Medicine intern commits suicide in a Yucatan clinic

TAHDZIÚ, Yuc. (apro) .- The State Secretary of Health (SSY) confirmed the suicide of a young medical intern at the Medical Unit of this town.

The victim, identified with the initials KJGK, 25 years old, was originally from Mérida, and for about a month she was assigned by the Institute of Health and Wellbeing (Insabi) to the clinic in this municipality, one of the poorest from the continent, where until yesterday he was seen working.

This morning, employees of the health center found the young woman dead, suspended from the ventilator in her office, for which they gave notice to the authorities of the Ministry of Health and the State Attorney General’s Office (FGE).

In a bulletin, the SSY regretted the fact and pointed out that, with the support of Mental Health professionals from the dependency, they carry out comprehensive actions to support family members, “who will be given the necessary help to carry out the procedures corresponding to the State Attorney General’s Office, where the rigorous legal procedure will be given.

So far the reasons for the suicide are unknown.

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students launch against UADY after suicide of medical intern

MÉRIDA, Yuc. (appro). – Students from the Faculty of Medicine once again attacked the authorities of the Autonomous University of Yucatán (UADY), this time due to the recent suicide of one of their colleagues at the Tahdziú clinic, where she was doing her residency.

For reasons presumably related to her career, the young intern, KJGK, 25 years old and originally from Mérida, took her own life on September 15 in her office at the Tahdziú medical center, a municipality that by the way is among the most impoverished of the continent.

The case unleashed the anger and indignation of the students who once again filled social networks with accusations and reproaches against the authorities of the UADY and its Faculty of Medicine for the lack of interest and lack of support towards their students.

Although the girl’s death was made public on September 15, it was until the next day that the Faculty of Medicine issued a statement on the matter.

In a statement, the Faculty of Medicine expressed that it was “deeply moved by the death of the intern, KJGK, who was rendering her social service at the Tahdziú Medical Unit.”

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He assured that university authorities in coordination with personnel from the Subdirectorate of Mental Health and Education of the Ministry of Health “are already taking the pertinent actions.”

“The irreparable loss of a young doctor fills us with consternation and mourns the entire community of the Faculty,” he reiterated.

He argued that “Medicine is an arduous, hard and demanding career that demands the maximum of our abilities”, and stated: “At the Faculty we understand it that way and that is why our psychopedagogical department provides support to our students every day to prevent moments crisis ”.

Finally, he endorsed his commitment “to the comprehensive, humanistic and responsible training of students”, for which he asked heads of teaching and teachers “to maintain close communication with students and make available to those who require it, the services of the professionals who work in the psycho-pedagogical department of our dependency ”.

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However, such a statement stirred the anger of the students, who questioned the sayings of their authorities who, with the campaign “UADY, I do not believe you anything”, reproached a string of situations suffered by students of that maximum house of studies.

The flow of complaints from medical students includes various types of human rights violations, exploitation, excessive pressure, mistreatment, harassment.

“The department of psychopedagogy is a joke, I say it from my own skin and I know it from that of many colleagues. ‘If you can’t unsubscribe’, this has been said over and over again to students, to all those who at some point have a crisis.

Where is the humanist side? Where was the empathy? Are you moved? What if they do something about it with those doctors who only humiliate their interns? Or how about those teachers who have different colored hair or tattoos that won’t turn you down? Why don’t they do something with all the staff who are sexist and misogynistic? ”, Refuted a student.

“Don’t become a School of Medicine. Nobody puts a Civil Engineer intern to supervise ONLY the construction of a bridge. No career puts an intern to be 24 HOURS X 6 DAYS A WEEK AWAY FROM ALL SOCIAL CONTACT OTHER THAN HIS JOB “, reproached another of the nonconformists.

And he assured that the deceased doctor asked for help and “they told him to stay.”

Last April, the Faculty of Medicine came into conflict with its interns after seven of them filed a claim for protection for having been dropped from the school for refusing to return to the institutions to which they had been assigned due to the lack of security guarantees to reduce the risk of contracting covid-19.

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Rheumatoid arthritis drug could help treat covid-19

MEXICO CITY (apro) .- The pharmaceutical company Eli Lilly announced that the combination of its rheumatoid arthritis treatment baricitinib with remdesivir reduced the recovery time in hospitalized patients with covid-19.

Eli Lilly explained that during the Covid-19 Adaptive Treatment Trial (ACTT-2), researchers observed a reduction of approximately one day in the mean recovery time of patients treated with baricitinib combined with the substance remdesivir, compared to those who were only treated with remdesivir, therefore they rated the finding as statistically significant.

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The study, sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), part of the US National Institute of Health (NIH), included more than 1,000 patients and began on May 8 to evaluate the efficacy and safety of a dose. of 4 mg baricitinib plus remdesivir versus remdesivir in hospitalized patients with COVID-19.

According to Eli Lilly, the combination met the primary endpoint of reduced recovery time, which was defined as that the participant was well enough for hospital discharge, meaning that they no longer needed supplemental oxygen or care continued in the hospital, or was no longer hospitalized on the 29th.

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Eli Lilly reported that additional analysis is underway to understand other clinical outcome data, including mortality and safety data, and that NIAID is expected to publish full study details in a peer-reviewed journal.

Eli Lilly also indicated that he plans to discuss the emergency use authorization of the combination with the US Food and Drug Administration (FDA) and explore similar measures with other regulatory agencies for baricitinib as a treatment. of hospitalized patients with covid-19. If authorized, the company will propose make baricitinib available through commercial channels and will work with hospitals and governments to ensure patient access.

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First and second grade patients

The pandemic has shown us the excruciating reality that we live as a country in terms of health, warns Dr. Andrés Castañeda Prado. With updated figures, the specialist shows that the highest incidence of patients dying from covid occurs in public hospitals, in some of which there are even first and second beds for the sick. To these deaths, which mainly affect indigenous communities and the most precarious sectors of the cities, is added the prolonged confinement, which many cannot save due to lack of economic capacity.

MEXICO CITY (process) .- Six months after the first coronavirus contagion occurred in Mexico, on February 28, the pandemic has highlighted the social inequality that exists in the country: a huge gap separates the rich and the poor regarding access to medical care. And in this scenario, the second ones have been the most affected by the contagion.

Stratification in the health sector has shown that there is a lower mortality rate among those infected who can pay for private hospitals or who are beneficiaries of a government institution, compared to the marginalized classes without social security, among which are the lowest. isolated indigenous communities in the country.

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The doctor Andrés Castañeda Prado, coordinator of the Causes of Health and Welfare of the Nosotrxs por la Democracia association, assures: “We have always known that in Mexico there is inequality everywhere. This is nothing new. But in this case, the pandemic has made it very clear to us that there is a huge gap between rich and poor in access to health, and that the latter are the most affected by the covid.

“Not all Mexicans infected with the coronavirus are treated equally: some receive first-world care, but the vast majority receive medical care that leaves much to be desired.”

This contrast is reflected in the statistics of the health sector itself: for example, until Sunday 16 private hospitals identified as positive and treated 15,991 patients in their facilities, of which 691 (4.3%) died; In turn, the IMSS hospitals treated 166 thousand 538, of which 31 thousand 883 (19.1%) of their patients with covid died.

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Thus, the death toll is more than four times higher in the hospitals of the IMSS than in the private ones.

Castañeda points out that, in this stratification, those treated at the IMSS have an even lower mortality rate than those who attend institutions with fewer medical resources.

And it details: “Around 46% of patients who have social security and are admitted to IMSS or ISSSTE hospitals, among others, are dying. In contrast, the percentage rises to 53.4% ​​of deaths among patients who enter institutions with fewer resources, such as Insabi (Health Institute for Well-being) or IMSS Well-being ”.

–The fewer resources of the hospital institutions, the greater the number of deaths? –Asks the reporter.

–Of course, since resources impact the quality of medical equipment, medicines, the number of health professionals, and hospital facilities. And in Mexico, the institutions with the fewest resources serve the poorest. Thats the reality.

Fragment of a report published in the 2287 edition of the weekly Proceso, whose digital version you can purchase here

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left Sunday at 11:46 am, they were still on track this Monday morning!

The thousand passengers of the TGV 8538 were transhipped in the wee hours of the morning in another train which rolled towards Bordeaux around 8 am to then go to Paris, according to a spokesperson for SNCF Nouvelle-Aquitaine.

They should arrive there around 11 a.m., according to the national management of the SNCF.

The travelers, who left Hendaye to normally arrive in Paris on Sunday at 4:20 p.m., were stranded all night, first in Morcenx then Ychoux, 50 km further on, in the Landes.

The double train was stopped “following a succession of power supply problems” in the Dax sector, according to SNCF Nouvelle-Aquitaine.

On social networks, travelers let their anger explode after this last holiday weekend, fearing contamination by Covid-19.

“We are on the train leaving Biarritz at 12:23 pm and it is 3 am. 1100 passengers on board: could we have masks so as not to add to the records of this nightmarish journey that of the largest cluster? # tgv8538 # jesuis8538 ”, said a passenger during the night.

– Compensation at 300% –

The transshipment of passengers, organized overnight, took more than two hours.

In addition, according to the Landes prefecture, nearly 73 passengers from a TER and a TGV had to be accommodated by the SNCF.

But the galley was not over for 445 passengers of two other trains.

Train number 8546 scheduled to leave Hendaye at 5:55 p.m. for an arrival at Paris-Montparnasse at 10 p.m. had finally left at 6.30 p.m. before finding itself stranded in Biarritz where another train had already not been able to leave at 3:45 p.m.

These two TGVs were twinned and left for Hendaye where they were still on Monday morning.

“We do not know what will happen”, testified Monday morning an AFP journalist in one of the trains, adding: “we have just called to go get croissants!”.

According to the national direction of the SNCF, these passengers were the subject of a “support on the spot. We proceeded to deliver masks, distributed blankets, water bottles, breakfasts ”

“And there, we are studying various solutions for the repatriation of these people, so that they can return home as soon as possible and in the best conditions”.

“Compensation for travelers on the three trains is 300% and we also reimburse all ancillary costs, hotels and taxis”, according to the same source.

The incident of the night occurred in the Dax sector after the passage of a TGV, according to SNCF Nouvelle-Aquitaine, which specifies that no train will run Monday on the Bordeaux-Hendaye and Bordeaux-Tarbes lines.

“Many repairs have been made but we are conducting a full investigation,” she added.

On RMC, the Minister Delegate for Transport Jean-Baptiste Djebbari indicated Monday morning that “the tracks could reopen Tuesday morning but the work is quite substantial, 60 km of tracks were damaged, in particular at the level of the catenaries”.

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Digital Health for All – Process

We embrace technology because it allows us to do things better and easier, faster and cheaper. To be more productive and have more free time to do other activities. Information and Communication Technologies (ICT) do not appear as a priority in the Health Sector Program 2020-2024 of the Fourth Transformation, because it does not contemplate its intensive and productive use to guarantee universal access to health.

The Program says that a Health Intelligence Center to increase human and infrastructure capacity in the institutions that make up the National Health System (SNS). For care that allows access to specialty consultation, hospitalization and surgery, a “new model of care is contemplated through the implementation of information technologies.”

It seeks to modernize the information and communication system to guarantee reliable and timely information that facilitates public policy decisions and anticipates the needs of the population. The specific action is consolidate the evaluation and management of ICT in health to improve the capacity and quality of services, digitization of records and inter-institutional interoperability between the different levels of care in the SNS.

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To strengthen the promotion and research on healthy habits and lifestyles, the Program proposes the use of interactive and mobile technologies to inform, sensitize and guide responsible decisions of the population regarding their habits, healthy lifestyle and formal and informal care in mental health and addictions.

Public health institutions in Mexico they don’t use technology to facilitate paperwork, procedures and inquiries. With this they maintain a system of authoritarian control over the right holders. In 2009, the IMSS won the award for more cumbersome and useless procedure. Waiting time for consultation in 2016 was 71 minutes compared to 58 minutes in 2012, according to the Midway National Health and Nutrition Survey 2016 that has not been done again.

In 2004 the National Evaluation Center for Technological Excellence in health (Cenetec) that, among other attributions, leads the application, adoption and use of telehealth services within the SNS.

The Mexicans are interested in health issues. In 2019, 46% of Internet users accessed health sites, 30 million users (Comscore), a growth of 22 percentage points with compared to 2013 (24.4%). 59% were women and 62% did so through a mobile device. The IMSS portal was the most consulted with five million monthly visitors, half of them through the smartphone a tablet. Psychology, physical care, personal aesthetics, diet and nutrition are some areas that interest netizens.

Since 2005 the World Health Assembly, in its resolution WHA58.28 on e-health, urged Member States to develop a long-term strategic plan to conceive and implement e-health services; to develop infrastructures to apply ICT to health; for vulnerable groups to enjoy e-health services adapted to their needs, and to promote the universal, equitable and affordable enjoyment of the benefits of telehealth.

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The United Nations General Assembly has recognized advances in the provision of health care thanks to technology, expanding to more people access to services and data that were previously unavailable or unaffordable.

According to him Draft global strategy on digital health 2020-2024 of the World Health Organization (WHO), “there is a growing consensus in the global health community that the strategic and innovative use of digital technologies will be a essential facilitating factor to ensure that one billion more people benefit from universal health coverage and are better protected against health emergencies. “

The digital transformation of health meets strong resistance because it gives people freedom and greater control about your health. Doctors do not always explain ailments. The calligraphy of doctors is famous for being incomprehensible. Medical records are believed to be the property of institutions when the information contained in them belongs to patients. Bureaucrats prefer difficult and face-to-face procedures because that way “They retain control” and corruption is encouraged.

A study of PricewaterhouseCoopers Health Research Institute estimated that in the United States due to inefficiency and waste more than half of healthcare spending each year.

Digital health is disruptive because institutions and doctors lose the information monopoly. Digital health devices allow data on heart rate, moods, sleep, menstrual cycles, physical activity, blood oxygenation and can detect and prevent diseases. There are smart watches with electrocardiograms installed and they warn about falls in older adults.

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Digital health does not replace the doctor nor does it replace the face-to-face auscultation that you must perform to make an accurate diagnosis. But it does allow people have access to services through mobile platforms.

It is not that the data and devices are totally accurate, reliable or replace the health specialist, but for the first time we can know more about our health than public institutions. This is noticed by the companies in the sector, which is why they see in the increasingly deteriorating health of the population a business opportunity. Private clinics and laboratories store and make better use of our data. They send the clinical results to email and we have to train at the IMSS.

Innovative technologies such as the Internet of Things, Artificial Intelligence, Big Data Analytics, Blockchain and Robotics have the ability to improve medical diagnosis, data-driven treatment decisions and autoatención. They also generate metrics for the design of public policies. Those who became infected with COVID-19 could receive adequate monitoring and treatment thanks to information systems. Of course, telehealth risks are data theft, hacking and cyber attacks.

When an institution does not use technology to make people’s lives easier, it takes away opportunities, quality of life, time, resources and affects their dignity. In his book Decent society, the philosopher Avishai Margalit states that “Decent societies do not humiliate their members. Respect for oneself is such when the individual makes others, including governments and institutions, respect him for what he is: a person ”. ICTs can help health… also institutions so that they do not humiliate the inhabitants.

Twitter: @beltmondi

The author of this text is president of the Mexican Association for the Right to Information (Amedi)

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Carabiniere run over by thieves, it’s serious – Last Hour

(ANSA) – BOLOGNA, JUNE 29 – The search is underway for two people who in the early hours of this morning overwhelmed a 48-year-old carabiniere, now hospitalized in a reserved prognosis. It happened in Mordano, in the province of Bologna. The two would be part of a gang, which, around 4 o’clock, attempted a theft in a tobacconist’s in Lugo, in the Ravenna area. They fled, their car was intercepted by a patrol and the military was run over. The two are wanted for attempted murder.

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