Psychological treatment for tinnitus

Patients with tinnitus will benefit from a psychological treatment and neurosimulitatie. This is clear from examination of Hilke Bartels of University Medical Center Groningen. They PhD tomorrow (November 26) to the University of Groningen in the investigation "Tinnitus, new insights into pathophysiology, diagnosis and treatment."

Lang was assumed that the cause of tinnitus was in the hearing. It is clear that over-active brain area in the hearing continuous signals that the "phantom sound" cause. Activity that usually occurs after hearing loss, or after noise (after concert tour, for example), operating in the hearing or inflammation or nbij jaw or nekproblemen. Through the imaging techniques PET and fMRI Bartels has the theory of over-active brain confirmed.

Psychological discomfort
Many patients with tinnitus (tinnitus) experienced psychological discomfort. They exhibit withdrawal behavior and have a negative outlook on life, as evidenced by Bartels research. By anxiety and depression experienced patients the disease as a major attack on their quality of life, but that they dare not share. As they experienced little social support, leading to withdrawal behavior. Bartels came this (type D personality ") to 94 of the 265 patients tested against.

Treat
Derpessie reinforce the fear and psychological discomfort in the ears. Therefore, especially in people with type D personality treatment therefore aims at reducing anxiety and depression, said Bartels.
An estimated 10 to 30 percent of Dutch people hear sounds from the body.

Neurostimulation
The treatment of tinnitus with a pulse generator (a type of pacemaker) works very beneficial in the long term, says a eveluatie from experimental treatment. The patients indicated that the "noise" was reduced to a pleasant level. Also neurostimulation with a magnet outside the skull seems an interesting treatment option. By 5 of the 24 patients in whom this experimental treatment was applied, tinnitus could be temporarily suppressed.

Recommendations
To date there is no treatment for the large group of tinnitus patients is effective. Current treatment options have a medical, audio logical or psychological basis. A multi-disciplinary approach is essential, says Bartels. It also calls for the use of validated questionnaires to the nature and impact of tinnitus mapping.

Vascular doctor rang alarm too late

What began as a standard surgery, degenerated for the 40-year-old Conny de Boer and her husband Marc in a total nightmare.
A guide wire enlarge image after an operation left in the bodies of two patients from the outpatient clinic Blaak. PHOTO AD Rotterdams Dagblad
Almost three years after an innocent-normally-varicose vein surgery in the Rotterdam Blaak The clinic, is the Hellevoet still sick at home.

She is disabled, suffered by surviving pieces of guide wire severe pain in her shoulder and walk the rest of her life an increased risk of impaired heart function.


See the result of the alleged medical blunder of the Flemish vascular surgeon Eric D., moving them yesterday for the Rotterdam court had to answer for.

D. gives now reluctantly admitted that he called "personal mistakes", but that it was right JI Büchner that the blunders are still mainly due to its operation assistants and a high workload. An excuse for medical officer M. of Eykelen quickly made short shrift. ,, Mr. D. The clinic is the owner of Blaak. It is him fewer patients to roast.''The staff also stated that D. materials checked the operation itself.


What the vascular surgeon especially by the PPS is accused, is that he initially did not want to believe that he was involved in medical errors. During the judicial investigation D. He explained that this surgery has done hundreds of times and that while "a certain apathy and carelessness on track."

Conny de Boer was already on the operating table in the Blaak heart arrhythmias. D. notified her that she had an allergic reaction to anesthesia. One of the expert witness, cardiologist W. Wisse Link, however, says that anyone who works with feed wires, should know that too far into the body's wire stimulation of the heart and can cause arrhythmias. By D. had therefore have to rely immediately alarms, said the officer.


Had D. alert response, it argues, it was in the Port Hospital where Conny landed, the same day a picture breast can be made and was the backward wire directly detected.

Only then also from the body of Vincent Rotterdammer Kubatz, operated on Friday, January 13, 2006, a guide wire was met Blake, realized Dr. Eric D. possible that he could have made mistakes. All patients in the clinic a laser surgery, was called a chest photo to make. In this screening were no other failures to light.

More deaths from AIDS in the Netherlands

Employees of the foundation Safe4now parts Wednesday condoms to prostitutes in the red light district in Amsterdam.

Employees of the foundation Safe4now parts Wednesday condoms to prostitutes in the red light district in Amsterdam. © ANP


For the first time in years, the number of people dying from AIDS in the Netherlands again. Last year 66 deceased people to the disease, eighteen more than in 2006, according to figures from the Central Bureau of Statistics (CBS).

According to a spokesperson, there is no reason to panic. The number of dead is now so low that a one-time increase or decrease in the number of deaths few conclusions can be drawn.

From 1983 to 2007 in the Netherlands in 4344 deceased people from AIDS, in overwhelming majority men. In 1982, the first cases of the incurable disease in the Netherlands found. One year later was the first death.

In the beginning and middle of the nineties was the year to more than four hundred dead. Thereafter, the number of deaths is much reduced, because AIDS drugs became available. An infection with HIV, the virus that causes AIDS ultimately, it means no longer an automatic death sentence. A twenty-year HIV-patient in 1996 aged just 56, he or she can now average 69 years.

On last-minute plea to not to ban magic mushrooms

Deadly incidents involving hallucinogenic mushrooms may not be the reason for a total ban on the drug. This, the lawyer of the National Association Smartshop (VLOS) Tuesday for the court in The Hague in an interim order against Klink Minister of Health.

The VLOS do with the lawsuit a last attempt to delay the introduction of the magic mushroom ban by December 1 to stop. The minister decided to ban in 2007 after a 17-year-old French tourist in Amsterdam on a bridge jump and was killed after eating mushrooms.

According to the VLOS has not proven that magic mushrooms were the culprit in this incident and others, sometimes fatal accidents that have occurred in recent years. "It was earlier used in combination with other drugs and alcohol and the mood of the user," said the lawyer.

The Assessment Coordination and Monitoring new drugs (CAM), that the minister had been commissioned to do a risk analysis on the magic mushrooms, has concluded that the risks to public health minor and that a total ban was disproportionate. The CAM recommended in his report to regulate the sale and to ensure good information.

The minister decided this opinion not to follow, because it is based on the use of magic mushrooms in a safe environment with a fasting known in the neighborhood. "The incidents", as advocated on behalf of the country lawyer Klink, 'often occur among tourists. For this group is such a safe environment by definition not be guaranteed. "

High blood pressure? Eat a beetle ...

A tasty insect on the menu 'That would perhaps not so crazy. Van den Ghent University research shows that eating insects helps against high blood pressure. Insects contain a protein that has the same effect as medication for high blood pressure. An additional advantage is that the insect protein caused no side effects.
So even those who like diverts its borders, may apply to the beetles, ants, caterpillars, grasshoppers or termites. In Asian, South American and African countries such creatures regularly on the menu. They are very nutritious and contain protein and energy vitaminen.In Western countries have relatively many people suffer from high blood pressure: almost one in three persons. Eating insects would not hurt. Moreover, it would a good alternative to meat may be, says researcher Lieslot Vercruysse. Insects are environmentally efficient than meat; to insects is less water to grow and perform necessary.

Few prevention programs in depression

The Dutch institutions for mental health care together offer 83 programs for people with depression. Most programs were launched after 2005. This was the treatment of these patients tend to place on uncoordinated manner: the Riagg's, the psychiatric outpatient clinics and psychiatric hospitals offered to treat without handlers had agreed. Within one program ordination happen. Julius Adri Researcher Hans Peters (formerly worked as director of Innovation Altrecht) and undersigned examined together with medical students the quality of care programs for people with depression. To this end they asked the texts of all these programs. I presented the results of this research on November 18 at the symposium Depression Treatment: Quo Vadis? that the Amsterdam JellinkeMentrum organized mental health care setting. The congress took place in the beautifully renovated Barbizon Palace opposite Amsterdam's Central Station. Julius from the survey revealed that there will be operated in accordance with the modern insights of the recently realized multi-disciplinary guidelines for the treatment of people with depression. There is little or no gebeunhaasd. The coordination within the mental health care institutions themselves is also well regulated. It is clear which department does what and what the referral criteria. But academic researchers are critical and I had that Barbizon Palace four downsides as: 1. a description of the target and causes of the emergence of the care missing in most programs 2. there are rarely mentioned partnerships with institutions such as GGD'en enhancing prevention and social bodies, with the first line with, for example, labor and services on depressive workers 3. there is usually no separate sections on migrants and depressive 4. there is rarely anything said about crisis interventions such as reports of suicide attempts by depressed patients. Of course, Adri Peters and I welcome what has been achieved in two years time. But a care management is not a disease as long as the four points here said no attention. After my reading at 18.11 was a fierce debate about the role of mental health care in depression. One million Dutch swallows hards daily events in this beautiful country antidepressants. The Groningen Trudie Dehue professor and author of the book The depression epidemic that took many psychiatrists to treat the depressive individuals and making little depressed conditions in the workplace and in society tackle. Dehue at 18.11, earlier the company was feasible and now only the individual. Her opponent, Prof. William Nolensville was this ever end. My suggestion that disease management programs for people with depression both preventive and curative interventions social hear include, was not addressed in this polarizing debate. Want to see my Power Point presentation with a lot more than facts and figures in this message? Go to www.integratedcare.nl / lectures So far this message. On December 10 starts at the Julius Center Masterclass Disease management. It is the design of the guidance and care programs in mental health extensively addressed. There are two places available.

Risk of leverbotinfecties smaller than last year

The risk for leverbotinfecties in sheep and cattle this year than last year.

Leverbotprognose notes that the Working Group of the Animal Health and the Central Veterinary Institute (CVI) of the Wageningen UR. Nevertheless, there is risk of spread of fluke. The wet weather in late September and early October, the snail fluke that spreads the infection at the grass off. The GD recommends that in areas where last year fluke is determined to treat the sheep.

On farms where the animals are treated in September or October, after six weeks should a repeat treatment. Dairy cattle can only be treated preventively against fluke during the droogstand. The leverbotziekte, which mainly occurs in cattle, sheep and goats, is caused by a flat worm that is located in the liver. In the life cycle of the fluke functions as an intermediate host snail that lives mainly in the ditch environment.

Fluke in sheep and goats can be lethal, while in cattle and reduced milk poorer growth occurs.

"VUmc MS Center Amsterdam is one of Holland's centers of excellence"

VUmc MS Center Amsterdam belongs to the Dutch excellence. This is the message of Alexander Rinnooy Kan, chairman of the ESC. Rinnooy Kan is one of the speakers at the symposium on November 21 in the city of Amsterdam to mark the tenth anniversary of the VUmc MS Center Amsterdam. The MS center at that time launched a new initiative for MS patients, the MS-Supportaal. With this project can MS patients via the Internet to view their patient data and communicate with experts from the MS center. The MS-Supportaal is an online communication between people with multiple sclerosis (MS), the treating doctor in the region and experts from VUmc MS Center Amsterdam. Patients have access to this system through their own medical records and have the opportunity to ask questions. Because the disease history of patients in a clear overview is shown, the experts of the MS Center tailor give advice. This improves the quality of care and the quality of life for people with MS. 10 years of MS research Chris Polman, director VUmc MS Center Amsterdam: "Ten years ago MS was still uncontrolled, step by step we learn about the disease and we have made progress." An example of progress are the so-called Brakhof criteria, developed for the assessment of MRI scans, which are now used worldwide. These criteria are an important step in the provision of a reliable diagnosis using MRI scans of the brains of MS patients. On MRI scans have places inflammation in the central nervous system clearly visible, even if the patient has no complaints. Also in the understanding of the cause of MS, the MS Center Amsterdam VUmc played an important role. Research in the center has given insight into how inflammatory cells from blood, the major blood-brain barrier and then in the brain inflammation that cause the disease are typical of MS. This is an important discovery that provides synergy for developing therapies and treatments. The MS center of the Netherlands The VUmc MS Center Amsterdam in the last ten years developed into a leading center worldwide in the field of multiple sclerosis. The quality of the MS Center show includes the number of patients who visit the center. More than half of all Dutch-MS patients visiting the MS Center for a second opinion. In addition staff regularly publish in prestigious scientific journals like The Lancet. Medical Contact the weekly has published a list last May with most cited scientific clinical studies. Two articles of the MS center in this list were the places one and three. Future In the coming years, the VUmc MS Center Amsterdam next to the leading role in the knowledge generate knowledge sharing. This is done by offering fellowships for foreign researchers, but also by the MS-Supportaal project. To the ambitions of the center to realize the MS center is looking for additional funding. This is the Foundation Aid VUmc MS Center Amsterdam, under the chairmanship of Tom de Swaan, former CFO of the ABN-AMRO.

Wheezing and cover by tend winter

The winter weather is forthcoming. For many of the more than 1.6 million asthma sufferers in the Netherlands this is a period when asthma symptoms get worse. The transition from the living room nice and warm to cold air, many patients suffer from shortness of breath, coughing or wheezing in the chest. Research by TNS NIPO shows that 84% of asthma patients experience that asthma symptoms get worse by cold. Some patients avoid outdoor activities even in cold or remain indoors as much as possible. A good treatment of asthma and seasonal allergies in combination with some helpful tips to the complaints in the winter as far as possible. "If it is very cold, I can not outwards, because it is like my lungs clenched," said one of the respondents. Besides cold fungi can also cause problems. By the winter moisture is the amount of fungi in and around the house again. Another respondent said: "In certain fungi first start stabbing my eyes to tears and then I start to sneeze. It seems as if I move from one to another time have an attack of hay fever. " These fungi, which are often not visible, in patients with asthma may provide significant complaints.

Health insurers provide solutions to financial problems mental health care settings

Health insurers the Netherlands (SNS) is surprised by the MHC Netherlands outlined problems of MHC-financing institutions. Where institutions in the short-term financial problems, health insurers always offer a bridging facility.

MHC institutions advance or get the post remunerated for any loan that they have had to quit. SNS also notes that mental health care settings less than declare the insurers were expecting. In addition, SNS jointly with other MHC Netherlands to improve the product structure to the problems.

According to MHC Netherlands, the financial position of the mental health care settings under pressure by the introduction of the DBC-system by January 1, 2008. This system can only accounts for a health insurer be submitted after completion of treatment. The outstanding progress which GGZ Netherlands on message relates to non-rounded DBC's. So this is not already in the health insurance claims submitted.

Catharijne Prize epidemiologist --

Clinical epidemiologist Prof. Dr. Rick Grobbee Catharijne, the prices of UMC Utrecht received.
The prize is a sum of 10,000 euro.

Grobbee gets the prize for his research into the causes and consequences of the narrowing of the arteries. He did much research into the influence of diet on heart and vessels ingredients such as salt and coffee.

Grobbee published more than eight hundred scientific articles, which together more than 27,000 times were quoted. He previously received international awards for the quality of its scientific work, as earlier this year, the Prevention Award from the German Cardiac Society and the German Heart Foundation.

GPs and GGD-Den Haag against domestic violence

GPs in the region hit with the opinion Haaglanden and Support Domestic Violence (ASHG) join hands to discuss domestic violence to make. The Hague alderman Bert van Alphen (public health) Monday gave the kick-off for the cooperation project.
The alderman handed GPs a 'toolkit' that can help domestic violence in general practice discuss it. The kit contains information such as leaflets and a booklet on domestic violence. Research has shown that the effect of domestic violence as doctors identify and discuss making, said the municipality.
,, It is the first time that GPs in this way involved in tackling domestic violence. Together we win the fight against domestic violence,''said Van Alphen.
From Monday to Friday is the Week without Violence. GPs ask their patients if they ever have to deal with violence in their own home.

Additional performances on HIV and AIDS are coming

Romeo and Juliet The show is also in the new year still up several times.
The interest from schools in Delft and Rijswijk, is big for the Music Hall on HIV and AIDS.

Students of the BOX, center for the arts, played the piece in July together with young people in Mamelodi sister city in South Africa. In seven schools was the piece up. So was the large range, says Janny Wessing. Per school students from 1500 to 2000 looked to the piece that deals with prejudices about HIV and AIDS. Also on the BOX is the piece up, but the interest is still high.

Romeo and Juliet will be performed Tuesday and Wednesday at the College Stanislas in the West Park 71. There are performances at 10.45, 13 and 14.30 hours. Admission is free. The piece is in English and is introduced with an explanation.

'Mushroom Ban is kretologie'

The prohibition of magic mushrooms Minister Ab Klink of VWS is based on 'feelings and kretologie abdomen. " That suggests the Amsterdam toxicologist Freek de Wolff. He acts as a witness today during the brief proceedings against the Ministry of the Association of National Smart Shops (Vlos) to ban magic mushrooms trying to block. ''There are no scientific grounds for banning magic mushrooms,''says The Wolff. In a letter called The report lists Wolff, until 2006 a member of the main advisory committee of the Ministry for drugs, a series of objections against the ban magic mushrooms. So once again he speaks the explanation of Klink in the measure of governance that the use of magic mushrooms is more risky than the use of alcohol. The Wolff:''The claim is scientifically incorrect and untenable. The active substances psilocine and psilocybin in magic mushrooms are not addictive. Acute physical effects, as these already occur, are mild and well-treated if necessary. Chronic physical effects that in the long run can lead to death, like alcohol, are not included.'' The ban magic mushrooms, according to the Minister after a series of serious incidents involving users, including in Amsterdam. According to Wolff, none of the cases determined whether magic mushrooms are used., Sun are never victims of urine and blood tested for the presence of the active substances from magic mushrooms or other drugs. The linkage of the incidents with the toxicologist called magic mushrooms use in no way scientifically acceptable. The Wolff, until his retirement at the Leiden University Medical Center:''For years, magic mushrooms are used legally and this has never led to health problems. When that show the percentage of poly drug users also have used magic mushrooms, the health not to the other resources but attributed to the magic mushrooms. Such a conclusion is arbitrary and suggestive.'' The Wolff is surprised about the location of the fly agaric on the list of banned mushrooms. The description of the ministry that the active substance in the mushroom tingling works on the central nervous system, according to the toxicologist also goes for coffee and chocolate. ''But apparently that is no reason these products on list II of the Opiumwet to take.'' The ban must go Monday. The municipality know that inspections have not yet carried by the smart shops. At the end of last week was a letter from the Ministry received. That Monday is first discussed in the solid the mayor of consultation with the Chief Constable and the main prosecutor.

Cancer patient remembers little of conversation with doctor

Cancer patients remember little about the first conversation with their doctor. The more than an oncologist or radiologist says, the less the patient subsequently have aware of that interview. This is evident from Dutch-Australian investigation that will soon appear in the medical journal American Journal of Clinical Oncology. Cancer patient remembers little of conversation with doctor Researchers from the Leveling doctors argue that the information in the first call limit. The impact of information on a person's expectations after a cancer diagnosis is so high that other parts of the conversation partly to the patient pass. Important decisions on matters such treatment can be better discussed in a separate interview, the health research center. That patients are not able to remember everything after talking with a doctor is not only to the age of the patients, although that plays a role. With the climbing of the years remember less patients, but also the duration of the call with the doctor and especially how long there is talk about the prognosis are factors that make people less remember. Nivel, organization for mental health Symfora Group and researchers from universities in Singapore, Amsterdam and Sydney view 260 Australian cancer patients. That was after a conversation with the doctor a questionnaire and a phone call about how they remembered the information. That was compared to recordings of the interview with the doctor.

Health Abstract Haarlem and Oosterwei

The participating care providers sign a letter of intent later this week. They set up a foundation on Health Shortly Haarlem - Oosterwei, whose pharmacist A. Grendel is the spokesman. The promoters are the practice Flowers and Geukes GP, pharmacy Grendel, the physiotherapists of the Olympiad Square and the De la Reylaan, psychologist Rancuret and homecare Vierstroom Zorgring.

Clockwise or should something happen in the two districts, health-care providers because they arise from their jacket to grow as the housing goes. For example, the practice of the above-mentioned general practitioners Flowers and Geukes need more space, because there are new features added, such as the practice supporters. Flowers already has a number of hours per week an hour walk in the building of Grendel.

The time is now ripe, according to the promoters. The municipality is working on the preparations for example, the demolition and renovation of the shopping arcade to the Empire Street.

The preparations of the plans are still at an early stage, according to the Health Foundation Abstract Haarlem - Oosterwei. There is still ruled out exactly who is going to participate in the organization and how much space there is involved with all requirements. If that one by one state can look at what places in the two districts the best plans can be implemented. Then an architect has to work and only then can be built. The promoters expect that the health of their earliest end of 2011 and early 2012 are in use. The two districts are perhaps too small for certain specialties. Therefore, sought reconciliation with the health Goverwelle.

Cancer patient remembers little of conversation with doctor

Cancer patients in an initial interview with a specialist to hear that there is a good chance that they will die from the disease, remember less maintenance than people whose chance of survival is better.
This is evident from a publication of Dutch and Australian scientists in the Journal of Clinical Oncology. One of them is Jesse Jansen of research Leveling. The more the doctor about the chance to tell the disease survive, the less the patient is reminded of the rest. That goes for both young and older patients.

VorigeHardere approach smoking affects dozens of cafes

Until now, "around one percent" of the Dutch oppose the inclusion of his medical records in the electronic patient file. "That was our estimate", said Minister of Health Ab Klink (CDA) Sunday in Buitenhof.

Klink late last month sent a letter to all Dutch patients about the dossier. Who does not want his information is exchanged, an object attached form back. That must be before December 15, but Klink said that people always can object to the whole file or parts thereof. Moreover, everyone has a letter if the actual file on the system is connected.

Klink a week ago urged hospitals to information about patients quickly better protected. The Inspectorate for Health Care (IGZ) and the College Personal Protection (CBP) concluded that none of the twenty hospitals under investigation meets the standard for information security. The hospitals argue that the security they have better organized than the IGZ and CBP do occur.

If doctors and hospitals will soon be obliged to join the electronic patient records, patients from outside can also log in to their data to see. They can express their general practitioner, said Klink.

Holders Smartshop in court against Ab Klink

The court in The Hague deals with the brief court Tuesday that the National Association Smart Shops (VLOS) and a number of holders smartshop brought against Klink Minister of Health. The association wants the Minister's decision reverses magic mushrooms to a ban on December 1.

The ban on fresh mushrooms with a hallucinatory force is good for nothing, the association. For example, the Minister has not actually demonstrated that the use of fresh magic mushrooms leads to damage to human health and society. The smartshop holders find it much too heavy a prohibition agent. There is also insufficient given to the interests of the industry.

In early November made it known Ministry cultivation and sale of fresh magic mushrooms by Dec. 1 to prohibit. The Lower House called for a ban after the death of a 17-year old French girl. After eating mushrooms they jumped from a bridge in Amsterdam. The smart shops responded bewildered when the Cabinet this wish honoreerde.

According to industry problems after using magic mushrooms is mainly for tourists. This would be a better regulate and control the easy to press his head.

Insects eat prevents high blood pressure

The eating insects helps against high blood pressure, evidenced by a survey of the University of Ghent Monday. The insects contain a protein with the same effect as medication for high blood pressure, but without the side effects.

In large parts of the world sees you eating insects as a delicacy ...

The oppeuzelen of insects is tradition in Asia, Central and South America and Africa. The beetles, ants and termites are very nutritious and a good source of protein, vitamins and energy.

A grasshopper or caterpillar, however, rarely on the menu in western countries, where nearly one in three people suffers from high blood pressure.

The insects can even a good alternative to meat, researcher finds Lieselot Vercruysse of the Ghent faculty bio-engineering sciences. "Insects are environmentally efficient than meat: there is less need to water and feed them to grow."

A coach is the best health care idea of 2008

coach who care for patients in contact with various health authorities. This idea of Marian van der Hoeven is the winner of the Best Idea Make 2008. It provides its 10,000 euros of ONVZ health insurer.
,, For example, patients who after an accident coming home should regulate everything''says Van der Hoeven. Adapted transportation, modifications in the house, tools. For a layman it is not the way to be found in the tangle of bodies, but also all their own systems.
,, A coach takes care of these people work out of your hands while the concerned authorities benefit from expert and smooth completion of forms by patients''for example, light Van der Hoeven's idea.
The coach can make a person of flesh and blood, but a virtual coach is also possible. ONVZ insurer is happy with the idea. The letter particularly on the appropriate pair of safety there. It is simple and practicable.

Mobile CT scanner saves lives

The survival of patients with serious accident head injuries in the hospital arrive, take in the use of a movable CT scanner with a fifth over again. Since the introduction of such equipment on the Trauma Unit of the Academic Medical Center in Amsterdam to doctors on average half hours faster their diagnosis. The mortality in traumatic brain injury patients fell by 23 percent.

This is evidenced by studies researcher Kon Fung Ping Jin, who on Thursday this topic PhD at the University of Amsterdam.

Duration
In January 2004 the AMC installed as the first hospital in the world a mobile CT scanner in the trauma room. Patients who after a serious accident at the Emergency Assistance stream may result in the same space and all necessary medical examinations and acute life-saving treatments given. Lifting and transport, with all the risks that this entails, was redundant. The expectation was that the duration of the reception to treatment could be considerably shortened.

Faster diagnosis
Average is now half hours faster known how the patient is happening again, let's investigation Fung Jin Kon see. If a CT scan is required, for example because of suspicion of brain disorders, torn or crushed bodies or fractures, decreases the time it takes for a complete diagnosis of 105 minutes to 79 minutes.

Less mortality
For patients with severe head injuries, a group that prompt treatment is important, the doctoral candidate also examined the effect on mortality and functioning. That compared to the survival of 59 patients in one year before the arrival of the mobile CT scanner, with that of 49 patients in the AMC came after the commissioning of the equipment. In the first group died 41 per cent to the effects of traumatic head injuries. In the second group died only 18 percent means a reduction of 23 percent. "Theoretically, we had a fourteen-year period so traumatic brain injury patients more lives saved if we did all these new scanner had been on the trauma room," said Fung Kon Jin.

Annually, over six hundred patients due to a serious accident in the trauma room of the AMC. Ten percent of them has a serious head injury. According to Consumer Safety average annual death 5300 persons as a result of injuries caused by an external cause. Mobile CT scanners are now also available in other locations, such as in traumacentra in Germany and Austria.

Forecast expenditure medicines hit in the air

Estimates of drug costs may well sit alongside the reality. Researchers at the National Institute of Public Health and Environment found to vary more than 1000% between predictions and outcomes. They conclude that cost estimates consequence no basis for the decision to a drug in the Pharmaceutical compensation to be included.

If a new drug on the market, the College of Health Insurances (CvZ) an estimate of the costs for that product will be made. From 18 drugs that in the years 1999-2003 on the market, were researchers at the National Institute of Public Health and Environment (RIVM) how much money is really being spent in the third year after release. Those actual costs ranged from 1% to 1132% of the estimate. The Pharmaceutical Weekblad Scientific Platform of Friday, November 21 they publish this comparison of estimated costs and actual costs.

The Pharmaceutical Assistance Commission (CFH) of the College of Health Insurances, the estimates as an aid to the Minister of Health to advise on inclusion of the drug in the Pharmaceutical compensation (GVS). These cost estimates are based on consistency expectations of the manufacturer on the use and cost of the new product in the first years after the release. The Pharmaceutical Assistance Commission also takes into account the number of patients that the drug might use and other drugs that thanks to the new means no more need be used.


The actual cost in the third calendar year after preparing cost estimates consequence are from the database of the Cure and tools Information Project (BIP, which is maintained by the College of Health Insurances itself) and reports of the Pharmaceutical Foundation Ratios (SFK). The number of drugs for which the cost estimate consequence cent higher than the cost (with the exception of 1132%) was equal to the number of drugs for which the cost estimate lower consequence (with the exception of 1%). The exceptions are mainly in the estimates of the number of users.
The projected cost of the medicines in the study by the National Institute of Public Health and Environment are involved, ranging from 0.05 million euros to 30 million euros per year. The effect on the drug budget may thus differ per product. The total expenditure for outpatient medicines in 2004 amounted to 3.909 billion euros. All the medicines are reimbursed on the basis of the Pharmaceutical compensation.

Mental disorder rather deal with coercion

There are new possibilities for people with a mental disorder 'a substantial risk of serious injury to themselves or others "are obliged to treat. A committee will assess that risk, which a judge decides. But the "forced inclusion" disappears further into the background.

That is the core of a bill of Minister of Justice Hirsch Ballin, in cooperation with Minister Klink (Health), replacing the current Law drawdowns special psychiatric hospitals, the bopz. Which regulates how and under what conditions forced people may be included because of a mental disorder.

That image should focus on road, the main pillar of the new proposal. First of all possibilities for voluntary or compulsory care ambulatory care utilization, then the step may be put to forced recording. Modern psychiatry has a lot more and better opportunities for care tailored than someone behind a closed door continue.

"An important and valuable step," says Hirsch Ballin. "With this law we erase the last traces of the Krankzinnigenwet from from 1884."

An important change is that the criterion for inclusion and forced treatment is extended. That is also reflected in the choice of words. The old bopz Act stipulated that anyone still a 'danger' for themselves or others should form before compulsion could be applied.

Under that scheme were many requests for forced inclusion rejected, usually because the rescue saw no immediate danger. According to critics such verwerd protection of autonomy in practice too often to a right to rot - a krepeerrecht.

For example, who was psychotic and confused state refused treatment, so could drift. At the end of this process than the personal autonomy while intact, but were relationship, job and house often lost.

In the words of Hirsch Ballin: "The old law had loopholes that bopz miserable sometimes turns out. Now there is also the notion that those involved in self-ruin, in the broader sense of social decay. For example, if a failure does not intervene in the development may cause, or if someone starts to be negligible. That may be all grounds to intervene. To ensure that there is a reasonable objectivity, a committee that must evaluate. "

That committee consists of at least three people, including at least one lawyer and a psychiatrist. In complex cases, for example, an addiction expert or Practiced be added.

The intention is that the commission investigating the psychiatrist rid of his current doubles as behartiger interest of patients and medical adviser to the court. That doubles leads to tensions in courtrooms.

Furthermore, the law has many practical changes, so does a judicial authorization care 'current seven different types of authorization replaced. The proposal still in maintaining the role of the mayor. That should at night and weekends authorize emergency recordings.

The meaning of this construction is sometimes questioned, for example, since a fortuitous incident deputy mayor sometimes hardly know what he assesses. But the mayors themselves had to maintain this regime insisted.

It is through the new opportunities for various forms of coercion, according to Hirsch Ballin in the new law the position of the patient strengthened. Coercive will later, on balance, and less frequently applied, he expects.

"We have many more moments that brought a patient is seriously heard. In fact, there is continuous attention to listening to and informing patients. Because that showed the most expressed complaint: Patients were heard only at rare moments, and then for formal reasons. For example, if the court had to decide on a forced inclusion as a treatment plan was to be determined, or if a complaint should be judged. "

The new law takes final farewell to 'the mad house. " Whether or not shooting and forced treatment at a specific location will be further reduced, expected Hirsch Ballin. "In a much earlier stage started outpatient treatment." In cases where a person is under treatment at home and, for example, simply taking his prescribed pills, recording is not raised.

"More deaths by National Vaccination"

Large-scale vaccination against cervical cancer would be able to lead more women to correct that the disease will die. Practice concludes that the Dutch Medical Society in magazine Contact. The reason for this conclusion is the argument that women are given the vaccine will no longer participate in the population. In that case, cervical cancer in the body can sneak and slumber without the woman knows.
Minister of Health Ab Klink decided earlier this year that from September next year all girls 12 years ingeent can be against this form of cancer. The vaccine works against 70% of the viruses. The doctors now fear that more women are not regularly checked that the disease can be identified too late.

Sex education for 4-year olds

Young girls who use sex as a bargaining chip boys and girls who see it as a commodity. Even though the experts of the Public Health Service South-South Holland are still exceptions, educators can not start early enough children to explain about sexuality and relationships. Enlarge image ARCHIVE PHOTO PETER Hilz Students from 4 to 12 years receive an explanation from next year on their bodies, relationships, love and sex. In March, the "Week of Lentekriebels' place and are children of ten primary schools in the region stimulated the development of a positive self-image. They also learn skills to deal with sexuality and relationships. Fear that the employees of the Public Health Service of the youngest children to explain what sex is, or even more, incitement to sex, parents need GGD'er according to Ria Schaap did not. The health official stressed that children of 4, 5 or 6 years only explanation given about their bodies, the differences between boys and girls and babies receive. Schaap:,, Via Internet and television are children much earlier in contact with sex and so it is important that children are properly supervised.'' Social nurse of the Public Health Service, Corrina de Ridder, is very enthusiastic about the plans. ,, Began Previously the information in high school, but the sexual education are seriously inadequate. Surveys suggest that we should begin much earlier than hitherto been the case.'' Minister Andre Rouvoet (Youth and Family) last week expressed concern about the he "unleashed sexual morals of youth." The Knight also wants parents to highlight the dangers of this development. In rapidly enumerates them:,, Loverboys, teenage mothers, sexual abuse and a skewed picture of what is normal in this area. It is now common for children of 12 years have sex, but I am against that many girls then no longer have needs. That's because the first time was not going well. Guys are copying sexual acts they see on television, but know nothing of preparing them. That is very sad. The attention of educators should grow with the sexual development of a child. If they start earlier, we need more explanation. Our experience is that children have a tremendous need to ask questions.'' De Ridder Dutch emphasizes that parents are not all worry: "Although the company is geseksualiseerd, it is the excesses that are now widely highlighted. Sex for a Breezer seems normal, but is still an exception. Most children have enough to control.'' Important to the steering of young children, according to Schaap openness: 'Tell me how fair it is. As long as there is no cross-border behavior, you can talk about it. Many sexual acts are similar to farmers, wind or pick noses: everybody does it, but not in the company.'' Her colleague, the Knight adds: 'Parents must be careful that their children do not opvoedt television. Video clips are often a very wrong image of the relationship between men and women. Feel free to tell your child: 'This is bogus' and go in discussing the subject.'' She continues: 'Sex is often disconnected from love, but we want to see them together again. We allow everyone a healthy sexual life, because in the right way sex is one of the finest things there.''

Surfing in the hospital bed

Residents of the region may Waterway during the relocation of the Vlietland Hospital for acute medical care are not welcome in the new hospital. Surfing enlarge image in the hospital bed. IMAGES OF INTERNET They will practice be referred to hospitals in the area. The measure applies to the period of Monday, Dec 29 (17.00) to Wednesday, December 31 (8.00 pm). Tuesday, December 30, the patients from the sites in Vlaardingen and Schiedam transferred to the new Vlietland. On Monday, January 5 go there all the clinics open. Who at that time to take a look at the hospital can rightly Sunday, December 14, when an open day is held. The hospital has just 452 beds, which are equipped with all luxury. Patients receive a refrigerator next to the bed and under the sheets can log on a multimedia system. Associated with the computer can be looked television, but also telephone and internet is possible. The nursing departments of the new hospital have rooms with one, two, three or four beds. Each room is equipped with sanitary facilities and patients get a safe for their valuables. Patients receive an à la carte meal service which they offered their own choice for the menu can make. The Vlietland Hospital has just an auditorium with 130 seats. It may clinical courses, symposia and lectures are held.

Vaccination cervical cancer final

The vaccine against cervical cancer is incorporated in September 2009 from the National Vaccination. Girls between 13 and 16 years in March has sued to be vaccinated, in a 'catch-up campaign. " ANP From September, all 12-year-old girls vaccinated. The Ministry of Health has finally announced Wednesday that the plea Cevarix of Glaxo Smith Kline is ordered. The road to buying this way was free after the court ruled Monday that the Ministry award in the tendering process was not required to review. Court A company found that the Ministry had to choose for its product and that the tender was not enough to the quality differences between the products was considered. The court ruled that the company was late with the complaint because the deadline had already expired. Annually, some six hundred women with cervical cancer identified. From this death an average of 225 to the effects of the disease.

Medicines in drinking water sources

The National Institute for Health and Environment (RIVM) figures on medicines used to predict how many of the resources in surface water stream. Companies and drinking water managers can use this information to anticipate future attention substances by here on their measurement programs to adapt. Also, the information can be used to choose cost-effective measures to reduce such emissions, or to evaluate policies. The figures on medicines come from the Pharmaceutical Foundation Ratios (SFK), which provided the data public through pharmacies in the Netherlands collects. The figures of these prescription drugs are being prescribed quantity presented as active substance. This allows the potential emissions to surface water are calculated. Due to the growth and aging of the population is increasing the use of drugs in the Netherlands. This applies for example to heart and vascular drugs and antidiabetic. Some medicines, the future consumption is expected to also decrease as a result of demographic developments. This applies for example to the active substance in the oral contraceptive (ethinyl estradiol). Without action, the remnants of medicines through the sewage into the surface water. Therefore, there are currently pilot projects in hospitals to purify wastewater flows separated. Even at his office with urine separation pilot projects underway. These measures will probably mainly locally in the quantity of drugs reduce surface water. Apart from these measures at the source with advanced sewage purification plants to large gains in both the Netherlands and abroad. For the water sector are important international measures: a substantial quantity of drugs within our country is through the Rhine and the Meuse.

GPs: vaccination could lead to more deaths

The vaccination of girls against cervical cancer could lead to more deaths correctly. That is one of the objections that the Dutch GP Society (NHG) against the standard vaccination has planned. The doctors say their objections Thursday in medical journal Contact. The vaccination would be the girls themselves at later time wrongly safely delusions, so fears the association, and off to see their standard of cervix cancer. This would bring the creeping disease can develop undisturbed until it is too late. Even the vaccination would be costly and have little effect. Per 85 thousand vaccinated women, according to calculations by the NHG bereavement be avoided. That money helps the public better stabbing in research to the risk of cervical cancer early to determine, find the physicians. Vaccination would only be an option if there is a clear risk. It would be more research done into possible side effects of the vaccine. The vaccine is already controversial. The Inspectorate for Health Care did a raid last month by two pharmaceutical companies that were in the running to produce the vaccine. It was in Zeist Glaxo Smith Kline and Sanofi Pasteur MSD in Hoofddorp. They would have paid doctors who in turn advised girls in preventive vaccination. Then took Minister of Health Ab Klink (CDA) decision that girls should be vaccinated. The UK's Glaxo Smith Kline is eventually chosen to produce the vaccine. It is under the name Cervarix on the market. According to the general society is the large flows from the pharmaceutical industry for researchers difficult to sustain that they are independent.

Commotion on official cars for hospital managers

The works of the two hospitals in Hengelo Almelo and is appalled by the purchase of official cars for four top managers. President ation de Bruijn, the purchase inappropriate because there is an investment ban was proclaimed by the Hospital Group Twente. In addition to the cross or that the purchase of the cars completely outside the institution has gone to.

In an internal memo to the hospital, the staff or the purchase of the car's edition is an irresponsible, while the hospital is shifting to a considerable deficit. The works council has sought clarification from the supervisor. The council has a legal aid lawyer turned on. The supervisor was not reachable for comment.

Adherence can be much higher

Adherence during the Second National Conference on November 13 in Amsterdam was a report made public that concrete recommendations to improve adherence. The report, entitled "Time for a better use of medicines', prepared by Marnix Westein, which has temporarily as quartermaster in the Dutch Patients Consumers Federation (NP / CF) was posted. Experience has shown that there are already lots of initiatives to improve life but lacks consistency. For this reason, improvement steps appointed to a pooling of previous attempts at various places making.

The background of this report comes from various publications on adherence. For example, the WHO that, looking at the promotion of health, more to be gained from the proper use of medications than from innovative product development by pharmaceutical companies. It appears that around one third of all patients the therapy is at stake. Improper use will result annually in 19,000 cases of avoidable hospitalization, which unfortunately in several hundred cases resulting in death. Is estimated that as a result, each year in the care incurred a loss of hundreds of millions of euros.

Because the use of medicines in health care is organized anywhere else, the solution should also be sought in local events and custom. First, the guidance of the patient, which in the use of medicines has its own responsibility. Quartermaster Westein: "People are not always aware of their role in the use of medicines. It is for caregivers to estimate what guidance it needs someone. "

At all levels should work to improve. These are: the nurse, the doctor, the specialist, but also the pharmaceutical industry and insurers. In this process, the NP / CF at the forefront with the aim of improving the adherence by 50% in 2014. In order to achieve this objective calls on the NP / CF concerned parties to participate in the task force "good medication."

Parties involved in the improvement steps are: Dutch general practitioners association, Rural Doctors Association, Platform Patient Industry, Royal Dutch Society for the Promotion of Pharmacy, DVG Dutch Institute for responsible medication, chronically ill and disabled Council Netherlands and Dutch Patients Consumers Federation.

PKN gives 64.5 million in 2009

The Protestant Church in the Netherlands in 2009 five years. In this jubilee year, over 64.5 million euros available to spend on everything kerkenwerk. There These include more money to youth, church development and diaconale work, because the church wants to continue momentum.

In the 68-page budget figures and text in what the national church next year will. Next Friday, examines the national church meeting the piece.
It starts immediately with good news, because according to Board Chairman Gert-Jan Kramer and general manager Haaije Feenstra there is "a comprehensive operation" where there is also a slight decrease in the quota burden for both the kerkrentmeester share as the diaconale part is realized. "This budget also expresses the ambition to contribute to the renewal of our Protestant Church."
That happens all in perspective: inflation is rising faster than the available funds for the church. "This means that the austerity policies of recent years will have to continue and possibly increase the paid service should realize."

The budget is the headache dossier "of the church, the successor to register Numeri the failed members, omitted. In 2009 it plans on the table. The budget provides at least be nice to go where the church wants: missionary, confidence and momentum are the key words. The Protestant Church, a church where young and old are involved and also feel proud, sounds in the note by.
4 percent of the budget, almost 2.5 million euros, is earmarked for the work of JOP: the jongerentak of the church. 3 percent for the new consignment leg Missionary Work and Church Growth (over two million euros) and 10.2 million for the Church in Development, everything to do with gemeenteopbouw: liturgical renewal of relations with Muslims. Back to the Church in Action is the most: 29.2 million euros.
For the implementation by the workers (342 FTE in 2009) and housing in Utrecht are also quite a few millions necessary. On staff next year is more than 6.7 million euros budgeted. The housing amounts slightly more than 3 million euros and 115,000 euros lower than budgeted in 2008. That amount is in all posts. For example, the glass washing (10,000 euros) and the surveillance and security (100,000 euros) of the National Service to the Securities investment buildings (over 1.2 million) Depreciation and buildings (nearly 315,000 euros).
Where does the 64.5 million euros come from? Especially through the so-called Voluntary Geldwerving of Church in Action and the collection via the Protestant Church: 29.2 million euros. Is to be 1.9 million more compared to 2008. It is the revenue coming from the tour Sunday with the collectezak Consignment, for example, Diaconate, Children in a fix whether the Climate Plan.
Over nineteen million comes from the mandatory charges that the church to local church imposes: kerkrentmeester quota to 11.3 million, 3.1 million and diaconaal quota solidariteitskas 4.5 million.
The Fundraising and Communications Department hopes for 2009 on a revival collection. " That is to say that more municipalities join the collection schedule, municipalities already involved more collections from the collection grid to the local grids, and finally more revenue per collection from the collection schedule.


With the realization of the new (fifth) program line 'Missionary Work and Church Growth, led by ds. Hans van Ark, the service organization for "bundling and strengthening the capabilities of the missionary service organization, under which all direct and unambiguous direction missionary activities in the coming years can be coordinated form. "
Communes are a great openness to others asked. There are inviting projects, gift books and calendars to give away to those interested in the church. It is also working on a new religion course.
Municipalities must be present in housing, 'in markets and squares', and focus on a wider audience. "Perhaps the music school can accommodate up to church music and turn open university in the context of an introduction to the religious currents of the Netherlands Christianity in its program." The relationship with church and school should be cited as one of the samenwerkingsverbanden.Tevens should an exploration about how the church "can get a place within the broad range 'spirituality / healing' centers that care." The "pioneering church," which will be fully encouraged, can count on support from this program.
For the youth is
in 2009 still put more money in JOP. In late 2009, 55 percent of youth between 8-23 years JOP know by name. When coaches (youth workers) is aiming at 75 percent.
Kids (8-12 years) and Young (13-23 years) should form their own communities through the Internet and physically
(events and meetings)
2009 is an anniversary year for the Protestant Church. The Fundraising and Communications Department wants through a strategic and coordinated approach for clarification and improvement of the "obscure, unknown and sometimes negative image of the church." There should always be talked about 'Protestant Church' or 'Protestant Church in the Netherlands. " The abbreviation 'PKN' should be avoided. Protestant Church is the main brand and the program's Church in Action and Jop 'sub'. The church will be present at "Christian and secular events."

Better image
The goal for the coming years: "Visible and recognizable presence of the church in the public domain and restore contact with the local church context." Result of the new communication approach: a better image of the Protestant Church in church, edge church and the general public. Plus a better image of the national organization of PKN at the church framework. And that in turn must pay in a positive revenue growth for JOP, Church's Missionary Work and Development and Church Growth.

Threat at March official driving test

The driving test is from March 1, 2009 officially extended with the threat. That is Reflector, the magazine for the Driving instruction from the Central Bureau Rijvaardigheidsbewijzen (CBR).

The part where the theory exam has been expanded with 25 questions about awareness, was already unofficially on January 1 partly added to the exam. From March 1, the results of these questions count for the exam.

The arrival of this new exam is not a luxury, but necessary, says exam development manager Theo van Rijt in the magazine.


"As professionals we are inclined to candidates the traffic and technical skills at the highest possible level to make. Nevertheless, the number of accidents among beginning drivers in the first six months after the license is unacceptably high."

According From Rijt that is not to deal with traffic but drivers should get more skills.

Inspection for Health advocates ban on Swedish band

Restrictive Freedom funds are in nursing homes and institutions for mentally disabled people too often used, says the Inspectorate for Health Care.

In the psycho-geriatrics and the mentally disabled are restrictive means freedom for many, it is clear from the report "Care for Freedom" that the Inspectorate for Health Care (IGZ) today presents. These are different measures such as the use of a Swedish band - a kind of hip belt enabling people to bed or (role) chair are tied - the administration of depressants, the use of motion sensors that register or get someone out of bed, or locked do for the outer road so no one can.

Although often deployed to ensure security of people (to avoid that they fall, for example), such measures may be counterproductive and lead to correct physical and psychological damage, according to the IGZ.

The most extreme shows that the use of unrest tires. Between June 2007 and May 2008 deceased seven people because they adhere to these belts were trying to emerge. For the Inspectorate was partly prompted a large study, involving 55 sites for psycho-geriatrics and 31 for the mentally disabled were visited.

Remarkably, the report says, is that many aid workers are just realizing that many measures restricting freedom of their patients. They are so routine that almost no one had more at a standstill. That is especially true for rules that an entire department, such as closing doors. But the administration of psychotropic drugs to be done routinely, believes the IGZ: of every 100 customers get 30 medications. Many employees are insufficiently aware of the side effects and risks of such medicines.

IGZ want the freedom that the number of restrictive measures is substantially reduced. Experiences in locations where this has already happened, also found that it can, says the report. There are a few conditions: a spacious and modern accommodation, expert staff and a well thought-out prevention, which begins with awareness by aid workers. There is much attention needed for the individual patient, in which area he feels comfortable, how can he prevent unrest is?

With one of the most extensive resources, the fast IGZ final deal: the unrest tires. Netherlands runs in that area behind other western countries. In countries such as Denmark, Switzerland and the U.S. is the use of these belts already banned. If it is the Inspectorate, they are also in the Netherlands from 2011 no longer used.

Producer loses interim relief for vaccine

Minister of Health Ab Klink (CDA) have been awarded the tender decision about the vaccine against cervical cancer not reviewed. The court in The Hague Monday has a debt of the company Sanofi Pasteur MSD end, rejected.

Klink wants all girls of 12 years and older from September next year be vaccinated against cervical cancer. To determine which manufacturer the vaccine may provide organized the Netherlands Vaccine Institute (NVI) Klink in command of an international tender. That yielded offers of the British company Glaxo Smith Kline (GSK) with an office in Warri and the French Sanofi-American in Hoofddorp.

The NSA wants the production of the vaccine directly to GSK, which means Cevarix on the market. Sanofi, producer of medium Gardasil, signed them objected to the court. The company claimed, inter alia, the quality differences between the vaccines are insufficient placed next to each other.

Provisioning court verdict Monday in the late mention that Sanofi has signaled its objections. For the registration date, the alleged imperfections in the tendering process must be seized. The right to complain, the company has thus wasted, the court held, which would be the main defense of the state honoreerde.

Sanofi also questioned the independence of the Health in doubt. The decision to the large-scale vaccination from September next year followed an opinion of that council. The court also pointed out that claim, because the political decisions of Klink and the opinion beyond the scope of the tender traps. Therefore stood in the interim order, according to the court not in question.

Research Zembla suggested recently that the advisory board of the Health several scientists who maintain ties with the two manufacturers of a vaccine. Researchers and doctors warned late August in the English journal of Medicine for a hasty introduction of the nationwide vaccination. Klink said last month that it will not be postponed.

rural hospitals SPD improves information

The introduction of the national Electronic Patient Dossier (EPD) will significantly improve information security in hospitals. This sets the NVZ Association of Hospitals (NVZ) in response to the report information in hospitals does not meet the standard 'that the Inspectorate for Health Care (IGZ) and the College Personal Protection (CBP) have made public.

Although the NVZ with the researchers agree that their hospitals should improve further information, it is convinced that the hospitals of patient safety for the introduction of the national SPD can guarantee.

The NVZ feasible because it considers this an awareness campaign in hospitals around information security efforts. It also has a starter with standards drawn up information about which hospitals should meet for connection to the rural switching because of the SPD as possible. In addition, caregivers with the introduction of a unique health care providers nationwide SPD identification (UZI), only with a login code that they have a limited set of relevant information for their patients can understand that they have a treatment relationship.

The IGZ and CBP in the spring of 2007 in 20 hospitals examined to what extent they meet the standard NEN7510. This is the standard for the degree of information security in healthcare.

Hospitals do not believe that they now fully comply with the BS 7510 requirements. They want an optimal balance between security and a workable situation in the use of patient data. Also play a role cost around information security. Hospitals need to spend their growing budget priorities. Absolute security of patient data is not practical and feasible in terms of cost and because of the nature of work in hospitals nor desirable. Medical staff in acute situations should continue to act quickly.

cross-dressing in Sweden no longer defined as' disease '

Some forms of sexual behavior, such as travesty, in Sweden no longer described as' disease '. The Swedish Health decided to allow certain sexual preferences of the disease list.

The classification system was already heavy criticism in recent years to process because the discrimination, stigma and prejudice in society in the hand would work.

Apart from travesty to be in January 2009 including fetishism and sadomasochism off the list.

Swedish transvestites already responding positively to the decision of the Swedish Health.

Dutch use antibiotics the least

Of all European countries use antibiotics in the Netherlands the lowest. Today begins a European campaign to pay attention to the danger of excessive use of antibiotics.

Dutch use antibiotics the least

When people use too many antibiotics, bacteria change shape and are immune (resistant) for this product. In countries such as Greece, France and Italy are three times as many antibiotics as used in the Netherlands. There are one quarter to one half of the bacteria resistant to antibiotics.

According to the European Center for Disease Prevention (ECDC) this resistance is a threat to public health. If this continues, there will be a couple more years no means to diseases such as pneumonia to a simple fight.

10 daily
In the Netherlands the use of antibiotics in the last four years rose slightly. Dutch general practitioners write on average per day about 10-11 daily dose of antibiotics per thousand inhabitants. In Greece, this number is three times as high.

When people use too many antibiotics, bacteria change shape and are immune (resistant) for this product. In countries such as Greece, France and Italy are three times as many antibiotics as used in the Netherlands. There are one quarter to one half of the bacteria resistant to antibiotics.

According to the European Center for Disease Prevention (ECDC) this resistance is a threat to public health. If this continues, there will be a couple more years no means to diseases such as pneumonia to a simple fight.

10 daily
In the Netherlands the use of antibiotics in the last four years rose slightly. Dutch general practitioners write on average per day about 10-11 daily dose of antibiotics per thousand inhabitants. In Greece, this number is three times as high.

Cause of Cold?

31 percent of Dutch people believe the cause of their children have colds. This is evidenced by the National Vicks Cold Research. Even colleagues and partners are seen as polluters. But what is a really cold?

Dutch is very disturbing to other people who have a cold. So they find it annoying as the basis for the mouth is, the nose is retrieved or if there is excessive gehoest. Also, there is still much uncertainty about the cold. Because it is just a virus or not?

56 percent of Dutch people actually think that it is a virus and that these seven hours may be on the hands. In reality, the cold virus can survive 72 hours on your hand and thus be easily passed.

Even the Dutchman thinks that you can prevent colds by many fruits and vitamins to eat. Also, it is early to bed. Now it helps if your resistance is high, but all you can not prevent colds.


If you are cold, your respiratory tract infected with a virus. It is a disease and is innocent by itself. Yet the symptoms are annoying and you can feel it really bad. Everything is close, you have slight increase, sore throat, headache, earache, sore glands, no taste or smell more and sneezing in the most impossible moments.

Because there are so many types of viruses may hang in the air, you can not prevent colds. Well, you extra if you could have a bad condition or very tired. The virus can be transmitted through the skin or through the air, so hygiene is very important!