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The FNCP rejects draft ministerial order of the Ministry of labour

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la FNCP rejects draft ministerial order of the Ministry of labour

Madrid, 2011-July the National Federation of private clinics has shown its total rejection of draft ministerial order which regulates the provision of health services and recovery by the mutual accident and occupational disease being made by the Ministry of labour and immigration by what it calls the immediate removal of such project now that threatens free competition in the sector. The adoption of the draft would be a serious prejudice for the private health sector and the business community in general for the following reasons:

• would be an increase in the public health care waiting lists for which the public would have more saturated public hospitalas well as assume an increase in the deficit of the public administration.
• Would be serious harm to workers that they should go to public centres rather than private centers
• Would mean a loss of competitiveness of the business community that would increase the duration of labour losses have to be derived to public hospitals earlier that private.
• Would be an increase in costs for the mutual public health cost is much higher than the of the health care private.
• Would mean few lost millions to the Spanish private hospital sector, the closure of many private healthcare centres and therefore the loss of hundreds of jobs.

Above the Patronal demands the immediate withdrawal of the draft agenda and the participation of the sector in a new project which prime the well-being of the injured worker and the efficiency and effectiveness of service delivery points.

Among other items of the agenda should highlight the following:

article 1. Defined benefits arrangements rather than defining a single health care system (public and private).
Article 2. They may only take place or maintain healthcare privately concerts when mutual not available health resources or there is no agreement with the public system in the area of influence.
Article 3. In the case of absence or inadequacy of health services of mutual and public administration in the area of influence, gives priority to the expansion and establishment of centres for the mutual, rather than to the possibility of private resources.
Article 10. In the case of which mutual does not have resources, nor any facilities other mutual or there is no agreement with the public system, may provide such be vices through private concerts, provided that they comply with the law 30/2007 of 30 October.
Article 11. Requirements of the private media to conclude with the mutual. (c) be entered in the corresponding register which will take effect in the D. g. of management of the S. S.
Article 12. Economic conditions of the concerts. In no case exceed the minimum rates to implement the concerted entity.

For years workers and entrepreneurs have benefited from the advantages of private health sector in terms of agility and efficiency to resolve injuries to injured workers and therefore the employer considers a mistake trying to stifle the collaboration of the private sector that it will be serious harm to workers, business and administration.

For all these reasons the National Federation of private clinics has begun the relevant contacts to try to prevent the adoption of such an order in the then-current terms.

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The fictional Fibromyalgia can be detected with current validated questionnaires and clinical instruments

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fictional Fibromyalgia can be detected with current validated questionnaires and clinical instruments

according to a study carried out in the Hospital 9 October Valencia

-the rheumatologists often care for patients that simulate having Fibromyalgia for the sole purpose of achieving a temporary or permanent incapacity for work

– En Spain is estimated that nearly one million people suffering from this disease and that between 15 and 50% has to leave his job for this condition

-published work provides classification criteria that allow validating the demand of patients with fibromyalgia with more objectivity

Madrid, 2011-August “ Fibromyalgia is a cause of growing hiperfrecuenciación in the consultations of the rheumatologists and oftenThere are patients who pretend to suffer from this disease in order to obtain a temporary or permanent incapacity for work resulting in a high socio-economic cost. However, the suspicion of simulation is corroborated by a specific and comprehensive exploration in subjects with possible fictional Fibromyalgia and currently there are clinical tools that detect the appearance ”, concludes Dr. Rafael Belenguer, the Hospital 9 de Octubre in Valencia rheumatologist and who has just carried out an investigation on this topic.

The objective of this study has been to validate the existence of a symptomatic pattern in simulators of fibromyalgia. Possible deception of the patients were analysed using validated and objective evidence for this. 211 Patients from 25 to 65 years (mostly women) were included in specific, diagnosed consecutively Fibromyalgia with work paid from May 2006 until November of 2010 and controlled the Hospital Rheumatology consultation 9 October Valencia.

This research entitled “ are there fictional Fibromyalgia? Keys to their detection with regard to the analysis of 211 patients who meet criteria ARC 1990-2010 Fibromyalgia ” has been awarded as best communication in the 14th Congress of the Valencian society of Rheumatology and, in the opinion of Dr. Belenguer, “ this work provides classification criteria that allow validating the demand of patients with fibromyalgia more objectively ”.

“ The pattern of simulation or fictitious Fibromyalgia can be detected by clinical instruments that we have now, because those who feign tend to express values abnormally elevated or lowered in response to the exploration ”, as it has been explained the specialist. So – has been added – standard and comprehensive determination of exploratory Fibromyalgia pattern must allow the correct classification of patients.

In this study was defined as possible simulation case patients with prolonged temporary incapacity that requested report by gravity, and was considered as a control group of patients with fibromyalgia as evolution with temporary incapacity short or interrupted or absence of this failure. “ It was noted that those affected with a misleading Fibromyalgia expressed values too high or low in response to the evidence, both those relating to points painful to not painful points, fatigue, FIQ, 6 minutes walk, allodynia and questionnaire London Handicap Scale ”, has detailed the Dr Belenguer.

Updated classification criteria

Currently, there is a diagnostic test to indicate one hundred per cent reliable way that the patient suffers from Fibromyalgia, so you have to resort to different criteria, such as the scales of pain or quality of life.

Last year agreed new criteria for classification of fibromyalgia far more specific than the existing so far – marked by the American College of Rheumatology (ACR) – and that could happen to patients not suffering from the disease were diagnosed and vice versa, since that took into account mainly pain and trigger points. Now, we have also included many aspects of the symptoms of this pathology of rheumatic, such as fatigue, sleep disturbances and cognitive disorders.

A high number of industrial casualties

The prevalence of fibromyalgia in Spain is estimated at 2.3 per cent, according to the study EPISER of the being, which is almost one million affected by this disease in the country. And its prevalence is much more common in women (95% of cases).

Fibromyalgia belongs to central sensitization disorders and is characterized by chronic widespread pain lasts more than three months and the patient is located in the locomotive. Pain, intense fatigue, stiff joints, sleep disturbances, depression and headaches are some of the most common clinical manifestations. If the problem is not diagnosed or not appropriate intervention is performed, the quality of life of the patient deteriorates gradually, appearing disability in varying degrees.

This disease is considered the most common cause of diffuse chronic musculoskeletal pain and is one of the reasons you lower labor produces. According to various investigations, from 15 up to 50% of the patients has to leave his job.

Similar to the causes of Fibromyalgia are unknown, there is no curative therapy. Therefore, the treatment of this condition includes certain types of drugs – antidepressants, painkillers and anticonvulsants-, aerobic exercise carried out gradually and in a constant manner, and psychological therapies to teach the patient to cope with their illness.

Spanish society of Rheumatology (be)

The Spanish Rheumatology society (be) has as its mission work and interact actively and positively with all actors of interest in the field of the Rheumatology. To this end, among other activities, promotes the study of rheumatic diseases – diseases of the musculoskeletal system and connective tissue-, develops work, studies and research projects in rheumatology and addresses problems related to the specialty. It also provides support to patients of rheumatic diseases through its relationship with associations comprising mainly to patients. In the area of teaching, the be carries out a wide range of courses on all areas of the Rheumatology and held two symposia case and a Congress every year. Today, SER represents nearly 1,500 professionals in Spain and maintains contact with regional societies of Rheumatology of the entire country.

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The community extends his plan of inspection of industrial casualties to four councils.

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The community extends its plan for inspection of industrial casualties to four regional councils more.

is already applied in health, education and issues social.

– will be monitored also the Presidency and justice, culture and sport; economy; and environment personnel

-The temporary inability to Control Plan protects all workers against unfair practices and fraud

– with this Plan it decreased by 207.166 the days of unjustified casualties and the Executive saved about 28 million in 2010

Spain, August of 2011- the community of Madrid on Thursday approved the Special Plan of inspection and Control of the temporary disability to theyear 2011, following the lines drawn by the same plan in 2010, which allowed saving to the regional administration about 28 million euros.

The President of the community, Esperanza Aguirre, announced that under the good results of the past year, the regional Executive has decided to “ extend this scheme of inspection of industrial casualties virtually all of the workers in the regional administration, to include the control staff of four regional councils moreas well as health, education and Social Affairs, where already applied ”.

Thus the plan this year will focus on the rationalization of the temporary incapacity of the staff of Vice Chair, Department of culture and sport and mouthpiece of the Government; of the Ministry of Presidency and justice; of the Ministry of economy and finance; and the Ministry of environment and spatial planning.

Aguirre recalled that Madrid was the first community in setting up this specific plan in 2010 fulfilled all its objectives and resulted in the reduction by at least 207.166 the days of unjustified casualties among the 140,000 professionals of the ministries of health, education and the formerly family and Social Affairs. This, as a whole, meant a saving to the budget of the community of Madrid of 27.610.286 euros.

In addition, the positive effects of this plan have continued in 2011 and, for example, in the first five months of this year the days of health workers have been 7,05 versus the same period of 2010 7,43.

Objectives of the Plan

The overall objective of the Plan for 2011, within the principle of strict social interest, is that the absenteeism due to temporary disability among workers in the community of Madrid meets real clinical needs, avoiding fraud and abusive or practices harmful to the whole of the workers in the regional administration.

Injuries or illnesses can limit or prevent the performance of some professions but not others. For this reason, health of the community of Madrid inspectors analyze each case carefully and act in a personalized way to adjust the length of the baja to the clinical needs of each worker.

Health inspectorates

Performances by more than 80 inspectors and almost 70 sub-inspectors belonging to the bodies of health inspection and which health, framed in the General direction of management and Department of health inspection be carried out for the achievement of the objectives of the plan in 2011.

The implementation of the plan also entails the involvement and coordination of those responsible for health centres, the Directorates-General of primary care and hospitals, and the Directorates-General of human resources of the departments this information can be used in part or in its entirety without the need to cite sources involved. The content of the plan was given at the meeting of the sectoral table for health, where they have participation unions and administration, held on 7 July.

The Special Plan of inspection and Control of the temporary disability was launched in 2010 under an agreement signed by the National Institute of the Social security of the Ministry of labour and immigration and the autonomous communities.

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The Hospital de Móstoles publishes a guide of waste management.

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El Hospital de Móstoles publishes a guide of management of waste.


-the goal is to help professionals to know the risks

Móstoles, 2011-January The University Hospital of Móstoles has published a guide waste management with the intention to publicize the adverse effects workforce which can cause pollution in public health and as can be avoided. The manual includes an environmental Decalogue which has produced the hospital as well as recommendations for the safety of workers.

Guide calls attention to the social concern for the health problems that cause the waste, mainly the so-called hazardous, and the need to control them. It explains that consist of medical waste and the biosanitarios and establishes guidelines to follow in order to give them the most appropriate destination.

The first step is the internal management of debris covering the classification, packaging, labelling, collection, transfer and storage within the Centre’s work. The process continues with the external waste management which includes the following steps: collection, transport, treatment and disposal of waste. All this without causing negative impacts to the environment or living beings.

Waste

Also explain the possibilities offered by the various containers, the book ordered hospital waste into 7 classes, ranging from the assimilated to urban radioactive, cytotoxic and or special risk, and sets out what to do with each one of them.

It also includes recommendations for the safety of workers, providing tips for the proper transfer of waste in the Center. Include the prohibition of encapsulating the needles and other warnings as: not dig or manipulate the content of the container and use containers suitable for each type of waste.

The guide concludes with the environmental Decalogue, drawn up by the hospital that had been distributed by the common areas of the Centre and, soon, you will reach areas of hospitalization.

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Eight of every ten cases of type 2 diabetes are associated with being overweight or obese.

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Eight of every 10 cases of diabetes type 2 is associated with overweight or obesity.

nearly 400 experts gather in the V meeting of Diabetes and obesity of the Spanish society of internal medicine (SEMI), celebrated in Granada

-Nearly 60% of the Spanish adult population is overweight or obesity and the prevalence of diabetes in Spain is situated around 12%, but nearly half are not diagnosed

-poor diet and sedentary lifestyle, causes of diabetes and obesity have acquired characteristics of global epidemic

-75% of diabetics died by vascular processesespecially heart. Globally, diabetes is responsible for 21% of deaths from myocardial infarction and 13 per cent of the caused by cerebrovascular accidents

-diabetic patients are more prone to certain neurological diseases, including diabetic neuropathy and stroke, your risk of a stroke is almost 2 times the from non diabetic

-the Group of Diabetes and The SEMI obesity has developed a national registry of diabetic patients cared for by the services of internal medicine

-of 26 per cent of hospital internal medicine services high Spaniards have a diabetes

Granada, January 2011- diabetes and obesity are two interrelated diseases that have acquired characteristics of global epidemic. So much so that more than 80% of cases of type 2 diabetes is associated with overweight or obesity. Also, almost 60% of the adult population Spanish presents problems of overweight or obesity and the prevalence of diabetes in Spain is situated around 12%, although almost half of cases of diabetes are diagnosed.

“ The epidemic of obesity and overweight, associated with changes in diet and decreased physical activity, is the main responsible of the marked increase in the prevalence of diabetes which has been observed in the past two decades, both in industrialized and in developing ”, says Dr. Ricardo Gómez strikes, Coordinator of the Group of Diabetes and obesity of the Spanish society of internal medicine (SEMI). In addition, the forecasts of experts for the future are not nothing rosy; the International Diabetes Federation has calculated that 366 million diabetics worldwide will be achieved by the year 2030. This joins, according to the expert, that “ the population has a high tolerance to problems with body weight, in a way that the majority of people with overweight or obesity light see as healthy ”.

In this context, the SEMI celebrated in Granada between 27 and 29 January the V meeting of Diabetes and obesity of the SEMI, the purposes of updating knowledge in this area to improve care for diabetic patients in a comprehensive manner. The internists are intended to also offer a meeting point where synergies and opportunities for future research in these areas, in an interdisciplinary meeting involving almost 400 specialists among internists, endocrinologists, family doctors and nurses are established.

Diabetes, cardiovascular and neurological disease source

Various studies have shown that diabetic patients have more mortality twice to 15 or 20 years of the diagnosis of the disease than non-diabetics, due mainly to cardiovascular diseases increased. “ 75% Of the diabetic ”, points out Dr. Gómez strikes, “ die by processes especially cardiac, vascular. Globally, diabetes is responsible for 21% of deaths from myocardial infarction and 13 per cent of the caused by stroke. Also, it has been estimated that patients with type 2 diabetes have a reduction in life expectancy of about seven years, compared to individuals who do not suffer from ”.

In addition to these risks, the diabetic patients are more prone to certain neurological diseases, including diabetic neuropathy (a lesion of the peripheral nerves caused by the persistent elevation of glucose in the blood, which causes the patients pain and weakness, especially in the legs)(, and predisposes les to the development of ulcers or gangrene feet) and accidents strokes, such as cerebral thrombosis; In addition, the risk of these patients suffer a stroke is almost 2 times the from those not diagnosed. On the other hand, diabetes is also considered a risk factor for cognitive impairment and dementia.

The expert stresses that diabetes type 2 is “ the main cause of blindness in adults, advanced kidney disease and non-traumatic amputation of lower limb. Finally, the type 2 diabetic patients have increased risk of certain types of cancer ”.

The goodness of the Mediterranean diet

In recent years, Spaniards have changed our dietary habits, abandoning the traditional products such as legumes, vegetables, fruit, fish and olive oil, for fast food, pre-cooked and high caloric density foods, rich in sugars and fats of poor quality. In addition, society as a whole has sharply reduced physical activity, both in the workplace as a domestic. “ These two facts ” said the expert, “ are the cause of the current pandemic of diabetes and obesity ”.

All this happens despite the fact that, as points out Dr. Gómez strikes, “ there are numerous epidemiologic evidence showing the goodness of the traditional Mediterranean diet for the prevention of cardiovascular diseases, diabetes, and cancer; Therefore, it is not a myth that the Mediterranean diet is a health insurance, the problem is that the Spaniards have abandoned the traditional Mediterranean diet ”.

The State of research in Spain

The research on diabetes has been experiencing a big push in Spain in recent years. Epidemiological studies, including the calculation of the prevalence of diabetes in Spain, which will make it possible to know exactly the number of diabetics that exist in our country and its territorial distribution being developed. Also, various Spanish research groups are collaborating on the development of new drugs that will help to improve the treatment of diabetes.

The Working Group on Diabetes and obesity of the Spanish society of internal medicine is comprised of approximately 200 internists, whose functions include the promotion of research studies. The Group has launched several research projects in diabetes, mainly focused on improving the management of the disease and the treatment of the diabetic patient hospitalized, having developed a national registry of diabetic patients cared for by the services of internal medicine, which will allow to know best how they are and evolve these patients. Also, the internists have collaborated in the elaboration of the main clinical consensus made in Spain, aimed to improve and standardise the assistance to patients with diabetes. Finally, the Group promotes different training activities in this area include the meeting which is now celebrated in Granada.

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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