equipocesca http://equipocesca.org Tue, 24 Mar 2020 08:31:51 +0000 en-US hourly 1 http://wordpress.org/?v=3.5 Applying the precautionary principle to breast cancer screening: implications to public health http://equipocesca.org/en/english-applying-the-precautionary-principle-to-breast-cancer-screening-implications-to-public-health/ http://equipocesca.org/en/english-applying-the-precautionary-principle-to-breast-cancer-screening-implications-to-public-health/#comments Mon, 23 Mar 2020 16:58:05 +0000 Pedro Gérvas http://equipocesca.org/?p=5906555 This article discusses the Precautionary Principle to strengthen Quaternary Prevention when dealing with additive preventive measures such as breast cancer screening. According to Geoffrey Rose additive preventive measures are generally professional-led interventions that are alien to human ecology, economy, and physiology. These include drugs, vaccines and other biological, physical, and chemical products. Additive preventive measures can produce harm without potential benefit since most individuals are asymptomatic (healthy) and not destined to become sick in the future. Consequently, additive preventive measures cannot be considered safe and policymakers are accountable for providing evidence of their net benefit.

  • Applying the precautionary principle to breast cancer screening: implications to public health. Tesser CD, Norman AH, Gérvas J. Cad Saude Publica. 2019 Jul 22;35(7):e00048319. doi: 10.1590/0102-311X00048319. Download article here.
]]> http://equipocesca.org/en/english-applying-the-precautionary-principle-to-breast-cancer-screening-implications-to-public-health/feed/ 0 Coronavirus from Wuhan (China). 2019-nCoV. What you need to know to avoid a panic epidemic http://equipocesca.org/en/coronavirus-de-wuhan-china-2019-ncov-lo-que-tiene-que-saber-para-evitar-una-epidemia-de-panico/ http://equipocesca.org/en/coronavirus-de-wuhan-china-2019-ncov-lo-que-tiene-que-saber-para-evitar-una-epidemia-de-panico/#comments Mon, 23 Mar 2020 15:32:03 +0000 Pedro Gérvas http://equipocesca.org/?p=5906530 Coronaviruses have been with us for thousands of years, and we are prepared to overcome their infections.  If you have traveled to Wuhan (China) or have had close contact with those who have traveled there and have severe catarrhal symptoms with respiratory distress, consult your doctor especially if you have any underlying disease.  In all other cases avoid a panic epidemic, be prudent.

  • Coronavirus from Wuhan (China). 2019-nCoV.  What you need to know to avoid a panic epidemic. Gérvas J. Madrid. February 2020. Download article here.
]]> http://equipocesca.org/en/coronavirus-de-wuhan-china-2019-ncov-lo-que-tiene-que-saber-para-evitar-una-epidemia-de-panico/feed/ 0 What has evidence based medicine (EBM) done for our patients? We do not know. We must abandon it http://equipocesca.org/en/english-what-has-evidence-based-medicine-ebm-done-for-our-patients-we-do-not-know-we-must-abandon-it/ http://equipocesca.org/en/english-what-has-evidence-based-medicine-ebm-done-for-our-patients-we-do-not-know-we-must-abandon-it/#comments Wed, 18 Sep 2019 16:05:59 +0000 Pedro Gérvas http://equipocesca.org/?p=5906493 We must admit that: a / “if the final objective of EBM (Evidence Based Medicine) is to improve patients-populations’ health, do we have evidence of succeed in this objective?” No, b / is EBM harming patients-populations’ health? We do not know. Evidence-Based Medicine (#EBM) has not demonstrated any impact on patients’ health. It is honest to think that the EBM has become harmful and it is urgent to abandon it and replace it with a Medicine Based on Living.  See also: https://www.actasanitaria.com/what-has-evidence-based-medicine-ebm-done-for-our-patients/

  • What has evidence based medicine (EBM) done for our patients? We do not know. We must abandon it. Gérvas J. Madrid. September 2019. Download article here.
]]> http://equipocesca.org/en/english-what-has-evidence-based-medicine-ebm-done-for-our-patients-we-do-not-know-we-must-abandon-it/feed/ 0 Quaternary prevention: a task of the general practitioner http://equipocesca.org/en/english-quaternary-prevention-a-task-of-the-general-practitioner/ http://equipocesca.org/en/english-quaternary-prevention-a-task-of-the-general-practitioner/#comments Wed, 18 Sep 2019 15:57:57 +0000 Pedro Gérvas http://equipocesca.org/?p=5906490 -“Prevention is better than cure”. This principle is undisputed. New knowledge points to the fact that prevention can  also  do  harm.  Under  the  concept  “quaternary  prevention”  efforts  are  currently  focused  on  finding  the  right measure of preventive care, true to the old medical tenet “primum non nocere”.
  • Quaternary prevention: a task of the general practitioner. Kuehlein, T., Sghedoni, D., Visentin, G., Gérvas, J., Jamoule, M. [Quartäre Prävention, eine Aufgabe für Hausärzte]. PrimaryCare. 2010; 10(18): 350-4. Download article here.
]]> http://equipocesca.org/en/english-quaternary-prevention-a-task-of-the-general-practitioner/feed/ 0 Measles outbreaks, a public health focus http://equipocesca.org/en/english-measles-outbreaks-a-public-health-focus/ http://equipocesca.org/en/english-measles-outbreaks-a-public-health-focus/#comments Thu, 11 Apr 2019 05:27:09 +0000 Pedro http://equipocesca.org/?p=5906446 We have problems with measles. But the key question is not the acceptance of the vaccine, but access to it and problems with its effectiveness. Before thinking in mandatory policies, think in improving access and efectiveness.
  • Measles outbreaks, a public health focus. Gérvas J. Madrid, Spain. April 2019. Download article here.
]]> http://equipocesca.org/en/english-measles-outbreaks-a-public-health-focus/feed/ 0 Medicine and its preventive excesses http://equipocesca.org/en/medicine-and-its-preventive-excesses/ http://equipocesca.org/en/medicine-and-its-preventive-excesses/#comments Mon, 18 Dec 2017 06:52:54 +0000 Pedro http://equipocesca.org/?p=5906408 With practical examples based on the real impact of medicalization in people lives and on the results from relevant and well designed studies, Juan Gérvas analyses the importance of certain screening programmes as breast cancer, thyroid cancer, the relevance of health check-ups and the impact of certain vaccines. He discusses the examples of Public Health Programs in some countries and its null or negative effect in terms of health indicators and quality of life results.
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