Writing Letter For Community Service Hours

The City of Milan is inspired makeup

"Angela Sciura hello, what do you think of our service?". Headset on his head, Mayor Moratti, yesterday, to take the opinion of the Milanese on the quality of municipal services, wore clothes dell'addetta a call center: the infoline the City each week - between different functions - called the elderly people in Milan to secure their remote assistance: a courtesy call to capture the needs of granny alone. A service from next October will be extended to people with disabilities to reserve health care benefits. The district, therefore, puts the turbo presents new services and upgrading of old. We will start with a redesign of the one-stop shops scattered in nine of the Registry areas of the city early the way to zone 4 and three more by December. Meanwhile, at its headquarters in Via Larga time was prolonged (up to 19.30 on Wednesdays and Saturdays from 8.45 to 12). We also multiply the points of "Friend" in collaboration with Italian: there are currently 77 in the city and 201 throughout the metropolitan area. But the real change comes with the Internet by year-end half of the citizens will be able to download certificates and passes to park directly from your PC. Farewell queues at the counters.
effort like that in Milan, ahead of the latest announced by the Mayor and the Councillor for Services to the citizen Stefano Pillitteri, promote municipal services with flying colors. So Palazzo Marino takes home a good report card at half past seven. The "emoticons" Brunetta have to smile at the counter of the Registry: the service, "Let's face" agreed by the Minister for Public Administration and inaugurated in via Larga 23 March last year to allow citizens to rate the quality of benefits paid, recorded 75 per cent of positive assessments. Users, who can choose to touch the face red (negative vote), yellow (sufficient) or green (positive) a majority have opted for the latter. In their view, in short, the public administration works. For now, the sectors are those for the issuance of electronic identity cards, office protocol and the reservation of the funeral. And while those smileys multiply, Monday, the City has introduced a different voting system to evaluate the efficiency of call center 020202. After talking with the operator, users can speak with the telephone keypad: 1 for the positive vote, enough for 2, 3 for a negative opinion. The result of the first two days bodes well: 1419 ok (88 percent), 158 sufficient (10 percent) and 35-inch lines (2 per cent). Palazzo Marino, therefore, collects its success, not only by citizens yesterday came directly to the mayor, President of Certiquality Giordano Righini, including the ISO 9001 certification on the quality of services to citizens, a statement that, generally, measures the level of quality of a company and this year awarded 50 percent of municipal services. Now, Pillitteri said, "not just think to pin medals, but to continually improve."

Making A Castle For School Project

The dentist low cost car


In times of crises, including dentists by adjusting the rates. He arrived in dental office: low cost benefits for certain categories of patients. "Keep your smile" is the slogan that launches an agreement, a party recently by the Ministry of Labour, Health and social, Andi (National Association of Italian dentists) and OIC (Dentists Italian Catholics). In the province of Milan, says Claudio Pagliani, provincial president of Andi section of Milan and Lodi, "are already 301 studies of our members who have joined the initiative, which should add 13 to 22 between Lodi and surrounding areas and Monza and Brianza '.
prices, in case of any dentist in the center of Milan, may fall as much as 30 percent. This is the tariff "calmed": 80 € for a dental examination with tartar removal and oral hygiene instruction, 25 € for the prevention of tooth decay in children, € 60 to remove a tooth, 550 € for a partial denture in resin, 800 € for an arch denture. "There are colleagues who are already applying these rates - explains Pagliani -. For example, those who study in poor or disadvantaged areas of the city. But there are those who, in the center, puts it even dentures to 1200 €. In essence, you can save not only the study of Barona, but also in the Piazza San Babila, which normally takes prices to scream.
The "discount", even if the insiders do not like to call it that, is borne by the dentist who freely choose to join the initiative. And that probably will take advantage of tax breaks.
beneficiaries are: all those who have the ISEE (indicator Equivalent economic situation that is - in a nutshell - the income) not exceeding 8 000 €, regardless of age, free from the ticket for health reasons, details, for chronic and disabling and unable to work with ISEE no more than 10 000 € ; respective card holders; pregnant women with no income limits only for the dental examination with tartar removal and oral hygiene instruction. It was decided to protect in particular the latter category, "because the scientific studies of the last four or five years have shown that periodontal disease occurring during pregnancy may carry the baby to values \u200b\u200blower than normal. And then the mother is also the first teacher. "
To find your nearest dentist at reduced prices just visit the websites www.obiettivosorriso.it, www.ociweb.it, www.ministerodellasalute.it or call toll free 800 911 202 Andi. To arrange a visit simply call the studio chose e. when present, show the certificate necessary to get the discount, or declare them with self equipped with the tax code. "We must get closer and closer to the idea of \u200b\u200ba welfare dentistry, to understand the general public that dentists are not a social category of profiteers."

Rubbermaid Outlet, Mississauga

Chaos and wild: Welcome Idroscalo

concerts, sporting events, shows and discos. But even campfires, noise and parking chaos. From tomorrow kicks off the summer season Idroscalo, with its two faces: one of whom, clear, choose the "sea" in Milan as a center of entertainment and August to those who have the deep pockets to pay the consequences. "Three quarters dell'Idroscalo arise in our country, yet we are completely excluded from the management and control of the park," says the Mayor of Segrate Adriano Alessandrini. That means many hassles and no benefits, "The Province has not even called me at the opening, but he asked me to provide my brigade to handle the traffic." The problem of parking, he says, is long standing: "Every Sunday we ritroviame cars one above the other, it is total chaos." And then there's the noise issue: "Some concerts begin from the morning. Last year we got the rock mass to the background. " To give the biggest problems are its own concerts because the matter seems to have closed clubs: in the west, where there is a greater concentration of premises, there are the roofs of sound. To the east, the direction minimizes Idroscalo: "The shows are few and all end up around eleven and a half hours acceptable. This year, then there is the new Blue Room, indoors and with lots of conditioner. " But the Tregarezzo residents, a small village near the park, shaking the windows as well: "No one wants to prevent the outdoor events, but they serve as barriers against the noise so you can not go on," complains Alex Seracini, residing in the area and President constituency of San Felice: "What has been done to the premises should also apply to the concerts." It also contends
safety: the province, always explain the direction, has invested 200 000 Euros for the lighting of the parking within the park and this year there will be a new provincial police headquarters, a dozen agents should ensure it has clarified the president Philip Penati, "prevention and deterrence of crime and the phenomena of lawlessness." "Well - he says John De Nicola, leader of the National Alliance in the provincial council - but the problem of the barbarian invasions of the Roma who are camping around the pools remains. Since this administration is the Idroscalo is in free fall, "despite the € 30 million that the council has spent over five years.
Expo Pending that, in the draft Penati, should revive the "sea" in Milan as a center of excellence for the fun of Lombardy Region, Province and Municipality of Segrate have signed a framework agreement providing for the inclusion of citizen in society which manages the park, "So we will prepare as well as to organize the events, so you can enjoy" says Alessandrini. All
waiting for the Idroscalo, dreams of the Province, to become a snazzy style Viennese Prater which seem now seems far away.

Master Cue Snoker Pyragon

Milan, the capital of TB


With 300 new infections per year, Milan has won the dubious distinction of cases of tuberculosis. Reason? The massive presence of immigrants: 70 percent of the sick, in fact, are of foreign nationality. The warning, in the day when we celebrate the fiftieth anniversary of the discovery of rifampicin - the number one drug for the treatment of tuberculosis - is the city Department of Health: disease incidence in Milan is 20-30 cases per 100 000 inhabitants, compared to the Italian average of 7-10. The triple. The three hundred new patients a year are a constant in the last ten years, but while up to 1999 to be suffering from tuberculosis were mainly Italians, now the trend has reversed. So Lombardy, which - remember to search the City Councillor Luigi Rossi Bernardi - "has played a crucial role in the discovery of new antibiotics," is one of the Italian regions most affected are between 1000 and 1200 new cases per year .
"Milan absorbs about 260 000 immigrants, of which 30-40 thousand are irregular, "says Councillor for Health Gianpaolo Landi di Chiavenna," are people who live in marginal, poor sanitation in situations that affect their health and that of citizens who come into contact with them " . They live in ten in a basement or in a camp of mud and garbage, and the result is that "more and more manifest forms of multidrug resistant tuberculosis drugs are difficult to monitor and treat." The confirmation of the data, specific Palazzo Marino, arrives Villa Marelli Institute Niguarda Hospital (pictured), the regional reference center for the treatment of tuberculosis, where you diagnose and treat about the 60-80 per cent of citizens. Here, too, immigrants are mostly from 2000, representing more than 65 percent of those infected. Of these, 65 percent had a regular residence permit and is in Italy for more than three years: nearly seven out of ten of them live in precarious situations. As for those who came later was even worse: four out of five conditions are at risk. For the Italians, however, the disease primarily affects adults over 35 years and older.
Although we are not the figures of the Seventies, when cases in the province of Milan were almost 2500 against the current 450, the picture is not comforting. "That's why - said Landi - one year ago, we off the project "Immigration healthy ', which involves a network of public clinics that carry out prevention and monitoring of the disease, then directing people to the departments of infectious diseases hospital in Milan. In a report prepared in 2008, the results of an investigation started about three hundred immigrants speak for themselves: 47 percent did not carry out medical checks in Italy and 54 percent even in the country of origin. As regards tuberculosis, 2.5 per cent has been cured after contracting the infection and 3.5 percent had a relative who is ill or has died.
"Most of the immigrants contracted the disease in Italy," explains and infectious Maria Rita Gismondi, head of the Laboratory of Clinical Microbiology, University of Milan and coordinator of project "Healthy immigration": "They come here healthy and contract the disease because of health conditions in which they live. The question, then, is not to question the country of origin, these people, but to do everything to spread the culture of prevention. "

Whats It Mean When A Man Has Smelly Wee

Balthus and Surrealists


The light and colors that reach their bodies are appearances by which Balthus (1908-2001) recovery by excavation by archaeologists, the human mind. E 'dedicated to him and other Surrealist painters collection of writings on art Antonin Artaud, drawn from the comprehensive and just reissued. "Tired of a painting of maggots," the French artist of Polish origin represents the reaction psychic automatism of Surrealism. As well as paintings by Andre Masson who discover "glimpses of the world" and those of Jean de Bossche passing "behind the wall," appearances are passing a current now perceived as the "revolution of Castro". Through the analysis of artists more congenial to him and their relationship with Surrealism, an art critic Artaud marks the distance from the movement which he joined in 1924, leaving him two years later. A selection of twenty-one texts of the famous playwright French reveals that the relationship between poetry and art that the author must, as the pre-Renaissance painting, transmit "the vibration of the soul, the deep tensions of the Universe."
From Corriere della Sera

BALTHUS
of Antonin Artaud and the Surrealists
By Paola Lalario
Ananke, pp.127, € 14

Double Ring Belts How To Tie

care and do-it-yourself health


There is a hypochondriac who, just click the effect side, throws the drug in the dustbin. The old woman who relies on word of mouth of sciura Pina, mister know-it-all "who cares about the Internet, the anxious mother that" woe to give medicine to the infant, " someone with Alzheimer's forget that, what is wrong care, too little or - why not - too much.
disobey the doctor's expensive, and not just health. That 40 percent of patients who fail to comply with the requirements of specialists weigh on the pockets of the health system: according to experts, only € 8 million and 30 million in Lombardy in Italy. The estimate - which is hard to talk about exact figures - comes from Galeazzi, where he is planning a study to monitor the "compliance" that the patient's adherence to the instructions of your doctor. Question of complicity, then, that worries the experts. The problem, said Dr. Mauro Porta, head of the Center for extrapyramidal disorders and Tourette's Syndrome Group San Donato, has several facets: it starts by not adhering to the population at risk screening campaigns, we pass by poor adherence to the therapeutic indications of who is in hospital, up to taking the drug prescribed in GP surgeries. Most are disobedient, "they forget that the elderly, people with mental disorders and behavioral hypochondriacs and, in general, all patients with chronic diseases," which, oppressed by long-term treatment, "they tend to leave care easily. " In Lombardy, then, the infamous excellence of the health system in this case is a boomerang: "We are too many users and, therefore, great rush. The doctor does not devote sufficient time to those who have before, to give confidence and to understand what is the best way to make it "compliant". Or even just to verify that it can financially support the treatment prescribed. " Blame the specialists? Quite the opposite: patients think they know more "often use health DIY downloaded from the internet," the most naive "rely on word of mouth with the neighbor." For the Regional Councillor for Health Luciano Bresciani, while noting that the cost estimates do not come from Pirellone, "the problem is serious and there" but "since there's free choice and not being able to point a gun at his temple of the patient 'is not easy to solve.
The lack of compliance, in short, can not be resolved on the spot, but you can try to monitor independently and, therefore, to curb. "To measure the lack of adherence to treatment - says Professor Egidio Moja, Professor of Clinical Psychology at the Faculty of Medicine, State University - enough that the doctor asked the patient to the return of empty containers of drugs, or if there is, to claim greater attention from those who care for the sick. Addiruttura in some scientific studies, using jars fitted with chips that record the date and time where the product is recruited. But the problem is solved both before: 'It is necessary to improve the medical point of view of communication. We must understand the patient's attitude and opinion on the treatment and establish a relationship of trust, restoring credibility to the figure of the specialist. " In a word, complicity.

Wedding Theory Subjunctive Spanish

The red heart Women Doctors on the defensive


stressed, anxious, smokers, women have the heart far more fragile than people think. Both these diseases are a major cause of death, far superior to tumors. The warning is Professor Francesco Donatelli, Professor of Cardiac Surgery at the State University and director of Department of Cardio Vascular IRCCS Multimedia Sesto San Giovanni. "Cardiovascular diseases are always regarded as predominantly male, but the mortality data say otherwise." According to a 2008 report of the 'European Heart Network, 54 percent of deaths in women are caused by cardiovascular disease, compared with 17 percent for tumors. A ratio of about three to one that is very masculine situation where 38 percent of the deaths due to heart disease, compared to 28 percent due to cancer in general. And the picture, in Lombardy, reflects that of Europe: according to the latest ISTAT in 2006 deaths from heart and circulatory diseases in the population Women were 26,981 against 20,806 in the male. More cancer that killed 12,825 women and 16,292 men. The numbers on the risk factors are not comforting: "From the age of menopause onwards, 49 per cent of women are hypertensive, 38 percent had high cholesterol levels, 33 percent had metabolic syndrome, 30 percent are obese, more than 10 percent are diabetic. " To do the lion's share is incorrect habits, food and non-"Diets rich in fat, low physical activity and smoking. The incidence of smoking among adolescents is 30-35 per cent. " And then there is a tendency, all female, to understate the problem: "Take, For example, a heart attack. The distance of time that elapses between receipt of the classic thick and when the patient is in the hands of hemodynamics in women is one and a half that of men. Because the woman to bear more pain, tends to minimize it, and then to delay action. " And 'the force that, in these cases, it becomes weak.
The answer lies in one word, prevention. "You have done much for campaigning against the prevention of cancer, primarily for breast. With great results. Now we need to do the same for the heart. " Starting from the message on the package of cigarettes and arriving at the screening: "Just do it for the heart that, for example, does a mammogram for breast. For postmenopausal women, who have a greater cardiovascular risk, it would take a charge for blood tests, an interview and a questionnaire on habits. " Already
, habits. That the menage family by adding the weight of a social climbing that has become ever more insistent. Thus, 'reconciling work and family life often becomes an unbearable stress, "says Carmen Leccese, a sociologist at Bicocca University expert on gender issues and equal opportunities. "In regions such as Lombardy, where 60 percent of women have jobs, the problem is especially relevant: it is more often with two jobs, one for children and husband and one for the market. And this life full of acrobatics, as well as causing anxiety and stress, leaving little time for themselves, for treating food and fitness. " The solution? "Consider the reconciliation between home and work is also a male problem and stop the wave of social opportunities only as a slogan."

Diagram Parts Of The Digital Camera

Mr. Rossi has a pancreatic cancer: the surgeon may decide to make her offering him a life expectancy of a year and a half, or treat him with chemotherapy guaranteeing survival of six months. In the first case, the risk of mortality is high, so the doctor chooses the second solution. Why is concerned, in If the operation goes wrong, ending up in the courts.
Nothing to do with poor health care, mind you, but this practice, known as strictly "defensive medicine", is increasing. To complaints and Mauro Longoni, coordinator dell'Acoi Lombard, the association of hospital surgeons and hospital chief surgeon of Sesto San Giovanni: "The doctor, fearing to go to litigation, for example, or decide not to operate Patients at risk for, or prescribes a number of tests, examinations and diagnostic tests are not indispensable. " In essence, the first case of an excess of caution, in the second of an excess of zeal. But the end is always the same: to protect themselves.
But from what? "From the doctor-patient cases that are significantly increasing." A bit 'of numbers: the Court of patients in Milan, in 2008, came 381 reports of medical errors. The so-called "malpractice" is "increase in general - said Liberata Dell'Arciprete, regional secretary of the Court -. Half the complaints we receive about your error. And Lombardy is the leader of this phenomenon: "In 2007, about twenty thousand records, 25 per cent came from our region. This is not because our health care system is not working, indeed, but because it has a catchment area that goes well beyond regional borders. " In detail, complaints about the order, errors during surgery, misdiagnosis, incorrect treatment, problems during the rehabilitation phase. Everything happens especially during hospitalization, and emergency department, ambulatory and finally home. The areas most affected are orthopedics, oncology, gynecology and obstetrics, general surgery. It must be said, however, that not all reports are unfounded, "Patients often transfer complications, physiological phenomenon, with episodes of poor health care. There is much confusion, fueled by cases that end up in the newspapers, "explains Longoni. And sometimes, there is bad faith: "The health sector is one in which we obtain compensation more easily. " So doctors to defend themselves, we should lead with their feet: "It 'an act of instinctive self-protection."
A study last November, doctors performed a thousand of the Italian Society of Surgery, show that 77.9 percent of respondents to the questionnaire admitted that they have taken at least one behavior of defensive medicine in the last month of work . , 82, 8 per cent posted in avoidable medical records excess of scruple, for 61.3 per cent would have required a greater number of tests than necessary, while 26.2 percent would have excluded patients at risk for some treatments , beyond the normal caution. And the motivation is always the same: 80, 4 percent of them said to have done so for fear of medico-legal litigation. "The only way to defeat the phenomenon - Longoni says - it is not relentlessly attacking patients who complain, but go to the root of the problem reinforcing the relationship of trust between the patient and his doctor through, for example, the instrument of consent information ".

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Tourism

From China to Gaetano Pini for hip operation. O all'Oftalmico for eye surgery. The excellent health Milan is tempting to people of the Far East, soon, they could fly around here not only to photograph the monuments and the windows of the quadrilateral, but to take advantage of our health care system. Maybe fill up his pockets. And save the big, because if you undergo surgery in the United States, as many of them already do, is tot, we have the fifth part of the coast.
estimates of the Italy-China Foundation, a non-profit organization founded in Milan in 2003 by Cesare Romiti, could be 120 million potential new patients from overseas: that all Chinese are rich or wealthy, who have an income that can afford private care outside the People's Republic. And that, for now, crowding the hospitals in the United States, Japan and Germany. For now, exactly. Why not be long could also reach us: first a large delegation of 30 General Managers of the most prestigious hospitals in China has landed yesterday at the Hospital to lay the foundations for an agreement that will lead to a partnership between the two health systems, both in academic research is - and this is the news - for the care and shelter themselves. Milan holds out a hand and the offer is more than beneficial, says Girolamo Sirchia, former health minister and promoter of yesterday: "In China, more than 300 million people turn to private health care and many choose to seek treatment outside . Why can not we attract a share, due to the recognized excellence of many of our health and thus contribute to the financing of our health care system? ". In times of crisis, the agreement would save resources for us and for them, "All those who migrated from China to the U.S. for treatment, being in Italy would spend a quarter or a fifth." So if hip operation, for example, in New York or Chicago cost the beauty of $ 100,000, if the caverebbero in Milan, in private, with twenty thousand more or less. "In addition from us - continued Sirchia - would arrive fresh capital, beyond the cost cap established for the region, since it is privately to patients who access our facilities."
It will take time to outline the terms of twinning (number of patients transferred from hospitals to detect), but the tools are not lacking: "Here we have excellent cardiologists and cardiac surgeons, orthopedics, surgery of the liver, oncology." Excellencies, who yesterday presented their spearheads: Foundation Ospedale Maggiore Policlinico Mangiagalli and Regina Elena with her obstetrics and gynecology and his studies on rare diseases, "Don Gnocchi" and the department of rehabilitation and treatment of disability, ' Gaetano Pini Orthopedics, Psychiatry and vision care at Fatebenefratelli and Ophthalmic, therapies for cancer fight Cnao Foundation of Pavia, National Center of Oncology Hadrontherapy. A collaboration dedicated of "do ut des" why China, exports of patients alongside that of its traditional medicine: the project, which already has an agreement signed by the Italy-China Foundation, expects the arrival in Italy of a national center for traditional medicine China, whose experts, Sirchia hopes, will put many patients away from doctors 'improvised'.

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Chinese Health Arts and psychiatry at the Fatebenefratelli

Crete and paper are the raw materials for the "restructuring of courage." Thus, psychiatrists and psychologists like to call the new therapy Fatebenefratelli dedicated to children and adolescents with emotional disorders or victims of bullying. A couple of local color, the experience teachers of the Academy of Brera and the support of doctors do the rest. Thus was born just the Laboratory of Therapeutic Research and Art, "a collaboration between the Department of Maternal and Child Health to the Mental Hospital Fatebenefratelli, free association non-profit organization, the Department of Health and the President of the Lombardy Region , the Accademia delle Belle Arti di Brera and the multinational PricewaterhouseCoopers. In the two local
created inside the hospital, about a dozen children and teenagers between nine and twelve years become artists, followed by a psychologist and professor of Brera. They meet a couple of afternoons a week to create their sculptures, gems of a collective work that takes shape as they pass the days. "The boys are making their part individually - says Frank Bifano, president of liberation, the association with a fund-raising has allowed us to purchase furniture and materials -. The goal, however, is to create a collective work in which they can still distinguish their contribution. " To feel part of a whole, is cultivating the individual communication that the relationship with the group. Currently the lab, the first experience of its kind in Europe, is reserved for patients in the Fatebenefratelli, especially the children of the 'multidisciplinary outpatient clinic for the victims of bullying and beyond. " Soon, he hopes Luke Bernardo, Director of Mother and Child, "we would like it to be accessible, free of charge, to all those who need it." Why is art that does not obviate the medicine, is a winning fight to youth problems: "The poor choice of materials to shape the sculpture is not random - says Bernard -. Being flexible and changeable, their work reflects the possibility of change and transformation of the emotional state of these guys. " Even very young patients who have experienced violence by their peers, who have attempted suicide or who have problems related to alcohol or drugs. Boys fragile, brick by brick, they need to "restructure" its own personality. A fundraiser to help the initiative is expected in June and 16, in fact, free will inaugurate the exhibition of the artist Roberto Panzeri at the headquarters of PricewaterhouseCoopers Via Monterosa.

What Can I Do In Itchy Measles

drugs customized

Some people are allergic to a substance and does not know. Some people have a body that no longer tolerates a certain amount of substances. And yet, there are diseases that not all contract the same way that the care, not always, are universal.
Bugiardini The drugs are the same for everyone, but the sick are not all equal. And therapies drug do not react all the same way some people respond well and recover, but some - unfortunately - we leave the pens. For an allergic reaction to an incorrect dose. The solution is to create drugs "ad personam", made to measure for the patient. It would seem fatascienza, but - giving scientists Sacco Hospital where he was yesterday presented the new Pharmacology Unit that will make this new frontier his forte - it is not at all.
'Responses of patients to drugs - said Paul Clements, director of Unity - are increasingly unpredictable, " so that so-called adverse drug reactions are the fourth leading cause of death worldwide. In the last year, in sixteen hospitals in Lombardy, the region has spent twenty million euro drug therapies to correct wrong or treat people who have experienced adverse reactions.
"It is therefore increasingly necessary to create a personalized care." But how do you strike up a measure of patient therapy? Pharmacogenetics is an answer and right in the bag, birth of the first railway built in Italy with a system that will test the DNA of patients to find the ad hoc therapy: in essence it comes to studying what we have more staff, that is our mapping of DNA, to understand how genes interact with the product: "Working on these associations will allow us to measure the variability of drug response, thereby removing, in essence, the side effect linked to the individual patient and" optimizing care. Through pharmacovigilance, then, we monitor the effects. " The new Clinical Pharmacology
Sacco, an agreement with the University of Milan, will have its new building in 2010: four floors of research carried out in specialized laboratories and test beds for new drugs that will attract the search industry pharmaceutical and biomedical companies in Lombardy. Investment, which cost two million to Pirellone euro, medical workers, pharmacists, biologists, biotechnologists, chemical and pharmaceutical chemicals.
A 'turning point, "says Virgilio Ferrario, Dean of the Faculty of Medicine of the State:' It's important to talk not only of drugs designed for the type of disease, but also for the type of patient you wish to treat. The medicine of the future must involve the discussion of the disease on the person. Because if 90 percent is related to drug therapy itself, the ten percent is based on knowledge of the subject. "
The team of Professor Clements is already at work. Since September, he says, have already been tested about eight to ten people between the departments of oncology and Infectious Diseases: "The patient with an adverse drug reaction comes from us. By a levy, we measure the amount of drug in the blood and indicate the right dosage. " A first step towards the "personalization of medicine" by Roberto Formigoni hoped that in future, will allow citizens "to have a" card megnetica "with their own genetic characteristics, a kind of ATM's health."

2005 Easton Stealth Bats

Sacco Hospital Hand

There is a volleyball player who misses out with a shrug dribble in the phalanx, the motorcyclist to take up his two-wheeled racing car fail, the muscles of the forearm, the basketball player who falls apart a wrist or the player who plays with pedi instead of using your hands and it hurts. The hand, for the sport - climbing by those who those who play ice hockey - is one of the limbs most affected by fractures, infections, dislocations. The specialists are well aware of the Unit of Hand Surgery Hospital of Sesto San Giovanni have decided to create the first World Institute of Sports Traumatology of the Hand. A kind of international network of industry gurus to ensure the athletes the best care wherever they are.
the hand surgery IRCCS Sesto, directed by Giorgio Pajardi, professor of Plastic Surgery at the University of Milan, over ten years, performing around five thousand operations per year. And among hotel guests, who can also enjoy a fully equipped gym to continue training during hospitalization, there are so many sports stars. As Marco Stain, basketball dell'Armani Jeans, followed in January this year by Dr. Pivato for a compound fracture of the third metacarpal of his left hand. O Massimo Bulleri, who was also a basketball player on loan to Treviso basketball, work on the little finger of his left hand Oct. 27, 2008.
avail of professional sports world traveler, the new school offers a hand rehabilitation center run by 15 specialists, covering both surgery that the other therapies. In support there is also a team of psychologists, because the sample in office, the first incident, do not take panic or hysteria. And because you put in the mood to heal as quickly as possible. Last but not least, for those who are injured during a tournament or competition abroad, are ready to operate surgeons French, English, Polish, Russian, Chinese, American and so on. And like any self-respecting institution, there is also the part of the research aims at applying the most sophisticated surgical techniques that are less invasive or testing of alternative therapies. The WRISTH (This is the international acronym) works laboratories with biodynamic and biokinetic Keyo the University of Tokyo, the anatomy of the Miami Hand Center and the University of Hong Kong.
The categorical imperative of the Institute, says its president Loris Pegoli, "is to offer the best possible support to athletes around the world, ensuring the return to the track in fast times, respecting the physiology of trauma or disease. In short, while Valentino Rossi had to break his hand again during the Moto GP in Valencia and the "trigger finger" by Alessandro Nesta persists, the two champions will know where to turn.

Cervix Soft And High 1 Day Before Period?

Sos obese

There will also be looking in the mirror in disgust, terror to measure your waist or the despair of not finding a dress size. But being obese is not just a cosmetic problem, is a disease. And the numbers, as always, speak for themselves: Thirty percent of Lombard is overweight, one in ten is obese. Not only that. Every year in our region, about 8,500 deaths, about 10 percent is due to obesity: 23 deaths per day for this problem. Why are so many diseases, more or less serious, related to being overweight: diabetes, hypertension, ischemic heart disease, breathing disorders, certain cancers, stroke and cardiovascular disease in general. Lombardy, in this sense, is not among the Italian regions most at risk, but among overweight people (30.1 per cent of the population) and obese (8.6 percent) are still around four million.
alarm because of what it is - experts say - is launched by Sio, the Italian Society of Obesity. Michele Carruba, director of the Center for Studies and Research on Obesity of the University of Milan, does not mince words: "We are facing a real public health emergency office, not only as individuals. Just think that in Italy will spend about 22.8 billion annually for obesity-related conditions and more than half of these resources if they go in the costs of hospitalization, " that for admissions. "The diseases caused by overweight leads to a significant reduction in the quality of life and increased mortality risk," says Fabrizio Muratori, Sio national secretary and manager of the Complex Endocrinology, Niguarda Hospital, "an example of the importance just think of the phenomenon that 80 percent of patients with type 2 diabetes are obese. "
The solution? Rather than stick to the drugs and put in the hands of plastic surgeon is better run for cover before. And the key word is prevention. Therefore, after a national tour that touched various stages around Italy, including Lombardy arrives the campaign "Give weight to the weight," sponsored by the Institute of Health and Sio: free visits in clinics set up within some specific Ipercoop. It starts tomorrow and after Novate in Cremona and Milan, 20, 21, 27 and March 28 in Mantua, 3:04 April in Cremona. All persons between 18 and 75 years are overweight or suspicion will have two doctors and some nurses for a free check up will include: monitoring of blood counts, blood pressure, waist circumference, body mass index The assessment of fat distribution in relation to lean body mass and then a test on the psychological behavior towards food.
However, even at home you can do something. How to tell if the phenomenon is not really overt, if you are obese or not. Or even just overweight. Just calculate the body mass index: weight divided by the square of your height and you're done. If the result is equal to or greater than thirty is obese. Example: A person sixty-five feet high, weighing 85 pounds is among them. Or you can measure your waist: for women the limit is 88 cm for men 102. Beware of crash dieting and hit and run by the dietitian, warns Michael Barichella who teaches at the School of Specialization in Food Science from the University. It takes perseverance in treating the disease: "Obesity is a chronic disease that requires treatment that continues over time, because once stopped, it often tends to recover the lost weight. A key role in this sense has to play the family doctor. " No "diets DIY, then. Better check before you go to be no longer pass through the doors.

Helzberg Scott Kay Artiste Engagement

The effect Brunetta also comes ASL

"Brunette? Holy now: it has proven to be, after Lourdes, the true healing of the population. " He jokes - but not too much - the Director-General Emilio ASL Milano 2 Triaca when he speaks of the result that the Minister for Public Administration and Innovation has been absenteeism of public officials. The health company led by him, in fact, is among the most prominent examples of the effect Brunetta: according to the ministry, between December 2007 and the same month of 2008 absences were down 67.6 percent. The ASL has done even better in the province of Pavia, with a reduction of 74.3 percent. Jewels of Lombardy, the south-east Milan and Pavia are among the top five of Italy: Fifth the first, third the second. Emilio
Triaca, however, puts the facts straight: "We were virtuous even before, although I must say, those who stay at home a few more days after the flu, is now coming to work before. " Then he rattles off the figures: the total days of sick leave, 506 in December 2007, have now become 164. Same music when comparing the months of October and November: 786 to 320 and 683 against 228. Reduced even the events of sick leave exceeding ten days in October 2007 had 21 against the ten of 2008, to November 23 to 10, to Dec. 15 against six. All for a total number of employees, including medical staff and technical-administrative staff, an increase: 603 last year compared to 588 in 2007. In short, it ensures Triaca, "we were never in any case, a gang of drifters." The reason is simple: people in small countries murmurs. "As a healthcare covering a territory of small towns, there is a strong element of social control: Many of our employees are known in the country. Twenty percent of the clients of the health system, in fact, have friends, relatives or acquaintances of our staff. " In essence, pretending to be sick or stay at home for nothing is not easy in a place a few thousand souls, where everyone knows who you are and what you do. The ASL Milano 2 has a catchment area of \u200b\u200b580 thousand people and covers 68 municipalities in the south and east of Milan. Even in Pavia
Brunetta has been successful: "The decision of the Minister has declined especially absences of one day - says the Managing Director Camille Stone ASL -. Disincentives economic specified in the requirements have obviously worked as a deterrent. It 's also true, however, that in 2007 we had 14 employees, each, have carried out an average of absences of 21 days and a half, for a total of 301 days. Apart from this, she left a big slice. " But the data on the total days away from your desk speaks for itself: in December 2007 were 567 in 2008 are now 162. All this for even a slight decrease of employees: seven in less than 717 of 2007.

Manual Car Battery Charger With Hand Crank

The surgeon robot

Opera with four arms and with a precision that are the envy at the best luminary of the operating room. Hospital bag arrived yesterday the "Da Vinci S" the first robot surgeon owned by a public hospital in Lombardy. The device, which currently represents the most advanced system on the market for robotic surgery, has already been tried in the OPS of Urology and, today, also will be available to the ENT Clinic and the Obstetric and Gynecologic Clinic. In practice, among many other possibilities, will work with prostate cancer, larynx and uterine. But how does the robot? Nothing devilish, it's all very simple: there are four arms included in laparoscopy (a technique that allows it to operate without "open" abdomen) in the patient's body, connected to a console command before which the surgeon is seated. That has to do that maneuver the robot's arms with two handles. It looks like a video game, actually works with precision. The instruments operated by the machine have negligible size (3-4 mm) and allow to exploit the techniques of minimally invasive surgery. The advantages, says Gabor Franco, Head of the Unit of Urology at the Sacco and "investigator" of this technology after nearly eighty operations are different, "Minor bleeding, pain almost absent, a hospital stay of four days against average Classic a week and, above all, a quick return to everyday activities. " An example: In patients operated on for prostate cancer, seventy percent recovered continence after a month, Ninety percent after one year. In addition, compared to traditional laparoscopy, "allow a three-dimensional vision and greater statiticità. In short, the robot has a steady hand and compared to traditional "closed-air" moves to 360 degrees, as in an operation to open abdomen. The disadvantages? "In the beginning is not easy to get familiar, because it is less tactile sense, but it's only a matter of habit." The price of all this technology, then, is not great: a kind of gadgets cost a million six hundred thousand euro, financed by Pirellone. Not only that, any work done with the "Da Vinci" costs € 2,500 to the hospital. For this operation will be entrusted to the robot in a year, no more than 150 selected cases, depending on need and urgency. The costs, however high, however, will be amortized by sharing instrument between the various hospital departments. Of these surgical
machines, in Lombardy there are already, in addition to Sacco, four: the Niguarda Hospital in St. Joseph, European Institute of Oncology, San Raffaele. But the bag is the only public buildings to purchasing it. Italy is the second country in the world after the United States, for used because with 32 prototypes. For the City Councillor for Health Gianpaolo Landi di Chiavenna attention to robotic surgery "makes Milan a center of eccelleza health and medicine," especially emphasizes the prof. Emilio Trabucchi, director of Onco-Surgery Department of Gastroenterology-bag, "with regard to improving the quality of life of patients. And in this sense, the Lombardy Region is one that ensures the best services for less. "

Can Zinsser Paint Be Thinned

Snow

In Milan it snows, sometimes, even the greenhouse effect. For two days the city is almost paralyzed, walking on the sidewalks is a scary risk, sometimes comes out of the tram tracks and shovellers of color who have never seen snow in their lives do what they can. Yet, to hear the national news it seemed that the city was covered by a light painting, image reinforced by interviews with local authorities, according to which everything seemed to be under control. You touched on a local TV station to lift a veil over the city and show how things really were. Yesterday afternoon Antenna 3 has established a non-stop until 23: in the studio, many politicians took turns and inevitably have a political reading since the emergency situation. But it was especially the many phone calls (about 10,000!), Faxes and emails of viewers (the same seamless web of the Courier) to provide a true picture of the condition, and exceptional drama and chaos that had befallen the city. In Milan it snows, every now and then: the TV does not shovel the snow but still need something.