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“Primary health care is still the Cinderella of health”.

“Primary health care is still the Cinderella of health”.

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“ Primary health care is still the Cinderella of the health ”.

-Victor Longás, first President of the Congress; Juan José Rodríguez Sendín, President of the Organization Medical College of Spain; Manuel López, rector of the University of Zaragoza; Ana Maria Sese, Director of the Aragonese health service; and Leandro Catalan, President of FASAMET have participated in the academic session “ Congress 25 years ”

-former directors of health, the Conference Presidents and founders of the Union, among others, have attended on the evening of Tuesday the commemorative event of the twenty-fifth anniversary of the creation of the Aragonese Congress of primary care

on Tuesday, 2011-June the Aragonese Federation of doctors in primary care (FASAMET) has been held on the afternoon of the last Tuesday in the Magna Aula of the Auditorium building of the University of Zaragoza the academic session “ Congress 25 years ”. One of the commemorative events which has organized the medical syndicate to celebrate a quarter century of the Aragonese Congress of primary care.

Victor Longás, first President of the Congress; Juan José Rodríguez Sendín, President of the Organization Medical College of Spain; Manuel López, rector of the University of Zaragoza; Ana Maria Sese, Director of the Aragonese health service; and Leandro Catalan, President of FASAMET have participated in this event which has made a journey by the most relevant facts of these 25 years and which have been highlighted the most important milestones that have allowed the Aragonese health continue advancing positively.

in his speech, Victor Longás, first President of the Congress Aragonese primary health care, has pointed out the most important issues of the era such as the recognition of the specialty of medical family in 1978, the centralization of guards or restorative approval of the basic salary. Also said in his speech that there were three rules which gave strength to primary care: the Royal Decree of 11 January 1984 of basic structure of health; the General Law of health 14/1986 of 25 April; and Royal Decree Law 3/1987 of 11 September on the compensation regime.

“ 11 March 1987 were held the first Aragonesas days of Rural Medicine. Our intention was to get a forum for reflection, discussion and agreement on the Trade Union policy of primary care where the main objectives were: the problematic socio-occupational and employment, training and pay homage to our retirees ”, reminded Longás.

According to the first President of the Congress “ what we mattered was our future. We have arrived at the 25th anniversary and will continue to focus on improving our knowledge and update them. It is a discussion forum that has become reference material ”.

in addition, Victor Longás has ensured that “ there is still a long way to go. We are a global crisis that has cost us a great restorative loss and a stoppage of the career. Our goal is to restore everything ” and has indicated that “ it is necessary to improve the sustainability of the system, but we need to support ”. This has given a few keys as: put an end to demotivation and work overload, the misuse and abuse education health of the population, the deficit of resources or increasing the budget in primary care. “ After 25 years we are still the Cinderella of the health and are at the tail of European ”, has said.

For his part, Juan José Rodríguez Sendín, President of the Organization Medical College of Spain, has focused his speech on the current global crisis and assured that “ are experiencing an economic crisis reflected in a health crisis. One of the four things of concern to society is the health. The situation is desperate and several autonomous communities can not cope with the regular budget to the running costs. Since 2008 we have lost 24 points in expenditure on health ”. Sendín also recalled the situation that existed in the field of medicine has been 25 years and has indicated that “ medicine was a profession that was very abandoned even we knew to speak in public, didn’t give a lecture and were far removed from the technological fascination ”

Ana Maria Sesé, Director of the Aragonese health service, has referred to constancy and a job well done from FASAMET to across them these 25 years and explained that “ the life of this Congress is company to the General Law of health. The economic and social context we live in the moment may not overshadow the solid trajectory of this project has given impetus to large measures in primary care. Aragon is the fourth autonomous community with greater satisfaction of the public health and the second with greater satisfaction of primary care. It is important to the development of policies to ensure that health systems, must provide adequate response to the demands of the users of public health ”.

“ The work done by the medical unions has played a crucial role in the reality of our health ”, has assured the rector of the University, Manuel López.

to celebrate the twenty-fifth anniversary of the creation of the Aragonese Congress of primary care, FASAMET has released a commemorative magazine with the trajectory of all conferences that have been organized. In it, have reflected referring professionals, organizing associations, venues, concerns and the most important issues discussed in each of the editions during this quarter of a century. Likewise, the publication collects all the posters and the main images for each forum.

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Tell me how you work and Ill tell you what you “burned”.

Tell me how you work and Ill tell you what you “burned”.

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Tell me how you work and I’ll tell you what you “burned”.

the article is published in “bmc psychiatry”.

-the workload, the monotony and the perceived lack of recognition may be triggers of burnout syndrome, from the ‘ burned worker ’. A team of scientists has analyzed the variables that influence the development of the three subtypes of the disorder: ‘ frenetic ’, ‘ without challenges ’ and ‘ worn ’

Spain, 2011-June chronic job stress and perceived lack of recognition at work form the breeding ground for appearing the burnout syndrome, of the ‘ burned worker ’. “ The prevalence of the disorder is growing in our country and represents a serious problem for society, the economic losses it causes and the consequences on health ”, says Jesus Montero-Marín, lead author of the study and senior in the Aragonese Institute for health sciences research.

Depending on the features of the syndrome, the experts distinguish three profiles: ‘ frenetic ’, ‘ without challenges ’ and ‘ worn out ’. The study, published in BMC Psychiatry, reveals the varying socio-demographic and labor associated to each one of them. By means of questionnaires, the team of Montero-Marín surveyed a sample of 409 employees of the University of Zaragoza, among staff, administrative services, teachers, researchers and scholars.

people with profile ‘ worn ’ neglected their responsibilities

“ profile ‘ frenetic ’ is associated with the number of hours of work ”, explains Montero-Marín. A person to devote more than 40 hours per week to their job task has almost six times more likely to develop the syndrome compared to another with a less than 35 hours schedule. This type of employee is usually a high involvement in his post, big ambitions and a high workload.

A worker dedicated to monotonous tasks, with a tendency to boredom and the lack of personal development, is more likely to develop the profile ‘ without challenges ’. The Administration and services staff has almost three times more likely to belong to this group, compared with the teaching and research. In addition, it is a mainly male profile. “ While they tend to move away from the objectives of the company, which eventually develop emotional exhaustion ”, says the psychologist.

For its part, the type ‘ worn ’ usually occurs in people who, with a long history in the same enterprise, end up neglecting their responsibilities, given the lack of recognition that perceive to her around. Thus, a worker with more than 16 years of service in the same place of work presents a five times higher risk to develop this type of profile, compared to one that takes less than four years of service.

The moonlighting and temporary end ‘ frenetic ’

Whatever the type of burnout, the worker will experience emotional exhaustion, cynicism or lack of efficiency at work. In general, the experts consider that the type of contract also affects the gestation of the burnout. Employees with temporary contracts are more involved with the company because they are looking for a link that will give them greater stability. This attitude can lead to the development of a profile of type ‘ frenetic ’, the same that recorded those recruited part-time, “ probably moonlighting ”, says the expert.

overhead tasks and monotony influence in the development of the syndrome of burnout

in addition to the factors that enhance the syndrome, the social environment is a counterweight to its appearance. “ family, partner or children can be a ‘ mattress ’ protector, because when the person ends up working hoursLet industrial concerns and focuses on tasks ”, says the psychologist.

On the academic level, the worst part of the burnout will lead the two ends of the sample: more formed people and those with fewer studies. This explains why those who have received little training usually access to less qualified jobs in those who receive little recognition. But also just ‘ burnt ’ doctors with long runs, since “ feel that they are investing in labour more than get return ”, assures Montero-Marín.

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Bibliographic reference:

Jesus Montero-Marín, Javier García-Campayo, Marta Fajó-Pascual, Jose Miguel Carrasco, Santiago Gascón, Margarita Gili, Fermín Mayoral-Cleries. “ Sociodemographic and occupational risk factors associated with the development of different types burnout: the University of Zaragoza cross-sectional study ”. BMC Psychiatry 11 (1): 49, 29 March 2011. DOI: 10.1186/1471 – 244 X-11-49

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The forum for primary care physicians will take the initiative in the organisation and convocation of the Conference of AP.

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forum for primary care physicians will take the initiative in the organisation and convocation of the Conference of PA

Madrid, 2011-July Constituido by the College medical organization (WTO), the Spanish society of physicians in primary care (SEMERGEN), the Spanish society of General Medicine (SEMG), the Spanish society of family medicine and community (semFYC), the Spanish society of Pediatrics of primary care (pediatricians) and the Spanish society of Pediatric Extrahospitalaria and attention Primary (SEPEAP), in addition to the National Confederation of trade unions (CESM), the “ forum for primary care physicians ” a new meeting, led this time by the DRA. Paloma Casado, SEMERGEN Vice-President and spokesperson of the same

the Forum is defined as a space of encounter among all organizations of doctors in the field of primary care (PA), shows the commitment of the highest representatives of the PA to save it from its current location, defending his role in the sustainability of the system and offer as active agents for the continuous improvement of the national health system.


in this sense, the result of the meeting are drawn the following conclusions and decisions by consensus of the asistente:

-to the slow response by part of the Ministry of health, Social Affairs and equality, and the regional ministries of health, the Forum of the doctors of AP has decided to take the initiative in the Organization and convening of the Conference of PA

-given the current political situation and the situation created after the last regional elections, the main entities that represent professionals in primary care may not continue waiting a response institutional.

-The Forum of doctors AP has decided to hold this Conference in the last quarter of 2011 (second half of November), as expected for these dates that the autonomous communities have been able to bring data from more than 100 indicators of AP21 strategy evaluation

-AP Conference will consist of two large bloque:

(to) evaluation and perspectives of the AP, which will analyse the results of the indicators of the AP21 strategy and also evaluate the degree of fulfilment of the action and consensus documents provided by the AP Forum of physicians since its inception. From here the new strategic lines for the first level of care will be designed and in which they hope will be heard the voice of the professionals. (

b) conditions of the professional exercise of the physician in AP, where they will discuss the role of the doctor, his role as leader, the organizational framework and management models that seek to implement in the various autonomous communities.

-the next meeting of the Forum of the AP medical is scheduled for September 14, 2011 at the headquarters of CESM.


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Accidents at work are more serious in the hours of the meal.

Accidents at work are more serious in the hours of the meal.

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Accidents at work are more serious in the hours of the meal.

the study has been published in the magazine “Accident Analysis and Prevention”.
Spain, July of 2011. Researchers from the University of Burgos have been defined for the first time the existence in Spain of the “lunch effect”, which leads to a more serious and mortality in occupational accidents among the 13 and 17: 00. Only in the meal hours they produce 18.2 per cent of total accidents and 29.4 per cent of the mortals.

“ Severity and mortality of accidents are higher in the hours around lunch regardless of who, how, when, where and with what produces the accident ”, tells SINC Miguel a. Camino López, lead author of the study and researcher at the Group of engineering and responsible management of the University of Burgos, which this work has focused on the sector of the construction.

In other words, that this phenomenon occurs in workers more young people and elderly, with more and less length in micro-enterprises and large companies, in accidents with scaffolding and machines, falls at different levels and in the crashes. It also occurs regardless of the station of the year and in the autonomous community where the accident happens.

The research group, which reviewed accidents suffered by workers of the construction in Spain during the years 1990-2002, found that the greatest number of accidents occurred on 9-12: 59 pm: 57.3 per cent of the total and 38% of fatal accidents. However, in the hours around food, from 13 to 16,59 hours, occurred only 18.2 per cent of accidents but 29.4% of all deaths.

That is to say, although there are fewer accidents than during the morning hours of food, the proportion of accidents that lead to the death of the worker is more than double (0.24% to 0.1%, respectively).

“ These data can be used by companies to get to know the hours of the day in which the severity and mortality of accidents are particularly high ”, emphasizes path. “ workers must be informed of these risks and the labour administration should make greater efforts to promote preventive measures such as the day continued in the construction sector ”.

the risks of the lunch effect

the ‘ effect lunch ’ (lunch) was first observed by Pete Kines, researcher at the National Institute of occupational health of Denmark, which it found that the greatest number of different level falls suffered by workers of the construction in Sweden and Denmark occurred before 1 pm, but that the higher rate of fatal falls recorded in the afternoon.

why are there so many accidents?

The authors also examined other possible causes such as the lack of NAP or the consumption of alcohol in the hours of lunch through surveys 724 workers of Burgos.

Interestingly, employees of the construction were the only ones who thought that the greatest number of accidents occurs in the first hour of the evening.

He also wondered about the reasons for this increased accident and accidents in the construction sector. For workers, the main cause lies in the haste with which the works are made followed a great distance by insecure workers acts, lack of training and the fatigue.

It further stresses the importance that workers allocated to the consumption of alcohol and drugs, especially in the construction sector, where there is a higher percentage of risk drinkers. Also observed increased consumption of alcohol in workers who eat outside the home of Monday through Friday.

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Bibliographic references:

Miguel a. Camino Lópeza, Ignacio Fontanedab, Oscar j. González Alcántarab, Dale o. Ritzel. “ The special severity of occupational accidents in the afternoon: “ The lunch effect ” ”. Accident Analysis and Prevention 43 (2011) 1104 – 1116.

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Hospitals and primary care of Valencia and Murcia are a pilot programme for the follow up of late preterm infants.

Hospitals and primary care of Valencia and Murcia are a pilot programme for the follow-up of premature late

-early detection and prevention of various diseases would reduce the morbidity of late preterm

-The hospital admission of a premature late less than a year by bronchiolitis multiplies by two health care costs in comparison with a baby to term

Madrid, 2011-July from five years ago, the working group led by Dr. Vicente RoquésHead of the faith of Valencia Hospital Neonatology Service develops a multidisciplinary meeting to update the concerns of practitioners in relation to the approach of the premature infant. During the meeting last Wednesday in Valencia, this group has put in common the need of care and improving the monitoring of the late preterm so-called, babies born between week 34 and 37 of preterm gestation representing almost 8% of all premature babies in the Valencian Community and more than 8% in Murcia.

The day with representatives of more than 30 hospitals in the Levant and Murcia has done a review of the management intra and extra Hospital of these late preterm infants. In recent years, one of the major concerns that draws the attention of Neonatologists is neurological development and the possible deficit can present in the long term. In this regard, Dr. Vicente Roqués has commented that “ is going to review the problems during and after hospitalization, presenting a pilot project together with the pediatricians of primary health care, for monitoring and early detection of the consequences arising from its birth before term with which you intend to reduce morbidity associated with their immaturity as well as the later sequels ”.

In the words of Dr. Roqués, “ for the implementation of this follow-up is necessary first and foremost appreciate measure the problems of these children in the first days of life and the increased incidence of respiratory, metabolic problems, hypothermia, jaundice, and feeding problems that may occuradapting the necessary additional resources, taking into account their increased health spending. Secondly there evolutionary follow-up to ensure the early detection of problems in its development. Hospitals that can not offer this follow-up must be coordinated with health centers to ensure it ”.

Pilot project

The system of operation of this pilot project is expected to be very simple. Late preterm infants are referred to their pediatricians with a comprehensive and cited report preferably within 72 hours after discharge. Then continue to the health of any child controls and a specific assessment of neurodevelopmental will be added to the six, twelve to eighteen months, which will be sent to the hospital. 24 Months, the hospital will make a final assessment with specific test of their psychomotor development. At all times your pediatrician will be in connection with the hospital to derive the child in case of need.

During the meeting, the Working Group has discussed way of intercommunication for the transfer data between primary care and Hospital, which should be as simple and effective, looking for tailor-made solutions for each hospital and its circumstances. The problem is different depending on the number of late preterm births or the possibility of coordination with the pediatricians of the health centres in your area. For Dr. Roqués, “ one of the advantages of this program is that he ensures a systematic and complete control of late preterm children without increasing the workload of the pediatrician sentences as the hospital ”.

Health expenditure

Dr. Roqués has also explained that “ the late preterm calls are defined by the scientific societies as a risk group for respiratory infections, mainly by the Respiratory Syncytial Virus (RSV). In this sense, the majority of hospitalizations occur by bronchiolitis caused by this virus, because they are more prone to infection because they are more immature lung structure and your immune system.

Length of hospitalization and the requirements of admission to intensive care units is greater than in a child to term. A recent study published in Journal of Medical Economics (2010), assessed the costs of hospitalization for VRS in preterm infants were: the hospital admission of a premature late less than a year by VRS generates a cost of 14.442 euros, while a child to term generates a cost of 6,865 euros ”.

Working Group

30 hospitals belonging to the Levant and Murcia are involved in the development of this group, who since 2008 has been developing a network of Spain, inside the Hera project pioneered. For this group, Vicente Roqués, responsible for “ when five years ago we raised the need for improved care at hospitals in our communities, regardless of their greater or lesser complexity, the answer was unanimous and we have witnessed a remarkable improvement in care focused on the development of the child and his familyboth in the environment and facilities so that families can relate to her son and the professionals who care for ”.

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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