lundi 14 novembre 2022

Healthcare in Europe: UK situation is not an exception

 Britons now have the worst access to healthcare in Europe, and it shows 


It seems to me a little bit exaggerated.
https://www.newsncr.com/business/britons-now-have-the-worst-access-to-healthcare-in-europe-and-it-shows/#:~:text=Business-,Britons%20now%20have%20the%20worst%20entry,in%20Europe%2C%20and%20it%20exhibits&text=For%20the%20previous%20few%20months,British%20staff%20into%20financial%20inactivity.





For the past few months, a fierce debate has been raging over the question of what exactly is behind the sudden, sharp exodus of older British workers into economic inactivity. Is it driven by rapidly worsening health or, more benignly, a flow of early retirements? There are two further, key questions here. First, where does one draw the line in determining whether ill health played a role in someone’s decision to leave the labour force? And second, is it preferable to have a trend of worsening health that drives people out of the workforce, or one that spares the working but condemns the already workless to stay put? One thing, though, is clear: the UK is now roughly three years into a steady march of chronic illness that is scything through the most vulnerable and marginalised in our population. Beginning shortly before the pandemic but then accelerating, there has been a steep climb in rates of chronic ill health among the long-term workless. Today there are half a million more working-age people in the UK with impairing health conditions than if pre-pandemic trends had continued, and 90 per cent of them are people who have not worked in several years. And the damage is by no means limited to the older cohort. Rates of chronic back and neck pain have risen among the over-50s, but there has also been a clear increase in mental health difficulties among the under-35s. Economic activity rates are lower for Britons with mental health problems than for any other condition. Seventy per cent are outside the workforce, and only half of those say they will probably or definitely work again. The data, while not conclusive, suggest a dynamic in which those whose position on the periphery of society had already exposed them to greater health risks suddenly found themselves high and dry when access to healthcare was curtailed, and are now some way down ballooning waiting lists. This week, the NHS announced that the length of its waiting list for hospital treatments has probably been overstated due to some patients being on it for multiple treatments. There may in fact be “only” 5.5mn people waiting for potentially life-changing treatment. Among them are 1.3mn people who have been referred to mental health services but are yet to receive their second contact. The international perspective is striking. Over the past year, one in six UK adults has had a pressing need for medical examination or treatment and been unable to get access, with almost half of these cases due to the length of waiting lists, according to data from YouGov and Eurostat. This is the highest figure out of 36 European countries and almost triple the EU average. With a lengthy recession looming and spending cuts on the agenda, the future for Britain’s peripheral class looks bleak, but bringing them back into the fold should be the country’s top priority. john.burn-murdoch@ft.com, @jburnmurdoch


1/ access to healthcare is a very biased concept. For instance access to vital treatments is counted with access to dental services, spa treatments or with cancelled appointments...

2/ access to ER may be very difficult if every one at every time anywhere is allowed to enter the ER for a treatment which is not urgent or  could be postponed...

Is it an endless story or are there substantial proofs of zoonotic origin of the Sars-CoV-2?

 https://www.propublica.org/article/senate-report-covid-19-origin-wuhan-lab 

The RNA platform and the need of a treatment for hyper Lp(a) patients

 

Lp(a)





https://www.nejm.org/doi/full/10.1056/NEJMoa2211023



https://www.ahajournals.org/doi/pdf/10.1161/ATV.0000000000000147?download=true


https://www.ahajournals.org/doi/full/10.1161/01.ATV.0000144010.55563.63




Figure. Lp(a) structure, properties, regulation, and relation to disease. Lipoprotein(a) [Lp(a)] consists of a lipid-rich domain, primarily cholesteryl esters, and apolipoprotein(a) [apo(a)]. Apo(a) binds to apolipoprotein B100 (apoB) via a single disulfide bond (a) at a location close the low-density lipoprotein receptor binding site of apoB (b). Apo(a) contains repeated kringle (K) structures (KIV and KV), comparable with those in plasminogen. There are 10 different subtypes of apo(a) KIV, where type 2 is present in multiple copies, resulting in a highly variable molecular mass (300–800 kDa). Apo(a) is compositionally unique among apolipoproteins with a high carbohydrate content (≈28%). Proinflammatory and proatherogenic oxidized phospholipids bind to apo(a) KIV type 10 (c) and can also be found in the lipid phase. Apo(a) contains a protease domain (d) that lacks enzymatic activity. The Lp(a) concentration is heterogeneous and, to a major extent, controlled by genetics, inversely related to the copy number variation in the LPA gene. Other factors such as ethnicity and race and medical and environmental conditions also play roles in Lp(a) regulation. Lp(a) has been associated with increased risks of atherosclerosis, thrombosis, and aortic valve calcification.


Psycho-analysis is the contrary of science. Assertions issued by a man without the burden of proof.

 https://www.stephenhicks.org/2022/11/13/freud-and-original-sin/?fbclid=IwAR2Up3NfsJ6TUqTZNUnXDDGlqzZXPZYH9GtshRyfb57mqp1FIaJiPr_Z0t8


The fascination of the intelligentsia with a man who claimed to hold the truth about human nature was incredible in Freud's day and still is today.


Human nature is determined by genetics, evolution and individual social bonding. Clearly, evolutionary traits are predominant because they determine the survival of the species sapiens sapiens.



Freud overestimated the parental environment and ignored genomics and evolutionary pressure as well as the shared environment. This has led, regardless of the content of Freudian theory, to a terribly biased approach to human nature and mental illness.

This approach is a failure in mental illness and has unnecessarily made parents and grandparents feel guilty without any proven therapeutic benefit.




La fascination de l'intelligentsia pour un homme qui prétendait détenir la vérité de la nature humaine a été incroyable à l'époque de Freud et encore aujourd'hui.


La nature humaine est déterminée par la génétique, l'évolution et l'établissement individuel des liens sociaux. De toute évidence, les traits évolutifs sont prédominants car ils déterminent la survie de l'espèce sapiens sapiens.



Freud a surestimé l'environnement parental et a ignoré la génomique et la pression évolutive ainsi que l'environnement partagé. Cela a conduit, indépendamment du contenu de la théorie freudienne, à une approche terriblement biaisée de la nature humaine et des maladies mentales.

Cette approche est un échec dans les maladies mentales et elle a culpabilisé sans raison des parents et des grands parents sans aucun bénéfice thérapeutique prouvé.



vendredi 4 novembre 2022

Néonatalogie, bronchiolite et capacités de soins: l'état n'est pas la solution, la gestion des hôpitaux est le sujet.

La grippe la bronchiolite et d'autres pathologies infectieuses saisonnières sont revenues.

Les enfants étaient depuis le début  de la Covid-19 protégés du VRS par des protections sanitaires mises en place pour ralentir la propagation du Sars-CoV-2 (masques, éloignement interpersonnel, lavage de mains). Une fois levées ces protections les virus et bactéries recirculent par les gouttelettes, les aérosols et les mains.

Pour comprendre les difficultés à répondre à ce type d'évènement il faut d'abord raisonner en termes d'organisation de production de soins. Nous savons en effet que les moyens sont considérables.

Les hôpitaux sont confrontés à une augmentation saisonnière des rhumes et de la grippe, ainsi qu'au fardeau continu de la COVID-19. C'est donc une activité importante. Pour la Covid-19 ce sont des adultes et des personnes âgées et pour le VRS et la grippe des enfants.

Certains hôpitaux ont perdu en capacité de lits de pédiatrie après avoir converti les services pour enfants pour traiter les adultes atteints de COVID-19 à la place.

Il existe d'autres causes générales aux difficultés actuelles comme:

-la pénurie de main d'oeuvre des médecins aux aides soignantes.

-la rigidité organisationnelle des hôpitaux

-les pénuries d'heures de soins disponibles en médecine ambulatoire

-l'absence de vaccin pour le virus respiratoire syncitial.


Dans ces conditions, il faut accélérer la mise en place d'une organisation plus souple, flexible qui s'adapte à la conjoncture épidémique. Les uns et les autres le savent. Embaucher un personnel qui n'existe pas grâce à des rallonges budgétaires est de la communication pour les syndicats, avoir des freins persistants au redéploiement des personnels hospitaliers est un handicap qu'il est convenu de ne pas nommer, ce jeu nuit aux patients. 
Les syndicats veulent de l'argent et la réalité requiert une organisation plus efficiente.

Le résultat est une pression sur la capacité des médecins à traiter les enfants avec toutes sortes de blessures ou de maladies. Une forme de submersion comme lors de l'arrivée de la Covid-19 mais chez les enfants, les nourrissons et les nouveaux-nés.

jeudi 20 octobre 2022

Algérie tragique

Un signe fort comme disent les politiques.
Était-ce pendant la visite de la PM E. Borne?


lundi 17 octobre 2022

Gas turbine: do you know how it works?

Gas Turbine Components and Principle: – A gas turbine is a type of internal combustion engine whose working fluid is the air itself. The engine is used to extract chemical energy from fuel and is also used to convert the chemical energy into the mechanical energy by the use of gaseous energy as the working fluid to drive the engine and propeller, this, in turn, propels the aircraft.

https://engineeringlearn.com/gas-turbine-components-and-principle/?fbclid=IwAR3z5mnFRVr3bTt50me-akGxA2zFMVsJ8pb3eDEvJodPjbL3Cwg7NId_aM8 


samedi 15 octobre 2022

Halle in Germany: I discovered the Nebra disk and an excellent hotel

Thank you for sending me a free Nebra disk repro.  I requested to buy one at your front desk as advertised but it was not available at that time. Great commercial gesture.
#Dormero
#2016
#LeipzigEndoCourse



 



Excellent Hotel: Dormero

  Leipziger Str. 76, 06108 Halle (Saale), Germany



Halle is known for the Bronze disc:

The Nebra sky disc (GermanHimmelsscheibe von Nebra) is a bronze disc of around 30 cm (12 in) diameter and a weight of 2.2 kg (4.9 lb), having a blue-green patina and inlaid with gold symbols.[1][2] These symbols are interpreted generally as the Sun or full moon, a lunar crescent, and stars (including a cluster of seven stars interpreted as the Pleiades). Two golden arcs along the sides, interpreted to mark the angle between the solstices, were added later. A final addition was another arc at the bottom with internal parallel lines, which is usually interpreted as a solar boat with numerous oars,[3] though some authors have also suggested that it may represent a rainbow,[4] or the Aurora Borealis.[5]

The disc was found buried on the Mittelberg hill near Nebra in Germany.[6] It is dated by archaeologists to c. 1800–1600 BCE and attributed to the Early Bronze Age Unetice culture.[7][8] Various scientific analyses of the disc, the items found with the disc, and the find spot have confirmed the Early Bronze Age dating.[9][10][11]

The Nebra sky disc features the oldest concrete depiction of astronomical phenomena known from anywhere in the world.[1][12][9] In June 2013, it was included in the UNESCO Memory of the World Register and termed "one of the most important archaeological finds of the twentieth century."[13]



https://en.wikipedia.org/wiki/Nebra_sky_disc 




lundi 3 octobre 2022

Babi Yar

"For 25 years after the war, the Soviet Union barely acknowledged Babi Yar. No memorial marked the site. In 1961, in protest against plans to build a sports stadium on the site, Yevgeny Yevtushenko, then a young Soviet poet, wrote a moving poem, Baby Yar, which begins

No gravestone stands on Baby Yar;
Only coarse earth heaped roughly on the gash:
Such dread comes over me.

A year later the poem was set to music by Dmitry Shostakovich as part of his choral 13th Symphony, first performed in Moscow in December 1962. Both Yevtushenko and Shostakovich were reprimanded for their “cosmopolitanism” by the Soviet authorities, who refused to acknowledge the special Jewish significance of a site where other Soviets had been killed.

A small obelisk was constructed at Babi Yar in 1966. In 1974 a 50-foot (15-metre) memorial statue was finally erected. Identification of the victims was vague; the word Jew was not used. Not until 1991, on the 50th anniversary of the Babi Yar massacres, was the identity of the victims recorded on the monument by the newly independent Ukrainian government."

 
Paperblog