Month: November 2011

Before the economic crisis, values and governance in the SNS, doctors are committed to rescuing the weakest, patients.

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Before the economic crisis, values and governance in the SNS, physicians are committed to rescuing the weak, the patients.

– the WTO is committed to ensuring the quality of care and to strengthen the role of health information, participation, transparency, autonomy and representation citizenship

–Requires a political and social pact to revive the SNS and ensure their sustainability

– considered essential to the creation of a health information system interoperable with all regional health systems

– insists on the need to redefine the remuneration model of professionals, linking a part of the same outcomes and the quality of care

– calls for an effective exchange of health care and professional model

– recommends streamlining benefits, with the use of resources and health services in terms of cost/effectiveness

Madrid, November 2011- to the economic crisis, values and Government in the national system of health, the College medical organization (WTO) has expressed last Saturday, at its General Assembly, its institutional positioningcommitments and requirements for the sustainability of the system with final aim the health needs of patients.

The WTO is aware that the unavoidable necessity of strict compliance with the objectives of public deficits has triggered over-hasty and indiscriminate cuts in the budget of expenditure on health of certain autonomous communities, unforeseeable consequences.

The doctor it is from his ethics professional and social to become part of the solution that the consequences of the crisis is causing in our health care institutions, but above all, it is manage and respond to the needs of public health, and especially of the most sick, disadvantagedweaker and less informed.

New medical professionalism means defend above any other circumstance the commitment to the needs of the patient and the values of medicine based on professional competence, integrity, morality, altruism, confidentiality, confidentiality, respect for privacy and to life in any of its stages, as the basis for trust and reliability between doctor and patient. These core values are complemented by the promotion of a preferential social good as it is health and the co-responsibility of all with the SNS, nuclear institution of the welfare state that allows to respond with fairness and professional competence to the health needs of the population.

All this from the General Assembly of WTO wished to express that “ the rule of rescue ” it is not possible to deal with the challenge of sustainability of the health system, and reaffirms the availability of physicians to participate in the processes of rationality, provided that they are subject to rigorous evaluationweighting and proportionality. The doctors, says the WTO, “ we feel jointly responsible from our credentials professionals to help improve efficiency and quality of our health system dimensions of a proactive and owned ”.

On the basis of all this, since the WTO requires certain conditions. One of them is a political and social pact to revitalize the SNS and ensure their sustainability, as well as establish a model of health governance.

The WTO also considers essential the creation of a health information system interoperable with all the regional health systems, the redefinition of the remuneration model, linking a part of the same performance and quality of care, and an effective exchange of health care and professional model.

In turn, undertakes to offer values society identifies. Among them, ensure the quality of care and strengthen the role of the public health, which are offered information, participation, transparency, autonomy and representation.

Joins that the vocation of service, the rationalization of benefit with use of resources and health services in terms of cost/effectiveness, and prioritization of actions on epidemiological and population basis.

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“Adequate treatment of diseases of sleep helps to diagnose and improve symptoms of other diseases”.

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“ The adequate treatment of diseases of sleep helps to diagnose and improve symptoms of other diseases ”.

-30% of the population has chronic difficulties in initiating or maintaining sleep

-only one of each affected 20 goes to a specialist to deal with his problem

Vitoria-Gasteiz, November 2011- sleep well at night has become a precious asset. From almost two decades ago the medical community is focusing on diseases of the dream as an important identifier of other pathologies. According to Dr. Carlos Egea, head of the unity of the dream of the clinic USP La Esperanza, “ trying to sleep problems can improve each day diseases. In fact, the dream is one of the most sensitive indicators to identify problems ”.

The difficulties to fall asleep is not one minor issue. doctor Egea points out that “ about 30% of the population has chronic difficulties to start sleep, as well as to keep it and almost half of the people has presented one episode of transient insomnia throughout his life ”.

While the figures speak for themselves, the proportion of affected people who comes to the specialist is still very small. As you collect the Spanish dream patients Association (Asenarco), only one of each affected 20 goes to a specialist to deal with your problem. On the contrary, some of the pathologies of sleep are regarded as a public health problem: almost 20% of the population suffers from excessive sleep during the day affect driving, to family, work and social life. “ This symptom, origin of many causes such as narcolepsy, sleep apnea is associated with an increased cardiovascular risk. For this reason, it is necessary to go to a sleep unit in order to study these changes and assess the impact on health, to later give a treatment in accordance with the diagnostic ”, kept Carlos Egea.

The USP La Esperanza sleep unit deals with alterations of sleep of patients or derived from the same symptoms. In the case of those patients with excessive sleepiness during the day, “ this problem is caused mainly by the sleep apnea, which is effective treatment and that affects nearly 5% of the population ”, confirms Egea.

Time change

This past weekend timetable change has occurred and in principle may seem not important, because that is only an hour, “ may be a modification of nearly 6 weeks in the cycle actividad-sueño, affecting above all people with sleep problems, children and the elderly ”, confirms Dr. Carlos Egea, head of the USP La Esperanza sleep unit.

Alterations of sleep with the time change due to the modification of our internal biological clock (circadian rhythm), thus producing a change in our sleep cycle. Our biological clocks synchronization occurs around the fifth day after the change of time, not in terms of activity, but in relation to the time of dream. shall be persons with sleep pathology which will further suffer this change.

On the USP hospital group

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 and 23 health centres which assist 4,000 doctors that attend each year more than two million patients. In addition, at the beginning of 2012 it is expected that enters into operation a new Hospital USP La Bahía in the Campo de Gibraltar.

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Pemetrexed (Alimta r), first oncolítico approved in Europe as maintenance treatment of continuation for the most common lung cancer type.

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Pemetrexed (Alimta ®), first oncolítico approved in Europe as maintenance treatment of continuation for the most common lung cancer type.

Indianapolis, United States, November 2011- Lilly has announced that the European Commission has granted approval for the use of pemetrexed (Alimta ®) as single-agent for continued maintenance therapy in patients with lung cancer non–small (NSCL) advanced not scaly. The approval is based on the results of the trial clinical showing an improvement in progression-free survival, and a trend of improvement of the survival overall preliminary analysis in patients with NSCLC treated in first line with pemetrexed and cisplatin followed immediately by treatment with pemetrexed in monotherapy in the maintenance phase.

Pemetrexed is the first chemotherapeutic agent approved as maintenance of continued treatment. In this context, patients whose disease has responded or stabilised at the end of the first line treatment can receive continued maintenance treatment with pemetrexed in monotherapy and get an additional benefit.-

maintenance of continuation with pemetrexed therapy is designed to benefit a group of patients with one of the forms more deadly lung cancer)(lung cancer not scaly non–small) which have not shown a progression to the first line with pemetrexed. Although there are other available guidelines for treatment of maintenance for the NSCL, these involve different medications in the first line and maintenance phases.

“ This last approval of pemetrexed represents an important advance in the treatment of advanced lung cancer ”, says Dr. Allen Melemed, M.D., M.B.A., senior medical director of Lilly Oncology. “ personalized treatments are at the forefront of cancer treatment because they enable doctors to select the most appropriate treatment for each patient. With pemetrexed as continuation maintenance treatment of patients with lung cancer who have already benefited from the first line treatment now will also have the option of continuing treatment with pemetrexed, to achieve an improved clinical outcome ”.

This adoption of pemetrexed was based on the results of the PARAMOUNT, a phase III study, double-blind and randomized, presented in the Congress annual of the American Society of Clinical Oncology (ASCO) in June 2011 (1). This study evaluated whether maintenance of continuation with pemetrexed therapy improved progression-free survival and overall survival after treatment of induction with pemetrexed + cisplatin in patients with advanced non-squamous NSCLC. The study reached its primary objective of progression-free survival and a preliminary analysis has shown a positive trend with respect to overall survival.

Patients receiving therapy for induction standard with four cycles of pemetrexed (500 mg/m2) and cisplatin (75 mg/m2), with cycles of 21 days. 939 Patients with advanced non-squamous NSCLC who were recruited and received induction therapy, 539 patients progression-free and with a good general State were then randomly allocated to receive one of the two treatments of maintenance; either pemetrexed (500 mg/m2 the first day of a 21-day cycle) with the best support treatment (n = 359), either placebo with the best support treatment (n = 180) until disease progression. All patients received vitamin B12, folic acid and dexamethasone.

In addition to this new indication, pemetrexed is approved in Europe and United States for other three indications in patients with non-squamous NSCLC advanced, including the first and second lines of treatment, and maintenance treatment of change in patients whose disease has not progressed immediately following platinum-based chemotherapy. Pemetrexed has also been approved, in combination with cisplatin, in Europe and United States for the treatment of patients with malignant pleural mesothelioma irresecable and no prior chemotherapy.

On the treatment of maintenance at the NSCL

Maintenance therapy is a relatively new concept in the treatment of lung cancer. According to this concept, patients initiated maintenance treatment immediately after the first line therapy to try to maintain control of the disease. There is no therapy of “ continued maintenance ” in which the used chemotherapy agent is the same that was used previously in the first line. Adopted this date maintenance in lung cancer therapies using different agents at the stage of first-line or in the maintenance.

About the non-small-cell lung cancer (NSCLC)

In general, lung cancer is the most common form of cancer and the most lethal, causing 1.3 million deaths a year (2) between 85-90 percent of all lung cancers are not microcíticos (3). The liver, bones and the brain are potential targets for these cancer cells when they enter the bloodstream.

The NSCL encompasses a group of histologías or types of tumour are distinguished by their cellular structure. Non-squamous histology includes adenocarcinoma, and large cell carcinoma, adding more than half of all diagnoses of CPNM4, as well as the qualified histologías as “ other ”.

About Lilly Oncology

For more than four decades, Lilly Oncology, a division of Lilly, is dedicated to presenting innovative solu-organizations that improve the care of patients with cancer. Because there are no two equal cancer patients, Lilly Oncology is committed to the development of new approaches to treatment.

On Lilly

Lilly, a company based on innovation, is developing one growing portfolio of produc-pharmaceutical cough through the application of research more Cap made both by its own laboratories around the world as well as through collaborations with scientific organizations of presti-gio. Headquartered in Indianapolis, Indiana, Lilly provides answers to some of the needs more urgent médi-cas worldwide through the supply of medicinal products and information.

Referencia:

(1) Paz-Ares LG, De Marinis F, Dediu M, et to the. PARAMOUNT: phase III study of maintenance pemetrexed (pem) plus best supportive care (BSC) versus placebo plus BSC immediately following induction treatment with pem plus cisplatin for advanced, nonsquamous non-small cell lung cancer (NSCLC). J Clin Oncol 29: 2011 abstr CRA7510 (Suppl.).

(2) World Health Organization, Gender in Lung Cancer and Smoking Research, Department of Gender, Women and Health, 2003, (July 25, 2011).

(3) American Cancer Society, “What Is Non – Small Cell Lung Cancer?,” December 16, 2010, American Cancer Society, (April 20, 2011).

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The Hospital of Torrejon attended more than 13,500 people in its first month of activity.

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El Torrejón Hospital attended more than 13,500 people in its first month of activity.

Fernández-Lasquetty visited this centre that meets its first month of activity with all services at full performance.

-account with a portfolio of services able to solve 95% of the health problems of its area

Spain, November of 2011- the Hospital of Torrejón, belonging to the public network of hospitals in the community of Madrid, has served more than 13,500 people in its first month of activity: 10.074 outpatient, 392 surgical interventions, 2.789 in the Emergency Department and 300 plant revenues. These data the provided on Friday Health Minister Javier Fernández-Lasquetty after his visit to the hospital.

This health centre, opened on 21 September by the regional President Esperanza Aguirre, started its activity the 22nd with the opening of external consultations. Since the it opened the hospital have been addressed to 10.074 individuals in outpatient consultations, with a waiting media as they arrive at the hospital until the doctor attends them in 15-minute consultation. The Torrejon Hospital also offers its patients consultations in afternoon. In fact, in our first month, 1.366 people have gained access to a specialist in the afternoon, and there are already cited 22.961 patients for the coming months.

In addition, the past October 7 born the first baby in the hospital, two days after the opening of this service. So far have been already born 17 babies, of which 14 have been natural childbirth and three by Caesarean.

surgical activity in the new Hospital of Torrejón began on October 5, according to the schedule of opening marked from the beginning. Since then 392 people have been surgically operated in the hospital. And in most cases – 330 pacientesse have benefited from surgical techniques that do not require income. The rest, 62 patients have required income post-operative. In patients admitted in the hospital, 300 people have benefited from individual rooms offered by the hospital.

Expansion of the portfolio of services

Since its opening, the new hospital has worked on the incorporation of new specialties for coverage to patients even bigger. It has expanded the portfolio of services incorporating technical and maxillofacial surgery of intervention laparoscopic by single access, which reduces the risk of patient infection, requiring only one single less than 3 centimeters incision and allow the recovery of the patient to be faster.

The emergency service of the Hospital of Torrejon also opened its doors on October 5. Since that date, 2.789 people have obtained a solution to their health problems without having to move away from their homes. The average of patients treated in the Emergency Department has been 154 patients per day.

Activity in the Centre began on September 22 and since that date has gone according to plan. Corredor del Henares citizens already enjoyed a new hospital near their homes that saves them unnecessary and uncomfortable travel. The new Center has 250 beds in single rooms and a wide portfolio of services capable of assuming 95 percent of the health care needs of patients of the Henares corridor. The Center’s services include its 20 posts of hospitalization day, 10 operating theaters, 16 posts of dialysis, 6 dislodgement, 83 posts of ER, 89 queries and cabinets, 5 digital systems of Radiology, 10 scanners, 2 TAC multicorte and magnetic resonance imaging of last generation.

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The average sick leave is 30,28 days.

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The average sick leave is in 30,28 days.

Spain, November of 2011- the Spaniards are an average of 30,28 days due to illness or accident, while disabled are for work, according to data provided by the Ministry of labour and immigration.

The highest number of days of temporary disability leave can be found in Pontevedra, where the average duration of incapacity is situated in 55 days, while the lowest number of lost work days is found in Navarre, with 18 days on average for this concept.

Catalonia, is the community that more cases of temporary incapacity has been registered, with a total of 102,000 cases in what have been computed in the year, followed by Madrid, which has accounted for 94,000 contingencies. Melilla is by contrast that fewer casualties presented, with 550 cases.

According to various studies analyzed, diseases that require more sick days in the temporary disability, are malignant tumors; followed by number of suffering mental disorders and diseases of the nervous system; and fourthly do cardiovascular diseases. On the other hand diseases which need fewer days of temporary disability leave are respiratory diseases.

The law medical group is the primary medico Cabinet specializing in the processing of Social security pensions, offering the sick and injured that they suffer from temporary disability medical, technical and legal advice with the greater guarantee for the permanent disability which has the right.

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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