Month: January 2012

Be women or have a urothelial carcinoma in the prostatic urethra are factors of recurrence and progression in T1G3 bladder cancer

|

be women or have a prostatic urethra urothelial carcinoma are factors of recurrence and progression in cancer of bladder T1G3

according to a study by the Fundació Puigvert

– in these cases, the Fundació Puigvert experts advise removing the bladder instead of applying a conservative treatment with Bacil of Calmette Guerin (BCG) intravesical.

– the study has been made between 146 patients with cancer bladder muscle-noninvasive and has made it possible to reconsider the therapeutic attitude in T1G3 tumors to increase the life expectancy of patients.

Barcelona, January 2012.- Having a carcinoma in situ in the prostatic urethra or being a woman are factors that predict recurrence and progression and death in patients with bladder T1G3 cancer, treated conservatively with Bacil of Calmette Guerin (BCG) intravesical. This is the main conclusion to be drawn from a study carried out at the Fundació Puigvert with 146 patients with bladder cancer non muscle-invasive of high-risk T1G3.

In cases of bladder cancer, differentiated two types of malignant tumors: those who invade the muscle layer, called muscle-invasive, and which not her invade, known as non-muscle-invasive. In Spain are diagnosed about 10,000 cases per year of tumor of bladder, of whom 70% are non-muscle-invasive.

Tumors not muscle-invasive, to not have invaded the muscle layer, have a better prognosis and are candidates for a conservative treatment to avoid removing the urinary bladder. They are very often treated with immunotherapy by Bacil of Calmette Guerin (BCG). This treatment is applied directly into the bladder, several times, through a catheter, injecting the BCG solution during a specified time and acting on the malignant cells of the bladder.

According to Dr. Palou, head of the unit of Urology Oncology of the Fundació Puigvert and head of the study, “ factors of prognosis of patients with high-risk bladder cancer treated with BCG muscle-invasive not are unclear or are not sufficiently discriminatory. Some tumors have recurrence and others evolve into a tumor infiltrated the muscular layer ”. And points out that “ the importance of this issue lies in the fact that, when a tumor in these circumstances it becomes infiltrating, often increases the probability of death due to the tumor ”.

So far, experts have been based on Predictive factors of response to treatment but as explains Palou, “ these are fairly generic and little discriminatory, so it is difficult to know in advance whether the patient will develop more aggressive tumors ”. Thanks to the study on the Foundation, it has clinical factors that decide how best to do in cases of bladder cancer category T1G3. The study demonstrated that in case of a woman or if it detects a carcinoma in situ in the prostatic urethra, it is best to perform a radical cystectomy as immediate treatment rather than pursuing a conservative BCG treatment, because the risk of progression is highest.

For what it refers to the outcome difference between men and women, when we talk about bladder cancer, we must emphasize that a woman usually implies a worse prognosis. Anyway, the reasons why female presents a negative prognosis are still unclear and remain cause for study.

It is all this that the Fundació Puigvert experts advise that, in case of a woman or if it detects a carcinoma in situ in the prostatic urethra, a removal of the bladder is made initially and not test with conservative treatment of BCG.

On the Fundació Puigvert

Acting on 1961, the Fundació Puigvert is a non-profit that provides comprehensive effective and humane care in Nephrology and Urology, Andrology, promoting development and scientific knowledge of these specialties, with teaching, training, research, outreach and health education.

Read More

Foundation Puerta de Hierro, the municipality of Majadahonda and Air Liquide Medicinal invite children from the municipality to a theatre and games session

|

Foundation Puerta de Hierro, the municipality of Majadahonda and Air Liquide Medicinal invite children from the municipality to a theatre and games session

children can enjoy free entertainment “ talent games ” consisting of a piece of theatre, games, singing and dancing that involves employees of Air Liquide Medicinal

Madrid, January 2012.- Air Liquide Medicinal in collaboration with the foundation of the Hospital Universitario Puerta de Hierro Majadahonda and the Majadahonda Town Council organized a free seminar aimed at children in the schools of the municipality and the hospital. The meeting will be held today, Thursday 26 of January in the Hall of the Hospital Puerta de Hierro.

From 18: 00 will take place a show for children aged between 3 and 10 years divided into three parts: the first part will be the “ music box ”, a child play the in which the instruments come to life. In the second part, they will sing and will many of the traditional children’s songs and the last interactive games will be carried out.

Ana Román head of Marketing from Air Liquide Medicinal explains that: “ thanks to the iron gate Foundation and the Majadahonda Town Council can offer a playful activity that aims to promote the imagination of the children of hospital and the municipality. We encourage parents to spend the afternoon on Thursday in a different way and stimulant. ”

“ this action is part of an overall policy of our hospital whose final objective the humanization of our Center making the patients stay as pleasant as possible ”Jorge Gómez Zamora President of the gate Foundation of iron and Manager of the Hospital.
“ Want to promote recreational and educational workshops for our children that can have fun and learn at the same time values ”, has assured the Mayor of Majadahonda, Narciso de Foxá.

The show is free and is open to all children who want to participate. Due to the limitation of the capacity will be necessary to confirm the attendance by sending an email to the following address: producción@aktiva-mente.es

Air Liquide is the world leader in gases for industry, health and the environment and is present in 80 countries with 43,600 employees. Oxygen, nitrogen, hydrogen and the noble gases are at the heart of the activity of Air Liquide since its creation in 1902. From these molecules, Air Liquide continually reinvents its business to anticipate the challenges of their present and future markets. The Group innovates to enable progress, at the time that excels in jointly achieving dynamic growth and regularity in their results.

Innovative technologies for limiting emissions, reduce energy consumption in industry, put in value natural resources or develop the energies of tomorrow, such as hydrogen, biofuels and photovoltaics … oxygen for hospitals, home care, contribute to the fight against nosocomial diseases … Air Liquide combines numerous products with various technologies for developing applications and services with strong added value for its clients and society.

A partner for the long term. The Group relies on the commitment of its employees, the confidence of its customers and the support of its shareholders to develop a long-term focus on competitive growth vision. The diversity of its teams, activities, markets and geographical presence ensures the soundness and sustainability of their development, and strengthens its ability to continuously conquer new territories to overcome its own boundaries, and build their future.

Air Liquide explores the best that the air can offer to preserve life, maintaining a dynamic of sustainable development. In 2010, its turnover reached 13,500 million EUR of which more than 80% out of France. Air Liquide is listed on the stock exchange of Euronext Paris (compartment A) and part of the CAC indexes 40 et Dow Jones Euro Stoxx 50.

Read More

A caregiver of one dependent older person makes a year more than 7,000 mobilizations and transfers of the patient in charge

|

a caregiver of one dependent older person makes a year more than 7,000 mobilizations and transfers of the patient in charge

day ‘ exercises and techniques of mobilization for dependent elderly people and their caregiver ’ is organized by the IMQ aid service, in collaboration with Igurco (both, from the IMQ group) within its programme of training for families of dependent elderly people

– the Middle daily round 20, including transfers of the more dependent of the bed to the wheelchair seats, bathroom, etc., as well as demonstrations in own bed (additions, organizes, etc.).

– “ transfers and mobilizations are the main causes of back pain in caregivers of dependent older people: about 90% of carers without technical AIDS end up suffering ”.

-transfers and trips can cause lumbago, cervical hernias, sciatica and nerve pain radiating to the upper limbs (arms) and bottom (legs).

– “ ergonomics allows us to identify risk factors and standards basic of postural hygiene when making transfers and mobilizations ”.

Bilbao, January 2012- “ A caregiver of one older person dependent makes every day an average of 20 transfers and movements of the patient in charge. If you consider that this work must be for 365 days a year and dependent elderly person can hang the 75 kilos, is that many caregivers are more than 7,000 transfers and movements within the year, which will be lifted or moved thousands of kilos ”. This is one of the aspects which Iria Martínez Zas, physiotherapist of the residence José María Azkuna in Amorebieta-Etxano (Bizkia), managed by the Igurco public health group, presented yesterday at a conference entitled ‘ exercises and mobilization for dependent elderly people and their caregiver techniques ’.

The Conference is part of the fourth edition of the training programme for families of dependent elderly people, organized by the IMQ aid service, in collaboration with Igurco (both, from the IMQ group), and took place yesterday in Bilbao.

As progress has been made the physiotherapist, this work “ is often performed by people that don’t know the best way to carry out such transfers and mobilizations, and in many cases, without making any kind of therapeutic exercise or prevention and dependents of considerable weight ”.

For this reason, the expert of the Igurco public health group (IMQ, Cosimet and Adeslas) has stated that “ transfers and mobilizations are the main causes of back pain in caregivers of dependent older people: about 90% of carers without technical AIDS end up suffering ”.

In this sense, has indicated that “ transfers and movements can cause lumbago, cervical hernias, sciatica and nerve pain radiating to the upper limbs (arms) and bottom (legs). There are also often tendinitis in hands, wrists and shoulders, that not only matter weight hanging – that it is supported by back-, but the repetition of such holds weight ”.

The physiotherapist of the José María Azkuna residence, managed by the public health Igurco group, has affected the fact which means that the caretaker due to demonstrations “ get the largest subsidiary of bed, take it to the wheelchair, sit him in the bathroom, help you to sit in the living room, etc. To all this, you must add demonstrations, where there are to change position to the more dependent on the bed, playing with positions face-up and side, as well as the additions. Demonstrations are essential to avoid many of the side effects of the encamamiento, such as pressure ulcers ”.

So, “ there are rules of ergonomics and techniques of transfer and mobilization that reduce risks to the maximum ”. Specifically, these techniques will be exemplified in a practical manner in the course of the Conference to facilitate the learning of the attendees.

Another relevant aspect is the ability of movement that has the own largest dependent: “ the keeper should leave the person dependent to do all the tasks and movements that it is able, regardless of whether require more time. It is important to develop all their skills to the extent possible, that the less you do, more dependent will be ”.

The expert has pointed out that “ to the technical AIDS represent a great relief for these tasks, the cost of the cranes to do demonstrations of major subsidiaries remains an obstacle for many families ”.

Read More

Gestational diabetes affects about one in ten pregnant women

|

gestational diabetes affects about one in ten pregnant women

nearly 400 experts gather at the sixth meeting of Diabetes and obesity of the Spanish society of internal medicine (SEMI), which is held in Zaragoza from 26 to 28 January

-its prevalence is increasing significantly in recent years due to the increase in obesity and the delay in the age of motherhood

– Women with gestational diabetes have a higher risk of complications during pregnancy, such as high blood pressure or some urinary tract infections

-almost 60% of the adult population is overweight or obesity and the prevalence of diabetes in Spain is situated about 14%, although almost half of cases are not diagnosed

-diabetes may cause manifestations cutávaried lines and often little valued by patients and little known by doctors

-experts recall the importance of adapting treatment to the lifestyle of patients, as Muslims during Ramadan, to avoid the appearance of frequent or decompensation of diabetes with fasting

– according to the specialists, future treatments of the disease must be able to not only control, but prevent its progression, something not possible with current treatments

Zaragoza, January 2012- gestational diabetes is the one that appears for the first time in women during pregnancy. It arises because in that period are given a series of hormonal changes that cause insulin resistance, which favors its appearance in those women who can not compensate for this resistance.

The prevalence of this disease, which affects approximately 10% of pregnant women, is increasing significantly in recent years due to the increase in obesity and the older age of pregnant women; It is more common in obese women above age 30 years or those with a family history of type 2 diabetes.

Among other effects, it causes an increased risk of the baby is premature and that it develop obesity and diabetes type 2 in the future. In addition, mothers may have complications during pregnancy such as high blood pressure or some urinary tract infections; In addition, some studies indicate that up to 30% of women with gestational diabetes will end up being diabetic throughout his life.

That is why the doctor Ricardo Gómez strikes, Coordinator of the Group of Diabetes and obesity of the Spanish society of internal medicine (SEMI) stated, on the occasion of the sixth meeting of Diabetes and obesity in society, “ is important to diagnose and appropriately treat gestational diabetes to avoid their associated complications; the main one is the fetal macrosomia (infants with an excessive weight), associated with a marked increase in complications in childbirth ”.

This edition of the meeting of the Group of the SEMI will be special emphasis on the development of different workshops on diabetes and obesity, including two on skin manifestations of the first and the adaptation of treatment to the different styles of life of patients. During the Congress he also discuss various diabetic complications such as retinopathy, nephropathy, diabetic foot, skeletal complications or fatty liver. Also gives special relevance to the prevention of cardiovascular complications, which are the leading cause of mortality in the diabetic population. Finally, during the Congress will be a contest of clinical cases for resident doctors in internal medicine and the results of recent studies will present in this field.

Skin manifestations of diabetes

Diabetes is a multi-sistémica disease that can affect any body, including skin and soft tissues; the skin manifestations are varied and often little valued by patients and poorly known by doctors. The Coordinator of the Group of the SEMI pointed out that the most frequent were “ the diabetic Scleroedema (a hardening and thickening of the skin, especially of the neck and back), the disease of Dupuytren (fibrosis palmar, which can produce a retraction of the fingers of the hand), adhesive capsulitis of the shoulder (which determines a marked limitation of mobility) or tenosynovitis of the tendons of the hand ”. Another very characteristic, particularly of type 1 diabetes complication, is the quiroartropatía, which causes a limitation of the extension of the fingers.

In addition, diabetic patients have an increased susceptibility to skin infections by fungi and bacteria, which sometimes can become very serious.

El Ramadan: adapt to the life and beliefs of the patient, essential for the treatment

Diabetic patients must conform to a pattern of food and intake of drugs during treatment; However, sometimes these patterns have changed for various reasons. One of them is the change in foods, such as which occurs during Ramadan. Dr. Gómez strikes believes that “ it is important that doctors try to diabetic patients we adapt to their lifestyles and socio-cultural and religious beliefs ”.

In Spain currently reside more than one million people of Muslim faith, many of whom practice Ramadan. “ diabetics of the Muslim faith, although in theory they are exempt from this, in practice often want to meet the fast. In these cases it is important to adapt the treatment, both for patients treated with diet or oral medications for treaties with insulin, so as to avoid the appearance of frequent decompensation of diabetes ”, according to the specialist.

Present and future of the treatment of diabetes

Today, almost 60% of the adult population presents problems of overweight or obesity and the prevalence of diabetes in Spain is situated about 14%, although almost half of cases are not diagnosed.

Why is making a great research effort in the development of new anti-diabetic drugs to improve their control and prevent its complications, while avoiding the side effects that are common with the classics, such as weight gain or the frequent antidiabetic drugs.

According to Dr. Gómez strikes, incretínicos drugs have represented the great novelty of recent years in the treatment of type 2 diabetes. For this reason, during the meeting will address the potential benefits of these groups of drugs, which according to the expert from the SEMI are that “ does not cause frequent, have an effect on body weight neutral or favourable and they may even be beneficial to cardiovascular level. Another group of upcoming marketing drugs are the glucosúricos agents that increase the Elimination of glucose in the urine. During the meeting the new insulins for extra-large action will also be analyzed ”.

In summary, the expert concludes “ future diabetes treatments must be able to not only control, but prevent its progression, something not possible with current treatments ”.

Read More

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