Sunday 28 September 2008

132) Ruling of the Supreme Court of Justice

I - The crimes committed by negligence, are not punishable by terms of imprisonment exceeding one year, with or without fine, were the amnesty provisions of subparagraph w), Article 1 of Law No. 23/91 of July 4, since that ruling until April 25, 1991.
II - having been established that the applicant's civil claim, suffered pain, was left with a slight deformity in the chin area and needs a prosthesis for correction of a lesion in the region of the teeth, these facts are sufficient to cause the plaintiff personal injuries that must be balanced by giving the victim of a penny to be fixed equitably by the court, as specified in Articles 496 and 494, both of the Civil Code.

Thursday 25 September 2008

131) Columbus: dental health program "A healthy mouth"

Colon (Argentina) - The Department of Health of the City of Columbus, through the Service Center's Preventive Dentistry Maternal and Child conjunction with the Dental Columbus Circle, reported the continuing program of oral licenses to "Healthy Mouth" implemented since 2000 in all schools in the Columbus game.
This program will be shown only to pupils in 1st, 3rd, 5th, 7th and 9th of EGB. Like the previous year, the student is going to the dentist of their choice (private or hospital), which, to find the mouth in terms of good oral health, provide a record of good oral, which will be switched on Preventive Center for Maternal and Infant an official certificate, legitimized with a seal hospital. Otherwise, the student must receive dental treatment to achieve high, given by the professional acting.

Monday 22 September 2008

130) Although the availability of the Ministry of Health

Concerning the assignment of "five million euros" for the National Program for Promotion of Oral Health for the population children and youth, and taking into account the national percentage of children and young people already covered by the program, I suggest that it becomes a responsibility solely the responsibility of public education, for whom the Ministry of Health would make the transfer.
So, without further charges, I sincerely believe that with the same "five million euros" transferred to schools according to their number of students, the program would cover a larger percentage of children and very young, would become and more efficient bureaucracy is the whole process, freeing up labor-bureaucrat of the Ministry of Health and its dependencies to other tasks of greater national interest, occupying socially better the times of non-academic school teachers - all this without adding a cent promised to "five million euros."
It is here the suggestion to Mr. Minister of Health, which I am asking that become public, all schools in the country, the list of clinics contracted by the Ministry of Health for the implementation of this program.
Gerofil

129) Board of Baião attentive to diseases

Striations on the ground, 24th of this month, a team of the Foundation for Education and Culture at the University Fernando Pessoa (UFP), consisting of doctors and students finalists of the Faculty of Health Sciences of UFP that, under a protocol of cooperation concluded with the City of Baião, will start a series of actions for screening the population baionense for six weeks - nearly two months. The actions will have to occur before the primary and secondary schools, retirement homes and joints parish in the aspects of preventive dentistry, medical tests for cholesterol and diabetes, nursing - control of blood pressure, drive human, physical therapy and speech therapy.
For the mayor of Baião, Jose Luis Carneiro, the protocol "is an initiative that fits in the effort that the municipality has developed in order to provide baionenses, particularly to the needy, living conditions more suited to the promotion of health ", refers to reported. Despite the activities related to health are not a responsibility of local authorities, the Board of thought adopt Baião a pro-active in ensuring the development of active social policies and to meet the specific needs of the municipality.
The Mobile Health and the provision of housing for doctors who want to practice the profession in the county are two examples, says the letter, the pro-active and have shown results. Shares of screening began in Ancede, one of the largest parishes of Baião and take place on Thursdays from 9:00 to 17:00 in different parts of the county.
* * *
There is a good and sincere thanks for these initiatives by the City Council bay. An example to be followed by other municipalities, because all the money spent here will always be well spent, because it will always be in favor of the welfare of the population.
Gerofil

Saturday 20 September 2008

128) Autonomous Region of Madeira: Public Service already has three Regional Health Center with dental consultations

Since last September that the region apply the system of service contracts with doctors dentists, who pursue their activities in public service. That is how the Health Center of Porto Moniz, Porto Santo and the Bom Jesus give consultations of medicine and dental hygiene. There are other doctors available and only "are no longer, (the public service) because we are no longer equipped health centers for dental," says Gil Alves, the Order of Dentists of Madeira. The doctor points out that although the national level the EPE can also apply this system, the truth is that more and more hospitals and dental equipment whose health is degrading for lack of doctors. This, perhaps, the reason for the Portuguese are the Europeans with a major dental problems.
Gil Alves dispute the argument that this is due to the high price of treatments and remember that the cost of equipment and materials used in dentistry are high.

Wednesday 17 September 2008

127) Promised better oral health

Correia de Campos ensures collaboration
with professionals of the sector
* * *
"I can assure that we are completely open and available to collaborate with you and discuss matters as the basic package, the establishment of a future Convention [of the National Dental Medicine] and the opening of Hospitals National Health Service (NHS) as proposed in the name of improvement the oral health of the Portuguese", said the Minister of Health, at the ceremony of swearing in of the new social organs of the Order of Dentists (MDGs) in Porto. At the meeting, held in the Stock Exchange Palace, Correia de Campos spoke of the success of the National Program for Promotion of Oral Health for the infant-juvenile population and that for this year has reflected "five million euros".
The governor said that "will not be the argument of lack of resources that will prevent program continue", despite admitting that "this support has increased so slow, however systematic and sustained up to say," given the results of some studies for cost benefits. The chairman of the MDGs, Orlando Monteiro da Silva, meanwhile sworn - and that will be ahead of the destinations of the Order until 2009 - reiterated that her main tasks is to "integrate the services of dentistry in the National Health System (NHS), to make it available to all Portuguese. "
According to the report, the vast majority of the Portuguese population has no access to dental services and contracting for dental practitioners with the public services "solve this problem. In that sense, thanked the opening of the Minister of Health and his ministry in "hear" the proposals of the Order, such as "payment of a moderating rate, to enable users to access to the NHS consultations."
O Primeiro de Janeiro

126) Horizontal equity in the Portuguese Health System

(Ana Simões, Ana Paquete and Marília Araújo)
* * *
The equity in the context of health is increasingly applicant as the public health systems based on this concept. In this study, the approach based on the concept of horizontal equity, checking the degree of equity in access to health care for individuals with equal need. The innovation here proposal was dealt with separately health care private and public. The analysis was based consultations of general practitioners (public sector), dentistry (private sector) and the specialty of cardiology (public / private).
The analysis, based on INS of 1998/99, was made by using the concepts of curves and indices of concentration in order to calculate the index of Le Grand. The results of this work have concluded that there is inequity in health Portuguese favouring higher income classes of the public sector and in private.
Gerofil

Monday 15 September 2008

125) Tickets from Paris: Poor and very poor

Although the large majority of university students is home to more than wealthy (more than eighty percent come from families of professionals, engineers and technical staff and senior administrative and commercial), its economic situation cause seizures, which were listed in a report of a parliamentary committee: university students in large numbers, are facing difficulties to feed properly, abandon the idea of treating the teeth or the views (one in six), consume alcohol in excess (one in ten), and in the same proportion of one in ten, are victims of stages of depression.
O Primeiro de Janeiro
* * *
If this is the situation in France, as is currently in the universe of university students Portuguese?
Gerofil

Saturday 13 September 2008

124) Always too late for someone

What is lost in the best years of life
(...)
When I was fifteen years I have noticed that my friends of my age had their teeth treated - well, I asked my parents to leave me go to the city of Evora try to solve the problem of my teeth.
Depart me to the Hospital District of Evora, in receipt of the hospital told me once that there were no vacancies for consulting stomatology (or dental). I remember very well that even after I spoke to the sector of consultations and came to enter the office where they were installed the equipment for consultations in dentistry, but there was not anyone.
It was a "dentist" who worked in the street "Arcos" in Evora; unfortunately, I think I made the biggest mistake of my life, as the "dentist" I met told me that he had to do more extractions, before could do me a treatment for cleaning the teeth… Possibly by all the fears that had passed the Health Centre of Alandroal, then did not want to do more extractions.
I joined the University of Lisbon, the result of a scholarship.
Only able to enter the consultation of stomatology of Social Services-Medical University of Lisbon when we walked in the 4 th year of the University; unfortunately, too late to be treated as it should have been in early childhood.
(...)
Full text here
* * *
Where is the social justice in the country, please? There is courage on the part of those who should have.
Gerofil

Thursday 11 September 2008

123) Programme for the Promotion of Oral Health in children and adolescents

The Evaluation Report of the Contracting of the Year 2004 specifically that between the years 2000 and the year 2004 were covered 143 289 children and young people by the Program for Promotion of Oral Health.
Given the data from the National Institute of Statistics for 2004, Portugal had 1 648 996 for children between 0 and the 14 years of age and from 1 360 606 young people between 15 and 24 years of age. Making an extrapolation, the number of children and adolescents aged 6 to 16 years (ages covered by the program) would be around 1 261 519. This means that, after five years of the program, it covered only 11 in every 100 children and young people in age to be answered (or 89 in every 100 children and young people were left out in access to that program) .
Some some positive and negative aspects referred to by the managers of the Program in ARS's:
-It was the late-starting the process of contracting which has limited activities of the programme;
-The gap between the school year and the calendar year prevents better enforcement of contracts;
-Shortage of human resources in the Health Centres, for the amount of work that is necessary to achieve and that conditioned the final outcome;
-Delays in payments to health care professionals oral contract, with far beyond the time stipulated in the contracts;
-Delays in delivery of deployable by professionals hired;
-Handicapped-quality records in Fiche traveller Oral Health;
-Greater involvement of Health and Centers for oral health professionals;
-The mobility of children complicates its location and routing;
-Most of caries in children target of contracting, were treated at the end of the programme, however "some" professional contractors have a large number of caries by deal by the end of the programme;
-For many children this was the first opportunity to benefit from an oral intervention.
Gerofil

122) In 2001 we were well

NHS without dentists - About 90% of health centres of the National Health Service (NHS) have no dentist or provide consultations for oral health. In the few who have dental, consultations are targeted almost exclusively to children, only carried out on average once a week and, hence, have waiting lists, rising to three years. Who needs to treat the teeth is not even no choice but to pay a medical consultation in particular.
These are only some of the "dramatic" results of a survey done by the Order of Dentists in recent months to a broad sample of health establishments belonging to the public network. "The oral health is fully geared excluded health in Portugal ', commented in this regard the President of Dentists, Orlando Monteiro da Silva. 'And this means that, for economic reasons, much of the population is, quite simply, access to oral health care, "he added.
The survey covered more than 400 establishments of the NHS, spread across the country, with the majority of health centres. Of the more than 70 hospitals questioned on the provision of oral health, only 30% said they had dentists.
On the other hand, and the second shows the study, only 7% of health centres which have no dentist who is heading the sick to hospital. The problem is that access to these, as the other consultations, hospital specialty, is never directly - always implying a referral made by the family doctor.
If this routing is done by the family doctor, patients are forced to rely on the emergency. But the more likely it is to give the guy at the door. According to the Order, over 80% of hospitals that dentists have at your service admitted that no urgency to make oral health. "Patients have no alternatives, or to treat any conditions of its mouth", stressed the president.
As for health centres, the study says that 90% have no dentists, and that those who provide this consultation, there comes the waiting lists, for three years. This is because in most 10% of centres with consultation from dentists' is only accepted one marking a week. And if it is the small group of health centres with dentist, is non existent in the provision of emergency oral health, 'which is a factor of great concern "- says the Order. 'If users have a serious problem can not even go to a permanent telephone hotline (SAP), the study adds.
In health centres where there are dentists, patients are mostly (92%) referred to private doctors. But the latter, as Orlando Monteiro da Silva, has access only those who can pay.
Help from 55 escudos (23 cents) - The lifting of the Order shows are other disturbing data. For example, which in Alentejo and Algarve was only found one dentist to work in public health services and that Lisbon, despite the public offer be greater, is one of the poorest regions of the country in this specialty.
The Ministry of Health has already responded favourably to some of the proposals of the Order to solve this problem, notably through an expansion of agreements with private dentists. Until now, however, the process has not passed the plan of intentions.
* * *
This text says almost everything on the relidade of oral health in the NHS in Portugal. Today, the situation has changed little. For more to say and if one thousand invent excuses, what is clear is that almost everything remains to be done in Portugal, when it comes to oral health.
Gerofil

Wednesday 10 September 2008

121) Project Health Clinic at the University Fernando Pessoa crawled more than 12 thousand people

The Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP), which has the support of ratiopharm, held 12 064 free health screenings of September 2005 to August 2006. These surveys covered the provision of Dental Medicine, Clinical analysis (glucose / diabetes, and cholesterol), Nursing (control of blood pressure), Human Motion / Physical Therapy and Speech Therapy.
In this period, the Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP) crossed the northern and central areas of the country as well, he went during the month of August, Angola, specifically in Luanda, with the main objective of provide training and conduct surveys to people in Hospitals and Health Centers.
According to the UFP, in total, 6 302 people were screened for blood glucose / diabetes and cholesterol, 210 children in valence of the Speech Therapy, 2,261 people on Oral Hygiene, 140 in the area of Motion Physical Therapy and Human and 3,151 in Nursing (control of blood pressure).
During the 2005-2006 school year, were involved in this project 244 students and 13 employees of UFP. As in previous years, this initiative was supported by the ratiopharm, leading pharmaceutical company in Portugal in the development and marketing of generic drugs (in units).
For the current school year, the Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP) over the councils of Amarante, Baião, Santo Tirso among others, carrying out actions of screening in primary and secondary schools, centers and retirement homes in provision of medical tests for cholesterol and glucose, control of blood pressure, oral hygiene, drive human / physical therapy and Speech Therapy.

Sunday 7 September 2008

120) Infant, the innocent wronged

Since 1968, after the excellent work of Ben Haygard at the University of Arizona, which we know that human milk in the state of Arizona, contained abnormal amounts of 6 insecticides! The contamination was so high, which, if applied rigorously to U.S. law, a woman breastfeeding, could not get out of Arizona, because "it is prohibited to cross state borders leading food contaminated."
After the work of Dr. Haygard, the scientific world started to examine more closely the contamination of human milk. Until 1998, the date of publication of the last book of Pharmacology Publisher of Guanabara, 141 (one hundred and forty-one!) Toxic or potentially toxic substances were found in the "milk" - use quotes because I do not know paternal human milk. These substances are morphine, cocaine, codeine, alcohol, nicotine and almost all antibiotics, including the tetracyclines which are involved in bone and tooth malformation.
That is, a mother addicted to drugs almost for sure will vitiate his son in the same or on the same drugs. We could cite other risks, scientifically proven, such as contamination by adrenaline (norepinephrine) in the milk of a mother or with nervous stress, and various other situations, but the frightening aspect of this article and the first reason was the verification that in southern Africa and Asia, the contamination of infants with HIV (the AIDS) contained in mother's milk HIV positive, namely the vertical transmission of a disease hitherto incurable and fatal is made by hitherto sacred food, the "milk"!
To leave no doubt of nutritional point of view, human milk is the most perfect food for the newborn. However, to be offered to infants, two basic conditions must be met: first, the mother has to be healthy, and second, the child must be healthy!

119) Draft young / schools / health

The ARS Alentejo sees the National Health Plan (NFP) as a "framework director of organizational change" and as such demand consider it and recover it when making the planning of activities or where changes tackles cultural, architectural and functional in the system the health of the region.
In this perspective, and following the philosophy of the NFP, ARS believes that it is in schools, at work and in places of recreation (where it spent much of the time of a typical day) that should introduce and promote prevention measures of disease and health promotion. Indeed, these environments are integrating a number of different interventions in nature as such it can definitely contribute to the success of these actions aimed at prevention of reducing the burden of disease over the life of our citizens.
In the specific case of schools, this principle is particularly important given the vital role they play in the process of acquisition of lifestyles and its importance to the aforementioned health promotion and disease prevention.
In this sequence, under the protocol established between the Ministries of Education and Health, the Regional Direction of Education of Alentejo and the Regional Health Administration proposed to carry out the implementation on the ground of the project called "Youth / Schools / Health".
Indeed, with this project, what it does is promote health education in schools, a process which contribute to the sectors of education and health, and to contribute, ultimately, for adoption by the schools of policies and practices consistent with the Promotion of Health, particularly with regard to the prevention of risk behaviour.
In this context, and with regard to the design curriculum, the curriculum areas not disciplinary - area of training and civic project - the privileged space for the development of activities under the project which now begins in Alentejo.
Let's take a brief characterization of the entire project:
1. Target Population (Cycle of Education) - now has to occur among young people, an increase in risk behaviors. Among other highlights is the increase in sedentary lifestyles, nutritional imbalances of violent conduct, morbidity and mortality from accidents, maternity and paternity early and behaviors potentially additives, related particularly alcohol, tobacco and illicit drugs.
Thus, for the above reasons, those covered by the innovative project that is implemented in Alentejo are pupils of 2 and 3 cycles of basic education and secondary education in the region.
2. Partnerships - The main actors are the elements because the schools / groups, in which the project is developed, elements of Health Centres and local elements of the Portuguese Youth Institute and other partners in the community, whose release is appropriate. Currently, the schools are already implementing this project are:
- Secondary School Diogo Gouveia, in Beja;
- Integrated Primary School Diogo Lopes Sequeira, in Alandroal;
- Primary School 2, 3 and Secondary Dr. Hernani City, Redondo;
- Secondary School D. Sancho II in Elvas.
3. Content - The activities that are developed under this project focus on matters that relate to follow:
- Interpersonal Relations;
- Issues of Mental Health;
- Food Education;
- Oral Health;
- Sex Education;
- Prevention of Maternity / Paternity early;
- Prevention of consumption of licit and / or illegal;
- Prevention of HIV / AIDS and other STI;
- Security at the level of plant and equipment and Physical Activity.
4. Objectives - Establish an Office of the Schools Support for pupils under the Health Promotion. Contribute to:
- The improvement of intra and interpersonal relationships;
- The promotion of nutritional education;
- The promotion of oral health;
- The promotion of sexual and reproductive health, particularly the prevention of unwanted pregnancies and STI;
- Preventing the consumption of substances adictivantes, licit and / or illegal;
- The promotion of security at installations and equipment;
- The promotion of regular physical activity.
5. Materials and Human Resources - In schools, it needs to be provided a space for operation of the office of Draft. In addition will be used where justified an auditorium, or multipurpose room for the holding of sessions for clarification and / or discussions, if they involve a large number of participants. Other activities may take place in meeting rooms of various classes or other spaces provided by the school, for the purpose.
Regarding human resources, that are provided by schools and the Health Centres where this project is implemented. Whenever possible, the draft requires that parents be involved and Officers of Education as well as those with whom to establish partnerships.
6. Assessment
The assessment of this project is to begin now that will be made, essentially, in two different moments:
- Periodic evaluation and end of each school year;
- The first should be continuous, but achieved at the end of each school term, with a report jointly held by all elements actors who developed the actions, and will be presented at a meeting of the Pedagogical Council, the coordinator of the project.
- At the end of each school year, it is proposed that the assessment is made by the team to work in each school, and focusing on the business plan developed under the project. That should aim to promote good practices arising from the implementation of the Project and the recasting of the methodologies involved in activities, which have had less impact among students. Also here will lead to reflection, which should serve as a basis for drawing up proposals for work for the coming school year.
As regards specifically the work of the office of care for young people, should be made a record of each call. This should include the scope of each requested clarification and routing data, ensuring the data anonymous and confidential.
* * *
This is a project that should already have been implemented in Portugal to 25 or 30 years ago - unfortunately vast majority of adults younger this region (Alentejo) was often far from access to such projects, with serious repercussions personal and interpersonal for many who today are already adults.
Amazed by the fact that the project be restricted to a small minority of children and young people of Alentejo - the overwhelming majority continued, as the 25 or 30 years, with lack of specialist support in terms of child health and youth, to all levels.
At ARS of Alentejo question is when the placement of specialized technical staff, full-time in each of the groups of primary schools and in each of the secondary schools in the region? In recent years it has witnessed a situation exactly the opposite.
I fear, therefore, that this project does not pass this same: the overwhelming majority of those who urgently need these actions continue to be marginalized.
Gerofil

118) Roadmap for inclusion: Figures shocking

The reports of violence impressed the president; the president was unable to remain indifferent to what you counted on day and a half of roadmap for inclusion dedicated to children at risk and abused women. In the north of the country impressed him know that adolescents receive visits violated the violators in the hospital. The president was shocked by the fact that babies are used to renew visas to stay in Portugal.
NUMBERS:
- 291 complaints from women victims of domestic violence only in the district of Aveiro in 2005. For the box under Home of the Divine Savior, Ílhavo, passed in eight years, 511 women and children;
- 36% of women victims of domestic violence who returned to the companion after having exercised the box under Home of the Divine Savior, in Ílhavo;
- 2 priority areas of intervention in working with women victims of domestic violence. The first is related to family planning and the second with oral health, women and children have the teeth;
- 900 women victims of domestic violence and their children who are in shelter homes or other institutions of the same type, in Portugal there are 33;
- 13% percentage of children victims of abuse assisted in hospitals and health centres whose mothers are teenagers, the early pregnancy is a double exclusion - the pregnant and the child;
- 60 users of the Center for Family Support Pinto de Carvalho, in Oliveira de Azeméis, so many that it does not know what is the color that everyone likes most.

Monday 1 September 2008

117) APMCH, Order and doctors unions come together in platform

The Portuguese Association of Hospital Doctors of Employment, the Order of Physicians and the two unions resolved the class create a platform for devising a common strategy against the current policy of health, was revealed.
"Rather than worry about denigrate the medical careers to the population, the Minister of Health should concern itself with existing structures in the system. It is the degradation of medicine that concerns us," said today the vice president of the Portuguese Association of Doctors Hospital of Employment (APMCH), Armando Rocha, the agency Lusa. According to the manager, by creating this structure the various organizations align themselves "in a common objective: the defence of the National Health Service [NHS]" and opposition to the current policy for the sector.
"There is a major concern of doctors in relation to the functioning of health in Portugal and the NHS, which is essential to provide a lead assistance to the population, there serious risks", said. The lack of capacity of hospitals in the training of internal and "misuse" of clinical services in emergency, to address the lack of doctors, are some of the criticisms made by the leader, who also expressed concerned about the trend towards privatization of health ".
To join in this structure, the various organizations expressed their "concern at the measures" adopted in the sector, and particularly with the possibility of finishing the careers medical "- also said Armando Rocha. In view of the vice president of APMCH, we need a restructuring of medical careers and the NHS.