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“daily clinical practice and the rational use of drugs”, a training project in primary health care that exceeds expectations

in the 5th Edition the most requested training has been the use of drugs in the urgent care to children

Barcelona, July 2011- “daily clinical practice and the rational administration of drugs” is a scheme of continuous training in rational drug use, result of a collaboration between the Department of health of the Generalitat and the Catalan society of family medicine and community (CAMFiC), and this year celebrates its fifth edition.

The Plan has carried out 532 (1407 hours training) session and has trained 5.685 doctors, 3.257 nurses and 557 pharmaceutical products throughout the territory Catalan.

In this edition have received a total of 268 requests for training sessions: 197 in the province of Barcelona, 23 in Lleida, 41 in Tarragona and different 7 in Girona, in a total of 105 CAPs (primary health care centres). Access to requests for session has been closed definitively to the edition of this year 2011, given the great demand obtained.

The Plan aims training decentralized in the farmacoterapéutica area, offering joint session at the health professionals involved in the prescription, dispensing and advice on drugs to citizens, and without any cost to the student. These sessions include skills, updating of knowledge, access to new scientific evidence, training and carried out with digital and audiovisual media in most of the session.

The most sought-after topics in this edition have been: urgent care to children, the elderly, arrhythmias, dementia, eritematodescamativas injury, antibiotics and cancer pain and not cancer.

Participation by offices of pharmacy pharmaceutical

As of mid-May, had already made 75 sessions, which have assisted a total of 1673 professionals (1570 doctors and nurses of PA and 103 offices of pharmacy pharmaceutical), 96 sessions are scheduled and the rest of petitions will be programming throughout the year, according to criteria of province, number of sessions received by EAP and availability of teachers.

The organization hopes have largely failed to satisfy the need for training of the different teams of primary care (EAPs), and you want to be able to resume the project in 2012 with new issues of therapeutic update.

More information and poster of the Plan:

http://www.camfic.cat/CAMFiC/Seccions/Formacio/Arxius/Practica_Clinica_Diaria.aspx

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UPF SEMG Grünenthal Chair promotes exchange of doctors from AP so that they know the British health system.

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La Chair UPF-SEMG-Grünenthal promotes exchange of doctors of AP that are aware of the health system British.

– has opened the registration period for candidates to the second call for this initiative coordinated by the UPF-SEMG-Grünenthal Chair of health economy and family medicine in collaboration with Spandoc Exchange. These scholarships are open to professionals for the first level of care and are aimed at that participants are aware of how it manages and operates primary care at United Kingdom and at the same time, to make known the Spanish model to other countries trying to apply those experiences that involve an innovation for our health care system. The deadline for submission of applications for this new round ends on 11 September; two doctors who are elected to perform the Exchange will travel during the first half of 2012

Spain, 2011-July “ since just over one year ago created the Chair, it has carried out a large number of activities designed to promote family medicine and the training of its professionals. One of the most ambitious initiatives that we have put in place is the clinical Exchange with the National Health Service (NHS), the British equivalent of our national health system ”, explains Dr. Francisco Hernansanz churches, Deputy Director of the UPF-SEMG-Grünenthal Chair of health economy and family medicine. “ Doctors in primary care (AP) are participating in this program have a unique opportunity to delve into the characteristics of the British health system, enrich your practice noting the assistance in other environments, and share ideas with other colleagues. At the same time, the program allows them to improve their level of professional English ”, continues the optional.

Dr. Hernansanz indicates that choosing United Kingdom as a country of Exchange is not accidental: “ the British health system has always been a point of reference for our and, in addition, both have many similarities. These points in common between the two systems contribute to many of the things learned in United Kingdom applicable in our country, and vice versa ”, indicates the Deputy Director of the UPF-SEMG-Grünenthal Chair.

In order to meet and study in situ the British model of health, the Exchange designed by UPF-SEMG-Grünenthal Chair and Spandoc Exchange materializes in stays of observation for two weeks in London primary care health centers. “ Elected physicians, two for the year, participating as observers in nursing and family medicine consultations as well as activities of management, administration and in meetings of several British health centers team ”, explains Dr. Hernansanz, which it describes as the first carried out experience, which these days is taking stock, as “ very satisfactory ”.

Open a new period of enrollment

The second call of this Exchange program is already underway: registration has opened for the application for participation, which may be carried out on 11 September.

The requirements demanded to all those who want to access the selection process are: possess at least a level similar to First Certificate English Español – in order to ensure the maximum utilization of the stay in each of the segments of the health center candidates must pass a test of English attesting their level –, and be a doctor in primary care, on the welfare side as the direction of team. Also, candidates must also have a proposal for improvement in the health centre where develop its welfare work or managing the return of your stay.

Applicants to the Exchange to meet the requirements should send a curriculum vitae in English and a letter of presentation, also in English, explaining the reasons that lead to want to make this Exchange as well as its goals and intentions of application of the experience.

The complete bases of the call can be found in the web site of the Chair .

Chair UPF – SEMG – Grünenthal of medicine, health economics and family

La Universidad Pompeu Fabra (UPF), the Spanish society of General physicians and family (SEMG) and Grünenthal Pharma, signed in May 2010 an agreement of collaboration for the creation of the UPF Chair – SEMG – Grünenthal of family and Economí medicine(a) of the health. It is a joint initiative of three institutions that promotes the formation of the health professional on matters of economy and health management, improvement of the clinical competence of the general practitioner and family, the empowerment of multilingualism in the health sector, as well as pre-professional practices supervised in primary care centres.

This Chair is directed by Professor Vicente Ortún Rubio, director of the Center for research in economics and health (CRES) and Dean of the Faculty of Economics and business at the University Pompeu Fabra, and Dr. Francisco Hernansanz Iglesias, general practitioner and family, as Assistant Director.

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The SEMG believes that the recent measures agreed by the Interterritorial Council does not act at the root of the problem.

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the SEMG considers the recent measures agreed by the Interterritorial Council fail to act on the root of the problem

Communiqué of the Spanish society of General physicians and family (SEMG)

Barcelona, 2011-July the Spanish society of General physicians and family (SEMG) comes repeatedly, expressing his concern and commitment to the sustainability of the national system for health (NHS). For this reason, measures aimed at the consolidation and improvement will have the support of our scientific society.

Recently, the Ministry of health, Social Affairs and equality, together with the representatives of the autonomous communities, agreed, within of the Interterritorial Council (IC), a series of proposals which should be analysed with caution resulting from a lack of information beyond what is published in the media, and waiting for the necessary policy development to ratify.

We appreciate that, for the first time, the Interterritorial Council addresses explicitly the sustainability of the NHS although we had hoped that the measures agreed to act at the root of the problem. However, we regret that, once again, not so address in its integrity and magnitude, confined to isolated proposals, repeatedly related with pharmaceutical spending, which can have a one-off impact without the occurrence of an integrated approach to propose structural reforms, management and financing, and acting on the pockets of inefficiencysufficiently demonstrated.

We believe that any measure that contributes to sustainability must focus on the patient, count with consensus and participation of stakeholders, scrupulously respected the free prescription, the applicable law and, moreover, guarantee the quality while preserving fairness.

Therefore, without going to assess drug price policies, unrelated to our activity as a scientific society, express, once again, our commitment to the freedom of prescription linked always to the medical Act, based on the best scientific evidence and the constant updatingwhich allow, in a free and responsible, opt for the best option in the therapeutic armamentarium.

The information published on the above agreement of the CI with the proposal for a prescription for active principle, do not seem to guarantee is important aspects such as the fármaco-apariencia, i.e., a patient keep the same drug during their treatment, which could create great confusion causing his distrust and an increase of therapeutic failureespecially in chronic patients and polimedicados.

We also think it is hardly justifiable, equal in price, not to prescribe a brand name drug. We consider essential to guarantee the quality of the system and, of course, preserving access to therapeutic innovations adopted so far by the Central Administration. The proposal for the participation of the AA CC in its adoption seems adequate, without that there should be limitations other than the scientific evidence and good practice.

For the rest of agreed measures, we welcome consensus in the implementation immediately the TIS (electronic prescription, digital medical history) and especially by the single health card, but we fear that, given such profound differences between the CC AA at the current pace of implementationin the proposed term would be infeasible.

Finally, we reiterate that any budget increase is welcome, but it must be finalist; in other words, devoted exclusively to health, as well as the potential savings that may arise in the improvements in management, pharmaceutical spending, etc., and, of course, must have intended to maintain the fairness of the SNS.

Board policy of the Spanish society of General physicians and family (SEMG)

Madrid, July 26, 2011

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The 1st Conference on AP will be held in the first half of October and will have an annual

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the first AP Conference will be held in the first half of October and will have an annual

the ‘ primary care physicians Forum ’ meets with representatives of the Ministry of health, Social Affairs and equal

Madrid, 2011-July formed 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 primary care (SEPEAP), in addition to the National Confederation of trade unions (CESM), the “ forum for primary care physicians ” has met with several representatives of the Ministry of health, Social Affairs and equality, at the request of the Department headed by Leire Pajin, aiming to return to the Organization of the 1st Conference on primary health care

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 improve the current situation, defending his role in the sustainability of the system and provide as active agents for the continuous improvement of the national health system.

In this sense, fruit of the meeting draws the following conclusions and decisions:

1) not only takes the case in point that left the last may, with great interest by the Ministry to take forward the initiative, but also raises the possibility of establishing definitively that meeting with nature annual.

(2) The forum for primary care physicians is fully prepared to cooperate with the Ministry in the Organization of the 1st Conference on primary health care and to participate in the event of the most active way possible. (

3) Is waiting for a response from the health ministries of the autonomous communities to collaborate in the Organization of the Conference

((4) The 1st Conference on primary health care is intended to highlight the first level of care, so well appreciated by citizens, as a fundamental part of the national system of health and piece key for sustainability

5) the initial outline of the Conference consists of three round tables that will have primary care physicians Forum presentationsthe Health Ministry and the autonomous communities. (

6) Remembers holding the 1st Conference on primary health care in the first half of October.

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The CECOVA welcomes the entry into force of the antitobacco law and calls for increased public resources to combat smoking.

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El CECOVA welcomes the entry into force of the antitobacco law and calls for increased public resources to combat smoking.

ávila stressed that “ the important work developed by professionals in nursing units of nicotine addiction and smoking prevention workshops ”.

valencia, January of 2011- the Council of nursing in the region of Valencia (CECOVA) and the colleges of nursing in Valencia, Castellón and Alicante applauded on Monday “ the benefits for public health ” posed by the entry into force of law 42/2010 December 30, 2010amending law 28/2005 of 26 December, health measures against smoking, and regulating the sale, supply, consumption and advertising of tobacco products.

Professional nursing organizations stressed that the new law ” fixed that public administrations should promote programmes for cessation in primary care, and enhance access to treatments and create units of cessation ”.

The President of the CECOVA, José Antonio Avila Olivares, welcomed that law “ specifically provides empowerment education programmes for health ” and offered “ to collaborate side by side with the Administration to carry out this type of prevention in the field of education, where the school nurses can bring their experience to develop this preventive work “.

In the same way, also recalled that the law “ invites public authorities to raise awareness against smoking in schools and act in pediatric care with specific information for parents programs smoking and campaigns on the harm of the smoke in children ”.

For this reason, the President of the CECOVA claimed “ an increase in public resources to combat smoking with the empowerment of nicotine addiction and units of behavior addictive (UCA) present in the public health network and through the increase of the workshops on the prevention and cessation of smoking ”.

Educational awareness-raising and prevention work

In this sense, praised “ the important educational work of awareness-raising and prevention developed by nurses in hospitals nicotine addiction drives and through workshops of smoking prevention in the field of education by school nurses ”.

Similarly, the President of the CECOVA also insisted on the need of “ delve into the politics of progressive increase of the prices of tobacco ” because “ is proven if it increases the price of tobacco reduces its consumption, especially among younger ”. Also called “ make more pedagogy towards eradicating misconceptions which says that to quit smoking are fattening when precisely what is being done is to improve the health status of ”.

On the other hand, José Antonio Avila emphasized the “ increase ” of paediatric consultations for respiratory diseases with pulmonary obstruction and cancer-related processes and explained that “ many of these problems have their trigger risk factors such as smoking of parents in the family home ”.

In this regard, he recalled the case of China, “ a country in which men smoke much unlike their wives who are fewer smokers, but which paradoxically is increasing the incidence of chronic obstructive pulmonary disease (COPD) in women ”.

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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