Tuesday, June 6, 2006

Completing Letter Format

doctor's letter No. 355

The daily figure: According De Standaard , more than 30,000 Japanese killed themselves last year


On 6 June of that year

1882: Birth of Kenneth Walker MacFarlane, English surgeon author of philosophical works
1942: Japanese troops beat back in the battle of Midway, which began June 4
1944: the Allied landings in Normandy takes place
1961 deaths Carl Gustav Jung, Swiss psychoanalyst
1975: the British vote for accession to Europe in a referendum on the issue

Website of the Day: Nanotechnology Now


Quote of the Day: " The smell of a rotten shell enough to indict the whole sea Jules Fox ( Journal )


to Monitor Released June 2, 2006: read the bottom of this letter

Erratum:
A careful reader, Mr. Filip Destrijker, we noted that 136,400 cancer deaths Netherlands in 2005 (MDL No. 351, May 30, 2006), a figure advanced by a Dutch medical site, it seems very excessive. This is actually almost total mortality in the Netherlands. The number of deaths due to cancer a few years it has fluctuated around 37,000 per year. We apologize to our readers for this error.

Titles publishing
Letter

Academy of Pediatrics Minister Demotte (1-6-2006)
The Flemish Council of Women wants the College of Physicians
The UN will publish a declaration, already challenged on AIDS, but Kofi Annan himself, appears dark
IVF: no problems for thirty advanced
The liberal policy of the Swiss vis-à-vis hard drugs seems to be effective (Lancet)
The number of uninsured people in health care increases at Netherlands
Amsterdam hospital auctioned
The TV is dangerous for small
A fibrinolytic when stopping cardiac unrecoverable
Day Working GERCPEA June 16


Letter Academy of Pediatrics Minister Demotte (1-6-2006)

Sir,

A delegation appointed by the Belgian Academy of Pediatrics, which represents all Belgian paediatricians met the May 30, 2006 in your office and Ms. Heusden Mr. Vermylen. We expressed our analysis of the draft Royal Decree on the pediatric care program, you will receive this detailed analysis in the coming days under separate cover. In this interview, we expressed the loss world's trusted pediatric towards your department and the intensity of his deep unhappiness. We can not accept excuses, broken promises and a series of proposals that you do so deleterious that the situation of pediatric services is increasingly critical that we announced this a long time.
(...)

Full text on site MediPlanet and at the bottom of this letter



The Flemish Council wants women to the College of Physicians

Punishment apparently struck a moderate psychiatrist expert convicted of raping seven patients who had sentenced "only" a year of suspension has caused a lot of outrage in the public and particularly the side of Vrouwenraad (Council of Women), reports De Standaard. For this organization a professional disqualification required in such cases. The Vrouwenraad also calls being medical professional is considered an aggravating circumstance in cases of sexual abuse.
be added to us that Vincent Martin it is also very well drawn in the ordinary courts. Side of the Order is made out rather than a year's suspension is actually a very severe punishment, because it's almost the end of a career that means. We return to this issue in a future edition of Medi-Sphere.


The UN will publish a declaration, already challenged on AIDS, but Kofi Annan himself, appears dark

A thousand activists have conducted intense lobbying by delegates from the last conference of UN on AIDS to the international organization that publishes a strong statement on terrorism. The draft text, which should be adopted by the General Assembly, Calls on Member States to concentrate their efforts to ensure universal access to treatment by 2010, reports the BBC. To Secretary General Kofi Annan, it is unfortunate that this document is little more precise, but activists above, them, still mourn the Tagus Davan and emphasize in particular the absence of any reference to homosexuals, prostitute (s) and addicts. Coordinator of ActionAid International, always cited by the BBC, said his organization is simply " furious." Such weakness is
incomprhénsible at a time when 8,500 people a day die of AIDS and where 13,500 new infections are recorded daily.
Peter Piot, head of UNAIDS, also often cited as a possible successor to Lee Jong-wook, the late WHO director, says he, however, that this statement is stronger than all previous.
At the closing session of the UN special devoted to AIDS, "notes New York Times Annan has shown, however, much darker. The epidemic continues to outrun our efforts to, "said Secretary General of the UN, with more infections and more deaths than ever. Certainly there is some progress, as increasing the number of people with access to treatment and the decline of the disease in some African countries, but if some countries do not overdrive, we can no longer turn the tide. Kofi Annan's tone contrasted with the optimism seriously by political leaders during this session, further notes the NYT.


The liberal policy of the Swiss vis-à-vis hard drugs seems effective (Lancet)

A study Nordt and Stohler, published in The Lancet ( 2006; 367: 1830) shows that the liberal policy in Zurich vis-à-vis the hard drugs, including the provision of substitution treatment with methadone or buprenorphine has led to a decrease in the number of new addicts. And the decline in question was not thin, as this is a decrease of 850 new customers in 1990 to 150 in 2002. And the authors conclude, this policy and the emphasis on the medicalization of the problem of heroin appear to have contributed to the image of it unattractive for young people.


The number of uninsured people in health care is increasing in the Netherlands

Follow fluctuation in the number of people without health care insurance is a constant occupation for those who follow the news on the subject in the United States. But the Netherlands also are confronted with a more modest scale of course, to this phenomenon. This year the number of uninsured people increased by about 20%, reaching 280,000 units, reports the Algemeen Dagblad. The increase is however still limited by the fact that one is obliged to ensure.


Amsterdam hospital auctioned

A hospital in Amsterdam, Slotervaartziekenhuis, which is negotiating for several weeks for his redemption with a consortium hospital for his redemption, should open the proceedings by a tender open to other potential buyers. That's what comes, informs Zorgvisie.nl , an independent commission to decide, but accompanying the negotiations on behalf of the Department of Public Health.


The TV is dangerous for small

Besides the sometimes stultifying certain programs, the TV is a danger to children. We'd better tell the TV, because that is falling devices on the bodies of children is sometimes a problem, write and Ota al (Dallas), authors of a study published in Academic Emergency Medicine (Acad Emerg Med 2006; 13: 700) and on 26 cases identified during the year. A fibrinolytic

in cardiac arrest unrecoverable

A U.S. study of Bozeman et al, conducted in three emergency services and to be published in Resuscitation shows that the administration of tenecteplase, a fibrinolytic, after the failure of resuscitation classical, increases the frequency of restarts of spontaneous circulation and short-term survival with good neurological function. In the study, 26 of the 50 patients concerned were able to be recovered.


IVF: no problems for thirty advanced


Transferring one embryo during IVF is just as likely to result in pregnancy and childbirth in women living 36 to 39 years than among younger women, conclude Veleva et al (Finland), authors of a study published in Human Reproduction ( 2006, doi: 10.1093/del 137). We knew the technique of IVF with single embryo transfer was effective in women under 35 years.



Day Working GERCPEA June 16

The next day's work GERCPEA (Study Group and Clinical Research in Psychoanalysis of the Child and Adult), under cycle 'dependencies' will take place Friday, June 2006 in Luxembourg (House Home of the Franciscan Sisters, 50 rue Gaston
Diderich, L-1011 Luxembourg). This day will be devoted to the first manifestations of dependency psychotic patients. Alain Gibeault, director of Paris XIII, well known for his work on psychosis, symbolization, analytic psychodrama, will lead this day.
Theme Days for 2006-2008 will be "Masculine / Feminine." The first day will be held November 24, 2006 with the participation of Sylvie Faure and Georges Pragier and Joëlle Hullebrouck.
Listings: http://www.gercpea.lu/forms/inscription_au_journee.htm


Information to also check the site MediPlanet:


Nursing Shortage spectacular (s) USA
The French government addresses the abuse of Net access providers
Children living on farms have twice the risk of a fatal accident
Waste, waste
Bon appetite!


Nursing Shortage spectacular (s) USA


According to the American Hospital Association, the number of nurses (s) in the U.S. in 2020 will be 30% lower than the needs of the healthcare system at that time.


The French government addresses the abuse of Net access providers

The French government will propose a legislation to force Internet service providers to respect the commitments made in the fall to consumers, including free time waiting hotlines, Francois Loos said Friday the Minister for Industry in Le Parisien .

Children living on farms have twice the risk of a fatal accident

A study by Brison et al, to appear in the Canadian Medical Association Journal concludes that children living on farms have doubled the risk compared to other Canadian children to die in an accident. This risk is particularly clear for children 1 to 6 years, particularly for boys.


Waste, waste

17% of documents printed in European companies are in fact never read, according to a study by consulting firm Ipsos in cooperation with the printer manufacturer Lexmark, reports express.be .


Bon appetite!

People who find repugnant or dangerous objects in dishes served at the restaurant in the U.S. have already withdrawn the amount in damages can be spectacular. Hence the idea if such a chance does not appear to give a helping hand to fate. A 20 year old man, who himself has put a dead mouse in a burrito at Taco Bell and threatened the store operator to notify the press (unless ...), has been sentenced by a court on a spectacular fine, while a woman and her son who had, themselves, put a dead mouse in a bowl of soup, awaiting trial. A woman of 40 years, meanwhile, was sentenced to 9 years pirison for doing so in a Wendy's, but it must be said that she had not opted for a dead mouse, but for a human finger sliced recovered from a man who had lost in an accident, reports FindLaw.


to Monitor Released June 2, 2006

• Royal Decree prohibiting the supply of medicines containing monochloroacetic acid (per 28,864) • Royal decree
executives language of the scientific establishment State "Scientific Institute of Public Health" (p. 28864)
• Royal Decree determining for the purposes of section 43ter of the laws on the use of languages in administrative matters, contact July 18, 1966, the grades of staff of the Scientific Institute of Public Health, who constitute the same level of the hierarchy (p. 28866)
• Royal Decree establishing frameworks language of the Federal Public Service Health, Safety Food Chain and Environment (p. 28867)
• National Institute of sickness and disability. General Council of the health insurance. Resignation and appointment of members (p. 28896)
• National Institute of sickness and disability. Advisory Council on functional rehabilitation, established with the Department of Health. Appointment a member (p. 28896)
• National Health Insurance Disability. Advisory Council on functional rehabilitation, established with the Department of Health. Resignation and appointment of a member (p. 28897)
• National Institute of sickness and disability. Regional Commission of the Medical Council of disability in the province of Brabant Wallon, established with the Benefits department. Resignation and appointment of a member (p. 28897)
• Higher National Council of Disabled Persons. Resignation and appointment of a member (p. 28897)
• Ministerial Decree amending the Decree Ministerial March 1, 2005 appointing the members of the management of scientific institutions of the State under the Minister of Science Policy has within its remit, erected in state services with separate management (p. 28904)
• List of human drugs registered between 1 November 2005 and November 30, 2005 (p. 28924)
• List of human drugs registered between 1 January 2006 and January 31, 2006 (p. 28934) •



Letter Academy of Pediatrics Minister Demotte (1-6-2006)
(full text)

Sir,

A delegation appointed by the Belgian Academy of Pediatrics, which represents all Belgian paediatricians met the May 30, 2006 in your office and Ms. Heusden Mr. Vermylen. We expressed our analysis of the draft Royal Decree on the pediatric care program, you will receive this detailed analysis in the coming days under separate cover. In this interview, we expressed the loss of confidence worldwide Pediatric about your ministry and the intensity of his deep unhappiness. We can not accept excuses, broken promises and the series of proposals that you do so deleterious that the situation of pediatric services is increasingly critical that we announced this a long time.
Regarding the draft royal decree on the plan of care, you've invited in 2004 to participate in its elaboration. Professor Kips showed his support to amend the text in the light of our criticism. Since then, we have not been informed of the outcome of the case and the latest version of the project was provided by the hospital managers. There was no dialogue but a manipulation. We seek to attract more difficulty with paediatricians in hospitals despite underfunding and lack of candidates for an answer, you increase the administrative burden, the medico-legal liability and obligations of presence. We must give priority to financial incentives and improved working conditions if not the best laws are unenforceable.
We demand a clear commitment to a rapid appreciation of our business. An increase of 100% of supervision fees in the first 5 days service E was deemed indispensable in order to finance a pediatrician additional service. This application was considered by the médicomut and increased 25% has been granted and entered into the agreement to 2006. We waited in vain for the coming into force in February. The publication took place with 3 months late and was granted retroactive to geriatricians and not pediatricians. This is an intolerable discrimination which, given the peak of winter activity, we lose almost half of the budget promised in 2006.
We demand the recovery of these budgets have been forfeited and the award without delay the remaining 75%.
Removing extra fees for accompanied children staying in single room for non-medical reasons was seen as a stab in the back. It is indeed a new discrimination at the expense of the lowest paid physicians. Supplements can represent up to 30% of the fees for some services. We stand fully the possibility that every parent has the opportunity to stay with her hospitalized child, regardless of room type. But if some parents, who almost always agrees hospitalization insurance, choose a private room for their comfort, there is no reason that the hospital doctor in charge is less well treated because he cares for a child.
Pediatrics is treated unfairly discriminatory and a feeling of discontent has spread to hospital paediatricians. We can no longer pursue a constructive dialogue if current conditions are not changed drastically. We are determined to initiate the necessary actions to defend the medicine of the child. The Belgian Academy of Pediatrics has therefore decided on a first strike action on 16 June 2006. Although
support children and their families (both the physical and psychological), by competent teams (thus motivated staffées in number and well trained), can only reduce the risk of disease in adults ((asthma, obesity, learning disability, health education, prevention, medicine ....). Investing for Children you can save on adult medicine without risk of reducing the quality thereof. It is also to show foresight and anticipation and not a grandstanding with no prospect of the public good.

We believe, Sir that you will be receptive to our arguments and will give a positive response as soon as possible. Please accept, Excellency, the assurance of all our consideration.

Drs A. Barillari, president of the Academy, Y. Louis (Absym), Mr. Pletincx (GBS), Ph. Alliet (VVK), Alexander (Gbps), OC Matthys (BVK-SBP) and Prof. P. Casa (University Diensthoofden Pediatrics)

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