Monday, September 19, 2016

With the broken soul

It had been a year or less. I was sitting in the kitchen protecting me against my dose Alzheimer estratosféric to regular caffeine evening when I heard commotion in the administrative area. As seemed a hubbub of friendly dyes, I decided to savor the tranquility and seconds before the start of the day solitude sure that the emotional tide would soon flood my haven of peace. So it was. As if they had opened the door of the cinema, they entered the kitchen a crowd of companions and surrounding companions, asaetándola questions and shaking her kisses and hugs as Mr Marshall had at last stopped in Villar del Río.


She had reserved space in the heart of all, a parking space in our lives with his name painted had earned by a freak of nature: to be immensely good. I knew her to at least two centuries. He remembered with huge glasses and almost buried among books and notes, laughing at my pranks in class with condescension who harbors no doubts about the existence of an exploitable background within my bouffant. The same was the only person who had no such doubts, including myself. In and out of my life for the confluences in classes and practices that encouraged chance from the initials of our names, and my inevitable academic irregularities, to put a friendly way.

Then the million ways of fate seemed to leave our meetings in memory or forgotten, until a poor woman had to keep rest throughout her pregnancy and the young and flamboyant doctor itinerant family replaced it in his immensely happy query savoring a continuity that would allow him to spend at least once every calendar sheets table with jokes Forges.













Monday, September 12, 2016

recommended

I'm from the house. Such a simple expression, four words and short, a home and moving noun. A frightening expression. Hear those words made me sweat like the fat of the films that owe money to the mobsters. A ring of sweat under the armpits revealing white or green pajamas crumpled thousand hours standing in the hallway emergency. A resident fencing.

It is true that within that expression could be an amalgam of beings whose level of influence varied so much like my cousin was present at the wedding of the Duke of Alba, but even at lower levels, forcing by-passes acceleration were taking pace as the expression is repeated like a mantra cacophonous in the pits, laboratories, offices ray rooms or attachments.

And the worst was when at some point in the chain, wanted to become a bully Robespierre and shouted to lung and pleura he did distinction. Generally the cock in question raised his chin and ruffling her robe as if it were fox coat, picturing the face of the guard or the assistant who had claimed their rights seigneur staying with two feet noses. But Fox got his tail between his legs and stuck out her tongue like a lapdog when who proclaimed his membership in the mater house was a doctor, let alone a surgeon.

But the resident was at that time an errand, go you know now, and the little phrase of yore knew you augured many walks, pains head and even the launch of a chain of favors. And all this with the permanent scare in the body raise his head and find yourself breathing like deep throat on your shoulder named "home".

The girl was about twelve years of those before the Nutella, when they were ashamed not yet come to ask the price of a Barbie. It was in one of two pediatric emergency consultations, sentadita very still in the chair, beside her father giving her hand. I do not see them honked their faces in the crowded waiting room when he went to call patients, but I thought it was the result of my cluelessness, more than any other cause.

But then the father went to the nurse by name and she replied with a laugh joke that made adults and children, to me, looking jerk for not learn anything. Then he shook my hand and introduced himself.

- "I believe that we have never met'm Dr. Mariano Lopez, the house surgeon This is my daughter..."













All Secrets of Laser Hair Removal: Is It Safe? Are your results permanent?

Now that the good weather begins, many women remember the uncomfortable hair, which goes something more unnoticed in the cold months, but which now shows itself as an unpleasant guest. Precisely the laser has been making an exception gap between the techniques of hair removal, due mainly to its duration. So, we wanted to dig a little more about this technique, to try to leave things a little clearer in the event that you have ever thought to undergo a laser hair removal treatment. For this we have spoken with Dr. Verónica Arteaga Lujan, of the clinics Depilhair, who has helped us to know the technique a little better. Do not miss it!

For a layman in the matter, doubts can arise because of the large number of names and publicity, sometimes misleading, that usually surround the subject. Do you think it is essential to trust the opinion and recommendations of a doctor?
Not only the recommendations of a doctor are fundamental, but also the follow-up. Both laser hair removal and non-invasive cosmetic medicine must have continuous medical monitoring and follow-up to avoid endangering the patient’s health. Nowadays there are many establishments that offer hair removal and even facial fillings without medical treatment. This can seriously affect the patient’s health and have permanent negative consequences.

Today, laser hair removal is performed both in medical-aesthetic centers as beauty centers or even hairdressers or gyms. Do you think that a clearer regulation is needed to avoid possible problems?
No doubt regulation is necessary. Keep in mind that the patient is putting his body, his skin and his health in the hands of the person who is laser hair removal. If the epilation is performed by an unprepared person and without medical knowledge, it can produce very serious, often irreversible, injuries.

Parallel to the growth in demand, complaints of minor sequelae (burns, for example) or results that are not expected also increase, where is the problem?
The biggest problem lies in the use of the apparatus by non-professionals and without medical monitoring and control. If the staff that performs the depilation is not certified to use the appliance, that can also end up in burns to the patient. It is necessary to take into account that each patient is a world and that, therefore, before performing the laser hair removal, it is necessary to consult a doctor who examines the patient’s skin, the medications he takes, etc.
The best way to avoid these sequelae is to make sure that the personnel handling the machine is certified for it and that a doctor is following up.

Speaking of the technique itself, are the results permanent?
The results are permanent, as long as the patient performs the sessions when advised, depending on the hair cycle. If the sessions are skipped or too much time is left between them, then the results are delayed. Although the results are 100%, we recommend that, once finalized, an annual session is held, to eliminate the fine blond hair that appears in few occasions.

Is it a safe method?
If it is performed by people certified to handle the laser and under medical follow-up, safety is total. In addition to effective.

For which areas is it specially recommended?
For all. There is no area for which the laser is not advised. It can be used in all areas of the body in any type of skins.

To what extent do skin tone and hair color influence?
With the Soprano laser the tone of the skin and the color of the hair do not influence at all. It is especially suitable for brown skin or blond hair, so it can be used even in summer when sunbathing.

What is the ideal profile for a laser hair removal session?
All types of ages from 14 years, male and female. The only conditions are that 3 days have passed since the last sunbath and that the skin does not have any wounds.

Is it still painful? Have the techniques improved in this regard?
Technology has improved greatly in this regard. With the Soprano laser the depilation is almost painless, although of course it always depends on each person. One person may be more sensitive than another, but the pain is hardly existing.

When do you begin to notice the results?
From the first session you can already see how some hairs begin to grow and fall. With each session the areas are free of hairs, until finally all disappear. It is advisable to follow the deadlines indicated between each session for maximum effectiveness.

What are the latest developments in the field of laser hair removal?
The Soprano laser is the latest news regarding laser hair removal.

The arrival of the Soprano laser has meant a small revolution in the world of the laser?
That’s right, it is the first laser to even depilate brown skin or very blond hair, in addition to allowing the sun to take two or three days. Until the arrival of Soprano, in summer it was impossible to depilate and the people with the hair very blond did not notice any type of effectiveness.

What is the best time of year to undergo a laser hair removal session?
Thanks to the Soprano laser the time of year is indifferent. Many people prefer to do it in winter, but it is a purely psychological issue because at that time they have their bodies covered and they do not care about their hair …

What precautions or precautions should you take once you start with the laser sessions?
First of all let the doctor know if you have any type of skin lesion, if you are pregnant or if you have started taking some type of medication. All this is important because the skin can change and the doctor is the most appropriate to say whether or not to continue the treatment.

Which areas are still the most waxed women?
Today all areas are depilated. The most popular are the armpits, the English and the legs, but other areas such as the linea alba, facial hair, etc. are also very common.

Laser Alexandrite, Diode, Ruby, Neodymium Yag … who is who in the world of laser? Could you make a short summary in a clear and simple way to understand a little more of each type and for whom is more effective?
The difference between all these is the length of the wave:
The Alexandrite is mostly used for dark hair and a medium skin tone, the Diode and is used for dark skin and removes all hair, Ruby is especially suitable for skins Clear and dark hairs and finally the Yag, with the highest wavelength, can be used with any type of skin, although it requires one or two more sessions.

Do you choose the type of laser most appropriate for each person based on their characteristics?
Of course. Before the sessions begin a free medical consultation is given. There, the doctor examines each client and determines which treatment is best for him or her.

Many readers still do not know the differences between photodepilation and laser hair removal. Could we summarize them in a simple way?
The laser has a light that moves in a straight line and is absorbed more accurately. Being more precise, it protects the surrounding tissue and affects only the melanin. That is, it goes straight to the root of the hair, the light does not shoot to other areas of the skin. Photodepilation has a light that moves in all directions, so it is less accurate. It is absorbed in all areas of the skin, so the hair follicle is not attacked directly.

Is laser hair removal also a men’s thing? Are more men going to laser hair removal centers? Which areas are most in demand by them?
Nowadays there is almost no difference between men and women in hair removal issues. In clinics we already have almost the same number of clients in both sexes. Men are aware that they are in their right to take care of themselves and they do it more and more. As in women, all areas are highly demanded, but if you had to choose a favorite, it would be the chest and back, followed by the glutes.

Children’s Hospital Los Angeles Organizes an Advance for Quinceañeras Celebration

octors, nurses and staff at Children’s
Hospital Los Angeles (CHLA) received a special surprise
earlier this week: an advance of the Quinceañeras dresses of
two very special patients, the ex-Siamese Josie Hull and Teresa Cajas.


This weekend, Josie and Teresa will be the stars of their celebration
of Quinceañeras, which marks the transition from girls to women when the
ladies turn 15 in the Latino community. “I’m really
excited about our party,” says Josie. “We’ll have a cake,
sweets, a photo booth from thatphotobooth.com.au and an In-N-Out truck.”

These milestones are special for the twins. Born in Guatemala on
July 25 , 2001, the Siamese Josie and Teresa, nicknamed the two Marias,
were united by the skull and the prognosis was not optimistic. But on
August 5 , 2002, shortly after his first birthday, he
underwent a 23-hour separation surgery at a Los
Angeles hospital . In 2004, the care of the sisters was transferred to CHLA,
where they underwent 32 surgeries and procedures together under the
attention of pediatricians specialized in neurosurgery ,
orthopedics ,
neurology
and plastic and maxillofacial surgery
. “The road was harder for Teresa,”
says Jenny Hull, Josie’s mother. “We are so happy because we were not
sure that the girls would reach the age of 15.”

When the twins arrived at the Children’s Hospital for the advance, they
dressed in their Quinceañeras dresses and greeted the
hospital staff with smiles and hugs. Josie sang songs with friends and
family, served cake to the CHLA staff and both girls posed
for photographs on the red carpet. “So many doctors and nurses
helped us do so many things, that I am now able to participate in
dance, singing and swimming competitions thanks to them,” says Josie.

“They are an inspiration to the medical teams that helped them,”
says Dr. Mark
Urata , chief of CHLA’s Division of Plastic and Maxillofacial
Surgery and a member of the surgery team that separated Josie and Teresa in
2002. ” Then, separation surgery was not common, and the
prognosis for Siamese like Josie and Teresa was uncertain. If one becomes
ill, the other could also become ill, so the statistics
are not very strong to have a long life as a Siamese. I think the
separation was an experience that changed their lives. ”

The original text in the source language of this release is the
official authorized version . The translations are only provided as an adaptation
and should be checked against the text in the source language, which is the only
version of the text that will have a legal effect.

Gunsmithing vocational schools

Gunsmithing is a complex job that involves expertise in the design, construction, customization and repair of firearms. Students are taught craft skills in various fields such as metallurgy, wood and mathematics. There are best gunsmithing school all over the country dedicated to teaching the art of gun manufacturers.

Pennsylvania Gunsmith School

The Pennsylvania School Gunsmith (PGS) offers a Gunsmithing Master’s program as a two-year (16-month) course.The SPG program focuses exclusively on gun manufacturers, allowing students to learn in an environment with practical training store. The teachers are professional gunsmiths. Areas of study range from weapon repair bases to complex weapon customization.

PGS encourages future students to arrange a visit to the school to meet the staff and see the enrollment of the current curriculum in action. Classes begin every month, except in July and December. Financial aid is available, including federal Pell grants, direct student loans, Workforce Investment Act, and private loan programs. PGS is a member of the Commission of Accreditation of Training Schools and Technology Universities.

 
Pennsylvania Gunsmith School 812 Ohio River
Boulevard Pittsburgh, Pennsylvania 15202
412-766-1812
pagunsmith.edu

NRA Short Term Gunsmithing School – Murray State College

The National Rifle Association (NRA) offers short-term armero courses in affiliation with some universities, including Murray State College. Depending on the course of study, classes can last from several days to two weeks and will take place in the spring and summer. The Murray State College course provides training in areas such as the basic operation of the mill and lathe machine, re-firing rifle, stock-making and engraving. You need to provide your own weapons, tools and other supplies for the program.

Accommodation is available on the Murray State campus, and the school must receive fees four weeks before the start of its first class. The NRA is $ 250 scholarships available to qualified students through the ANR Foundation to help cover expenses, including registration fees, tools, and lodging and meals while attending classes.

NRA Gunsmithing Schools
Murray State College
A Murray Campus
Tishomingo, OK 73460
580-371-2371
mscok.edu

Yavapai College Gunsmithing School

The Gunsmithing Certified Grooming Program at Yavapai Gunsmithing School focuses on custom guns and will prepare you for employment at an established gun store. The school is an accredited institution, with instructors who own and operate a business involved in the field of the pistol. The course of study includes milling, grinding and heat treatment of firearms. Computer assisted drafting, design and assembly of warehouse gun are also part of the curriculum. Yavapai College of Gunsmithing also offers advanced degree programs that prepare students to open their own Gunsmithing business.

Yavapai College
1100 Sheldon Street East
Prescott, Arizona 86301
928-717-7720
yc.edu

SEA KAYAK HEALTH TIPS AND SAFETY STANDARDS

In this tandem kayak review, unlike other boats, no permit or course is required to fly them. Legally (in Spain) is like a mat. There are some permissions hydrographic confederations , but they are only administrative. This freedom implies responsibility. That’s why those who surf kayak must have a minimum basic equipment and routines to reduce and avoid potential dangers of this sport . Here I’ll tell you summarize the material and recommendations should follow to increase security in sea kayaking.

MATERIAL

BUOYANCY

Watertight compartments (tambuchos) for bow and / or stern with sufficient buoyancy and with hermetic covers. It is recommended that the covers are attached with a cable because they do not float.
Toilet covers, which fit well and do not allow the passage of water
Bilge pump portable, hand bailer and sponge.
Bucket float
Lifejacket especially for sea kayaking, with whistle , signal mirror and knife
PROPULSION

Pala removable parts, or carries the shovel fastened with leash . Important not to carry the leash hooked on embarkations and landings with waves.
EQUIPMENT

Life line on the kayak deck. Handles at the ends. Grommets on deck.
Towline (minimum 10 meters long), and auxiliary ropes 1 m carabiners at both ends.
Compass (compass) or GPS (especially if we sailed away from the coast)
American tape to cover waterways.
Reflective strips on the kayak to improve visibility at night. Clothing and vest are usually worn.
Vhf kayak station Leash-of-shovel Kayak fishing vest
PERSONAL SECURITY

To prevent hypothermia / Heatstroke / sunstroke wearing the right clothes ..
Thin neoprene suit with reflective bands.
Thermal shirt , and water resistant.
Boots with sole.
Anorak with a seamless collar and neoprene or latex, breathable and reflective strips.
Dry suit as an alternative dress, essential in cold waters (less than 10 degrees)
Waterproof bag with dry clothes. Thermos with hot drink
Hat or head cap
Thermal blanket
UV protective clothing in summer
ESSENTIAL EQUIPMENT

Flashlight with flash flash.
Aid kit and sunscreen.
Water (minimum 2 liters / day).
High nutritional power foods.
Mobile phone waterproof or waterproof cover
OPTIONAL EQUIPMENT

Nautical chart and tide table.
Radio VHF marine band portable 5 W, perfectly watertight.
app Safetrx
406 MHz EPIRB personnel or system tracking SPOT .
Red signal flares.
Horn Mini trump
Pliers if you fish
Bilge pump for sea kayak Stroboscopic light to be seen in the sea Kayak and nautical knife
RECOMMENDATIONS

BEFORE GOING OUT TO SEA

Review if you carry everything. Adjusts the list of safety material according to the type of crossing or the environment.
Bring the safety elements by hand if you have to use them in the water. Remember to carry everything you carry on deck. On the covers only the essentials.
Study the weather ( windguru , Meteosim , …). Centers Maritime Rescue and Radio Stations issue bulletins on Channel 16 VHF .
Avoid taking unnecessary risks. Do not go sailing in case of wind, waves or poor visibility. Keep in mind that weather conditions can change very quickly on the coast.
Make a navigation plan and communicate it to someone on the ground, you can notify rescue services. Fundamental data navigation plan : Points of departure and arrival. Schedule. Itinerary. Alternatives in case of emergency. Description of the kayaks, their colors and quantity of paddlers. Description and data of own cars. This pattern should be easier to comply with the app Safetrx that automates many of these little things.
It studies the possible difficulties of the itinerary and prepares a chart of navigation noting bearings, distances, and landing points in case of emergency. This is very important if you do not know the area navigation .
Do not alter the navigation plan except by force majeure. If you change it immediately.
At the end of the journey, always notify the person on the ground who follows the navigation plan.
SPOT-Gen3-GPS-Satlital-with-tracker-and-messages-color-orange-0 Mini-gorilla-ip68 EasySMX-Phone-Mobile-Waterproof-IP67-Protection-Against-Dust-Shock-and-Bad-Conditions-in-the-Exterior-Camera-and-Bluetooth-Mobile-Cheap-Yellow-0-7
BROWSING

Always wear placed life jacket , it is a healthy habit.
Do not assume unnecessary risks, know your own physical and technical limits . Know the limits of your peers and do not let them pass you.
Avoid sail alone . Try to do it in a group, it is more fun and much safer (minimum 3 kayaks).
Maintain visual contact with fellow travelers. Do not delay the group and do not go ahead. Establish a basic signal system for the group.
Respect other water users and avoid the risks of shock. We should never assume that the other boat has seen and maneuvered us properly.
Avoid going out to sea at sunset, if night falls it will be very difficult to see you.
Do not leave the coast unnecessarily.
Use a helmet if you can hit your head against the rocks or if you surf in the surf.
Try to make your kayak and clothes colorful, but without falling into kitsch 🙂
If you have experience do not leave a rookie in trouble alone. If you are newbie and you look bad ask for company. Nerves increase if you are alone, and make problems worse.
Rescue How-to-get-a-kayak-in-the-water Kayak in group
EMERGENCY

The hypothermia is the greatest danger to the life of the kayaker. Even in summer.
Do not abandon the kayak, you will be located and seen more easily and will serve to keep you afloat. Subject to the kayak you will leave with more facility if you have turned in a break
In case of fog, head to the coast.
Do not hesitate to ask for help from the Centers for Maritime Rescue via VHF channel 16 or phone. Both media are complementary .
Follow the instructions of the rescuers of the air or sea units that assist you.
Learn and practice rescue techniques in group / solo and Eskimo roll, support, transshipment, trailer , autorecaste etc.
You can contact the Salvage Centers at 900 202 202, although it is advisable to take the phone numbers of the ports or local rescue services. If all else fails, 112.
Surely there are multiple situations not covered in this summary, but with these guidelines you will cover a very high range of risks. These tips are worth to you to kayak, to take a walk in a swamp or a trip of several days. Usually those who suffer a kayak accident are because these recommendations are skipped because of ignorance or overconfidence. If you bring a car “Dad do not run” in the kayak you should put ” Daddy, do not do the chorras “. Thanks for sharing.

Modern baths for patients

Modern baths for patients. TECE provides barrier-free comfort at the Franziskus Hospital. The Franziskus Hospital in Bielefeld (Germany) presents itself as a modern and future-oriented center, including high-level equipment. For example, TECE shower trays have been installed in the bathrooms. Unmatched medical care, nursing and pastoral work are the top priority at the Franziskus Hospital. Medical care has a personal touch at this university hospital affiliated with Hannover Medical School. A real challenge for the hospital which, with its 380 beds, is among the most efficient institutions in Bielefeld and its surroundings.

Its services have been certified according to DIN ISO 9001 since 2000. In the highly competitive health market, hospitals are required to meet high standards and offer added value. Critical criteria, apart from medical care, are the environment and comfort. How accessibility is optimized: the straight design of the TECEdrainline is particularly suitable for wheelchair access. The hospital council therefore decided in favor of a general reform: a reconstruction and modernization of the reinforced concrete building has been in process for the last five years.11

To reconcile construction work with the operation of the hospital, the 15 sections of the hospital have been modernized one by one. Special attention has been paid to the sanitary facilities, with state-of-the-art bathrooms for patients, with practical equipment and excellent comfort for the shower according to the latest technical standards. The installation of walk-in showers without barriers was designed to provide maximum independence, even for disabled patients.

A solution was sought that suited the great variety of architectural requirements and structural conditions. The Franziskus Hospital chose the shower channels TECEdrainline: 30 angled channels and 30 straight channels (90 cm each) were installed. The Steel II grille appears to be useful and suitable for long-term continuous use. Many positive aspects in the toilets of the “little convent”. The shower channels were installed near the wall, with no partitions. Another advantage to improving freedom of movement in toilet designs for disabled patients and wheelchair users. click here for more details. Those who are the weakest and need the most intensive care are the ones who benefit most from this. Access is easy even with a portable shower seat, and the nursing staff is able to groom patients completely there. Hygiene also plays a vital role in the functionality: to clean TECE shower channels simply lift the grid and let the water flow through the channel! This practical approach is also in line with the philosophy of the “little convent”. Thus, TECEdrainline achieves high quality standards in all aspects.

The latest legal review also shows how TECE has distinguished itself as an ideal partner: following a comprehensive combined study with sealing systems composed of many well-known brands, TECE shower channels have been certified. Products with the milti-standard Seal System seal have also been used at the Franziskus Hospital in Bielefeld.

How to ensure the safety of your patients’ private data

Always ensure maximum security of personal data or clinical data of patients is essential to any clinic or medical center. It is important that when implement a software for clinical ensure at all times that both data security are managed in the most professional manner.

Have a good  medical software  can provide great benefits to both medical professionals and health centers in the area of clinical management , but security and confidentiality are sensitive issues that need careful at all times, so it is advisable to rely on an expert tool Is adapted to the operation of clinics and independent physicians, a tool that guarantees patients the greatest security 24 hours a day.

Ensures maximum security in the personal data of your patients

Only an authorized medical professional will have Login access to the sensitive and personal information of the patients, so that no third person should have access to this type of information, such as secretaries of the medical center, administrative staff, and other professionals of the center. Handling of sensitive medical information should be handled by the medical professional.

Protection of personal data of patients by means of encryption

The protection of personal data and clinical patient data must be scrupulously met, so when implanting a medical software is desirable that it be able to encrypt all sensitive information contained in it, so if Loss of data due to theft, misuse, loss of data, or any other reason, the reading of the personal information of patients will be impossible since it will be unreadable.

When the information is encrypted, it is impossible to read it unless a specific key is applied, a password that must only be known by authorized medical personnel, thus guaranteeing the maximum security of the medical information collected in the medical systems implemented. This security measure is widely used to both store and transfer all relevant information or sensitive data, which should not in any case be accessible to third parties.

To perform data encryption should be used complex mathematical formulas or algorithms, while to decrypt the medical software requests a particular key to ensure safety. Encryption or data encryption is a basic aspect that any medical program should have.

State-of-the-art medical software, a commitment to safety

Have a health center in a software for clinical latest generation allow thorough compliance with the law on data protection . In addition, with these types of systems it will be possible to establish a policy of access and permissions perfectly defined for each of the users who will use it.

In other words, you can save a detailed record of each action that is taken by each user, where the IP will be stored as well as the configuration of the computer that executes each action and thus be able to establish who, when and how to access the data Confidential information that is collected and stored in the system.

The security of information, especially medical information, has become a topical issue, since unfortunately, despite the knowledge that many clinics or health centers have about the LOPD (Organic Law on Data Protection), few They know what it really means and, therefore, few adequately comply with these regulations, knowing the harsh sanctions that their non-compliance can entail.

It is important to consider that there is no fear go to a provider of medical software , because every clinic or health center will have its own database and its own software or program, so that is guaranteed at all times The highest possible safety.

Report a medical software in the cloud,  allowing all confidential patient data and medical activity, are stored on a server unique data that has the highest security measures, always being under constant surveillance Armed guards. Rely only on genuine professionals.

Tips for talking to your medical doctor

Taking an active role in your care can help you get the best care possible from your doctor. One way to do this is to improve the relationship with your Doctors Kirwan. Here are some tips to help you and your doctor together improve your health care.

Talk to your doctor

Make sure you tell the doctor about any current or past issues or problems that are related to your health. It is important to share with the doctor all the information you can, even if you feel ashamed. Provide your doctor with the following information during the test:

  • Any symptoms you are having.
  • Your health history. You can create a “health journal” for yourself on paper or in a notebook and bring it to your appointments. See the brochure ” How to create a health journal ” for more information.
  • Personal information even if you are stressed or not if your life is changing.
  • Any medication you are currently taking. Bring them with you or make a list of all your medications listed. Include information about when and how often the medicine is taken. You should also note the concentration of the drug; For example, do you take 150 or 200 mg?
  • Any side effects that you have because of the medication or medications; Especially if it makes you feel bad or if you think you may be allergic to it.
  • Any vitamins or supplements you take.
  • Any results of x-rays, lab tests, or reports of your medical history that you have, can take them with you to your appointment.

Ask questions

Do not be afraid to speak. It is important to let the doctor know if you do not understand something. If you do not ask questions, your doctor will think you understand everything he or she has told you. The following list is a few tips on how to ask your doctor questions during the exam:

  • Ask every time there is something you do not understand.
  • If you have questions before your appointment, write them down and give them during your exam. Be sure to write down the most important questions first to make sure they are answered.
  • Tell your doctor when you need more time to talk about something. If the doctor is not available to help you, you should be able to speak with a physician’s assistant or a nurse. If no one is available, try to see if you can schedule another appointment to continue your talk.

Bring information to your home

Bringing written or recorded information to the house can help you remember the information and instructions at any time you need it. Your doctor is a good source of correct information that you can trust. The following types of information can be brought home:

  • Notes you have taken during your appointment. It is acceptable to write down the information your doctor gives you. Sometimes it helps to bring a friend or family member with you. They can help you write down the answers to your questions.
  • Written instructions that your doctor gives you.
  • A recording. Ask your doctor if you can bring a tape recorder to the appointment.
  • Pamphlets or other educational materials. If there are none available ask where you can find some.

Follow up with your doctor

Be sure to follow all the instructions your doctor gave you during the appointment; Such as taking the medication, scheduling an exam or an appointment with a specialist. If you are confused or if you have forgotten some information, it is okay to contact the doctor. The following list outlines common reasons why you may need to call your doctor:

  • If you have any questions after the consultation. Ask to leave a message to the doctor or talk to the nursing staff.
  • If you start to feel bad or have problems with the medicine.
  • If you did tests and you did not get the results.

The administrative and accounting system of the charity hospital of La Coruña in the eighteenth century

The objective of this work was the analysis of the administrative organization and accounting method employed by the Hospital of Charity of La Coruña in the eighteenth century, which has been carried out through the study of the applicable Constitutions, the main book Accounts , Irenas Cloud Bookkeepers and other documents related to the administration of the Hospital.

In the framework of the organizational model aimed at the institution’s economic and accounting management, the commissioners and caretakers of the Hospital were accountable to the Board of Charity. The accountant, he had to take account of these accounts and the receipts and drafts issued for their entry and preparation of the manifests to the public. He was part of the internal control body of the hospital accounts and was also, together with the treasurer responsible for all accounts to be passed to the main book.

Regarding the accounting method used, this charity was governed by the cash criterion and used the method of charge and data in the preparation of accounts with the people who handled the Hospital’s flows. The main book collected all the collections and payments made by the treasurer of the charity, as well as proof of their review.

Once the study was carried out, we conclude that, taking into account the accounting method used in the main book and the information contained in other documents that we have been able to analyze, an incomplete view of the equity situation is shown by exclusively reflecting treasury movements. Could represent sufficient information for the recipients of the same.

The aim of this paper was to analyze the stewardship and accounting methods used in the Charity Hospital of La Coruña (Spain) during the XVIII century. This has been implemented through the study of its foundation rules, the main book of accounts and other documents linked to the governance of the Hospital.

According to the organizational model of accounting procedures, commissioners and managers of the Hospital sent accounts to the Charity Board. The accountant must enter those accounts, writing down receipts and drafts and presenting public documents. He was part of the Hospital internal control of accounts department, and together with the treasurer, they were responsible for the operations to be accounted for in the main book.

This non profit entity followed the cash flow basis of accounting, using the account for and data method in the personal accounts with those who have access to the cash of the Hospital. The main book contained all collections and payments made by the treasurer of the charity entity and their verification.

The results of the study lead us to conclude that according to the method of accounting used in the main book and other documents analyzed, the complete view of the equity situation was not presented, since just cash flows were accounted for, which could be enough to The users of this reports