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  1. <?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:blogger='http://schemas.google.com/blogger/2008' xmlns:georss='http://www.georss.org/georss' xmlns:gd="http://schemas.google.com/g/2005" xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-6593892</id><updated>2024-04-23T03:18:55.890+02:00</updated><category term="MundoEnfermeiro"/><category term="Primun non nocere"/><category term="Trebellos TIC e TeCh"/><category term="Diseminando"/><category term="Opinion"/><category term="O recurso humano"/><category term="Evidencia e impacto"/><category term="Motivame"/><category term="Facendo Politica na sanidade"/><category term="NeoXestión"/><category term="sacyl"/><category term="Traslations"/><category term="Ruxe ruxe"/><category term="Artigos"/><category term="Operetas"/><category term="Practica especialmente avanzada"/><category term="#ObligatoriaNo"/><category term="Prescripción"/><category term="AppSalud"/><category term="SantaOpe"/><category term="Tip&#39;s"/><category term="EnfermeriaVisible"/><category term="Continuidad asistencial"/><category term="SocioSanitario"/><category term="DarkSideChronicles"/><category term="English"/><category term="SERGAS"/><category term="Sanidade sostible"/><category term="JTA"/><category term="Invitados"/><title type='text'>Cuadernillo d@ enferme(i)r@</title><subtitle type='html'>Enfermeiría #SegPac dende a evidencia&lt;br&gt;&#xa;Enfermería #SegPac desde la evidencia&lt;br&gt;&#xa;Nursing #PtSafety from evidence</subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://cuadernillosanitario.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/6593892/posts/default?max-results=3&amp;redirect=false'/><link rel='alternate' type='text/html' href='http://cuadernillosanitario.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><link rel='next' type='application/atom+xml' href='http://www.blogger.com/feeds/6593892/posts/default?start-index=4&amp;max-results=3&amp;redirect=false'/><author><name>XMMeijome</name><uri>http://www.blogger.com/profile/07559820170217327787</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>967</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>3</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-6593892.post-8542239362955195895</id><published>2023-12-01T13:00:00.017+01:00</published><updated>2024-01-23T09:10:41.648+01:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Facendo Politica na sanidade"/><title type='text'>Ollo, que molesta.</title><content type='html'>&lt;p&gt;Teño que escribir esta entrada non para &quot;denunciar&quot; nada que non se coñeza senon por explicar porqué fixen algo que non adoito a facer: Borrar un chio.&lt;/p&gt;&lt;p&gt;En concreto este:&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm2_9v_2sBqZzSrJQTZrK1rSOAa6zN6rrglv_mJromKn7gNAXrJCPtW2KXmYYI_lRz-PL86yNpY813sbndPdJ0syD4uBDC6QJ1B9uLD9VCEiX4NGkO9X5w8N9levlIen14DwlzaRw9UV8fRrz6chUn_I9SrCa7F88Gc2O7js_fiJLpm2wSRbad/s1353/IMG_4625.PNG&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;1353&quot; data-original-width=&quot;828&quot; height=&quot;400&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm2_9v_2sBqZzSrJQTZrK1rSOAa6zN6rrglv_mJromKn7gNAXrJCPtW2KXmYYI_lRz-PL86yNpY813sbndPdJ0syD4uBDC6QJ1B9uLD9VCEiX4NGkO9X5w8N9levlIen14DwlzaRw9UV8fRrz6chUn_I9SrCa7F88Gc2O7js_fiJLpm2wSRbad/w245-h400/IMG_4625.PNG&quot; width=&quot;245&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;A historia é un pouco longa; mais non vos vou a incomodar coas cifras desta tráxica pandemia (1) nen cos mais de 30 anos que vai que a violencia contra das mulleres é un eixo das actuacions pola saúde da poboación da ONU (2) constituindo un dos &quot;temas&quot; da OMS (3). &lt;/p&gt;&lt;p&gt;Nen como tanto as organizacions gubernativas supranacionais europeas como o estado español a teñen integrado nas estratexias de atención sanitaria á poboación.&amp;nbsp;&lt;/p&gt;&lt;p&gt;En Castilla y León a Gerencia Regional de Salud (GRS) ten incluida a &quot;detección precoz de mujeres víctimas de violencia de género&quot; na carteira de servizos dende finais de 2008 (4)&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6ORVnIC1wUBjo2ZBH1Z6I04_zPwfh-GA3Rf4U2BW3fFTbuCvVO03ecje49cFYQIZl2fBPHaevJPFw5cowTcaLSANatQfdRBG6iUIiYnT_MnZGxFeHUxolIkV0QTmUbieV7ofwdWvGREKq_t2R69zdVCQESg6QIkaYq0X1e3o-3iqId1ZUx6IU/s1476/Captura%20de%20pantalla%202023-12-01%20a%20las%207.56.43.png&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;1234&quot; data-original-width=&quot;1476&quot; height=&quot;268&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6ORVnIC1wUBjo2ZBH1Z6I04_zPwfh-GA3Rf4U2BW3fFTbuCvVO03ecje49cFYQIZl2fBPHaevJPFw5cowTcaLSANatQfdRBG6iUIiYnT_MnZGxFeHUxolIkV0QTmUbieV7ofwdWvGREKq_t2R69zdVCQESg6QIkaYq0X1e3o-3iqId1ZUx6IU/s320/Captura%20de%20pantalla%202023-12-01%20a%20las%207.56.43.png&quot; width=&quot;320&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;e o pasado 22 de novembro se fixo unha reunión do equipo do noso centro para ver a evolución das coberturas dos programas na que se falou do escaso cumplimento deste obxectivo; aquí o dato.&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEga3qorAHzPFXbEXRrYrns9Bq-lDZ9KrhnmoDpA5VzZV9aWGA0s0BdkgIpHzJHd9-6rgDq4MkzHjRq_-kEeO4zAoeV3qaDj9vwhJD8uayli4HuUN3JgwrleQw4dtKTUbD8nYzYzwhnxKpeK6OVjFW3GqVANHWYEuoil00ymymjcZ_YMK1LZ88Xv/s1073/BISION.jpg&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;799&quot; data-original-width=&quot;1073&quot; height=&quot;238&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEga3qorAHzPFXbEXRrYrns9Bq-lDZ9KrhnmoDpA5VzZV9aWGA0s0BdkgIpHzJHd9-6rgDq4MkzHjRq_-kEeO4zAoeV3qaDj9vwhJD8uayli4HuUN3JgwrleQw4dtKTUbD8nYzYzwhnxKpeK6OVjFW3GqVANHWYEuoil00ymymjcZ_YMK1LZ88Xv/s320/BISION.jpg&quot; width=&quot;320&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;Falouse da dificultade de &quot;entrar&quot; no tema e de que moitas mulleres non son quen de recoñecer os sinais que pronostican un risco de violencia contra delas. &lt;br /&gt;&lt;/p&gt;&lt;p&gt;Así pois algunhas compañeiras decidiron facer unha actividade que favorecese esa identificación de signos previos; aquí a vedes pouco dempois de ser colocada a tarde do 23 de novembro.&lt;br /&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdaaNoQrrIIiboTPDCFXt6doXsh0B50Wlv12Yk7d_q31EcqTVoCiRXLDq_CkF4yv-DgZUWQKYpRzWmJXec3qCknwm_Ili8lrs1r0z5o6jFKesR4kOcd2gQnDLIYpWie-hfrW3YALgcSchpoCR85DXUOA-LT7-WWrHT_60oEKza0tQFTkEkR3h2/s2016/ACTIVIDAD.jpg&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;2016&quot; data-original-width=&quot;980&quot; height=&quot;640&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdaaNoQrrIIiboTPDCFXt6doXsh0B50Wlv12Yk7d_q31EcqTVoCiRXLDq_CkF4yv-DgZUWQKYpRzWmJXec3qCknwm_Ili8lrs1r0z5o6jFKesR4kOcd2gQnDLIYpWie-hfrW3YALgcSchpoCR85DXUOA-LT7-WWrHT_60oEKza0tQFTkEkR3h2/w312-h640/ACTIVIDAD.jpg&quot; width=&quot;312&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;Unha actividade moi neutra que enfatiza certas conductas que poden indicar risco e que, á vista está, se alinea perfectamente coas estratexias, programas, plans e obxectivos da GRS.&lt;/p&gt;&lt;p&gt;Tan ben me pareceu que a tuitei o 24 ás 13h tras comentar no grupo de enfermeiras do centro &quot;al twitter que va&quot;... cando saín de nadar vin que varias compañeiras me respostaban que non o fixera... e, coidando que se trataba dunha foto do interior do centro ou que a activdade non fora posta en coñecemento da dirección borrei o chio. &lt;br /&gt;&lt;/p&gt;&lt;p&gt;Pois ben; o que pasou foi que pasadas unhas poucas horas da mañan do 24 de novembro se recibiu unha chamada dende a xerencia para que a actividade fose retirada pois &quot;fería sensibilidades&quot;. Esa tarde os grupos do centro ardían e xa vin que fixera mal en retira-lo chio porque a actividade si que contaba non só con autorización senon coa felicitación da dirección.&lt;/p&gt;&lt;p&gt;E así atopei a actividade no cubo de lixo do baño de persoal cando fun traballar pola tarde. &lt;br /&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4dekr7VrKcK_F5gGhrbwNIkMjrJDQCW-65RyduRwHUYh4-6mDgeDskk2Tfh-pT1l1hvodI_6L1fODz_aq5yl-K0U7F9jZDV2sgJ8LzEjRRGnG0N_p8CMMjOnPhksMB5casXueKwl20q7_STq9EV81Ym-eGRV89HoGIYRL95E1w25Q1P9yr2Be/s4032/IMG_4628.JPG&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;4032&quot; data-original-width=&quot;3024&quot; height=&quot;320&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4dekr7VrKcK_F5gGhrbwNIkMjrJDQCW-65RyduRwHUYh4-6mDgeDskk2Tfh-pT1l1hvodI_6L1fODz_aq5yl-K0U7F9jZDV2sgJ8LzEjRRGnG0N_p8CMMjOnPhksMB5casXueKwl20q7_STq9EV81Ym-eGRV89HoGIYRL95E1w25Q1P9yr2Be/s320/IMG_4628.JPG&quot; width=&quot;240&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&amp;nbsp;&lt;p&gt;&lt;/p&gt;&lt;p&gt;Evidentemente deixar a nosa sorpresa nun grupo de mensaxería correspondese con deixala nuha &quot;queixa de salita&quot; así que se enviou un escrito colectivo á xerencia manifestando a desorientación que esta retirada causa pois, polo mesmo motivo, non sabemos si se pode preguntar ás persoas si se queren vacinar ou si se queren facer doantes de sangue por exemplo. Ese escrito presentouse hoxe.&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlmKqVg2SqW3u9oVPzCipVziT852m1T0u9TXtlt_DqDXB8ZqMEwEeh2uE9r4rumrPW2qzN04t0-s1I93_qfiyv08xj8_SZzIJZsQxObQxaJHaYCSfToGv1_zwhAH9FCr5EYh2mdpW23jJlKKTjN3WzxBDm8B3i8QXBM9BfJe3B1aC4_jJjnDlu/s2048/escrito%20colectivo.jpg&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;2048&quot; data-original-width=&quot;1439&quot; height=&quot;320&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlmKqVg2SqW3u9oVPzCipVziT852m1T0u9TXtlt_DqDXB8ZqMEwEeh2uE9r4rumrPW2qzN04t0-s1I93_qfiyv08xj8_SZzIJZsQxObQxaJHaYCSfToGv1_zwhAH9FCr5EYh2mdpW23jJlKKTjN3WzxBDm8B3i8QXBM9BfJe3B1aC4_jJjnDlu/s320/escrito%20colectivo.jpg&quot; width=&quot;225&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;Eu son pesimista no que respecta a que se nos aclare nada do feito porque cecais non van os &quot;argumentos&quot; por onde tod@s pensamos...&lt;br /&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsnCfJSDgoW-oofo9sFs4e7SMdPwqZfNds7V4XvcVvSgCyq7mz_qzGiNIRzcgfNC33GrZY3pugwomreXCyCwCu885H4ALczTqyvtbTMwkWt8ZLXLvItATkOOCi90okW8_HHZcRDdQ9jEswXi8tfniOQwpUyQv_yF2glXJtbdspUXLMZcK1wfbs/s1125/IMG_4661.PNG&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;1125&quot; data-original-width=&quot;826&quot; height=&quot;320&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsnCfJSDgoW-oofo9sFs4e7SMdPwqZfNds7V4XvcVvSgCyq7mz_qzGiNIRzcgfNC33GrZY3pugwomreXCyCwCu885H4ALczTqyvtbTMwkWt8ZLXLvItATkOOCi90okW8_HHZcRDdQ9jEswXi8tfniOQwpUyQv_yF2glXJtbdspUXLMZcK1wfbs/s320/IMG_4661.PNG&quot; width=&quot;235&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;A pista ven deste tuit do concello de Ponferrada que fixo o que soen facer as institucions nesta data... escenificar a repulsa fronte á violencia contra das mulleres. Si ben é certo que non houbo declaración institucional por falta de unanimidade (como puxen no chio) qué sentido ten obrigar a retirar unha actividade nun centro de saúde e non &quot;protestar&quot; porque o concello fai esto? Algo non cadra.&lt;/p&gt;&lt;p&gt;E tampouco semella que a nivel da GRS se teña deixado de lado este problema pois o mesmo 24 de novembro recibimos este correo dende a Dirección General de Salud Pública:&lt;br /&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSf4ozDaN6HfhfKIezIy7hGRiSN1JaYsf5WVGF1tbo16IM1Q9Ry32fi_AD9sRj6SHstRuSc4rsMXt7qOVJFRhokiFriw7NPOqw31-7SJA44R6laUOUEUeoD0xqFPqnSjPujLtMlhHLWNmjIqGe_LKZyvDAu6D-KAAF8UKw4cy0YQUWQEluNM0z/s1629/IMG_4676.PNG&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;1629&quot; data-original-width=&quot;828&quot; height=&quot;320&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSf4ozDaN6HfhfKIezIy7hGRiSN1JaYsf5WVGF1tbo16IM1Q9Ry32fi_AD9sRj6SHstRuSc4rsMXt7qOVJFRhokiFriw7NPOqw31-7SJA44R6laUOUEUeoD0xqFPqnSjPujLtMlhHLWNmjIqGe_LKZyvDAu6D-KAAF8UKw4cy0YQUWQEluNM0z/s320/IMG_4676.PNG&quot; width=&quot;163&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;br /&gt;&amp;nbsp;Así pois:&lt;p&gt;&lt;/p&gt;&lt;p&gt;Lamento ter retirado o chio tanto como lamento que se retirase a actividade.&lt;/p&gt;&lt;p&gt;A miña teoría é que poda que nos atopemos cunha versión &quot;intermedia&quot; da coñecida &quot;&lt;a href=&quot;https://cuadernillosanitario.blogspot.com/2011/09/la-relacion-fotosensible.html&quot;&gt;relación fotosensible&lt;/a&gt;&quot;.&lt;br /&gt;&lt;/p&gt;&lt;p&gt;PD: Entrada en galego porque quero, porque me gusta, porque me peta, porque si, porque me sae de ahí.&lt;br /&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-family: inherit; font-size: x-small;&quot;&gt;Referencias:&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-family: inherit; font-size: x-small;&quot;&gt;1) https://www.who.int/publications/i/item/9789240022256&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-family: inherit; font-size: x-small;&quot;&gt;&lt;span style=&quot;-webkit-text-stroke-width: 0px; background-color: white; color: #3c4245; display: inline !important; float: none; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;&quot;&gt;2) United Nations. Declaration on the elimination of violence against women. New York : UN, 1993.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-family: inherit; font-size: x-small;&quot;&gt;&lt;span style=&quot;-webkit-text-stroke-width: 0px; background-color: white; color: #3c4245; display: inline !important; float: none; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;&quot;&gt;3) https://www.who.int/health-topics/violence-against-women&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-family: inherit; font-size: x-small;&quot;&gt;&lt;span style=&quot;-webkit-text-stroke-width: 0px; background-color: white; color: #3c4245; display: inline !important; float: none; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;&quot;&gt;4) https://www.saludcastillayleon.es/profesionales/es/violencia-genero/documentacion-castilla-leon.ficheros/234297-Cartera%20de%20servicios%20Violencia%20de%20G%C3%A9nero.pdf&lt;br /&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;div class=&quot;blogger-post-footer&quot;&gt;&lt;div&gt;&lt;script type=&quot;text/javascript&quot;&gt;var addthis_pub=&quot;kandpalleiro&quot;;&lt;/script&gt;
  2. &lt;a on mouseover=&quot;return addthis_open(this, &#39;&#39;, &#39;[URL]&#39;, &#39;[TITLE]&#39;)&quot; onmouseout=&quot;addthis_close()&quot; href=&quot;http://www.addthis.com/bookmark.php&quot; onclick=&quot;return addthis_sendto()&quot;&gt;&lt;img border=&quot;0&quot; width=&quot;125&quot; alt=&quot;&quot; src=&quot;http://s7.addthis.com/static/btn/lg-share-es.gif&quot; height=&quot;16&quot;/&gt;&lt;/a&gt;&lt;script src=&quot;http://s7.addthis.com/js/152/addthis_widget.js&quot; type=&quot;text/javascript&quot;&gt;&lt;/script&gt;&lt;/div&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://cuadernillosanitario.blogspot.com/feeds/8542239362955195895/comments/default' title='Publicar comentarios'/><link rel='replies' type='text/html' href='http://cuadernillosanitario.blogspot.com/2023/12/ollo-que-molesta.html#comment-form' title='0 comentarios'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/6593892/posts/default/8542239362955195895'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/6593892/posts/default/8542239362955195895'/><link rel='alternate' type='text/html' href='http://cuadernillosanitario.blogspot.com/2023/12/ollo-que-molesta.html' title='Ollo, que molesta.'/><author><name>XMMeijome</name><uri>http://www.blogger.com/profile/07559820170217327787</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm2_9v_2sBqZzSrJQTZrK1rSOAa6zN6rrglv_mJromKn7gNAXrJCPtW2KXmYYI_lRz-PL86yNpY813sbndPdJ0syD4uBDC6QJ1B9uLD9VCEiX4NGkO9X5w8N9levlIen14DwlzaRw9UV8fRrz6chUn_I9SrCa7F88Gc2O7js_fiJLpm2wSRbad/s72-w245-h400-c/IMG_4625.PNG" height="72" width="72"/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-6593892.post-5338280035183167336</id><published>2023-09-22T09:54:00.001+02:00</published><updated>2023-09-22T18:40:42.226+02:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Diseminando"/><title type='text'>Ollar á obesidade de fronte mais con respeto</title><content type='html'>&lt;p&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1wZIn_VyY6OrH_Jwdrm-mnFQGP6VapAzPwIY4VXjuVQDAr37qrrgBe4vdY839PR_M6Vh36oFIc4_jy0b9TAh4z65IwPoQOA7w3ukCQEiilYh_b1aSoIDGLvxxhyULD-d0Kg1IsxN7kfA5ADfvKeIAi0FQUUQlTVAZv-YOuAy7pE8i6tsIfEnI/s390/Obesidad-Infantil%20(2015_08_11%2002_08_51%20UTC).jpg&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;292&quot; data-original-width=&quot;390&quot; height=&quot;240&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1wZIn_VyY6OrH_Jwdrm-mnFQGP6VapAzPwIY4VXjuVQDAr37qrrgBe4vdY839PR_M6Vh36oFIc4_jy0b9TAh4z65IwPoQOA7w3ukCQEiilYh_b1aSoIDGLvxxhyULD-d0Kg1IsxN7kfA5ADfvKeIAi0FQUUQlTVAZv-YOuAy7pE8i6tsIfEnI/s320/Obesidad-Infantil%20(2015_08_11%2002_08_51%20UTC).jpg&quot; width=&quot;320&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&amp;nbsp;&lt;p&gt;&lt;/p&gt;&lt;p&gt;Traballar en AP me ten trasladado a unha situación na que podo contemplar o &quot;antes&quot; de moitos casos que vivía no quirófano e así trato de trasmitirllelo ás persoas afectadas.&lt;/p&gt;&lt;p&gt;A &quot;&lt;a href=&quot;https://pro.aace.com/sites/default/files/2019-04/ABCD%20on%20Obesity%20%20.pdf&quot;&gt;Enfermedade crónica baseada na adiposidade&lt;/a&gt;&quot; &lt;span style=&quot;font-size: xx-small;&quot;&gt;(1)&lt;/span&gt; é o mais grande problema de saúde dos humanos, adoitabamos a pensar que era do &quot;mundo desenrolado&quot; mais dadas as enormes desigualdades tamén nos países menos desenvolvidos a obesidade é un problema de saúde... entre clases &quot;diverxentes&quot;; &lt;a href=&quot;https://apps.who.int/iris/bitstream/handle/10665/353747/9789289057738-eng.pdf&quot; target=&quot;_blank&quot;&gt;unha pandemia con tódalas letras&lt;/a&gt;.&lt;br /&gt;&lt;/p&gt;&lt;p&gt;Temos diversos problemas para obxectivar esta enfermedade porque teimamos en empregar de xeito habitual unha escala, o índice de masa corporal (IMC), que ven sendo como si medísemo-la estatura a palmos no lugar de cun tallímetro.&lt;br /&gt;&lt;/p&gt;&lt;p&gt;&lt;a href=&quot;https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2809724?utm_source=For_The_Media&amp;amp;utm_medium=referral&amp;amp;utm_campaign=ftm_links&amp;amp;utm_term=092023&quot; target=&quot;_blank&quot;&gt;Nesta peza recén publicada&lt;/a&gt; &lt;span style=&quot;font-size: xx-small;&quot;&gt;(2)&lt;/span&gt; baseada no estudo retrospectivo dun gran biobanco no RU e os rexistros de mortalidade pescudan cales medidas da adiposidade se asocian de xeito mais certeiro coa mortalidade e atopan que:&lt;br /&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;blockquote&gt;Un marcador óptimo da adiposidade tamén debería proporcionar asociacions coherentes entre os diferentes niveis de adiposidade medidos polo IMC. A diferenza do IMC e o Indice de masa graxa (IMG que se obten nas básclas de bioimpedancia tamén chamadas &quot;analizadores corporales&quot;), a asociación entre el &lt;a href=&quot;https://es.wikipedia.org/wiki/%C3%8Dndice_cintura/cadera&quot; target=&quot;_blank&quot;&gt;Índice Cintura cadeira&lt;/a&gt; (ICC) e a mortalidade non difiriu entre os cuantis do IMC.&lt;/blockquote&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;O estudo centrouse en poboación branca do RU mais ó incorporaren os datos do biobanco enténdese mellor que en moitos casos a distribución da graxa determinada xenéticamente pon en alto risco cardiovascular a persoas non só &quot;obesas&quot; segundo o IMC senon tamén con &quot;sobrepeso&quot; e &quot;normopeso&quot;.&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJQ_tcqclDAbN7IT61J18Ia-Bs8lrPp7MomFJd73BCi7cTVo4SkXzNb_KZZ9uFATGDbDPZruuajQ87ljkH2gVJGkBxBrLKAW4IjOWGbSXU75ZmviBIApNkILTA78u8wh8LYsntl54HZQ-aWuvYoElnvRIo5n9XJ7FbsMY3GIPsSnAGR8f_mo4X/s902/Captura%20de%20pantalla%202023-09-22%20a%20las%208.09.36.png&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;333&quot; data-original-width=&quot;902&quot; height=&quot;148&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJQ_tcqclDAbN7IT61J18Ia-Bs8lrPp7MomFJd73BCi7cTVo4SkXzNb_KZZ9uFATGDbDPZruuajQ87ljkH2gVJGkBxBrLKAW4IjOWGbSXU75ZmviBIApNkILTA78u8wh8LYsntl54HZQ-aWuvYoElnvRIo5n9XJ7FbsMY3GIPsSnAGR8f_mo4X/w400-h148/Captura%20de%20pantalla%202023-09-22%20a%20las%208.09.36.png&quot; width=&quot;400&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&amp;nbsp;&lt;p&gt;&lt;/p&gt;&lt;p&gt;Esa distribución da graxa determinada xentéticamente ou &lt;a href=&quot;https://www.chemistryworld.com/features/are-everyday-chemicals-contributing-to-global-obesity/4016664.article&quot; target=&quot;_blank&quot;&gt;posiblemente medidada por disruptores quimicos&lt;/a&gt; &lt;span style=&quot;font-size: xx-small;&quot;&gt;(3)&lt;/span&gt; constitue unha tremenda barreira á hora de marcar obxectivos acadables para as persoas afectas creando frustración tanto no paciente como no profesional.&lt;/p&gt;&lt;p&gt;Non seren quen de xestionar axeitadamente esa frustración pode conducir a actitudes pouco profesionais ou unha aparente inacción por parte do paciente; de ahí ó conflicto ou a chamada &quot;&lt;a href=&quot;https://efe.com/otras-noticias-espana/2023-08-17/gordofobia-sobrepeso-salud-discriminacion-obesidad/&quot; target=&quot;_blank&quot;&gt;gordofobia&lt;/a&gt;&quot; só hai un paso.&lt;/p&gt;&lt;p&gt;E como sempre a &quot;necesidade&quot; estimula ós &quot;pillos&quot; e os avances da ciencia percurados ou atopados se convirten nunha pedra filosofal que chega a ser venerada nos altares dos eventos &quot;profesionais&quot; sen sequera un chamamento á precaución porque nensequera se sabe ben porqué esa droga funciona... nun problema tan prevalente e con tantas implicacions conviría seren mais coidadosos.&lt;br /&gt;&lt;/p&gt;&lt;p&gt;ou non.&lt;br /&gt;&lt;/p&gt;&lt;p&gt;Bibliografía:&lt;br /&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-size: x-small;&quot;&gt;1-Definición da enfermedade crónica baseada na adiposidade: American Association of Clinical Endocrinologists &amp;amp; American College of Endocrinologist https://pro.aace.com/sites/default/files/2019-04/ABCD%20on%20Obesity%20%20.pdf&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-size: x-small;&quot;&gt;2-Khan I&lt;span class=&quot;al-author-delim&quot;&gt;, &lt;/span&gt;Chong M&lt;span class=&quot;al-author-delim&quot;&gt;, &lt;/span&gt;Le A, et al. Surrogate Adiposity Markers and Mortality. &lt;i&gt;JAMA Netw Open.&lt;/i&gt; 2023;6(9):e2334836. doi:10.1001/jamanetworkopen.2023.34836&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style=&quot;font-size: x-small;&quot;&gt;3-King2022-12-19T11:25:00+00:00, Anthony. “Are Everyday Chemicals Contributing to Global Obesity?” &lt;i&gt;Chemistry World&lt;/i&gt;,
  4. https://www.chemistryworld.com/features/are-everyday-chemicals-contributing-to-global-obesity/4016664.article.
  5. Accessed 22 Sept. 2023.&lt;/span&gt; &lt;br /&gt;&lt;/p&gt;&lt;div class=&quot;blogger-post-footer&quot;&gt;&lt;div&gt;&lt;script type=&quot;text/javascript&quot;&gt;var addthis_pub=&quot;kandpalleiro&quot;;&lt;/script&gt;
  6. &lt;a on mouseover=&quot;return addthis_open(this, &#39;&#39;, &#39;[URL]&#39;, &#39;[TITLE]&#39;)&quot; onmouseout=&quot;addthis_close()&quot; href=&quot;http://www.addthis.com/bookmark.php&quot; onclick=&quot;return addthis_sendto()&quot;&gt;&lt;img border=&quot;0&quot; width=&quot;125&quot; alt=&quot;&quot; src=&quot;http://s7.addthis.com/static/btn/lg-share-es.gif&quot; height=&quot;16&quot;/&gt;&lt;/a&gt;&lt;script src=&quot;http://s7.addthis.com/js/152/addthis_widget.js&quot; type=&quot;text/javascript&quot;&gt;&lt;/script&gt;&lt;/div&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://cuadernillosanitario.blogspot.com/feeds/5338280035183167336/comments/default' title='Publicar comentarios'/><link rel='replies' type='text/html' href='http://cuadernillosanitario.blogspot.com/2023/09/ollar-obesidade-de-fronte-mais-con.html#comment-form' title='0 comentarios'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/6593892/posts/default/5338280035183167336'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/6593892/posts/default/5338280035183167336'/><link rel='alternate' type='text/html' href='http://cuadernillosanitario.blogspot.com/2023/09/ollar-obesidade-de-fronte-mais-con.html' title='Ollar á obesidade de fronte mais con respeto'/><author><name>XMMeijome</name><uri>http://www.blogger.com/profile/07559820170217327787</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1wZIn_VyY6OrH_Jwdrm-mnFQGP6VapAzPwIY4VXjuVQDAr37qrrgBe4vdY839PR_M6Vh36oFIc4_jy0b9TAh4z65IwPoQOA7w3ukCQEiilYh_b1aSoIDGLvxxhyULD-d0Kg1IsxN7kfA5ADfvKeIAi0FQUUQlTVAZv-YOuAy7pE8i6tsIfEnI/s72-c/Obesidad-Infantil%20(2015_08_11%2002_08_51%20UTC).jpg" height="72" width="72"/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-6593892.post-3652998552621873867</id><published>2023-09-19T09:45:00.000+02:00</published><updated>2023-09-19T09:45:06.007+02:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Operetas"/><category scheme="http://www.blogger.com/atom/ns#" term="sacyl"/><title type='text'>Caos extraordinario</title><content type='html'>&lt;p&gt;&amp;nbsp;Os alardes innovadores na xestión sanitaria son difíciles de distinguir da improvisación.&lt;/p&gt;&lt;p&gt;SACYL convocou un concurso de traslados extraordinario con bós argumentos (&quot;repescar&quot; persoal do que hai carestía e que acadou praza noutras CCAA ó que non lle dan comisión de servizo) e para non andar con líos de prazas reservadas para un ou outro concurso meteu o concusro aberto e permanente e este extraordinario nun saco xuntando incluso as peticions de ámbolos dous procesos.&lt;/p&gt;&lt;p&gt;Na categoría de enfermeira se engade a incorporación das prazas estatutarizadas que non son poucas.&lt;/p&gt;&lt;p&gt;O concurso extraordinario segue adolescendo de transparencia na información teimando en no poñer nunha mesma taboa código de praza, código CIAS, demarcación e turno de traballo.&lt;/p&gt;&lt;p&gt;A información sobre as demarcacións este ano 2023 publicouse noutro formato e outro sitio que nos anos anteriores.&lt;/p&gt;&lt;p&gt;&lt;br /&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizK88k5iNa-J2TG6hMGZoNPVhQ8cdFwmtEB1UGSYJEPloCXhSs2wnfSrlcky8eWEdiWhAUQQG672q6aMGlnz5HdnaviYqpKTo0VU4ORHEfePmR1pNOjv8MmQAEcfn0TsM_8bRg8t62dYSjXc1Z2vDyevb3rWXjNudFyeJOYJq9Si7dfxN5Os0S/s1186/Captura%20de%20pantalla%202023-09-19%20a%20las%209.28.56.png&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;582&quot; data-original-width=&quot;1186&quot; height=&quot;314&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizK88k5iNa-J2TG6hMGZoNPVhQ8cdFwmtEB1UGSYJEPloCXhSs2wnfSrlcky8eWEdiWhAUQQG672q6aMGlnz5HdnaviYqpKTo0VU4ORHEfePmR1pNOjv8MmQAEcfn0TsM_8bRg8t62dYSjXc1Z2vDyevb3rWXjNudFyeJOYJq9Si7dfxN5Os0S/w640-h314/Captura%20de%20pantalla%202023-09-19%20a%20las%209.28.56.png&quot; width=&quot;640&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;&lt;/p&gt;&lt;p&gt;E segue a ser complicado saber a qué praza corresponde cada demarcación... como si quixeran que os traballadores teñamos que acudir a &quot;alguén&quot; para que nos informe.&lt;/p&gt;&lt;p&gt;E ainda por riba si se consulta a información no sistema se pode observar que hai prazas &quot;cruzadas&quot;.&lt;/p&gt;&lt;p&gt;Por exemplo; no meu centro a persoa que figura exercendo a praza rematada en 13 NON está cubrindo as demarcacions que nesta táboa se indican... o está facendo a que figura na praza 6. Da a casualidade que as persoas que ocupan esas prazas teñen o mesmo nome propio...&lt;br /&gt;&lt;/p&gt;&lt;p&gt;Un &quot;erro&quot; que pode levar a alguén a pedir o que non quere si non &quot;se informa&quot; por parte dos que non queren transparencia para aparentar que teñen algo que facer.&amp;nbsp;&lt;/p&gt;&lt;p&gt;&lt;br /&gt;&lt;/p&gt;&lt;div class=&quot;separator&quot; style=&quot;clear: both; text-align: center;&quot;&gt;&lt;a href=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZKzHUhfSk4wZvZ0eGlu1EVU2Y3otff5zkT9rh0_q6F5Voj1a6xMKi8oideXQ3zcPkrBhn0qhCuF3KVKipdGNaTzxD6_BfM0PrQn010D2h1DAc3FnOEldEmoXJptEIRlNYqdyOqUw9I1Y9HL8UYmaBl8pNLeA67D0hGhPzIKgloyAHy4RrsNu-/s1110/Captura%20de%20pantalla%202023-09-19%20a%20las%209.29.52.png&quot; imageanchor=&quot;1&quot; style=&quot;margin-left: 1em; margin-right: 1em;&quot;&gt;&lt;img border=&quot;0&quot; data-original-height=&quot;1110&quot; data-original-width=&quot;809&quot; height=&quot;640&quot; src=&quot;https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZKzHUhfSk4wZvZ0eGlu1EVU2Y3otff5zkT9rh0_q6F5Voj1a6xMKi8oideXQ3zcPkrBhn0qhCuF3KVKipdGNaTzxD6_BfM0PrQn010D2h1DAc3FnOEldEmoXJptEIRlNYqdyOqUw9I1Y9HL8UYmaBl8pNLeA67D0hGhPzIKgloyAHy4RrsNu-/w466-h640/Captura%20de%20pantalla%202023-09-19%20a%20las%209.29.52.png&quot; width=&quot;466&quot; /&gt;&lt;/a&gt;&lt;/div&gt;&lt;br /&gt;En febreiro de 2024 (ou mais) saberemos si esto ten repercusión ou non.&lt;br /&gt;&lt;p&gt;&lt;/p&gt;&lt;div class=&quot;blogger-post-footer&quot;&gt;&lt;div&gt;&lt;script type=&quot;text/javascript&quot;&gt;var addthis_pub=&quot;kandpalleiro&quot;;&lt;/script&gt;
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