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For more information: Peter C.


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A Lo de Pedro came in fourth from Blue Peter




... thanks! Come back soon!

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Despite the drugs, came a day which failed to heal itself. Then he had to close down the business, and since then collects in a broken watch the few minutes that you are staying for life.

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A The bike also comes from Buenos Aires .......


"A thing of Peter also arrive by bike and from Buenos Aires ....... thanks!, come back soon! chau chau Atte
greetings. Pedro

PD. Marcelo picture http://es.wikiloc.com/wikiloc/imgServer.do?id=186218 "

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by El Diario La Razón ranked the city as "A small hidden world" of Peter

El Diario La Razón ranked the city as" A small hidden world "A small hidden world
About 300 km from the capital, a city of surprises. The mark of Cervantes and the old Trappist Monastery. In the center of the province of Buenos A ires, the heart of the pampas, called Blue City travelers. I became a cultural destination-ca ...

To read the full article click the following link:
http://turismoenazul.com.ar/art/1977

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PUTTING THAT SPEAK OF ... DEATH IN JAPAN

... Primary Health Care. With a capital. Because the agreement was unanimous, seamless. All societies understand that in times of crisis, primary care should be the cornerstone of our National Health Service (NHS). For example, Dr. Josep Basora, president of SEMFYC (English Society of Family and Community Medicine) asked to conduct the primary agreement reached at the Interregional Council (IC). Also Dr. Benjamin Abarca, president of SEMG (English Society of General Medicine) argues in favor of the pact, as well as the gradual increase of 25% on resources for the first level. Finally, Dr. Julio Zarco, president of SEMERGEN (English Society of Primary Care) claims that the autonomous coordinated and positive work within the IC and gives as examples to the contrary the different policies to contain pharmaceutical expenditure.

Well, reality stubbornly insists on marching in another direction. To prove I collect various specialized headlines. Health professionals believe that politicians do not serve the sustainability of the NHS. Distrust of those unable to reach a State Pact for Health as required. Yes, English planes to send to Libya have been good light. While the strong commitment to health has stalled, the Ministry of Health calls for a pact for dependence, more wet and political role for the gallery, and if not they should ask all the neighbors who are still waiting (or desperate) for this type of aid. To make matters worse, the same primary care societies criticize the Public Health Act does not set a single immunization schedule in Spain, although the final text allows for variations in autonomy for epidemiological reasons. And while the Economic and Social Council in its report on decentralization of health, warning about the deficiencies coordination of our NHS, calling for substantial changes in the Interregional Council, Secretary-General of Health, D. José Martínez Olmos, rules out any change in the law in this regard. As you will see a real heap of nonsense.

And it turns out that in the midst of the crisis is beginning to be saber rattling. Fear not, I mean. Several political leaders from different regional health services that have been expressed with extreme caution and always through unofficial channels, regarding the inability to take on health spending in their communities if they can not continue to borrow. In this situation, could ask him to return to the old INSALUD health management autonomy. The other condition which could become an issue is to limit its service portfolio toward or co-payment, thus breaking the equality between the citizens of this country. And Voltaire in the eighteenth century said that only the filthy rich that limit their wishes known. And do not forget. Primary care is still there, at the foot of the canyon. Support it. Defiéndanla. Whether they like it. Mímenla.

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I confess a deep admirer of Japanese culture and idiosyncrasies. The behavior of the people in these days of terrible tribulation is to further strengthen this special feeling. A nation ravaged by the fury unleashed on earth and the sea, torn mercilessly by the scourge of fire and radioactivity, is hardly alone erect structures for its insularity and plunged into a drama of which only one mentioned a word: their demographic decline. Unlike what happened during the miraculous recovery after the defeat in World War 2, Japan today have a very low birth along with a low migration flow. If this trend is not corrected is estimated that in the remainder of the century Japan's population will be halved, with a dependency ratio unbearable for its coffers suffocated. So who will build a new country from the ashes? Aloysius holds that even the Yakuza (Japanese mafia) has appealed to their particular code of honor to bring their vast financial resources to the long-awaited national reconstruction.

time ago I was amazed a movie called "Departures" (Yojiro Takita, 2008), translated into English as "Awakenings" (Title really has nothing to do with the tape) and his affable weaving around plot secular Japanese funeral ritual. How bleeding accept such a modern nation while attached to their ancestral traditions? Will the cellists to bury the dead?

While from the comfort of our homes powerless witness to witness such misery, I come to mind those great low-budget films about disasters anticipating the Apocalypse the metropolises of the country of the rising sun, or those other great masterpieces of Kurosawa built on stoicism and sense of sacrifice of the Japanese hero. Precisely this kind of category is that they have acquired in life the 50 liquidators who fought from the outset, the nuclear disaster at the plant in Fukushima. As a reward awaits death, as happened with those other brave men who fought to control the catastrophe of Chernobyl.

This time also the international solidarity has been launched. The love of others should be on forever, but in these dramatic times seems to wake from their slumber. The English Society of General Medicine (SEMG) has sent me an email informing me about the possibility that the English doctors who so wish to travel to Japan to help with medical tasks. A call will go to those colleagues insurance specialists in emergency medicine and disaster. And perhaps unintended accident, Aloysius is listening to the classic Deep Purple, his Lp "Made in Japan" entitled "Smoke on the water" ... The smoke rises over the waters and the fire is in heaven. No But I prefer this haiku Yamagushi of Sodo (1643-1716) who said:

" this spring in my cabin

nothing

everything "

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Images the book "A Surgical Casebook" by Hanaoka Seishu (1760 - 1835)

http://www.nlm.nih.gov/news/ttp_surgcasebk.html

Wandering

the other day with Aloysius on the healing ability of Western medicine, high-tech at the same dehumanized confrontábamos such complexity compared to single therapeutic effect achieved well proportioned empathy in the relationship between doctors and patients. Then I remembered a story I heard long ago about a Japanese surgeon able to get fantastic results operating cases more complicated portal hypertension. This involvement of the venous system of the liver may present with severe complications from ascites (accumulation of fluid in the abdomen) to the specific involvement of the brain, through the development of esophageal varices, which if broken and bleeding, can cause the end of the life of a patient bled to death.

When the French surgeons were aware of the work of his Japanese counterpart, decided to invite him to Paris to learn his amazing surgical technique. The result was disastrous, as all patients operated by the Japan Medical died postoperatively. What failed?, is the technical ability or the patient? Due to its severity, the patients were similar to Paris the Japanese, not genetics. Would always be the question of whether the doctor had manipulated East the outcome of their work. The story ends with the once-renowned surgeon on a plane back to the kingdom of the rising sun and with the enthronement of Western medicine, with no positive results, he consoled himself with the loss of patients due to the course of the disease usually fatal natural.

Aloysius I remembered the story of another Japanese physician, Hanaoka Seishu, who lived somewhere between the eighteenth and XIX. He studied at Kyoto traditional Chinese medicine and surgery based on the teachings West. Following his training, he returned to his village and began to apply to their countrymen the knowledge gained in both branches of medicine. Its success is based on the use of an anesthetic administered to patients orally or call Mafutsusan Tsusensan , a highly toxic mixture of herbs which he prepared in the form of cooking.

While Dr. Seishu extracted without pain all types of tumors, some of them deeply embedded in the body of the sick, in the West began to bear first steps in experimenting with the anesthetic nitrous oxide, laughing gas famous employed in the funfair with chloroform, pioneering use the Scottish obstetrician James Y. Simpson, buried with honors from the head of state despite being charged with dozens of unhappy with this dangerous substance, or the Letheon discovered by the Boston dentist WTG Morton, simple grinding sulfuric ether, widespread use anesthetic surgery from 1846. The history of medicine also takes some injustices.

Dr. CW Long discovered the effects of ether sulfuric Morton 4 years before, but did not publish his results until 1849. For some, the gleam of glory, for others the ashes of oblivion.

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VETERINARY MEDICINE OTHER

The small Ros always wanted to study veterinary medicine in order to heal their sick pets. Time passed, and Ros got older, he studied veterinary medicine, and one day he realized that those little friends had gradually faded away when he suffered an incurable illness, which is called life.

In this subtle way, he discovered how he had wasted his time and how their learning had proved useless, because how many drops of blood the heart can fit on a horse or a dog?. ..

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THE ITALIAN JOB SYSTEM SUSTAINABILITY

the reader to forgive me, but it turns out "The italian job "is the title of a film that comes in handy to lead these considerations. It is an intriguing original theft and scams whose original version in 1969 starred the evergreen and Michael Caine remake 2003 by Mark Wahlberg.

Bridging the gap, I think Italy and Spain are similar in many ways. Are two nations formed over the kingdoms and states that shone brightly in the past, hence the significant cultural differences among its citizens according to the place where they live, north or south, pick up or setting, country or city. Idiosyncrasy is full of stereotypes portrayed in movies with great skill by masters like Fellini or Berlanga. To us all we need Berlusconi, leader possible in a country that lives glued to the television. They say that in Italy are accustomed to the crisis, with low levels of GDP and rationalization of public expenditure, it spent decades immersed in this maelstrom. It is a hard country, something shaped like a boot.

regard to the containment of pharmaceutical expenditure, the Italian proposal would be based on 6 points:

1 º / ceiling to the percentage of expenditure, a kind of we are here and not pass this border anyone

2 º / if spending is limited, benefits as well;

3 º / copayment regulated in the sense of partnership with private insurance;

4 º / establishment of prescribing guidelines encouraging the use of generics;

5 º / distribution of drugs directly to hospitals,

6 º / discuss drug prices between the government and the pharmaceutical industry.

Thus, pharmacists receive a fixed percentage according to recipe, and not by price the drug. Do not forget that in Italy it's not all textile and fashion, as his Italian employer is very powerful drug, with several multinationals pulling the cart of the research, development and innovation.

In Italy and Spain, the coverage is universal, but, unlike us, there are minimal benefits. The other services depend on the co-payment and are managed by different Italian regions. The problem is called equity.

To save, our environment many have thought of the copayment, but renege on him in public, it would be political suicide. Partnership with private insurance and tax credits could be useful in the segment of the population who never go to the doctor. The guidelines based on scientific evidence (medical and economic) to recommend the best drugs for each condition is something that traditionally has been calling for since the establishment optional, even in good times. And so, if anything could save the Italian proposal, would be nothing more that needed to maintain equity, quality and efficiency of our health system.