Thursday, February 24, 2011

Preperation H Or Anusol





has come to my hands the last statement of the Medical College (WTO) on the sustainability of our health system, an issue that certainly concerns us all.
We maintain the idea that our system is efficient, equitable and having an impact on health comparable to the best in the world. Efficiency means that we get good results according to the means employed. Equity is synonymous with equality and respect that any citizen can access public health resources in the same conditions. And with regard to health outcomes they encompass the clinical outcome, patient-centered (humanistic) and economic performance and welfare activity.
The other day I heard from D. José María Fidalgo, former Secretary General of Workers' Commissions (CCOO) that our public health system is cheap, in other words, we get results similar or better health than those obtained by other countries that spend a higher percentage of its gross domestic product ( GDP) to finance his health.
In this line, then it would not raise more, but to manage better. In health economics, some measures such as tax collection or penny copay health, scientific evidence has shown more than doubtful.
Would it be logical rationalize the use of certain high-tech, sophisticated and costly? We understand that if this type of containment measures are imposed on pharmaceutical, could be applied to other fields of management. Criticize the lack of cohesion in a country where health cards coexist 17, 17 medical records in electronic or computerized classic, 17 portfolios of services, and where hospitals have been built without measure that distance, sometimes less than 50 miles between them, depending on the Autonomous Community in question.

into the limelight are administrative measures undertaken to control pharmaceutical spending, undoubtedly, a portion of the overall budget succulent health in Spain. There is a pharmacy co-pay long-established, users are pensioners in this country (except MUFACE and the like) do not pay a penny in pharmacies for the medications prescribed by doctors in public health, while the assets pay a variable rate, in most cases by 40%. Many voices claim on the gap and the obsolescence of this practice, believing it would be fairer to apply the copayment amount as income level and not according to the state job training. Because ultimately, it comes down to knowledge of the health problem we address, how we approach it and how much it costs this task.


Saturday, February 19, 2011

Fixing A Mustang Convertible Bumper

PAST AND FUTURE MISS



Ourense it falls far short of Madrid. The train leaves on time, at 00.15 hours and arrives at the Chamartin station at 8.00. From 9.30, I spend all day meeting at WTO headquarters in the Plaza de Las Cortes, fellow of the provincial delegationships urban primary care. I listen carefully to the intervention of José María Fidalgo, former secretary general of the CCOO, medical, orthopedic surgeon. The future outlook of our profession continues to be dark for a change. Visit to the headquarters of the College of Physicians of Madrid. A delight to contemplate many gems and historical figures together: Gimbernat, Cajal, Marañón ... Dr. Miguel Angel Sanchez is a generous host. In one of the windows of the library, I look at a copy of "The Women" by Don Santiago Ramón y Cajal. It appears our Nobel was "a little" macho. These are the words of Dr. Inés Picornell Darder, head of the Clinical Neurophysiology Service Hospital de Móstoles. Later, she would reveal to us the secrets of sleep and its disorders, with its emphasis Balearic nice, velvety, like a child who tells a wonderful story. It shows their devotion to childhood epilepsy. At 22.30 hours back home. Unable to sleep, however much they strive to coin the rattle of the train. Neither REM nor milk. I try to browse "An Alabama student and other biographical essays," by Sir William Osler, but continued my concentration keeps swinging in his reading. At 5.00 pm start to glimpse the lights of my home. Definitely, it falls far short Ourense, anywhere.

Thursday, February 17, 2011

Calgary Police Reporting Car Accident





Eventually
where
after my death,
get placate your cries.

Just then,
begin to live
forever.

Wednesday, February 16, 2011

Oragan Doaner Braslet

NO PATENT MEDICINES



A historical document. The daguerreotype by Albert Sands Southworth and Josiah Johnson Hawes, which shows William Morton and John Warren operating on a patient anesthetized with sulfuric ether at Massachusetts General Hospital (1847).

just surprised
Aloysius generous with his latest gift, a DVD copy of "big time", directed by Preston Sturges in 1944, in which Joel McCrea gave life to the American dentist William Morton . It was the September 30, 1846 when the dentist getting a tooth removed without pain to the patient Eben Frost, inaugurating the era of dental anesthesia. In key comedy, the film's plot revolves around the discovery of sulfuric ether as an anesthetic and the conflict generated between Morton and society of the time the patent as finding capital.
Seeing this film again has made a film about a curious coincidence of fashionable issues in public health, the use of generic drugs marketed after the patent has expired original brand.
force in Spain is Law 29/2006 of 26 July, on guarantees and rational use of medicines and medical devices which clearly states that the generic may not be marketed until they have passed 10 years from the date of the initial authorization of the reference product. In other words, the product patent for a novel chemical entity, a drug in this case represents the time during which the laboratory can exclusively exploit discovered the patented product, in practice the absence of market competition.
The issue is its complexity, since the pharmaceutical industry needs patent protection for profits are able to cover the increased expenditure incurred during the research, development and promotion of each drug. Otherwise, there would be no business, and it is clear that the engine is undoubtedly associated medical research to private. However, critics insist that only research laboratories las líneas patológicas rentables, como el cáncer o la obesidad, por ejemplo, abandonando a su suerte a enfermedades minoritarias por su baja incidencia o por afectar a colectivos desfavorecidos que no pueden sufragarse la medicación, como la enfermedad de Chagas o la tripanosomiasis africana, más conocida como enfermedad del sueño.
El vencimiento de las patentes farmacológicas pudiera representar un sistema de protección antimonopolio. La porfía de William Morton consistía en evitar que otros médicos pudieran utilizar también el éter sulfúrico para anestesiar a los pacientes. Afortunadamente cambió de opinión, al compadecerse de una indefensa muchacha on the verge of an operating room, when he would be subjected without anesthesia to a painful operation. On another occasion, speak of the compassionate use of drugs. Because in this fascinating world of medicine is not all business and greed. Fortunately.