of bipolar disorder, ideas suicidal or psychotic symptoms can be used for stimulation, in this case of a medial zone of both frontal lobes, with a very good and response maintained at the time in two of every three patients.

Multidisciplinary team

The application of this technical neurosurgical, has meant an enormous progress in severe cases of neuropsychiatric diseases without response to medication and in adapting to the daily life of patients who suffer from.

For the implementation of this technique is required a multidisciplinary team, the team of neurosurgery of USP Sacred Heart-IENSA, it is reference in neurosurgery at national and international level, being pioneers in various surgical techniques, such as surgery for the treatment of epilepsy, topic on which have numerous publications, as well as in the implementation of the first resonance magnetic Intraoperatoria of our country, applied to the surgical treatment of brain tumors.

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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