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Each year more than 59,000 people in Spain are admitted in the hospital by a pulmonary embolism.

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each year more than 59,000 people in Spain are admitted in the hospital for a stroke lung.

the multidisciplinary health professionals view allows an attention integral to these patients.


– prevention is the most important measure for reducing morbidity and mortality and health expenditure associated with this disease.

– Spain is is situated at a high level of health care in this pathology

-the largest registry of patients in biomedicine is on the pulmonary embolism, and has developed on the initiative of the Spanish society of internal medicine (SEMI) in Spain.

–the rec iente case of tennis player Serena Williams has pointed out the seriousness of this disease, whose risk factors include injury, surgery, immobilization, age, or cancer, among others.

Madrid, March 2011 – pulmonary embolism is a blood clot that forms in the veins of the legs and follows and travels through the bloodstream to the pulmonary arteries. It is part of the pathology called disease venous thromboembolic, which can be revealed as deep venous thrombosis (60% of cases) or pulmonary embolism (40% of cases).

epidemiological studies indicate that the incidence is 98 cases per 100,000 inhabitants in the year. According to data of the Ministry of health of the year 2005, during the year there were 59.035 income in hospitals of the national health system by a pulmonary embolism, “ although the actual incidence is much greater than this figure ”, says Dr. Ferrán García-Bragado, Coordinator of the Group of thromboembolism of the Spanish society of internal medicine (SEMI).

approximately 15% of patients suffering from a pulmonary embolism die during the first month of treatment and those who survive, around 30% recur during the 10 years after the event. Pulmonary embolism is the most common cause of death in women during the period of postpartum.

to Dr. David Jimenez, of the Hospital Ramón y Cajal, Madrid, “ prevention is the most important measure for reducing morbidity and mortality and health expenditure associated with the disease ”. In this sense, as points out Dr. García-Bragado, “ today have pharmacological action of high effective for prevention of pulmonary embolism ”.

risk factors major risk for this disease include age (to older more risk), (particularly the Orthopedic) surgery, medical restraints, trauma, cancer, revenue in the hospital for acute illnesses, and even hereditary factors (such as the hereditary thrombophilias).

for its part, as explained Dr. Jiménez, sport of high competition not increases the risk of suffering a pulmonary embolism. The recent case of the tennis player Serena Williams – who had to be treated urgently for this cause – have pointed out the importance of this pathology, but “ since that is a population of age very young the risk of a pulmonary embolism is low, although trauma injuries and associated surgery may increase the risk ”.


healthcare in Spain.

to the doctor Jiménez, the care of patients with pulmonary embolism in Spain should be considered of excellence for two reasons: first, by the existence of very experienced in the management of this pathology medical teams and second, by carrying out leading-edge research that directly benefit patients affected by this disease,.

in this sense, the Spanish society of internal medicine (SEMI), formed the Group disease thromboembolic Venosa (ETV), which combines the concerns of a group of professional specialists in internal medicine to this disease. “ through the deepening of knowledge and transfer it to daily clinical practice contribute without doubt to the improvement of care patients affected by a pulmonary embolism, and therefore the quality of care ”, points out Dr. García-Bragado.

this effort of the SEMI is the laugh record a record created, launched and maintained by Prof. Manuel Monreal 10 years ago. Today its database has valid 35.556 patients (i.e., who have a minimum follow-up of 3 months). What began as a national record is today an international registration with participation of centres of France, Italy, Czech Republic, Israel, Egypt, Brazil, Argentina and other countries. Over the past 10 years the data obtained from the register have generated 50 publications in indexed journals, and has contributed to a better understanding of the tromboembolica venous disease and the transfer of best knowledge to the practical clinical routine.

laugh, increased register which exists today in biomedicine, has provided key on epidemiology, diagnosis, treatment and prognosis of the disease, “ but its main value is that it brings information from patients followed in the ‘ real life ’, which are not always included in the clinical trials published ”, adds doctor Jiménez.

in short – points this expert-, include the multidisciplinary vision with the SEMI and the SEPAR (along with other specialties such as hematology or vascular surgery), which enabled a comprehensive care to these patients. Groups of embolism of SEMI and SEPAR have a long career in research and assistance to patients with pulmonary embolism.


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Press release of the Spanish society of internal medicine (SEMI).

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press release of the Spanish society of internal medicine (SEMI).


Madrid, June of 2011- the Board directive of the Spanish society of internal medicine at the events that are happening behind the creation new medical Spain, and in particular specialties, infectious diseases and emergencies, wishes to express to the health authorities and public opinion as follows:

-both infectious diseases as urgent medical problems form an essential part and inherent to the specialty of internal medicine, and the internists are indispensable, because the same compromise the care to our patients and it would therefore be irresponsible professional.  

– the services of internal medicine, with over 550,000 annual revenues, is the specialty with the highest income from er. The internist, in collaboration with other professional groups, working for years in emergency services, share this workplace with other specialties, especially with family physicians, serve all the urgencies and emergencies of our hospital services and in some hospitals of all of hospitalized medical specialties

-the number of high of our services by infectious disease, mostly in the context of multiple associated chronic diseases, is the highest of Spain according to data from the national health system MBDS. Attention to these diseases is shared with other multiple specialty medical and surgical, and therefore lacks any exclusivity.

– at the moment there is no problem of training of doctors with deep expertise in infectious disease and international standards of care for these diseases are comparable to those of the best countries. Coping of emerging infectious diseases in recent decades has become, majority from internal medicine, and the messages of a lack of doctors prepared to address these problems in the coming years or generational replacement, lack of basis and do not respond to the educational reality of our specialty.

-the creation of these two medical specialties would damage significantly our curriculum content, our portfolio of services and our professional development opportunity. On the other hand it would induce changes in the educational offer, it would require fragmenting services with a greater complexity in the health centres, it would create problems of health care organization, powers of allocation of patients, professional responsibility and overall inefficiency of the health system of incalculable consequences. In our view should avoid complex organizational decisions, such as which arises, in the current economic situation without strong evidence of a cost-benefit-friendly society.

– in the present, raise new medical specialties, without having adopted and implemented the project of core subjects has no basis and has our firm opposition. The adoption of a new specialty opens the possibility of claims cascading of multiple medical societies of specific pathologies to create other specialties in its field of interest, and which could provide arguments with the same strength as those raised at this time.

-needs care of high specificity, which undoubtedly exist and where to include infectious diseases, especially in reference and emergency hospitals, have their place and a framework law of management of health professions, the recognition of specialists with specific training. The areas of training specific (ACEs), recognized in the Act of 2003, has not been implemented without any justified reason. The legal framework allows access to a same ACE from various medical specialties through experience certification, accreditation of professional skills and with a known procedure. From the National Commission for internal medicine has risen months ago to the ministerial authorities project areas of training in infectious diseases and emergencies in our specialty, while has issued no statement.

– for the reasons given invite reflection and negotiating authorities before making a decision of a similar nature which could have irreparable consequences for the more than 5,000 internists in our country and 1,575 doctors in training, and that the health system can be compromised in the coming decades.



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The guardians are the axis of the educational system.

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the guardians are the axis of the educational system.


-guardians are considered by internal resident doctors (look) as professional models of learning and value their experience as a guide and reference when troubleshooting

– with the aim of contributing to the improvement of some of the powers, and at the same time, serve as a forum for the exchange of experience, is held in Zaragoza, the guardians day of training specialized Sector II, with the support of the AstraZeneca Foundation

Zaragoza, June of 2011- MIR guardians are the axis of the educational system. The guardians are considered by internal resident doctors (look) as professional models of learning and value their experience as a guide and reference when solving problems.

guardian means Guide and support in the development. The guardian has to find the necessary means to enable the work of research and find a balance between the health care, teaching and research work. It also requires skills and social competence.

for carrying out all functions it is necessary to strengthen the figure of the guardian through continuous training, the specification of the time devoted to tutoring in his work and the recognition by law its functions. There are many ways to reward the agent: recognized authority, career, teacher training, or aid to the training

in order to contribute to the improvement of some of the powers, and at the same time, serve as a forum for the exchange of experience, is celebrated the day of guardians of training specialized Sector II, with the support of the AstraZeneca Foundation.

“ training dedicated to healthcare professionals is one of the primary objectives of the AstraZeneca Foundation. This year, the Foundation has worked in various initiatives, including, because of its importance, this day of training tutors ”, said Carmen Gonzalez, Manager of Foundation AstraZeneca.


skills and social.

professional skills among the theoretical knowledge and know-how of each specialty and more generic competencies as the critical capacity, self-education and generate generalizable knowledge to improve health care for patients.

between the social skills, a solid training in values, to give support and justification for the good professional practice, and the ability of motivation are essential and “ drag ” towards the necessary considered goals.


about the AstraZeneca Foundation.

the AstraZeneca Foundation is a not-for-profit organization, created to support both to professionals of the medicine and research in their different fields, as well as to promote the modernization of the Spanish health structure to cooperate in the area of health. All this with the goal of achieving an improvement in the quality of life of citizens

main activities developed by the Foundation are structured on the basis of six blocks: clinical research, training continued, dependency, forums of debate and analysis of health policy studies, training/information to patients in various pathologies and awards and grants.


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The SEMI organizes its summer school III of internal medicine, reflection of its commitment to the improvement of the continuous training of residents in the specialty.

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the SEMI organizes its summer school III of internal medicine, reflection of its commitment to the improvement of the training of residents in the specialty.

organized by the training group of the Spanish society of internal medicine (SEMI) in collaboration with all the groups of work of the society.

-meeting professionals address updates to pathologies prevalent in internal medicine as the cardiovascular, infectious, diseases of the respiratory system of the elderly, systemic, etc; as well as aspects rela genres with the ethics and quality management care.

-sessions dedicated to clinical bioethics, in particular, to the limitation of the therapeutic effort, as well as workshops for mechanical ventilation not invasive and introduction to clinical ultrasound, are some of the main attractions of this course.

-The summer school – funded in its entirety by the SEMI and the different regional societies – will also feature the participation of residents of the Portuguese society of internal medicine.

round, July 2010. –The Spanish society of medicine internal (SEMI), faithful to its commitment in favour of the improvement in the training of specialists, aims to promote scientific and educational activities of the residents to facilitate their inclusion in the draft of the working groups. Proof of this is the summer school III of internal medicine, which organizes the training group, in collaboration with the working groups of the society, in the Palace of congresses and exhibitions of Ronda (Malaga), headquarters until on July 2 of the course.

“ the summer school of internal medicine began two years ago and since its first edition, was born with the desire to be an enabling space for the exchange of professional experience and scientific knowledge of topical, forming an environment of peaceful coexistence between students and teachers to turn ”, indicates the DRA. White Pinilla, Coordinator of the training panel of the SEMI. “ The main objective of the Organizing Committee is creating a space for reflection not only on the more technical aspects and most current specialty, but also above professional and educational issues that concern us ”.

directed to residents of internal medicine in recent years, R4 and R5, the school will address topics as current and relevant as systemic cardiovascular, respiratory, infectious diseases, the elderly and aspects related to ethics and quality management clinic.

to this end, the scientific program includes conferences of experts, clinical case sessions taught by own residents with practical workshops and clínico-patológicas conferences discussed by themselves, all of this in the hands of experts in the field. In addition, organized working groups that will be discussed issues of training.

is intended to also residents make learning clinical skills with a practical approach through participation in workshops, such as mechanical ventilation noninvasive and introduction to clinical ultrasound. Also acquiring transversal skills to the content of the specialty, as the aspects related to clinical bioethics, in particular in this Edition, the limitation of the therapeutic effort. It is of interest, also the agenda on quality and clinical management, which includes the talk with the expert on clinical safety.


commitment to continuous training.

the III summer school, which has been funded in whole by the SEMI and the regional society of internal medicine, with the participation of 70 residents, of which five belong to the Portuguese society of internal medicine (SPMI).

at this meeting, the role played by residents themselves, “ whose participation is necessary condition for the success of the school. They are not only attendees, but that they would participate in a manner very actively in the activities. Thus, part of the program is taught by residents themselves. Also, together with them, among the professors engaged expert members of the different working groups of the SEMI ”, says the DRA. Pinilla.

“ the SEMI is committed to participate in the formation of our residents, and medicine summer school internal are an example of this. It is intended that they are aware of the latest diagnostic and therapeutic advances of diseases prevalent in internal medicine. Also, to facilitate their tools that will help them to improve the presentation and discussion of clinical cases, structure and defend a diagnostic hypothesis in the clínico-patológicas Conference, acquire skills clinics and also cross-cutting as the related to bioethics(write a curriculum or aspects of the training, etc.). Nevertheless, sharing experiences and medical knowledge between the students and faculty ”, concludes the DRA. Pinilla.



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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