Sunday, March 9, 2008

The placement of a harpoon prior to surgery

Hospital Arnau Vilanova Valencia has developed a harness axillary that fewer seroma after

intervention. In addition, the center uses metallic markers to locate small tumors that favor a

faster recovery and enhances the autonomy of patients.

The system devised in the Arnau Vilanova favors a faster recovery and improves autonomy of

patients.
Functional Unit of Pathology Mammary Hospital Arnau Vilanova Valencia has developed a compression

system that axillary fewer seroma (accumulation of fluid in the armpit after a lymphadenectomy)

after surgery on the armpit in breast cancer.

The system, which has been devised by the physicians of this unit and designed by orthopedist

Amparo Sotos, is a kind of belt bandolera which has been incorporated into an elastic compression

that fits over the hollow axillary, which avoids postoperative complications arising from this

type of intervention and improving the autonomy of patients.

Through this system is achieved by reducing both the number of patients with seroma and punctures

for the evacuation of the seroma and reduces the increase in linfedemas, discomfort and control

posquirúrgico.

Another initiative that has carried out this unit to facilitate the recovery of patients with

breast cancer and improve their quality of life is the signing of an agreement with the

Rehabilitation Service for the last of each month to receive necessary guidance in the

rules of hygiene, gymnastics and general advice to be followed as part of the prevention of

lymphedema.

One of the problems that are facing professionals dedicated to this disease is the loss of

references for locating cancers minimal (less than one centimeter) and the loss of referrals from

the area where the tumor is located behind the implementation of schemes neoadjuvant

chemotherapy.

The placement of a harpoon prior to surgery facilitates intervention, as it geared towards the

point where the injury is not palpable or toward the marker has been placed before chemotherapy.

Validate a pilot new services to citizens through

The Sector Barbastro is a pioneer in the application of new technologies in healthcare, stressing

among its telemedicine project, which aims to bring assistance to the population dispersed. Thus,

in June the town oscense will host a European Union forum on Telemedicine and their applications

in health practice. Specifically, the meeting will be held at the Congress and Exhibition Centre
For some years now, in Barbastro projects are being developed in collaboration with other

European and national institutions. Through the European Commission is participating in the pilot

project Optimum Health, which are also involved teams Danes and Italians. This is based on the

videoconference, is currently deployed throughout Aragon in its third phase.

In addition, teams of Barbastro are developing three other European projects-Eurogene, Dreaming

and SUP (Safety and Emergency Services in the Pyrenees) - joined by two other nationals linked to

the Ministry of Industry (Realth and Ispamat).

Delegations of the partners of the four European projects will meet in June in Barbastro. They

will be joined by members of two other projects, including Europeans, Better Breathing and Mpower

to encourage the sharing of knowledge among all and identify potential synergies to work

together.

During the forum, there will be informational presentations, workshops and hands-on workshops and

technology, with the main objective of creating awareness of the various telemedicine projects

Europeans. In addition, the organization of this meeting aims to further the objectives of each

plan, learn new technologies applied in this field, facilitate knowledge among those involved and

involve more professional. Are expected to attend some personalities from the world of

European telemedicine.

It has created a website which centralizes information on this

event and which is subsequently planned to publish the results.

Of the four European projects underway in Barbastro, highlights the Optimum Health, which seeks

the deployment of videoconferencing services in Aragon. The European Union contributes to the

financing.

Also with European investment projects are being developed and Eurogene Dreaming. The first aims

to provide support services for the elderly, such as monitoring and alarm manuals or condition

, as well as other services not essential for its technological autonomy

as visits by nurses and social workers, psychological support, delivery of meals , transportation

or special household. In total, the European budget for Barbastro is euros.

As to Eurogene, this project aims to create an international platform of preventive care by

incorporating genetic analysis of individual and his or her lifestyle. This has provided

euros from European funds.

On the other hand, Barbastro is developing two projects of the Ministry of Industry, Tourism and

Trade. This is the Realth (Remote Health), which works to achieve greater prosperity by improving

health services and optimizing the management of health care resources, and ISPAMAT, where the

sector Barbastro collaborating to validate a pilot new services to citizens through DTT in Fraga.

The budgets amounted t euros respectively.

Albacete collaborates with research groups

Albacete looking 'therapies to the letter' in cancer treatment
PROGRESS. Treatment of radiotherapy. THE TRUTH
Achieve 'therapies to the letter' for cancer treatment tailored to the characteristics of each

patient. That is the goal you are working in the Laboratory of Molecular Oncology Regional Center

for Biomedical Research (CRIB) led by Dr. Ricardo Sanchez.

This team has achieved a major breakthrough in research on molecular basis of transformation,

diagnosis and treatment of cancer, as it relates in particular to the role of signalling pathways

acting on the response to chemotherapy and radiotherapy treatments , trying to establish the

value as markers of a group of proteins and analyze how specific the role of these routes as a

means of resistance to the therapy against oncological diseases.

"We are trying to answer a question which is a classic in cancer, which focuses on finding

answers on the reasons why two people with the same tumor, the same age and habits respond or not

chemotherapy treatments with the aim, among others, to avoid in its day and if side effects,

bearing in mind that chemotherapy is a very aggressive therapy with side effects and very toxic.

To answer this question we have focused our research on a group of genes known as signalling that

are responsible for transmitting information from extracellular to intracellular environment,

"said Dr. Sanchez. In this way, are investigating changes in patterns of gene expression, ie stop

expressing genes and start others to do so.

Implication

What will be the implications on a practical level of these findings? The outcome of this

investigation may write to the detection of proteins in the biopsies of patients to medical

oncologists to convey information about what will happen. "If we can determine that a specific

protein will activate, the specialist in Oncology will have more concrete data response in the

treatment of malignant tumors, and implement the procedures and substances most appropriate for

each particular case and remove side effects" said Dr. Sanchez.

He added that the ultimate objective of the research is to "get what we might call a 'therapy to

the letter' because our aim is to determine that based on a series of genetic and biochemical

parameters we predict the patient's response to treatment that it administers, "said Dr. Sanchez.

At present, what is being done is to administer a cocktail of drugs and is the respondent to act

accordingly. "Our research aims, therefore, to avoid this test phase and testing and thus go to

the drug that can operate or have more chances to do so, which represents a gain of time in

treatment of cancer is a very relevant. This is the basis of our scientific study. Now, we have

discovered a protein that is critical to the resistance to therapy for a type of leukemia,

showing that the activation of this protein blocks the effect of the drug. If you translate these

findings into clinical practice, would mean that if detected this protein is not to administer

the drug and also eliminates the side effects, "explained Ricardo Sanchez.

The laboratory Albacete collaborates with research groups such as the Cancer Center of Salamanca

or the Institute for Biomedical Research Madrid and maintains contacts in the United States and

Australia to exchange experiences. we may know whether the proteins with which we are working are good predictive markers of the patient's ....

Perpendicular to these guides light channels fluídicos

Investigators Nanophotonics Technology Center (NTC) of the Polytechnic University are developing

a sensor biochemist from 'user-friendly, cost-effective and fast', which will be used to detect

various diseases simultaneously from a small sample of blood.

This was reported today by the principal investigator, Dr. Daniel Hill, who has said that the

European project SABIO (Ultrahigh sensitivity Slot-wAveguide BIOsensor on a highly integrated

chip for simultaneous diagnosis of multiple diseases) is part of the Sixth Framework Programme,

began in January 2006 and lasts for three years.
The investigator stated that the objective of the research is to be able to detect any health

center or hospital Hepatitis B and C, citomeglovirus and liver cancer fast reliable without

having to send the sample to a laboratory , thus saving money and energy.

Daniel Hill, the project coordinator, has indicated that it only requires a simple drop of blood

and waiting for minutes to get the results.

In addition, this instrument will be compact and automated, thus easy to handle for a person with

little technical knowledge.

The 'box' or platform where the sample is introduced, incorporating the different components that

research units involved in SABIO have developed, primarily a chip photonics, a system to control

entry and exit lighting, anti-vibration system and another control the temperature, and that any

alteration of conditions can affect the outcome.

The chip that analyzes the sample is composed of components of nanometer size (1 millimeter =

which explains that with a single drop of blood will be able to obtain

reliable results.

Moreover, compared with the sensors currently available on the market, this device includes many

more areas of detection, thus generates a lot of data points which translates into greater

sensitivity in the measurement of a greater number of diseases with a sample small.

'There is no technology that can do so many tests in an area so small,' said Daniel Hill.

By reducing the sample, also reduces the amount of reagents used thereby lowering the process.

The design of the chip or biochemical sensor is the most complex.

It's made with silicon, the same material which manufactured electronic microchips phones or

computers, but transmits light rather than electricity.

This is possible thanks to the incorporation of a series of nanoguías light or 'guides slotted'

(slot-waveguides) that channel light.

In the same device, but placed perpendicular to these guides light channels fluídicos drive blood

sample.

At certain points the light intercepts fluid and the presence of 'targets' (antibodies or

antigens, depending on the case) modulates the intensity of transmitted light and there is a sign

indicating that the patient shows symptoms of the disease.

Hill explained that 'on the side walls of the channels are placed where optical receivers for the

detection of' targets', the electric field is very high and concentrated.

'Therefore, if there are' targets' on the sample to find their roots in the receivers, as his

presence changes the effective refractive index of the structure detection, the resonance

frequency was also amended effective ', has indicated.

Affects between the population and cause

The pain focuses up to of the consultations which were attended by doctors Primary Care

reason which causes up to of patients suffer depression as a result of it, because this is a

factor that "deteriorates quality of life. "
EUROPE PRESS This was stressed today in a press conference the head of the Task Force of pain of

the Spanish Society of Primary Care Physicians , Emilio Blanco, on the occasion of the

celebration of the Jornadas national treatment of pain, which meet between today and
about doctors in Santiago.

According commented Dr. White, who serves as medical family in Valladolid, people who have pain

"must always consult a doctor." "There are people who do afternoon," said, pointing out that

"sometimes feel fear and can make is to prolong the suffering".

Thus, he stressed that in the case of chronic pain "be consulted as soon as possible and catch up

treatment will be better forever. In this vein, the president of Galicia and Semergen-doctor at

the health center Pilgrim Virgin of Pontevedra, Isidore Rivera, insisted that the pain "has the

potential to alleviate."

Therefore, Rivera said that these days claim that family doctors "know, forming and always treat

pain." Thus, invited physicians to convey that "there are solutions" because "is not something

that has to happen." "The stoicism in the twenty-first century should not exist", he said the

president-elect of the Spanish Society of Pain and head of the Pain Unit of the Hospital

Architect Marcide Ferrol, Manuel Camba.

EUTANASIA.

Along these lines, Dr. Camba acknowledged that "it is a problem getting a relief of 100% and in

cases such as neuropathic pain - which suffers from a" very strong "and" continuing ", as

explained Emilio Blanco -- , "only reaches 30-40%" of relief. However, Manuel Camba stressed that

"there are technical enough to deal with any type of pain."

"Sometimes reaching suicide because it is unbearable," admitted the head of the Pain Unit at

Hospital Marcide Architect. However, he stressed that "in " failed "never a request for

euthanasia."

Thus, Camba said that the first professionals "will receive the patient" is the Primary Care

doctors, who "should get the first treatment of pain." These optional addressed in the health

care field to 84% with pain.

In addition, he pointed out that psychiatrists and psychologists working with these optional

units pain, which have all hospitals Galicians.


The overall objective of the meeting, which was developed through eight workshops as a practical

matter, it focuses on improving the training of family doctor to evaluate and treat "an efficient

and coordinated manner" with the other levels of health care patients they show any kind of pain.

According to the data, it is estimated that in Spain of the population consume analgesics

routinely, headache being the main reason.

This third edition, following the two previous meetings in Barcelona and Valladolid, includes

workshops "practical and interactive" in which cases will be dealt with and all involved two

rapporteurs, of whom at least one shall be a family physician.

The themes of the workshops will be neuropathic pain, oncology, antiflamatorios, pain and

depression, osteoarthritis - prevalent disease in adulthood which is not less than 20% of

consultations - fibromyalgia - affects between the population and cause a

deterioration of the quality of life - acute pain and headaches - considered one of the most

common and disabling diseases -.

The Varea definitely reacted after the expulsion

Cesar Soto. It expelled by a double yellow Javo And rebuked the visitors Bladi,

Luis and Ruben.
The Varea yielded a tie at home before a Alberite that was well planted in the game, but ended

locked at nine local players combative, as Javo was expelled in the absence of half an hour and

Eraña left by injury in the final stretch, without the possibility change.

It was in those moments when the Varea was laid up with conviction, which he had missed for the

first time, which had the ball but was unable to shoot on goal. Yes it did Alberite, exploiting

well their meagre arrivals. In one, Sergi was about to surprise Jesus from about thirty meters.

The left-handed mid returned to scare the local parish to move into a stationary ball with a

pitch that forced the direct intervention of Jesus, who shortly before had drawn an auction of

Moha.

The local technical reacted in the rest, with two substitutions that changed the game. What

encouraged. Arpón by Trespa and Josu front, which came by Dani. With the entry of attacking local

Varea won verticality, regate and shot. The first of what Josu diverted to córner Bladi, and the

second as a successful Mayayo cleared, and the next two hit on the stick.

Local Reaction

The Alberite fell to the local drive, but had options ahead thanks to Luis, which did not require

two hands like two testarazos in ideal position to be marked. The clearest visitor arrived,

however, the time off when Oscar fired off a ball franc.

The Varea definitely reacted after the expulsion of Javo. Not noticed the inferiority. It adueñó

ball and party, and two hands postreras very embarulladas just missed some luck to score for

victory. There was Mayayo to defend a valuable point for yours. The premises, on the other hand,

ended up disappointed with the result, they are insufficient antojó although acceptable ,,

Obesity and stressed "the relationship between genes

The boticarios, key players in nutrition education
The CGCOF affects every age group deserves separate attention, and to more than harmacists who went to a new edition

of the National Conference for Food, organized by the school and CGCOF Tarragon. The message

conveyed to the audience was clear: the company considers the pharmacist a nutrition educator,

but there is increasing need to "adapt" the councils to the personal situation of each patient.

The National Conference of Food served to highlight the figure in the pharmaceutical nutritional

issues.
According to data from the General Council of Colleges Pharmacists (CGCOF), are received every

year in pharmacies Spanish ten million consultations on issues related to food, some questions

that go beyond those on healthy eating habits and interactions between drugs and food .

These data by themselves justify the conclusion of a new edition of the National Conference for

Food, which took place in Tarragona between the past , under the theme "Food, age

and health." A slogan that sums up the objective of the event organizers, the very CGCOF and COF

Tarragona as host agency, which is none other than the pharmacist to be able to resolve all

queries on food they raise patients.

All this without age or personal situation of each one of them is a handicap for this purpose.

"Every age group deserves special attention and tips different," says Consuelo de la Riva, vocal

feeding CGCOF.



The elapse of the three-day event seemed to follow a parallel with the actual cycle of life.

Thus, the inaugural conference on Thursday was devoted to the analysis of feeding babies. In this

connection, one aspect seemed to be clear on this opening day: the importance of recommending

pharmacies from breast milk as food "almost unique" in the first months of life.

The scientific arguments in this area were provided by Ricardo Closa, a member of the Neonatal

Unit at the University Hospital of Tarragona Joan, through the results of the study "The EU

Childhood Obesity Project, conducted at children in five European countries (Spain between

them). "Breastfeeding has been associated with a reduced risk of obesity later, while the high

protein intake during childhood is related to the appearance of high body mass index in the

future," he said.

More important is whether the councils pharmacists in the so-called "complementary feeding" of

the baby, because this kind of Juvenile occupy much space on the shelves of pharmacie
One of the most curious thereon as described Tormo Ramon, a member of the Hospital Quirón

Barcelona, which called for "pharmacists exercising in wet regions of Spain should recommend

harder administration of vitamin D to children for a few years age, to cover deficits of sunlight

in winter months. "



The symposia on food in adolescents and adults focused the day on Friday. In the case of the

former, unfortunately, the influence or the scope of the media and advertising is much greater

than that which can be exercised today pharmacist in them. However, according to Salvador Zamora,

a professor of Physiology at the University of Murcia, it is possible and necessary to reverse

the situation and that "in this group is where it is most manifest what may be the great epidemic

of twenty-first century: obesity."

The expert recalled that the lifestyles of adolescents "are those of the sedentary lifestyle,

which should be regarded as a disease for all the consequences that can have on health."

Obviously, he supported the healthy eating habits, but emphasised that obsessed to the limit for

healthy eating "also produces health disorders, such as Orthorexia."

In connection with these habits, took special mention in the debates of the day closing ligths

products and so-called 'miracle product' due to the erroneous perception that many consumers have

about them. "The abuse of these products not only will not help reduce weight, but it can help to

increase it," warned Francisca Perez, a professor of physiology.



The closing conference, "Nutrigenomics and personalized nutrition," was conducted by Alfredo

Martinez, a member of the Institute of Food Science Pamplona, which affected neither food nor

diets or councils, have equally in patients .

It focused on obesity and stressed "the relationship between genes and body mass," and recalled

that the genetic study of the individual "would prescribing personalized recommendations

regarding the nutritional advice or pharmacological treatment."

Order to obtain a growing effectiveness of care

Recipe electronics and generic priorities in Murcia
Murcia will launch an Action Plan on rational use of medicine. To that end, the Ministry of

Health and the Health Service Murciano met last week to a group of experts from all the health

sectors which have formed working groups to develop proposals and study their operation.

But not starting from scratch, since the prescription for active and the first steps to implement

the electronic prescriptions are some initiatives that are already part of previous programmes

and are priority objectives for managers of the Ministry of Health.

The meeting also presented the best national and international experience in use of medicines and

assessed the plans that have been put in place in the region. , the working groups

formed to meet again to make a fresh assessment of the initiatives.

The plan, which will last for three years, will work on ten aspects: quality indicators of

limitation, information systems, maintenance and training of professionals, by prescription

ingredient coordination between levels of care, safety of the drug, regulation of the visit

relationships with the medical and pharmaceutical industry, incentives for professionals, citizen

participation, involvement of the pharmacies and the role of nursing.

Recipe electronics

Casimiro Jimenez, director general of Planning, Finance and Health Policy pharmaceutical CF

declared that "in the specific case of the electronic prescriptions in Murcia are already in a

position to define a pilot area to begin."

"It says Jimenez-to involve all sectors and establish mechanisms for coordination and

collaboration in order to obtain a growing effectiveness of care." To coordinate the momentum of

specific initiatives, we will create a coordinating structure for health areas with

responsibility for each of them.

Spanish political sources attach great importance

Germany has been incorporated into the club of countries pursued by the European Commission for

the constraints which sets its pharmaceutical model of self-opening of offices of pharmacy for

institution warns that some provisions of the German Pharmacy Act could be in violation of

freedom of establishment contained in Article of the Treaty of EC. This article prohibits any

restriction on the free opening of establishments for citizens or entrepreneurs of a EU member

state in another Member State and is the legal basis on which is based the complaint against

Spain and three other countries (Italy, Austria and France).

Germany is among the countries who defend the state competition to regulate health services. Only

pharmacists can own a botica and medicines can only be dispensed in a pharmacy. So far it has not

taken a decision on the Spanish case once that after the issue of a reasoned opinion, the

allegations were received from the Spanish Government to defend the model of pharmacy.

Although Brussels has set the first quarter of as the deadline to make its decision on

whether or not to send the case to Spanish European Court of Justice, Spanish sources have

pointed to a CF that the Commission will wait, probably, to be issued a decision on the Italian

case before taking a decision on Spain. "Brussels needs a bed on which to base legal recourse

against Spain-say these sources, and not all of them have to respect the decision on Italy"

This whole process-the opening of new cases of infringement, the delay of the sentence Italy, the

French presidency of the EU which starts in the second half and the position of Paris against the

liberalisation of the pharmacy europeaapuntaría a delay in decision on Spain, which at the moment

is good news for the Spanish government.

In a system as complex as the EU, which has great difficulty achieving internal agreements,

especially after the failure of the Constitution, the Court is the only institution that manages

to establish common doctrine and the Commission, which found strong resistance to their

liberalizers projects for the pharmacy, can not act without providing the reaction of the court

and its decisions on any resources.

Spanish political sources attach great importance to the court's decision, but added that "it is

difficult to anticipate which direction to go." "But from the careful reading of the judgement

when it starts, really, the battle to defend the Spanish model pharmacy."

Conditions in the tender convened for that purpose

They start to be vaccinated girls aged 14 against papillomaviruses
Prevents against cervical cancer, but does not prevent in the future the use of other measures

such as condoms and Pap smears elieves View comments

INFECTION AND CANCER
Infection: Between and percent of women may be affected by the papilloma virus, but only

just in tumor betwee Cancer of the cervix: In Cantabria are recorded between 19 and 40 cases annually, according to

statistics of recent years, which gives an annual average of about 28.

Detection: the extent to locate this tumor is control by gynecologic cytology.

Healing: when the cancer is detected early through the test cytology healing reaches one hundred

percent.

Mortality: women who die from cancer are between age of 8.early olds will start to be vaccinated starting this;

human papilloma virus, specifically against serotypes and which are the main causes of

cervical cancer, a disease with low prevalence in Spain, but it has decided to fight at the state

level. Cantabria will be the fifth autonomy to implement.

Adolescent girls should go to health centres and call your appointment. This is a first dose, a

second and a third a month to six months. In many cases, girls start to be vaccinated with 14

years and finish with . In Cantabria it has been decided to use the age-have reached the age of

14 this year - and not the year of birth so that the coverage was more comprehensive.

Moreover, girls older than this age may choose to be vaccinated buying their dosage, but should

know that protection is not effective if you have already begun sexual intercourse. Otherwise,

there are recommendations that extend up to years, the possibility of being vaccinated.

"The decision to include this vaccine in the schedule was taken unanimously at the technical

presentation in which participated representatives of all the autonomies," explains Alvaro

Gonzalez Aledo, head of the Promotion and Health Education of the Ministry of Health. He added

that in this paper will explore potential vaccines until it decides the "right time" to be

implemented. "Papilloma took time to study and be approved when technicians believe that the

timing," he notes.

Gonzalez Aledo stresses that "prudence" presides over the decisions of the technical

presentation. "In the case of this vaccine, in addition, has heard the voice of the other experts

have advised."

"It should make it clear that the vaccine not only protects against two serotypes of the virus,

although they are the main causes of cervical cancer," said Santiago Rodriguez, director general

of Public Health. In this sense, announced that it will put in place a surveillance system in

collaboration with Pathology de Valdecilla to verify that these are families of the virus which

remain the most common in the future. Such surveillance is conducted through cytology tests.

On the other hand, the manager of Public Health finds that the vaccine is in addition to

preventive measures to care for the health of women. "We are also considering a protocol for the

successful completion of tests on cytology because some women are too often carried out and

others are not accessing them", he stressed.

With regard to cervical cancer, Rodriguez suggests that Spain does not have the same prevalence

among women than in the rest of Europe, where it occupies the top. In our country ranks seventh

after the breast, colon and rectum, stomach, ovarian, lung and pancreas.

Preparations

When the vaccine went on the market six years ago, only one pharmaceutical company offered

preparation (Gardasil). At present, a second has launched its preparation (Cervarix). Cantabria,

which has been the fifth autonomy in launching the vaccination-after Basque Country, Navarra,

Rioja and the Canaries, and has opted for the second offer as it has been proposed that better

conditions in the tender convened for that purpose both price and presentation...

Object in the morning and not do it

Controversy against possible records objectors
Back controversy by conscientious objection. The announcement by the Minister for Health, Bernat

Soria, to create records for the doctors who are hosting conscientious objection to not perform

In fact, barely two months ago that the COF Malaga approved the establishment of a register to

register their members who wish to exercise their right to conscientious objection in dispensing

drugs, such as the morning-after pill (pdd), or health products such as condoms.

This decision was made after confirmation that the new Law on Pharmacy reservation to the

Government of Andalusia the right to open a pharmacy, in addition to the criteria for planning,

"in those territorial units in the pharmaceutical that is not guaranteed access to medicines and

medical devices mandatory minimum tenure. " In this regard, lawyers consulted by this newspaper

rejected this measure and called it an "inadequate".

It is not an obligation

"There will be school, through registration, forcing a pharmacist is retrate objection with

respect to all patients who want a drug because it may be the case that - in the circumstances of

the patient-pharmacist sees no moral objection for that case and admitted dispensing, "explained

an expert on pharmaceutical law Rafael Ariño.

The Commission of the Organization Conduct Medical College also welcomed the announcement of

Soria, as it believes it is legally questionable and that would make this list in the hands

policies.

Also, the general coordinator of the National Association for the Defense of the Right to

Conscientious Objection Staff Biosanitary (Andoc), Jose Antonio Diez, warns of the risk that

could pose to the freedom of professionals lists of doctors to objectors abortion.

He adds that "it is seriously disturbing to create records of objectors: one thing is that the

objector, using his right eye expressed by the channel as it deems appropriate (via professional

body, responsible way of service, etc..) otherwise, draw up lists that reflect the ethical or

religious beliefs of professionals, which may be contrary to article 16.2 of the Constitution,

which states that "no person shall be compelled to testify about his ideology, religion or

beliefs. " In this respect, Diez feared that creating "ghettos", which would lead to

"discrimination" and "persecution".

Regarding the Abortion Act, the intention of the Ministry of Health is working on a decree to

ensure the confidentiality and privacy of the patient, ensuring the quality and safety of the

service and provide legal security to the professionals.

For this reason, the minister announced last week, at a luncheon of Europe Press, which will be

regulated conscientious objection at this point, but it will "object in the morning and not do it

in the afternoon." Although later clarified that it had no evidence that this was happening in

The Minister for Health, Bernat Soria, returned last week to show their support for the complete

range of distribution, stating in an informative breakfast Europa Press that the model

Mediterranean Pharmacy "is the most developed, as it ensures the distribution and the patient's

access to medicines even in a small village of Las Alpujarras Granada. "

In addition, regained its idea of a great Pact for Science, "which requires the support of all

actors: autonomous communities, universities, researchers, health professionals, business,

foundations, institutions and citizens." He also pledged, if still in office, to be ready in less

than a year a comprehensive plan for the prevention of dementia.

Probably will before the start of the next Parliament

Health satisfy doctors and nurses
The ministry has not ensured that the ministerial order of the 'prescription' nurse a reality

before the election. However, it seems that it has managed to calm the protests of the WTO

removing Annex III, which makes unlimited use of prescription drugs without medical supervision

It seems that the Ministry of Health has made closer positions between WTO and the CGE

When it appeared that the ministerial order that develops the 'prescription' nurse would, as had

been agreed at the outset despite the disagreement of the WTO, the Ministry of Health has tried

to bring positions between nurses and doctors before sending a document to the State Council.

However, the new text-that is not yet the final-has not been without controversy. While

filtration of the same has not sat well with the Ministry of Health, the WTO has agreed to the

new wording to remove Annex, the point that generated controversy. In fact, the ministerial

decree ignores this annex, which included groups with therapeutic medications not subject to

prescription.

The proposed order, therefore, retains the article referring to podólogos. With regard to nurses,

remains Annex medical devices that can authorize them, however, while the point from the

previous drafted specifying medicine are not subject to prescription-those in Annex - That

remark has now disappeared and the text contains only "medicine are not subject to prescription,

implementation of the protocols for its rational use."

This could mean, therefore, that even expand the number of drugs that nursing can be used to make

or authorize such allusion general before being targeted by Annex .

Yes included, however, a new comparison with the previous text, which specifies that

developed the "institutional protocols for joint action" in the two elaborations of the

order-health professionals graduates who have responsibility in the process care of that question

through their professional and scientific organizations.

It also adds a 4 indicating that the health authorities of the autonomous communities may add

other medical devices specified in Annex II, according to their portfolios complementary services

to the portfolio of common services NHI.

For the WTO, it has been a step toward understanding. Thus, as discussed its general secretary,

Juan Jose Rodriguez Sendín, this new wording contains proposals that the organization has done in

its allegations, specifically in the conclusions of the same. Thus, it is remarkable for the

Council which has withdrawn Annex "that was what raised great reluctance." "Here comes close

to what we wanted and provides an insight into what they also want the other group and we make a

positive assessment," said Rodriguez Sendín. However, the secretary-general did not want to make

further assessments about the content of the order until finally as can be seen, waiting to

happen.

More cautious was the chairman of the General Council of Nursing. Maximum Gonzalez jury has not

wanted to make statements to the media until the conclusion of negotiations with the Ministry of

Health on issues of corporate responsibility, although, given the new text, the order would even

'prescribe' to all medicines without nurses recipe, of course, once agreed by joint protocol and

with the approval of the physician.

In this case, what is clear is that the ministerial order had not seen the light of day before

the election and it probably will before the start of the next Parliament as the opinion of the

Council of State, to go through ordinary could take more than a month, so that the deadlines for

Bernat Soria as a minister in office, and could have been finished.

The vaccine may be able to control blood pressure

Only two injections a, rather than daily pills that many hypertensive breach. This

is what we promise an immunization, which is currently in development, aimed at a

substance-related blood pressure problems. The treatment just to show signs of their safety and

efficacy in a trial of hypertensive patients.

"The results of this new biotherapy for hypertension are intriguing and promising. Vaccine could

prove very useful in many patients," study,

both published in the latest issue of the journal 'The Lancet' .

Although currently there are effective drugs and patterns (eating tips, exercise ...) against

hypertension, many patients do not comply with their therapy. This helps the fact that it is a

chronic disease, but with no symptoms. Hence the usefulness of a vaccine, which would simplify

matters: "The ease of a few injections per year would encourage better adherence to treatment,"

say researchers from the Swiss company Cytos Biotechnology, the same as working on an

immunization against nicotine.

The 'strategy' of the vaccine hypertension is similar to that of many modern antihypertensive

(ACE inhibitors, inhibitors of renin ...), that act on an important regulator of blood pressure:

the renin-angiotensin system. The vaccine is a mixture of a hormone of this circuit: angiotensin

II (a peptide in the blood that cause vasocontricción and therefore raises blood pressure) and a

particle similar to the viral capable of waking up defenses.
Results

"La vacuna induce anticuerpos contra la angiotensina II e impide que ésta se una a sus

receptores. Así que el modo de acción es bastante similar al de los fármacos convencionales, con

la excepción de que la duración de la respuesta inmune de la vacuna está en around four months,

compared to six of medicines, "explained elmundo.es Martin Bachmann, one of the

signatories of work. So, suffice estimated that two or three injections per year to maintain

tension 'at bay. "It seems realistic," he adds.

In fact, the study found that people who received a high dose of the vaccine managed to lower the

tension in a similar way to what is achieved with low doses of renin inhibitors, the authors say.

The tension was between and mm Hg lower than that of participants who received a placebo

injection-.

Bachmann also highlights an unexpected discovery: blood pressure seemed to diminish especially

. "The increase in the morning blood pressure is a problem with poorly

controlled drugs , and that the majority of heart attacks, strokes, etc.. Occur at this time

of day," explains the researcher.
Caution

The study was conducple between had a moderate hypertension (between
Hg systolic and the were divided into three groups:

patients received low doses of vaccine (an initial injection and two other souvenir few weeks

later), many others about higher doses, and a third group served as the control group, receiving

injections of a substance harmless.

The main objective of this test was to verify the safety of the treatment, something that seems

tested, at least in the short term: "Most of the side effects were mild and transient," write the

authors. Basically, flu-like symptoms, fever ... all of them frequently with other vaccines. In

this essay has not been that alters other cells defensive, "so it does not lead to an

uncontrolled stimulation of the immune system," they write.

However, the authors of the commentary still have doubts about the side effects of treatment,

"whether it would be safe to inhibit the action of angiotensin II for several months," they

write. The circuit which is part of (the renin-angiotensin system) plays an important role in the

homeostasis and "in situations of decreasing salt or liquid, as a severe dehydration, clinical

trauma or shock, rapid activation of this system is crucial" they write.

Recall also the failure, a few years ago, the promising vaccine against Alzheimer's, which also

encouraged defenses against a peptide of our own body.

The authors acknowledge that both the effectiveness and safety of the vaccine will have to be

tested in further studies. It is also necessary to determine whether the effects on hypertension

occur in other patients, such as the elderly. "There is no reason to think that will not work in

severe hypertensive or other population groups," said Bachmann. Still, this researcher believes

that the ideal candidate for immunization would be newly diagnosed with hypertension. "For these

patients, the vaccine may be able to control blood pressure without additional medication," he

says.

Currently, they are making two new clinical trials and, when finished, will begin a trial phase

, the previous step to the authorisation of treatment. If all goes well, Bachmann estimates ....

The experts who prepared the study claimed

The moderate consumption of alcohol should not only be seen as a bad habit, but it can become

a health benefit if it is consumed in the average ages. According to a study prepared by the

Department of Family Medicine at the Medical University of South Carolina, people do not

bebedoras middle age began to consume moderate amounts of alcohol reduce immediately saw their

risk of cardiovascular mortality unchanged in mortality after four years.

The study was conducted among a total of people between who were not

drinkers, and they started to make a moderate alcohol consumption (1 drink or less per day for

women and 2 drinks per day or less for men) during a continuous period.

So, it was discovered that after , the new moderate drinkers had a 38% lower chance of

developing cardiovascular disease than their colleagues abstemious. Even after adjustment for

physical activity, risk factors and demographic heart, this difference persisted.

BETTER IF ONLY BABY WINE

The study also identified a subset of new drinkers who consumed only wine. Comparing with

non-alcoholic wine drinkers only, other types of alcohol, and hard-core drinkers, those who took

only wine were most significant reduction of cardiovascular problems. The drinkers of other types

of alcohol also had an advantage over non-drinkers, but the difference did not reach statistical

significance.

The experts who prepared the study claimed, however, that any advantage of the consumption of

alcohol should be weighed with caution to the known consequences of the diseases associated with

excessive consumption.

Perhaps the study of these capabilities

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Translator at Universia


One study, led by researchers at the Centro Andaluz de Developmental Biology, center of the mixed

Pablo de Olavide University, CSIC and Government of Andalusia, reveals that the gene is Meis1 key

processes that use cells in the formation of the retina. The finding, which helps to clarify the

way the nervous system in vertebrates, it can also provide more information on the development of

certain cancers. The findings of the study have been published in the scientific journal

Development.

The researcher at the Centro Andaluz de Developmental Biology Fernando Casares, director

of research, contextualizes the results: "Advancing the knowledge of the formation of the eye is

important, not only because it was the essential part of the visual system but also because is a

good model for understanding how the nervous system is built. " The reason lies in its

simplicity: "Unlike the brain, the retina needs to train fewer types of neurons and glia cells

(cells that protect and assistants bring food to neurons, which facilitates their study," he

adds.

Specifically, the investigation reveals, in the format of the zebrafish, Meis1 that the gene is

essential to encourage the proliferation of cells during the formation of the retina, and that

their action is required for the expression of two powerful promoters of cell proliferation ,

ciclinaD1 and C-Myc.

Casares clarifies this concept: "The development of any body requires two phases. The first phase

of proliferation, is the multiplication of the cells until the body has adequate size. At this

point, the cells become differentiated from each other to assume different functions necessary

for the body to function in question. " Meis1 is needed to keep cells in the first phase for the

development of the retina. The expression of Meis1 has to be "off" to allow retinal cells begin

to differentiate into development.

The researcher explained that the finding represents a further step in the understanding of the

biology of development, an area "essential" of modern biology, but it still has a long way to go:

"The scientific community does not know for the moment how formed a body in detail, from the

specification of its primordium through the specification of the various cell types that comprise

it, to how it determines the size and shape of it. We could not cite the instructions to be

formed, for example, the wing of a fly, which is perhaps the best studied body. "

UNDERSTAND INJURY AND DISEASE

Thus, the finding provides new data to the discipline of developmental biology. This area, as

Fernando Casares, is essential in modern biology and key, inter alia, to understand the molecular

mechanisms of diseases such as cancer.

In fact, the research that has led Casares suggests a mechanism to explain how the gene might

participate Meis1 the development of acute myeloid leukemia, a type of cancer generated by an

excess of blood cells undifferentiated. "In leukemias, Meis1 not off in the precursor cells (stem

cells) in the blood and they continue to proliferate indefinitely," explains the researcher. "Our

work identifies Meis1 such as a gene that promotes cell proliferation through the control of key

cell cycle genes."

The scientist who qualifies is not yet known what molecular mechanisms prevent the gene off and

recalled that Meis1 could be implicated in the origin of other cancers.

On the other hand, he said Casares, the elimination of Meis1 drift microoftalmia. "Knowing more

about how they form the retina and the involvement of the gene Meis1 in its development could

help repair damage to the eyes, especially since we use the zebrafish as a model."

The investigator CABD extends this idea: "In the case of human beings, wear and damage to the eye

only be cured by medical aid. However, fish and amphibians are able to heal their eyes actually

regenerating damaged parts. Perhaps the study of these capabilities will give us clues to find

out why our eyes do not.

Number of patients referred by each chamber desprogramada

During the past five days have been suspended in the Hospital of Salamanca nearly

outpatient visits, surgeries in tests. A negative balance of the last week of strike by

doctors in the province which now affects thousands of patients salmantinos.
Eva Rods
, the union decided to toughen CESM protests to prolong the strikes

and each day of the week. Thus, the waiting lists of queries and transactions have

increased.

Despite maintaining separate meetings la Junta de Castilla y Leon doctor with the union have not

yet reached an agreement. CESM The provincial president, Jesus Arcaya, insists that the Ministry

of Health "offers nothing", since according to precise " refuses to sign anything with us, just

at the table sector but this is a strike and can not do as they want. "

In Castilla y Leon, the total number of consultations cancelled reaches the mark, with

special emphasis on Zamora and Leon.

Regarding hospital services Salamanca with the largest number of cancellations, highlights

Anesthesia, OTR, or Surgery Pediatric Ophthalmology, among others.

With regard to monitoring, the regional administration maintains that it is "very low", and with

precise percentages in the province salmantina rozaban yesterday that the Specialized

Services. However, the union doctor believes the incidence is remarkable since the demonstrations

began on Arcaya confirms that nearly 200 supporters optional stoppages every day.

For now, the strike continues next week, in particular from , but there will be a

standstill from to observe the Easter holiday. "One option for the Board of Castile and

Leon reconsider and change its stance," Arcaya judgement.

The president of CESM confirms that during the last assembly of the week, which takes place every

day in the assembly hall Hospital, doctors expressed their anger at the immobility of the Board.

"

For its part, the leadership of the Hospital Complex Salamanca has established a series of

actions to minimize the effects of the strike.

In connection with surgery, the health centre has increased the number of transactions in

ordinary day and evening programming (in the week following day suspension) of patients whose

speech was cancelled on the day scheduled. As for the outpatients, the hospital management has

decided to increase the number of patients (those affected by unemployment) cited consultations

on the regular working hours in the morning and exemption guards. They have also opened the

agenda to respond to specific queries preanestesia.

Finally, to minimize the effects of the strike by doctors in diagnostic tests, has increased the

number of patients referred by each chamber desprogramada. So, it will increase the number of

tests to be done to try and reduce the waiting list for the last weeks.

The serious problems facing the mentally ill

Around mentally ill of the Valencia are on the waiting list for access to one of the few

places in homes for the existing aid from the Regional Administration, according to sources

assured yesterday by the Federation of Public Service of the UGT.

According to these sources, in the past s the Government has granted only 10 new aid,

"usually at the death of a user move allows the provision to another."
Toni Femenía, said here that the Single Economic Performance , which are the

support given to the mentally ill in order to gain access to a private residence "have not

increased in this period.
In this connection he stressed that the association responsible for the whole of the Valencia

region alone there are 220 public squares, "which is clearly insufficient."
The 900 families that according UGT no access to public places in residences are forced to resort

to private establishments, but the lack of aid prevents this possibility among those with the

lowest income.
"Besides, adds Toni Femenía-who have been able to access it has been found that while aid has

increased only 2%, the amount to be paid has risen by since the residences are taken by law

to hire more staff, especially health, bringing an h increased their expenditures and also

shifting the cost to users. "
In absolute terms, the relatives of the mentally ill have gone to pay 1,300 euros to 1,800 euros.
To zastopanje these fares has caused, according to the union, that some families of mentally ill

people "had to bring their relatives because they can not pay the rises."
The situation is compounded, according to the source, the special characteristics of these

mentally ill: "Many of them are drug addicts, alcoholics or schizophrenic who have to be cared

for by their families, with the risks and without that they can receive the attention

professionalized they deserve, "said the head of Mental Health UGT.
Moreover, the Government is giving priority to the recognition of aid dependency to the sick who

are already in public residences, instead of giving priority to the 900 that are already being

cared for by their families. "
Here Femenía anticipated that the Government might be "receiving aid of their own."
Lastly, the FSP-UGT has demanded the Government to take "urgent action and to begin to provide

solutions to the serious problems facing the mentally ill and their families for a clear

carelessness of the Valencian Government in caring for the neediest" .

The programmes of the remaining significant politica

During the last legislature died as a result of snuff people in Spain. During the next

four years other will die, and many of them "would have appreciated find concrete

proposals of the political parties on the issue." It has assured the National Committee for the

Prevention of Smoking once past elections, has said that it will continue to urge the

political parties, and in particular to the Members who have elected left in them to contribute

to pursue her vote during the next legislative three measures whose effect on public health would

be "extremely beneficial" if unimplemented someday.

These measures, for which the CNPT not preclude requesting the assistance of regional and

European parliaments, through ensuring that all public places are totally smoke free snuff, by

withdrawing the price of snuff Index of Consumer Prices and ensure quality and equity within the

national health system for all patients and therefore also the access of scientists effective

treatments for smokers to quit.



Few, if not almost no practical effect, however, were on the agendas of the parties in relation

to snuff. The PSOE generically stated that it will continue "to promote conditions and healthy

living habits in particular in those behaviors, habits and customs that are associated with the

most prevalent diseases," including smoking.

The PP, the only one who said to be funded by the drug addiction, which included "establishing a

programme against smoking through information and social awareness, prevention and detoxification

smoking habit." Compared to them, CiU included a reference to the effect "continue to support

measures for the prevention and fight against smoking and alcoholism."

Among the parties with less implantation in the electorate, ERC was the only one who addressed

the issue more directly. So he applied "to ensure that non-smokers can live without snuff in

public areas" and "not to allow the use of snuff in private premises where minors." For its part,

the Chunta Aragonesista intended "to step up the fight against smoking, especially liabilities."

The programmes of the remaining significant political, EA and BNG-did not appear

allusion in relation to the objectives proposed by WHO and defended by the , nor any comment

on whether or not to amend law.

As populations most at risk are identified

Truce for allergic next spring
This spring allergic to the pollen will have a truce, as the low rainfall experienced in recent

months allow foresee few months of May and June pollination moderate. "The concentration of

pollen tends to be marked by rainfall in autumn, which in this case has been limited.
Marta Serrano Romero.

En consecuencia, esperamos que las concentraciones de polen de gramíneas no superen los

granos por metro cúbico de aire, lo que consideramos para la región centro una primavera entre

leve y moderada", explicó Javier Subiza, presidente del Comité de Aerobiología de la Sociedad

Española of Allergology and Clinical Immunology , in presenting forecasts for the next

allergy season last week in Madrid.

As reported CF last week, the high temperatures this winter caused more allergy during this

period, due to increased pollination cupresáceas in the early months of the year. But for the

same reason, the spring will come with a smaller number of pollen grains from plants that

pollinate during the months of May and June.

The increased awareness will lead the grasses, with a 87 percent of pollen grains, followed by

other botanical families as olives, quenopodiácea,
percent cupresáceas and parietaria
Allergy urban
Subiza noted that "the inhabitants of large urban areas and the center of the peninsula more

polisensibilización show that the coastal and northern Spain, where the pattern is the

monosensibilización the grasses.

The explanation may lie in the levels of pollution: diesel particles in suspension, which can

reach levels of percent in the atmosphere, could influence greater allergenicity of

proteins and sensitising children defenses of the nasal mucosa.

Immunization
Aparte de las medidas higiénicas y otras cuestiones a las que deben atender los más de seis

millones de alérgicos que hay en España, como las posibles reacciones cruzadas (más de un millón

puede sufrir también alergias alimentarias, cerrar las ventanas por la noche, ventilar the house

at dusk, avoiding hot or dry weather and wind, the experts stressed immunization, as vaccine was

less than 1t of allergic to pollen, dust mites or hymenopterans.

El presidente de la Seaic, Tomás Chivato, señaló que "la inmunización es la única forma eficaz

hasta ahora demostrada de corregir el curso de la alergia (tanto con vacuna subcutánea como

sublingual), siempre y cuando no se interrumpa y se continúen las dosis de memory for a minimum

Consider, for example, that percent of riníticos just develop bronchial

asthma unless vaccine. "

The experts also stressed the preventive treatment based on inhaled steroids to avoid the

appearance of the first symptoms in people who are already diagnosed. The predisposition of a

person to suffer allergic reactions is an environmental risk factor for suffering latex allergy.

As populations most at risk are identified workers in the health environment, allergic to certain

fruits such as avocado, chestnuts, kiwi fruit or banana, atopic patients, multioperados patients,

especially children with spina bifida. Therefore, the experts recommend that any reaction is to

go to allergy.

Operating capacity is replaced

ZARAGOZA.- Aproximadamente ersonas reciben tratamiento de diálisis en Aragón a la espera de

recibir un trasplante renal, según la Asociación aragonesa para la Lucha Contra las Enfermedades

del Riñón que destaca en este sentido la importancia de la donación de bodies.

On the occasion of the celebration of the World Day for Kidney, next, Alcer-Ebro calls for people to become aware of their health status and the importance of routine

checks in Primary Health Care.

The World Day, the National Federation Alcer Launches Campaign "20,000 people are never going to

the service and is not for lack of desire", along with various acts, to create a state of

awareness among the society.

In Tokyo, there will be a preventive activity level by conducting in a pharmacy in the test of

creatinine, indicative of the proper functioning of the kidney.

To the representative of the nearly Spaniards with kidney disease detected, Alejandro

Toledo, president of the National Federation Alcer "have a kidney disease is not a judgement."

“Se puede ser enfermo renal, tener una aceptable calidad de vida y sobre todo vivir muchos años,

pero esto sólo es posible si se detecta a tiempo, de ahí la importancia de la prevención y la

concienciación de la gente mediante días como este”, Toledo added in a statement.

For his part the president of Alcer Ebro and the federation Alcer Aragon, Severiano Gimeno

Capdevila, stressed that "the kidney is an organ that makes many tasks, so many that it is

capable of keeping stable the body, so it's important to spend one day raise awareness of kidney

disease and raise awareness in society of the importance acquires prevention and health care. "

According to the association, many Spaniards do not go now, nor will go the rest of his life to

service to urinate, and another more may quit in the next few years.

And it is only part of the people who are unaware of having a kidney disease, which

each year are joining others.

The kidney patients consume more than two per cent of health spending and the cost of each is

estimated at between and euros per ..

They are the ones who never urinate, people whose kidneys are damaged to the point where they

lose their usual role of removing toxins from the blood in the urine. When the kidneys function

at only percent of their capacity, according to the association still exists dialysis to

help carry out their duties.

But in most cases, and over time they have entered dialysis, the kidneys fail completely and the

person left entirely to urinate.

If the kidney with a zero percent of operating capacity is replaced by that of a donor, the

patient returns to urinate within hours through a catheter and hours for itself.