The daily figure: 80 countries still regard homosexuality as a crime, informs The World
29 May this year
* 1653: publication of From Morbis puerorum, Robert Penell
* 1953: Edmund Hillary and Tenzing Norgay conquered Everest
* 1985: 39 die fans crushed in the Heysel stadium in the final of European Cup
Website of the Day: Information Calories
http://www.calorie-counter.net/
Quote of the Day: " A definition of Tristan Bernard crossword:" Silent Birth: cinema. "
Released in the Moniteur of 24 and 26 May 2006: read the bottom of this letter
titles
Publishing (click the link to go immediately to the relevant article)
- Avian flu: Apocalypse now?
- Feedback on feedback (press the KCE)
- The discontent expressed in the generic The Free
- Co-payments lowered by physio
- IFPMA supports increased transparency for clinical studies
- A French plan for the elderly
- The Federal Centre for Health Care Knowledge sets the foundation for the future of the management of diabetes (press release KCE)
- Options after miscarriage (BMJ)
- call back to a patient who attempted suicide (BMJ)
- Alcohol and cardiovascular disease prevention
- Pearls Monitor
Avian influenza: Apocalypse now?
What we feared for weeks did he just happen in Indonesia?
Seven members of one family, six of whom are already dead, have been hit by the virus without any apparent that both had contact with poultry.
WHO has asked Roche, the producer of Tamiflu, to put on alert to face any eventuality. WHO has already taken the initiative to transfer 9,500 doses of the antiviral Indonesia.
Feedback on feedback (press the KCE)
Belgian doctors regularly receive a statement for several years commented: some of their requirements. This original approach called "feedback" has been initiated by the National Council for the Promotion of Quality (CNPq) of INAMI. These feedbacks are intended to better prescribe certain drugs based on the recommendations of the latest good practice. Antibiotics were chosen as the first topic of feedback because of the extensive use of antibiotics and increasing the number of bacteria that resist them. Other themes followed as antihypertensives and preoperative examinations.
But do you know that a study of the Federal Centre for Expertise Health Care (KCE) interviewed small groups of GPs to find out what they thought the feedback antibiotics?
It appears from these group interviews that although some doctors feel the feedback as a threat to their autonomy, they arouse curiosity and push them to discuss them or even to question in their LOK. This questioning is not progressive fruit right away and win to be within an overall plan. Thus, for the prescription of antibiotics, several actions, including campaigns at the general public were carried out simultaneously.
Physicians Respondents also benefited from interviews to make suggestions, certainly useful to improve the quality of feedback coming.
The details of this research in collaboration with the KCE SSMG (Scientific Society of General Medicine) and WVVH (Wetenschappelijke Vereniging van Vlaamse of Huisartsen), Domus Medica today, is available on the website of KCE at the following URL : http://kce.fgov.be/index_fr.aspx?ID=0&SGREF=3470&CREF=6867
Press Centre of Expertise Federal health care
The generic expression of discontent in La Libre
Joris Van Assche, Secretary General of Febelgen, the Federation of Belgian producers of generic drugs, this morning expressed its strong discontent in the columns of La Libre Belgique compared with recent actions by Minister Demotte. He is not happy with the recent price reduction measures that do not support the generic compared to conventional firms. He also sees no reason why we opted for a kiwi "light" by not including the molecules under patent also specifies La Libre. The modalities of implementation of the new Agency for drugs are also a problem, while generic producers complain, finally, that the tax on pharmaceutical companies will be modulated according to the research investment and employment levels. "The only people who are not exempt, it is the producers of generics," says Joris Van Assche in Brussels daily.
Recall that in the interview he recently gave us, the chief minister's office Demotte had shown little sensitivity to this specific problem, stressing that what matters the government is to have medicinal a good price, that is to say substantially decreased adding that even if it was for the benefit of laboratories offering research and employment in Belgium was great.
Tickets moderators lowered in physio
From June 1, user fees will decrease for the first eighteen physiotherapy, when such acts relate to common diseases, and only after that user fees have already been reduced for heavy pathologists, reports including The Last Time, which states that " this measure is an extension of a government decision, which reached a budget of 4.25 million euro in 2006 'to make physiotherapy more accessible,' says one to the Inami .
IFPMA supports increased transparency for clinical studies
The International Federation of Pharmaceutical Manufacturers Associations (International Federation of Pharmaceutical Manufacturers & Associations, IFPMA - IFPMA) said that it approved measures to increase transparency of clinical trials, " to help doctors and patients make more informed treatment choices easily . The IFPMA recalls in this context that the first step its portal
(http://clinicaltrials-dev.ifpma.org/) dedicated to clinical trials has been launched in September 2005 already, while improved portal, user-friendly and developed (with advanced search functions in English , French, German, English and Japanese) followed in March this year. IFPMA welcomes therefore positively WHO recommendations for a seamless collection of data from all ongoing clinical trials.
A French plan for the elderly
Dominique de Villepin has announced a five year plan 2007-2012 for the elderly, creating 5000 new places per year in the host institutions and the doubling of hospital at home (with 15,000 seats instead of the 8,000 current) are the main steps in, says Liberation. The Paris daily France has said that 12.1 million people over 60 years and that number could double by 2050 according to various projections. However, already today 900 000 people suffer from mild to heavy dependence.
The Federal Centre for Health Care Knowledge sets the foundation for the future of the management of diabetes (press KCE)
type 2 diabetes in the coming years will take epidemic proportions. How to guarantee the future of health care quality for these patients? To answer this question, the Federal Centre of Expertise in Health Care (KCE) has made an ambitious project in collaboration with the Flemish Diabetes Association (VDV) and four university centers of General Medicine (Ghent U, U of Antwerp, KU Leuven and UCL).
Diabetes is a serious chronic condition that affects one out of 20 Belgian while a Belgian out of ten will ever face. Globally, diabetes (mainly type 2) also increases, particularly following the aging population and rising obesity rates. The treatment of type 2 diabetes goes beyond control of sugar in the blood of other risk factors (overweight, high cholesterol) should also be treated. This multifaceted approach is a real challenge.
The organization of our health system is primarily oriented towards the management of acute problems, but less suitable for chronic conditions. The project KCE provides important scientific evidence which may serve as a basis for decisions on the organization of diabetes care and, by extension, the organization of care for other chronic conditions. The active involvement of the patient ("patient empowerment") has a positive effect on treatment outcome. Whether care provided in hospital or at home is small cons to the results provided that care are of high quality, consistent with current scientific evidence. The GP may, in consultation with the specialist, play a central role to provide such care.
An important element in the proposed strategy is to monitor quality of care, to obtain the desired results. The report of KCE provides indicators to measure quality of care.
Finally, it appears that isolated interventions can influence the quality of care. The scattered initiatives must make way for a health policy-oriented "disease management, support overall disease: why actions must be coordinated at the national level.
The full text of these recommendations can be downloaded at:
http://kce.fgov.be/index_fr.aspx?ID=0&SGREF=3470&CREF=6617.
Options after miscarriage (BMJ)
Trinder et al conducted a study including 1,200 women, published in the British Medical Journal (BMJ 2006; 332: 1235) (http://bmj .bmjjournals.com/cgi/content/abstract/332/7552/1235) and designed to determine whether there are clinically important differences in the incidence of infections among gynecological surgical treatment and watchful waiting or treatment of miscarriages. The authors conclude that the incidence is low (2-3%) and there is no evidence in this respect according the approach chosen. There cons by a significantly higher admission and unplanned surgical curettage unplanned if we opt for watchful waiting and medical treatment rather than surgery.
call back to a patient who attempted suicide (BMJ )
A French study Vaiva et al, published in the British Medical Journal ( BMJ 2006; 332: 1241) (http://bmj.bmjjournals.com/cgi/content/abstract/332/7552/1241) etmenée of 605 authors of a suicide attempt, shows that contact by telephone a person who has made such an attempt at least after the co-can reduce the number of recurrences of TS in the following year.
Alcohol and cardiovascular disease prevention
A Tolstrup et al study, conducted in Denmark between 1993 and 2002 and published in the British Medical Journal ( BMJ 2006; 332: 1244) (http:// / bmj.bmjjournals.com/cgi/content/abstract/332/7552/1244) shows a discrepancy between men and women about the link between alcohol consumption and cardiovascular disease prevention. Among women, the authors conclude, alcohol intake could be the determinant Primary inverse relationship between the drinking of alcohol and coronary risk, while among men, how often they drink rather than mere alcohol intake, seems more important.
Pearls Monitor
In Monitor, 24 May (see below) seems a Royal Decree concerning the conditions under which pharmacists and science graduates chloric are authorized to perform services of clinical . He obviously had read chemicals.
Information Ausi to visit the site MediPlanet
Chewing khat Increment risk of myocardial infarction
A study of Saha and Dollery, forthcoming next month in the Journal of the Royal Society of Medicine warns against the deleterious effects of chewing khat
(http : / / east.africa.free.fr / le_khat.htm) and asked the public and especially doctors to take notice. The leaves of khat are particularly popular in Africa and the Arabian Peninsula, and among immigrants from these regions. Among the health problems identified, increased risk of heart attacks, liver disease, gingivitis and tooth loss. In case of intensive use it adds the risk of esophageal cancer.
inhibitors
polyvalent inhibitors of angiotensin converting enzyme not only have a beneficial cardiovascular effect, but also very significantly reduce the incidence of esophageal cancer (-55%), pancreas (-48%) and colon (-47%). This is shown by three studies of Burt et al, the Overton Brooks VA Medical Center in Shreveport, made on the basis of data from about 500,000 veterans, presented at the recent Digestive Disease Week in Los Angeles.
Diagnostic test for the AIDS home to
The record of an oral diagnostic test of AIDS developed by OraSure Technology and already distributed to hospitals and health centers U.S., is under study FDA for sale to individuals for home use, including Fortune reports. And this at a time when we approach the 25th anniversary of the diagnosis of the five first cases of AIDS published by the CDC (but no one knows exactly at this moment what it was). The only existing test for home use requires the removal of a drop Blood on the finger and analyzed in a laboratory. Experts are generally more reluctant than the instant diagnosis at home, fearing the reactions of a suicidal patient facing the diagnosis alone.
The 'Challengers Trophy Top 40' and the Fund for Cardiac Surgery team up to combat inactivity
As he prepares to celebrate its twentieth anniversary, the 'Challengers Trophy' change of route. For a car rally, it would be nothing very surprising. It is not however a new route, but rather a modified formula. It now targets for more than forty years. This
us more particularly. Repeat that, in fact, cardiologists for their patients? Move! Get active! Do not be lulled into inactivity! The conclusion flows naturally from source: lead by example.
The 'Challengers Trophy Top 40' will be held from 8 to 11 June next. It takes competitors to the Heist Brussels via the Bay of Somme and Le Touquet. The concept is that of a regularity rally car in 'all roads' decorated with sporting challenges. Throughout the course, participants will practice the varied disciplines, golf, mountain biking, archery, orienteering, etc.. It will not be quite an obstacle course, but rather a journey of the athlete.
All caregivers are invited to this meeting.
The 'Challengers Trophy top 40 is open to teams of four people responding to a single criterion: "Having more than forty years and fart form."
Form a team within your institution and pass the information!
Because we are directly interested in the success of the 'Challenger Trophy top 40'. The Fund for Cardiac Surgery joined, in fact, the organization which, in turn, promised financial support for research.
In other words, participate in 'Challenger Trophy', 2006 version, is recommended for his own heart ... and that of others. Do not hesitate!
Participation is:
Registration fee: 3850 euros excl
fee: EUR 250 excl
For information and to register, visit www.challengerstrophy40plus.be.
Phone: 02-413.03.83
Released in the Moniteur of 24 and 26 May 2006
• Royal Decree amending the list attached to the Royal Decree of 24 October 2002 laying down the procedures, terms and conditions under which compulsory insurance health care and benefits involved in the cost of health foods for special medical purposes (p. 26364) • Royal Decree to
the conditions under which pharmacists and chemical science graduates qualified to perform clinical laboratory services can take photographs of sample (p. 26365)
• Royal Decree amending the Royal Decree of 26 September 1996 determining the manner in which are introduced and investigated by the Occupational Diseases Fund repair requests and review of compensation earned (p. 26366)
• Ministerial order fixing the maximum prices and maximum margins for the wholesale distribution and dispensing of medicines for human use as generic or registered on the basis of literature published scientific (p. 26376)
• Ministerial Order amending the ministerial decrees of 29 December 1989 on the prices of reimbursable drugs, 29 December 1989 on prices of non-refundable, 20 April 1993 laying down special pricing and April 2 1996 setting maximum prices and margins maximum wholesale distribution and dispensing of medicines for human use including non-refundable any form is subject to medical prescription (p. 26378)
• National Institute of sickness and disability. Insurance Committee for health care. Resignation and appointment of a member (p. 26435)
• National Institute of sickness and disability. Board of Appeal of French-speaking, established under the Department for evaluation and medical control. Resignation and appointment of a member (p. 26436)
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