The improvements in infrastructure, the recovery of the portfolio and the opening of services are three of the objectives set by the health authorities in front of the Sandiego de Cereté Hospital, which will continue to be operated for another year.
The Health Superintendent, Fabio Aristizábal Ángel stated that “the intervention ordered at the Sandiego de Cereté Hospital was extended for one year in order to continue working to guarantee the quality and timeliness of the provision of health services and continue with the implementation of the necessary measures to solve financial, legal, administrative and welfare difficulties ”.
It was learned that during this extension, the intervening agent Sandra Milena Jaramillo, will have to work on investment projects, adaptation and remodeling of the infrastructure of the hospital pharmacy, the surgical area and the sterilization center.
“Progress will be made in the works of the San Carlos Emergency Medical Care Center and in the neonatal ICU project to be able to care for high-risk maternal mothers. The hospital already has a 24-hour gynecologist, an intermediate ICU and a pediatric service. The accounting purification process will continue and the work on financial consolidation and portfolio recovery actions will continue, ”explained Aristizábal Ángel.
The authorities highlighted that the institution has been strengthened to care for patients infected by COVID-19, and went from not having ICU beds to having 12, plus another two for intermediate care.
The senior official explained that “due to the management of the special intervening agent, the hospital opened a new respiratory emergency area that operates 24 hours a day and has an office, resuscitation room, 5 observation beds and 8 cubicles for defining behavior.” .
According to the report submitted, the hospital keeps the salaries paid to the personnel up to date and the contributions to social security, parafiscals and the payment to contractors have been met.
“Added to the above is the investment of $ 38 million for the provision of respiratory emergencies, the 7.5% increase in billing during the first quarter of 2020, the restoration of 50 hospital beds, the preventive and corrective maintenance of medical equipment and the automation of sterilization ”, specified the Super Salud.
It is also expected that the installation of a tomograph will be carried out and the completion of the infrastructure works in the admission area.
It should be remembered that due to the critical situation of its finances, and the deficiencies in the provision of services to its users, the hospital was intervened on December 20, 2019.
At that time, there were labor debts with plant workers, contractors, job boards and outsourcing for 11,552 million pesos. Regarding the health services, the authorities revealed that the medical equipment was not maintained, some treatments were started late because medicines were lacking, there were supplies with past expiration dates and there was no regular disinfection in the facilities.
In a letter to OAS Secretary General Luis Almagro, US Congressman Frank Rooney, the highest-ranking Republican on the Subcommittee on the Western Hemisphere in the House of Representatives, He asks you to monitor the judicial process against former President Álvaro Uribe from now on and guarantee that all due process guarantees are granted.
“Failure to comply with the guarantees of due process, especially in the face of such a politicized investigation, deteriorates the democratic framework and institutions in the Hemisphere. And when it is directed against someone like Uribe, who has a legacy of defending democracy against constant attacks, it is especially dangerous when it comes to clinging to the democratic principles we share that are at the heart of the OAS Democratic Charter and the values we share, “says Rooney.
Although the congressman says he is pleased with the decision of Judge Clara Salcedo in ordering the release of Uribe, He asks Almagro to “review” the basic guarantees that were applied when investigating and arresting Uribe.
Failure to comply with the guarantees of due process, especially in the face of such a politicized investigation, deteriorates the democratic framework and institutions in the Hemisphere
Luis Almagro, Secretary General of the OAS.
Courtesy Organization of American States.
It cites, in turn, the irregularities that occurred in the interception of Uribe’s telephone calls and that were later used in the process before the Supreme Court and that his case is based on the testimony of a witness, Juan Guillermo Monsalve, with a long criminal past. Furthermore, that Uribe’s defense has not been allowed to question him, despite the fact that his testimony was used to open the investigation and then arrest him.
Guaranteeing timely and quality medical care for Barranquilla residents has become the Primary objective of the District with the process of modernization of the public health network, which continues to advance and plans to benefit more than 170 thousand citizens with new hospital projects.
Since 2008, the district administration has been working to build a solid health model, which has been cataloged repeatedly as one of the most successful in the national territory.
Although the health emergency due to Covid-19 was a huge challenge for the hospital infrastructure of the capital of the Atlantic, in the Development Plan ‘I am Barranquilla’, that governs the period 2020-2023, a series of actions were contemplated so that citizens have a timely and adequate response to your health requirements.
“We want the health of Barranquilla to continue its unstoppable march, that is why we are providing them with all the professional capacity so that care is timely and without access barriers. It is our main objective, guarantee comprehensive insurance, minimize the risks of becoming ill and provide quality health programs to all“Said the mayor Jaime Pumarejo Heins.
He was emphatic in stating that in this new stage they will bet on “turn the health system upside down, moving to a much more preventive health, with doctors in charge of specific populations ”.
The district president also stressed that the “robustness” in health services continues to grow, which directly impacts on the quality of life of Barranquilla and the Caribbean region.
“The public hospital network has been and will continue to be a national management model, where the resources obtained by the Prohospitales level 1 and 2 stamp are invested in providing efficiently and transparently to the more than 600 thousand users of the subsidized regime, as well as to anyone who requires it because We are also a regional reference center for health care in the Caribbean”, Reiterated the president.
In turn, Humberto Mendoza, Secretary of Health of Barranquilla, He stated that the district network model has provided “mobilization guarantees” to more than 19 thousand users, guaranteeing that “there are no barriers to access” to said services.
The official also expressed that the great challenge for the public network is strengthen the preventive medicine model to detect patients in time who have diseases that may pose risks to their life.
“In the city we have a network model that allows patients to access medium and high complexity services without authorizing systems limiting quality and care. That we will follow reinforcing to provide greater guarantees to citizens”, He added.
According to figures from the Mayor’s Office, accessibility to health increased 15 times between 2007 and 2018. It is expected that this year it will increase with the start-up of facilities such as the Camino Ciudadela 20 de Julio and Paso Galán.
For next year, this indicator will continue to grow, taking into account that the works of the New Barranquilla and Nazareth Roads will be delivered, which are ahead in two important sectors of the city.
Mayor Pumarejo has been making visits to these spaces to verify the progress of the works, taking into account that they were detained for a period due to the pandemic and currently not all the workers have been able to reintegrate, in order to comply with the corresponding regulations.
“We continue to grow with this new offer that adds to a solid network that is providing quality services to Barranquilla residents, showing that it is possible, as we have said for so long, to have quality, sustainable public health that continue to be a source of pride for each of us”Pumarejo said during one of those tours.
MEXICO CITY (proces.com.mx) .– When the bicentennial of Wolfang Amadeus Mozart’s death was commemorated in 1991, the Mexican doctor, scientist and academic Adolfo Martínez Palomo (1941) began the bibliographic search, writing and public presentation of the texts now published by El Colegio Nacional in fourteen double installments.
This new compact format series includes the biographies of: Monteverdi and Vivaldi, Bach and Handel, Haydn and Mozart, Beethoven and Paganini, Rossini and Schubert, Donizetti and Bellini, Berlioz and Mendelssohn, Chopin and Schumann, Liszt and Wagner, Verdi and Gounod , Clara Schumann and Brahms, Borodin and Bizet, Tchaikovski and Puccini, Mahler and Shostakovich.
Today we offer excerpts from the second volume entitled Musicians and medicine. Clinical histories of great composers. Bach and Handel (86 pages in 12 by 18 centimeter format, bibliography, illustrations and iconographic credits, www.colnal.mx), written by Martínez Palomo who has stood out for his research on the painful Herpes Zoster virus.
“Two colossi of classical music Johann Sebastian Bach (1685-1750) and Georg Frideric Handel (1685-1759), both born the same year in Germany and yet they did not manage to know each other personally. Bach always stays in his country, where he has twenty children. Handel, on the other hand, makes fame and fortune in England, without getting married. Long and prolific lives both, united with a common ending: blindness, caused by the clumsy intervention of the same apprentice eye surgeon. “
Creativity: inheritance or learning?
(…) With the forgiveness of fans of the hereditary theory of creativity, I would like to insist that nothing indicates in Johann Sebastian’s childhood or early adolescence the existence of a genius, rather, an exceptional effort to learn from their elders. (…)
At fifteen, our character eagerly copies compositions from others, at night, at an age when other musical geniuses have been writing music for a long time. At that age he has to leave his brother’s house, which is already insufficient due to the birth of four more nephews.
By the way, one of the physical attributes of Johann Sebastian that has caught the attention of his biographers has been… the strength of his legs! And is not for less. What a path he had to go in his youth to absorb the musical knowledge of the greats of his time! Nothing was too far away, nor was the weather so bad that it prevented him from making trips on foot in search of better knowledge. Thus, it traveled 40 km between Ohrdeuf and Eisenach and 360 km between Ohrdruf and Lüneburg. (…)
Bach, as we have said, had a foolproof health throughout his life, well into his period of maturity. A neurologist has commented, when analyzing the portrait of Bach, the obvious obesity of the composer and the presence of a slight facial paralysis, perhaps due to a cerebral infarction. If anything, the only well-documented physical weakness was his eye problem.
For ophthalmologists who have reviewed his history, Bach was probably nearsighted, judging by the appearance of the eyes in the only true portrait that survives, taken at age sixty-one [por Elias Gottlob Haussmann, en 1746, reproducido a colores en este libro de Martínez Palomo] which shows the composer “straining his eyes.” This myopia may have allowed him the hard work of reading and writing countless scores. (…)
On the advice of his friends, the composer consulted an English eye doctor, the gentleman John Taylor, who had operated, sometimes with some success, on many European personalities, including the contemporary Handel. Taylor was actually a great charlatan, dominating more of the art of advertising than of science (…)
In Bach’s time the usual medical treatment for cataracts ranged from esoteric diets, to bloodletting and the application of leeches. The surgical procedure was followed by washing the eyes with a mixture of Peruvian balsam and hot water. This was followed by poultices added with cassia pulp, camphorized fosters, bandages, a light diet, and medications to evacuate without effort.
Less than four months after Bach’s death, the operating room was installed in the Tres Cisnes restaurant (…) Three months and three weeks after the operation, Bach presented cerebral palsy of vascular origin and was unconscious. He developed a fever, possibly pneumonia, and died on the night of July 28, 1750 at the age of sixty-five, despite the best Leipzig physicians. (…)
The dear Saxon
HAMBURG, DECEMBER 5, 1704.- During the performance of the opera Cleopatra by Johann Mattheson, a nineteen-year-old German musician who leads the singers from the harpsichord. He refuses to let the composer displace him from his instruments: the dispute escalates and the two heated musicians decide to settle it in a duel. Fortunately for mankind, the sword that struck the young interpreter’s chest only broke a metal button on his coat, thus saving Handel’s life and with it the work of one of the greatest and most prolific composers remained for posterity. of music. (…)
His fame reached Italy, where he was invited by a Medici prince (…) At the age of twenty-five Handel returned for a few weeks to Germany, to Hannover. Why did he receive the appointment of “master of the chapel” of the court there, with a very high salary (fifty times higher than he had received as an organist) and permission to be absent for a year, when in reality what that court was interested in was send it to London? For some, this appointment disguised the true task assigned to the composer: to insert him into the English court and receive from him information about the state of health of Queen Anne, already very ill. The interest was that the direct successor to the throne of England was precisely the Elector of Hannover, Georg Ludwig, so the sickly Queen Anne died, Hannover needed to be aware of the events in London. (…)
His contemporaries described him as impetuous, brusque and authoritarian, but completely devoid of malice and wickedness, despite the many enemies that success produced him in London. From time to time he had uncontrolled bouts of irritability and rage. For example, on one occasion he argued with the famous French Italian singer Cuzzoni and said “Oh, ma’am! I know well that you are a true devil, but I am going to show you that I am the boss of all devils.” He then took her by the waist and led her to the window, where he threatened to throw her out into the street.
For much of his life Handel was physically healthy, endowed with a remarkable capacity for work. With a thick complexion like his father, he soon showed a frank tendency to obesity due to his irrepressible enthusiasm for food and his no less joyous fondness for alcohol, especially for Port and Madeira wines. His contemporaries called him “the Bear” for his corpulence and decomposed walk, but also for his tenacity, energy and strength. In it, several factors were combined that could well cause high blood pressure and hardening of the arteries in adulthood: being overweight, the habit of smoking tobacco (in the pipe), a sedentary life and economic and work stress.
Handel’s good health began to decline after the age of fifty, just at a time of great financial and administrative tension due to the difficulties of staging his operas; headaches, irritability, colic, rheumatic pain.
In 1737, after a period of great fatigue and disappointment, “the machine broke”: he suffered paralysis of the right arm that affected mainly the fingers of that hand, and consequently prevented him from playing the harpsichord and the organ. Along with the paralysis, he presented certain mental alterations, “which modified his understandings,” according to a written comment by a contemporary, perhaps referring to mental confusion or speech problems. (…)
MEXICO CITY (apro) .- The Russian Direct Investment Fund (RDIF) and the ChemRar Group have agreed to supply 17 countries with Avifavir, Russia’s first drug approved for the treatment of covid-19. Among the nations that have the drug are 11 from Latin America, which is not included Mexico.
According to a statement posted on the RDIF website, Avifavir will be delivered to Argentina, Bulgaria, Brazil, Chile, Colombia, Ecuador, El Salvador, Honduras, Kuwait, Panama, Paraguay, Saudi Arabia, Serbia, Slovakia, South Africa, United Arab Emirates and Uruguay.
The drug has previously been delivered to Belarus, Bolivia, Kazakhstan, Kyrgyzstan, Turkmenistan and Uzbekistan, he added.
Avifavir, the statement highlights, is the first drug registered in the world made based on the substance favipiravir against the coronavirus and the first in Russia approved for the treatment of covid-19.
In its statement, Russia’s sovereign wealth fund recalled that on May 29 Avifavir received a registration certificate from the Russian Ministry of Health and became the first favipiravir-based medicine in the world approved for the treatment of covid- 19.
He also highlighted that approximately five months after the Avifavir clinical trials in Russia, Fujifilm from Japan confirmed the efficacy of favipiravir against the novel coronavirus infection.
“Avifavir is now Russia’s leading anticovid drug in terms of exports. In particular, on September 21, the start of deliveries to Bolivia and other Latin American countries was announced as part of the agreement to deliver 150 thousand packages. Avifavir has also been approved by regulators in Europe, the Middle East and Asia ”, underlined the RDIF.
“When we registered the world’s first favipiravir-based coronavirus drug, there was a lot of skepticism as people wondered how we could register it when Japan had not yet registered it,” said Kirill Dmitriev, executive director of Russia’s Direct Investment Fund.
“Now, five months after our clinical trials, we see that Japan has confirmed the clinical efficacy of favipiravir. Avifavir has been tested in more than 1,300 patients, including 408 patients in clinical trials and 940 patients during the post-registration observational clinical trial, ”he explained.
Dmitriev concluded in the release that Avifavir is also three to four times cheaper than Remdesivir, the drug approved by the United States for the treatment of Covid-19.
Guaranteeing timely and quality medical care for Barranquilla residents has become the primary objective of the District with the modernization process of the public health network, which continues to advance and plans to benefit more than 170 thousand citizens with new hospital projects.
Since 2008, the district administration has been working to build a solid health model, which has been repeatedly classified as one of the most successful in the national territory.
Although the health emergency caused by Covid-19 was a huge challenge for the hospital infrastructure of the Atlantic capital, in the Development Plan ‘I am Barranquilla’, which is valid for the period 2020-2023, a series of actions were contemplated so that citizens have a timely and adequate response to their health requirements.
“We want the health of Barranquilla to continue its unstoppable march, that is why we are providing them with all the professional capacity so that care is timely and without access barriers. It is our main objective, to guarantee comprehensive insurance for them, minimize the risks of getting sick and provide quality health programs for all, ”said Mayor Jaime Pumarejo Heins.
He was emphatic in stating that in this new stage they will bet on “turning the health system upside down, moving to much more preventive health, with doctors in charge of specific populations.”
The district president also highlighted that the “robustness” in health services continues to grow, which has a direct impact on the quality of life of Barranquilla and the Caribbean region.
“The public hospital network has been and will continue to be a national management model, where the resources obtained by the Prohospitales level 1 and 2 stamp are invested in providing efficiently and transparently to the more than 600 thousand users of the subsidized regime, as well as to anyone who requires it because we are also a regional reference center in health care in the Caribbean, “reiterated the president.
In turn, Humberto Mendoza, Barranquilla’s Secretary of Health, stated that the district network model has provided “mobilization guarantees” to more than 19 thousand users, guaranteeing that “there are no barriers to access” to these services.
The official also said that the great challenge for the public network is to strengthen the preventive medicine model to detect patients with diseases that may pose risks to their lives in time.
“In the city we have a network model that allows patients to access medium and high complexity services without authorizing systems limiting quality and care. We are going to continue strengthening that to provide greater guarantees to citizens, ”he added.
According to the Mayor’s Office figures, health accessibility increased 15 times between 2007 and 2018. It is expected that this year it will increase with the start-up of facilities such as the Camino Ciudadela 20 de Julio and Paso Galán.
For next year, this indicator will continue to grow, taking into account that the works of the New Barranquilla and Nazareth Roads will be delivered, which are being carried out in two important sectors of the city.
Mayor Pumarejo has been making visits to these spaces to verify the progress of the works, taking into account that they were detained for a period due to the pandemic and currently not all the workers have been able to reintegrate, in order to comply with the corresponding regulations.
“We continue to grow with this new offer that adds to a solid network that is providing quality services to Barranquilla residents, demonstrating that it is possible, as we have said for so long, to have quality, sustainable public health that continues to be a pride for each one of us ”, said Pumarejo during one of those tours.
With two special acts that They will be held next Tuesday, September 29 in Barranquilla and Cartagena, President Ivan Duque will lead the launch of the companies that will assume the commercialization and distribution of the energy service in the Caribbean Coast: Afinia (Caribe Mar) and Aire (Caribe Sol).
The companies they begin to operate from October 1 in the region, in a fact that marks a new stage in the history of the electricity service of the Coast serving about 10 million people.
Afinia, de Public Companies of Medellín (EPM), will serve the Bolívar, Sucre, Córdoba and Cesar markets with 1.51 million clients.
Air, which is in the hands of Caribbean Energy Consortium (Enerpereira and Latin American Corp), will be in charge of the Atlántico, Magdalena and La Guajira markets with 1.21 million clients.
After the award of the two companies, which was made through an auction process in March this year, the joint began, which for the most part had to develop virtually in the middle of the quarantine.
Although it was thought that due to the pandemic and the impact of the Electricaribe indicators Delays could occur, the new operators, Electricaribe and Superservicios, managed to advance in the last month in such a way that the schedule that had been set was met. This is how this week the contracts will be closed with the signature of the company representatives.
The investment commitments of the two startups in the next 5 years add up to $ 5.7 trillion, of which $ 3.2 billion correspond to the Caribe Mar market and $ 2.6 billion to Caribe Sol.
It should be remembered that Electricaribe will not disappear immediately, as it is in the liquidation process.
It is not the first time the energy market of the Caribbean Coast is served by two companiesSince Electricaribe and Electrocosta operated in the 2000s, but under the control of Gas Natural Fenosa (GNF), today Naturgy, which later joined due to operational issues.
“Against the backdrop of the political-military situation that is evolving around Belarus, the president decided to hold Phase 2 of the exercise” called ‘Slav Brotherhood 2020’. This was announced by the Belarusian Ministry of Defense. “The operations will involve about 6,000 soldiers and more than 500 military vehicles, including 1,000 soldiers and 100 vehicles of the Armed Forces of the Russian Federation“, he added.
Yesterday the Minsk police have arrested 442 protesters for violation of the law on gatherings. This was stated by the spokeswoman of the Ministry of the Interior, Olga Chemodanova. Today in Brussels the EU foreign ministers met Svetlana Tikhanovskaya, leader of the Belarusian opposition. ‘It is not interference in internal affairs. Democracy and human rights are at the heart of the EU’s identity, “said High Representative Josep Borrell.
“We will continue to protest for weeks, months, even years if necessary. We will no longer be hostages of Lukashenko, we will no longer live in his prisons, we will no longer return to the state we have lived in for twenty-six years. “So Tikhanovskaya, in a hearing in the Foreign Affairs Committee of the EU Parliament.” When you look at me and all these. people you must understand that for twenty-six years we have lived in dictatorship, we have been afraid every day “, he added.” It is not a geo-political revolution, for or against Russia or for or against the EU. It is a democratic revolution for Belarus “, he stressed.
Then he asked “the entire international community to not accept Lukashenko’s legitimacy because it is not legitimate in the eyes of the Belarusian people. They stole our votes during the elections. ”
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.
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.”
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 ”.
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.