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Vaccines are not seat belts, and motor vehicles are not human beings

10 Apr

The debate on the coercive vaccination is raised many times with the example of the acceptance of the implementation of the mandatory use of  seat belts in motor vehicles. It is a very popular approach usually led by those who lack scientific training in vaccines. Seat belts are no vaccines, and motor vehicles are not [...]

Veoza (fezolinetant) for hot flushes in menopause – think twice!

20 Jan

During the climacteric period, before, during and after the menopause, hot flushes are common. In general they can be endured without great discomfort and subside with time, but there are cases of great intensity and persistence. This paper discusses the marketing of Veoza (fezolinetant) for the relief of hot flushes. The issue is that it [...]

BRCA test, only for females of high familiar risk

22 May

BRCA genes are “normal” genes we all share in our cells. Some mutations of BRCA genes are associated with a higher incidence of breast and ovarian cancer. In this summary there is a few numbers to understand the problem. BRCA test, only for females of high familiar risk. Gérvas J. Madrid, 21st May 2013. Download [...]

Crying patients in general/family practice: incidence, reasons for encounter and health problems

16 Dec

Despite evidence demonstrating the benefits of understanding patients, there is a paucity of information about how physicians address psychological and social concerns of patients. Patients cried in 157 encounters out of a total of 18,627 giving an incidence rate of 8.4 per thousand. More frequent reasons for encounters were: feeling depressed (12.7%), social handicap (mainly [...]

A few reasons to say no, thanks, to influenza vaccines

13 Sep

Influenza is a very common infection that spreads during winter time. In general flu is a lightly disease, but it may complicate the evolution of chronic patients, and even healthy ones. The best answer to stop the propagation is just to wash your hands. But official institutions and private organizations push to introduce influenza vaccine [...]

Primary health care oriented systems, for whom, why and how

4 Jun

Health systems are social products, and as such they cannot being invented. They are expression of the final election between “freedom” and “equity”. Freedom means that each person may select and pay for the needed health services. Equity means solidarity, to help those in need even at the cost that are fit. Only the USA [...]

Quaternary prevention: a summary

4 Jun

Quaternary prevention is the prevention of harms by medical interventions and as such a foundation block of medicine (primum non nocere). All services have adverse effects, all services might produce damage to health. A few services produce more benefits than harms in specific situations. Unnecessary and inappropriate services mainly produce harms, and few benefits if [...]