tag:blogger.com,1999:blog-20400632035600288332024-03-16T17:25:19.107+01:00Bloc d´un Metge de FamíliaL´actualització formativa en Medicina de Família!Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.comBlogger3462125tag:blogger.com,1999:blog-2040063203560028833.post-19725434727215605672018-11-08T06:41:00.003+01:002018-11-08T06:41:35.044+01:00Pautes per a l’harmonització de l’ús d’anticoagulants orals per a la prevenció de l’ictus i l’embòlia sistèmica en pacients amb fibril·lació auricular<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="margin: 0px; text-align: justify;">
<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDwmolBiEjl2Kl9gamj7RHkQy73N7q_ZuoPnKxcKILpR-jkCW_GjTfxw9qE5jOqFYsnE1k-xkMt9iFf7UWFI6my_krTEW6fGSltrBvo0h4MTmPYj7bgY48kvNMnVFT9NGMdPItOOxNNLWD/s1600/2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="271" data-original-width="640" height="135" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDwmolBiEjl2Kl9gamj7RHkQy73N7q_ZuoPnKxcKILpR-jkCW_GjTfxw9qE5jOqFYsnE1k-xkMt9iFf7UWFI6my_krTEW6fGSltrBvo0h4MTmPYj7bgY48kvNMnVFT9NGMdPItOOxNNLWD/s320/2.png" width="320" /></a></div>
<br />
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca">En
el marc del Programa d’Harmonització Farmacoterapèutica (PHF) i d’acord
amb les recomanacions del corresponent Consell Assessor
i la Comissió Farmacoterapèutica per al SISCAT, s’han publicat al web
del CatSalut les</span><span style="color: #1f497d;"><span lang="ca"> </span></span><span lang="ca">Pautes d’harmonització farmacoterapèutica</span><span style="color: #1f497d;"><span lang="ca"> </span></span><span lang="ca">següents:</span></span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">
</span></span></div>
<div style="margin: 0px 0px 6pt; text-align: justify;">
</div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">
</span></span></div>
<div style="margin: 0px 0px 6pt 36pt; text-align: justify; text-indent: -18pt;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca" style="background-color: yellow;">-</span><span lang="ca" style="background-color: yellow;">
</span><span lang="ca" style="background-color: yellow;">Pautes
per a l’harmonització de l’ús d’anticoagulants orals per a la prevenció
de l’ictus i l’embòlia sistèmica en pacients amb fibril·lació auricular.</span></span></span></span><br />
</div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">
</span></span></div>
<div style="margin: 0px 0px 6pt 36pt; text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca">Disponible a: </span><a href="https://ecorreu.gencat.cat/owa/redir.aspx?C=WseJGsXr27IRsWV29GVbC6PKsTtx1N__9GNXoXA8PdcRc6wSO0XWCA..&URL=http%3a%2f%2fcatsalut.gencat.cat%2fca%2fdetalls%2farticles%2fPautesACO_FA" rel="noopener noreferrer" target="_blank"><span lang="ca">http://catsalut.gencat.cat/ca/detalls/articles/PautesACO_FA</span></a></span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">
</span></span></div>
<div style="margin: 0px 0px 6pt 36pt; text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca">Aquesta
pauta té l’objectiu d’harmonitzar<b> el tractament anticoagulant oral dels
pacients amb fibril·lació auricular (FA)</b> i es dirigeix,
principalment, als professionals de l’àmbit de l’atenció primària,
comunitària i especialitzada. </span></span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">
</span></span></div>
<div style="margin: 0px 0px 6pt 36pt; text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca">La
Pauta <b>estableix els criteris i les recomanacions d’ús dels
anticoagulants orals antagonistes de la vitamina K (AVK) i dels
anticoagulants
orals directes (ACOD).</b> Així mateix, és una eina per fomentar el bon ús
dels anticoagulants orals i incideix en aspectes fonamentals de
seguiment com el control de l’índex internacional normalitzat (INR),
l’ús de les dosis adequades, la importància de l’adherència
o del seguiment de la funció renal. </span></span></span></span><br />
<br />
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca">També inclou el maneig de
l’anticoagulació en <b>situacions especials com la cardioversió, el
perioperatori o els pacients amb malaltia arterial coronària, entre
d’altres.</b></span></span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">
</span></span></div>
<div style="margin: 0px 0px 6pt 36pt; text-align: left;">
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span><span lang="ca">Addicionalment,
s’ha publicat una <b>Guia de consulta ràpida</b> de les Pautes que conté
aquella informació més rellevant en un format reduït per
facilitar el seu ús en entorns assistencials. Properament es publicarà
també l’argumentari de les Pautes que contindrà la justificació de les
recomanacions emeses amb el seu corresponent suport bibliogràfic.</span></span></span></span></div>
<br />
<div style="text-align: center;">
<span style="font-size: small;"><span><span lang="ca"><span style="font-size: large;"><b>DOCUMENTS </b></span></span></span></span></div>
<h2 class="basic_title col-sm-12 pd-10">
<span style="font-size: large;"><span style="font-family: Arial, Helvetica, sans-serif;"><a href="http://catsalut.gencat.cat/web/.content/minisite/catsalut/proveidors_professionals/medicaments_farmacia/harmonitzacio/pautes/Anticoagulants-orals-fibrilacio-auricular/pautes_harmonitzacio_anticoagulants_orals_en_fibrillacio_auricular.pdf" target="_blank">Pautes d’harmonització farmacoterapèutica</a></span></span></h2>
<h2 class="basic_title col-sm-12 pd-10">
<span style="font-size: large;"><span style="font-family: Arial, Helvetica, sans-serif;"><a href="http://catsalut.gencat.cat/web/.content/minisite/catsalut/proveidors_professionals/medicaments_farmacia/harmonitzacio/pautes/Anticoagulants-orals-fibrilacio-auricular/guia_breu_pautes_harmonitzacio_anticoagulants_orals_en_FA.pdf" target="_blank">Guia de consulta ràpida de les pautes d’harmonització</a></span></span></h2>
<h2 class="basic_title col-sm-12 pd-10">
</h2>
<span style="font-size: small;"><span><span lang="ca"> </span></span><a href="http://catsalut.gencat.cat/web/.content/minisite/catsalut/proveidors_professionals/medicaments_farmacia/harmonitzacio/pautes/Anticoagulants-orals-fibrilacio-auricular/guia_breu_pautes_harmonitzacio_anticoagulants_orals_en_FA.pdf" title="Guia de consulta ràpida de les pautes per a l’harmonització de l’ús d’anticoagulants orals en pacients amb fibril·lació auricular"><span class="size-document"></span></a></span><br /><span style="font-family: Calibri,sans-serif; font-size: small;"><span><span lang="ca"></span></span></span></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com1tag:blogger.com,1999:blog-2040063203560028833.post-39012768643841195462018-10-30T06:34:00.000+01:002018-10-30T06:34:13.534+01:00VACUNACIÓ EN LA DONA EMBARASSADA. RECOMANACIONS DE VACUNACIÓ ABANS,DURANT I DESPRÉS DE L’EMBARÀS<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle0">La vacunació de la dona embarassada té l’objectiu d’evitar els riscos que es puguin produir per infeccions prevenibles amb vacunes sobre la mare, el fetus en desenvolupament i el nadó. És molt important no acotar la vacunació al període de l’embaràs, ja que és fonamental assegurar la immunització de la gestant contra malalties com la rubèola, la varicel·la o el xarampió, contra les que no es pot vacunar durant l’embaràs. Històricament, l’ús de vacunació en l’embaràs ha estat restringit sota una premissa de prudència respecte a possibles efectes indesitjables, així com una possible mala resposta a les vacunes. Per garantir la seguretat davant aquesta hipotètica possibilitat, les vacunes atenuades (triple vírica, antivaricel·losa, vacuna BCG, antitifoidal oral, contra la febre groga i de la grip intranasal) estan contraindicades durant la gestació i es recomana que s’eviti l’embaràs durant el mes posterior a la seva administració. Les vacunes inactivades es consideren segures durant la gestació. </span></span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle0">En cada embaràs es recomana de manera sistemàtica la vacunació contra la tos ferina entre les setmanes 27 i 36 de la gestació i contra la grip, si l’embaràs coincideix amb la campanya de vacunació antigripal. També és necessari vacunar contra el tètanus si l’embarassada no està vacunada. En cas de presentar factors de risc, també es pot realitzar vacunació selectiva amb les vacunes inactivades que estiguin indicades. La vacunació de l’embarassada constitueix una part molt important de l’atenció prenatal.</span></span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle0"><b>Punts clau</b></span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle0"><b> </b></span><span class="fontstyle2">La vacunació és una part important de l’atenció prenatal que té com a objectiu assegurar el naixement de nadons sans amb el mínim de risc per a les mares. Cal realitzar una avaluació de la situació immune i antecedents de vacunació de la dona que desitja quedar-se embarassada. És especialment important que les dones susceptibles en edat fèrtil assegurin la immunitat contra el xarampió, la rubèola i la varicel·la, ja que aquestes vacunes estan contraindicades durant l’embaràs i la infecció en dones embarassades sense immunitat pot afectar negativament el resultat de l’embaràs.</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"> </span><span class="fontstyle2"><br /></span><span class="fontstyle3">• </span><span class="fontstyle2">L’embaràs ofereix una oportunitat per avaluar l’estat vacunal de la mare.</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"> </span><span class="fontstyle2"><br /></span><span class="fontstyle3">• </span><span class="fontstyle2">Només es recomanen dues vacunes durant l’embaràs: la vacuna contra la grip i la vacuna contra la tos ferina (dTpa) entre les setmanes 27 i 36 de gestació</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"><br /></span><span class="fontstyle3">• </span><span class="fontstyle2">Altres vacunes es poden administrar en circumstàncies especials, però no es recomanen rutinàriament.</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"><br /></span><span class="fontstyle3">• </span><span class="fontstyle2">Les vacunes atenuades estan contraindicades durant l’embaràs, tot i que no hi ha proves d’efectes adversos en cas de l’administració inadvertida.</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"><br /></span><span class="fontstyle3">• </span><span class="fontstyle2">Recomanar la vacunació a les dones embarassades és important. L’evidència demostra que és més probable que es vacunin si els professionals sanitaris que l’atenen li ho aconsellen.</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"><br /></span><span class="fontstyle3">• </span><span class="fontstyle2">És important que els professionals sanitaris informin sobre els benefcis i la seguretat de la vacunació durant l’embaràs.</span></span></span></span></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="fontstyle2"><br />Destacar els benefcis per al nadó és important per ajudar les dones a decidir.</span></span></span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span class="fontstyle0"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span style="font-size: large;"><b><span class="fontstyle2"> <a href="http://medicaments.gencat.cat/web/.content/minisite/medicaments/professionals/6_publicacions/butlletins/butlleti_informacio_terapeutica/documents/arxius/BIT-vol_29-n7-Vacunacio-en-la-dona-embarassada.pdf" target="_blank">DOCUMENT COMPLERT </a></span></b></span><span class="fontstyle2"></span></span></span>
</span><br style="-webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;" /><span class="fontstyle0"></span><span class="fontstyle0"> </span>
</div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-76955483894523672032018-10-23T08:48:00.001+02:002018-10-23T08:49:38.712+02:00 Reial decret de prescripció infermera, aprovat al BOE<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEin26VS9SSmha6q5p4jsPDv6tWq2jkpQ0qVBelgeaYlLmf72eGFWaVAiEv23Z2vPPrMvg5imDmq4nxbG1a_NCo7bvoOmUNZw5kqN-yVcMMxHdJdfe_qoOFSXnq1555BfE7i3OMXC255SuBm/s1600/1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="194" data-original-width="259" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEin26VS9SSmha6q5p4jsPDv6tWq2jkpQ0qVBelgeaYlLmf72eGFWaVAiEv23Z2vPPrMvg5imDmq4nxbG1a_NCo7bvoOmUNZw5kqN-yVcMMxHdJdfe_qoOFSXnq1555BfE7i3OMXC255SuBm/s1600/1.jpg" /></a></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , sans-serif; font-size: 12pt;">Aquest text entrarà en vigor en 24 hores per a atorgar
noves funcions al col·lectiu infermer.</span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">El Butlletí Oficial de l'Estat (BOE) d'aquest dimarts ha publicat el reial
decret de <b>prescripció infermera</b>, fent oficial així la norma que permetrà als
professionals d'Infermeria indicar i autoritzar la dispensació de determinats
medicaments en funció de protocols i guies de pràctica clínica assistencial .<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">En el document que aprova el BOE i que entra en vigor aquest dimecres,
s'especifica que <b>les comunitats autònomes seran els únics organismes competents
per acreditar que les infermeres puguin prescriure medicaments i dispensar les
vacunes recollides dins del Calendari de vacunes.</b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><b><br /></b></span></div>
<div class="separator" style="clear: both; text-align: center;">
<img border="0" data-original-height="168" data-original-width="299" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhsJRuL0na3paZLYJgjCjUWUQsv0salQFTbVZDsJLGO4EbfyA2_Mt_F8XSvL2PoMF93QCYZ4WnsH0TjP_fr1kFlBL2uNenYbClBIAbtp9YUo98A-cT4GMtP_082wj_3QafASTjNA79SS__w/s1600/2.jpg" /></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><b><br /></b></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">La normativa anunciada divendres passat, i que aquest dimarts veu la llum
de forma oficial, recull dues modificacions principals respecte al text aprovat
inicialment per les institucions i els òrgans col·legials implicats (infermers
i metges).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">Aquest document s'ha articulat sobre la
base de la sentència del Tribunal Constitucional que ha vingut a establir que
l'acreditació de professionals és competència exclusiva de les CCAA. </span><span style="color: #212121; font-family: "arial" , sans-serif; font-size: 12pt;">Això implica que a l'hora d'acreditar a les infermeres com prescriptores
seran les autonomies els qui emetin aquesta convalidació i no el Ministeri de
Sanitat com es va estipular en un primer moment. A més, inclou un apartat en el
qual s'atorga suport legal al col·lectiu infermer per administrar vacunes sense
l'autorització expressa d'un metge.</span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Amb aquest Reial Decret de prescripció infermera es donen
dos supòsits. Els uns, en els que necessitin de <b>valoració prèvia del metge</b> però
la medicació la infermera podrà anar variant al llarg del tractament (com
insulina per a diabètics o la regulació de dosi d'anticoagulants) i altres que
<b>no necessiten cap valoració anterior</b>, com pot ser el cas de la dispensació de
vacunes o el tractament de pacients amb úlceres per pressió.<o:p></o:p></span><br />
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://www.redaccionmedica.com/contenido/images/BOE-A-2018-14474prescripcionenfermera.pdf" target="_blank"><img border="0" data-original-height="229" data-original-width="220" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH2YGuned-MMRR0DEBHeUx5tDnXGO706629HqOKoCCnHRdtlZWh5NDSqxbEmaAI8JLAdCjrIeVccQkTPyIOTblCoDtruTxXfCSORkD1BySS_A5CqEchU75bnCHozs4a2Orlko5EYDDSmEL/s1600/5.png" /></a></div>
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
</div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: center;">
<span style="color: #212121; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">ACCEDEIXI AQUÍ AL <a href="https://www.redaccionmedica.com/contenido/images/BOE-A-2018-14474prescripcionenfermera.pdf" target="_blank">DOCUMENT COMPLET</a><o:p></o:p></span></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-19373594046089115142018-10-17T06:42:00.002+02:002018-10-17T06:49:43.631+02:00Demà a les 11:00 am...nova actualització del Maleti del Metge de Familia!<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="about:invalid#zClosurez" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a></div>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIU8oxcSQHqgjjRj2Y4wnUzdURTwYNMbmuxh5yt1KAJi5_Cmzd2KjvvkCI80CnpIQcXsb4SxIrpVgQuNjy1R5lDfgW827IRHRL865WPqJb9A8ZlhmhiCjvLUgt390ROx6G8V-MwiwBPQkM/s1600/Imagen2.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="about:invalid#zClosurez" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><img border="0" data-original-height="608" data-original-width="690" height="281" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIU8oxcSQHqgjjRj2Y4wnUzdURTwYNMbmuxh5yt1KAJi5_Cmzd2KjvvkCI80CnpIQcXsb4SxIrpVgQuNjy1R5lDfgW827IRHRL865WPqJb9A8ZlhmhiCjvLUgt390ROx6G8V-MwiwBPQkM/s320/Imagen2.png" width="320" /><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="about:invalid#zClosurez" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "sans-serif";">Us esperem a Healthio! ... intentaré explicar-vos les ultimes novetat.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "sans-serif";">A l´hora de realitzar una correcta exploració clínica ja saps que és <span style="font-size: large;"><b>la insonació?</b></span><span style="mso-spacerun: yes;"> </span>i qué ara ho tens a l'abast de la teva pràxi mèdica?</span></div>
<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>ES</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:EnableOpenTypeKerning/> <w:DontFlipMirrorIndents/> <w:OverrideTableStyleHps/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371"> <w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/> <w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/> <w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/> <w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/> <w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/> <w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/> <w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/> <w:LsdException Locked="false" Priority="39" Name="Table Grid"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/> <w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" Name="Light List"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/> <w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/> <w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/> <w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/> <w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/> <w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/> <w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/> <w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/> <w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/> <w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/> <w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/> <w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/> <w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/> <w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/> <w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/> <w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/> <w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/> <w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/> <w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/> <w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/> <w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/> <w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Tabla normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:8.0pt;
mso-para-margin-left:0cm;
line-height:107%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style> <![endif]--><br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="about:invalid#zClosurez" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioLac8AyunZkKeO4cXBaZtW2Wmh_fGuqquOQAIDctVD-L9b-U42mPso1DNaou1Yams8zcsQywRG8wfq7wlJ_Xo6Wft-6vueAfm7DncKNM0TjK6ndHeBY_F4THfvx1Oy2-fWs85VydbQDxn/s1600/1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="677" data-original-width="1200" height="289" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioLac8AyunZkKeO4cXBaZtW2Wmh_fGuqquOQAIDctVD-L9b-U42mPso1DNaou1Yams8zcsQywRG8wfq7wlJ_Xo6Wft-6vueAfm7DncKNM0TjK6ndHeBY_F4THfvx1Oy2-fWs85VydbQDxn/s400/1.jpg" width="480" /></a></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-62453192730640398482018-10-05T06:46:00.000+02:002018-10-05T06:47:51.634+02:00Durada del tractament antibiòtic: es pot escurçar amb seguretat!<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="720" data-original-width="1280" height="360" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiugg1F-kUTmulFzOKdRKimKiQt28uyD0RkrT_4v-pOPpza9ZPftTbrtOf2DiN_UKiL5kzmy6WL0oErSHRkBEQNhKSPlEXXJDOMNhVrWtl35r5mtbriALz1cT1K0l0K9fHosSibZXCdCsgN/s640/r.jpg" width="640" /></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0">Actualment, disposem d’evidència científca que demostra que<b> tractaments més curts dels tradicionalment establerts són igual d’efectius i s’associen a menys efectes indesitjables en moltes patologies</b></span><span class="fontstyle0"><b>.</b> No obstant això, un cop un tractament antibiòtic s’ha iniciat, alguns metges són reticents a retirar-lo, inclús quan no hi ha una evidència clara d’infecció</span><span class="fontstyle0">. En la nostra opinió perquè s’ha estès el tòpic que si aturem l’antibiòtic massa aviat augmentem les resistències bacterianes. Aquest argument no té cap base científca com veurem més endavant.</span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0"><br />
Els tractaments més curts són més segurs, més econòmics i presenten menys efectes indesitjables i risc de selecció de resistències</span><span class="fontstyle0">.</span></span></span></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0"><span class="fontstyle0"><span style="font-size: large;"><b>Punts clau</b></span></span></span></span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0"><span class="fontstyle0"><span style="color: white;"><span style="font-size: large;"><b>. </b></span></span></span><span class="fontstyle2">•<b> </b></span><span class="fontstyle3"><b>La resistència als antimicrobians s’ha intensifcat</b> en els darrers anys i s’ha convertit en una amenaça per a la salut pública.</span></span></span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0"><span class="fontstyle3"><br /></span><span class="fontstyle2">• </span><span class="fontstyle3">Durant el tractament antibiòtic, la pressió de selecció de mutants resistents es produeix a partir del 3r-4t dia i s’incrementa a mesura que s’allarga la durada.</span></span></span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0"><span class="fontstyle3"><br /></span><span class="fontstyle2">• </span><span class="fontstyle3">Es disposa d’evidència científca que demostra que<b> els tractaments curts són igual d’efectius i s’associen a menys efectes indesitjables en patologies com la pneumònia de la comunitat, la pneumònia associada a ventilació mecànica, la infecció urinària, la infecció intraabdominal, l’otitis i la sinusitis.</b></span></span></span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle0"><span class="fontstyle0"><span class="fontstyle3"><br /></span><span class="fontstyle2">• </span><span class="fontstyle3">Per manca d’evidència científca, <b>els tractaments curts no estan indicats en les circumstàncies següents: immunosupressió, infeccions greus, infeccions quirúrgiques amb mal control de focus o infeccions protètiques, entre d’altres.</b></span></span></span></span></div>
<div style="text-align: left;">
<br /></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="fontstyle3"> </span></span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUomLhpa6ILPeHOapZ-4J-38pXfYt4XUQGVf1elQN8JyOBM7Idr9IssaYs971vifrGd5v106RdMQouYvQRjkEf6vyTaLmE2yJ7fPVS7l7DpmBsm_qec_ONeBGuTu3aZbJ5yK0EIvl1yz34/s1600/Presentaci%25C3%25B3n1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1280" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUomLhpa6ILPeHOapZ-4J-38pXfYt4XUQGVf1elQN8JyOBM7Idr9IssaYs971vifrGd5v106RdMQouYvQRjkEf6vyTaLmE2yJ7fPVS7l7DpmBsm_qec_ONeBGuTu3aZbJ5yK0EIvl1yz34/s400/Presentaci%25C3%25B3n1.jpg" width="480" /> </a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"><b><a href="http://medicaments.gencat.cat/web/.content/minisite/medicaments/professionals/6_publicacions/butlletins/butlleti_informacio_terapeutica/documents/arxius/BIT-vol_29-n6-Durada-del-tractament-antibiotic.pdf" target="_blank">DOCUMENT COMPLERT</a></b></span></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com1tag:blogger.com,1999:blog-2040063203560028833.post-83289276536548191412018-09-14T13:36:00.004+02:002018-10-04T08:36:50.617+02:00Healthio 2018 presentarà els últims avenços en sanitat a través d'itineraris temàtics<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><img border="0" data-original-height="330" data-original-width="750" height="195" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGDQQn4U030LysGTDUL3wJ6qDlHcWp1X_3KABq0KHY0NgdJdlgaeu5N5hT11mz0v3okY-Sw_uKQT_1wzDTTNl9grr5kU9WdC-2rwKO_uHLZ9aMJzk24DpgzQbRdcgg85fnjMF-51QOD6wE/s400/11.jpg" width="480" /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><img border="0" data-original-height="168" data-original-width="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhp9pi5yP-Yk8eYD0DKHloWA9O7fQX3eHxk56R-ND_rJrhUEBS28qng1r4MM3RlygCr4t7FJVvB0KR4vpjkvV0z2ulHwV5qmIxs-O7zEy0vCOIM7AFIlWdo8XoMMv48LbRYuNp0YyFI7-XQ/s1600/111.jpg" /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Adreçat a pacients, doctors, infermers i professionals d'empreses, hospitals i sistemes de salut en general, el <b><a href="http://www.nuestraenfermeria.es/entrevista-jordi-serrano-co-founder-healthio/" target="_blank">Dr. Serrano</a> i <a href="https://www.firabarcelona.com/home" target="_blank">Fira de Barcelona</a> </b><a href="https://www.firabarcelona.com/home" target="_blank"></a>organitzen la 2a edició de <a href="http://www.healthio-global.com/ca/home" target="_blank">HEALTHIO 2018</a>, l'esdeviment que es presenta no tant com un congrés convencional sinó com una experiència per provar els últims avenços en el sector de la indústria de la salut.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">La segona edició de Healthio, tindrà lloc del <b><a href="https://healthio-global.blog/2018/05/30/10-novedades-healthio-2018/" target="_blank">16 al 18 d'octubre</a> </b>al recinte de Montjuïc i donarà a conèixer els<b> últims avenços tecnològics del sector sanitari</b> amb guiades visitades agrupades en tres àmbits: salut i benestar, medicina personalitzada i malalties cròniques i envelliment.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Healthio es un <b>espai d'intercanvi de coneixement i experiències pilot i comercials en el qual els usuaris podran provar i experimentar les tècniques i pràctiques més avançades del sistema sanitari.</b></span></div>
<div class="MsoNormal" style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKFfwMun1L04hkqwY-nHAgYRhLTnKAaC9PiKJ0aknjvQ9TECtQdNjTMPodvxTj4MWaKc-V37e3rfqHzOJfQTbsGLu0qIhLbu4AOOPrNogAkdyLMpA3ucP4U3Ic9sPUQDIuoDwrgznY-mKY/s1600/6.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1300" data-original-width="1300" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKFfwMun1L04hkqwY-nHAgYRhLTnKAaC9PiKJ0aknjvQ9TECtQdNjTMPodvxTj4MWaKc-V37e3rfqHzOJfQTbsGLu0qIhLbu4AOOPrNogAkdyLMpA3ucP4U3Ic9sPUQDIuoDwrgznY-mKY/s200/6.jpg" width="250" /></a><span style="font-family: "arial" , "helvetica" , sans-serif;"></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></span> <span style="font-family: "arial" , "helvetica" , sans-serif;">En aquets certamen, el dijous 18 d´octubre participo amb l´actualització del taller del <i><a href="https://www.semfyc.es/wp-content/uploads/2018/05/NdP-BCNseMFYC-10may2018-tecnologia-cronicidad.pdf" target="_blank">Maletín del Metge de Familia del segle XXI </a></i> que vaig fer a la SEMFYC 2018 també a Barcelona i on intentarè explicar les darreres novetats que han aparegut en aquests mesos.</span><br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlXAFNsN0C7pnCmNRifqXhmj5E6ajx9xHVS1n57Nb0j6iQBJlj1BNNriRyYD1yQ95f8gTXfYy1H66FRvLlATdrSZmR8Ocl10UYX2v3-OoiCXfOPpdCzNSDhq47TyHbAlKlpDqS0jJ9vaBa/s1600/PHOTO-2018-05-12-14-29-16.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="750" data-original-width="1000" height="190" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlXAFNsN0C7pnCmNRifqXhmj5E6ajx9xHVS1n57Nb0j6iQBJlj1BNNriRyYD1yQ95f8gTXfYy1H66FRvLlATdrSZmR8Ocl10UYX2v3-OoiCXfOPpdCzNSDhq47TyHbAlKlpDqS0jJ9vaBa/s200/PHOTO-2018-05-12-14-29-16.jpg" width="260" /></a></span></div>
</div>
<div class="MsoNormal" style="text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjokNhlYMl3p01O-iCjmaXQp0dN82U0MXHZYruAJjre4CzCOzSaskpeuxlJmw5lSJb-vRGX5RGaoQWGWvasqtw-D_h_ldgriQUY2tvpUkA4Co17gfdmsryFT0Ve7laGOAw6vuGJBgvA8aiQ/s1600/7.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="198" data-original-width="299" height="250" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjokNhlYMl3p01O-iCjmaXQp0dN82U0MXHZYruAJjre4CzCOzSaskpeuxlJmw5lSJb-vRGX5RGaoQWGWvasqtw-D_h_ldgriQUY2tvpUkA4Co17gfdmsryFT0Ve7laGOAw6vuGJBgvA8aiQ/s400/7.png" width="480" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgssE9N0D2egmjXTM-4pGYhyphenhyphen76VmaPKFoQkUsgxUjS7DPbo3iskHnXzduc0fIfCGHhXBVxcUWZjqt3xrTHUM_WUT38AuVTGM9cRnb38cG03zoc6IOPFWQsvo1kF4L05sYg0oge15mKOIVh3/s1600/5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="275" data-original-width="925" height="148" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgssE9N0D2egmjXTM-4pGYhyphenhyphen76VmaPKFoQkUsgxUjS7DPbo3iskHnXzduc0fIfCGHhXBVxcUWZjqt3xrTHUM_WUT38AuVTGM9cRnb38cG03zoc6IOPFWQsvo1kF4L05sYg0oge15mKOIVh3/s400/5.jpg" width="480" /></a></div>
<div class="MsoNormal">
<u style="background-color: white; color: #484848; font-family: Arial, Helvetica, sans-serif; line-height: 1.1;"><b><br />
</b></u></div>
<div class="MsoNormal">
<u style="background-color: white; color: #484848; font-family: Arial, Helvetica, sans-serif; line-height: 1.1;"><b>Àgores i Itineraris</b></u></div>
<div class="MsoNormal">
<u style="background-color: white; color: #484848; font-family: Arial, Helvetica, sans-serif; line-height: 1.1;"><b><br />
</b></u></div>
<div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">HEALTHIO estarà dividit en <b>quatre àrees</b> per descobrir les últimes innovacions en el sector: </span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">1.- el futur de la sanitat, </span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">2.- les innovacions mèdiques, </span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">3.- el <i style="box-sizing: border-box;">consumer health living lab </i>i </span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">4.- finalment les operacions en viu.</span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Com puc accedir a una<b> ENTRADA GRATUÏTA?</b></span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Les empreses, entitats Sanitàries i professionals sanitàris poden disposar d'una <b>entrada gratuïta</b> per a la fira emprant els codi seguents<span style="box-sizing: border-box; font-weight: 600;"> </span>en el següent<span style="box-sizing: border-box; font-weight: 600;"> </span><a href="https://registration.firabarcelona.com/#/tickets/selection" style="box-sizing: border-box; color: #fe0000; text-decoration: none;" target="_blank">link de Registre</a> i clicant a Healthio 2018. </span><span lang="CA" style="background-color: transparent; font-family: "arial" , "helvetica" , sans-serif;">Codi multi us gratuït para <b><a href="https://registration.firabarcelona.com/#/tickets/selection" target="_blank">ENTRADA DE VISITANT PROFESSIONAL</a></b>: </span><b style="background-color: transparent; font-family: Arial, Helvetica, sans-serif;"><span lang="CA">EB02CC5D </span></b></div>
<div class="MsoNormal" style="margin-left: 36pt;">
<span lang="CA" style="font-family: "arial" , "helvetica" , sans-serif;">Per acreditar-se a HEALTHIO, accedir en aquest enllaç <a href="https://ecorreu.gencat.cat/owa/redir.aspx?C=HghR9bOJGBGpiDjse_E2rXhFaRi3VEYF5vbup4GjNhjL6z1NFRrWCA..&URL=https%3a%2f%2fregistration.firabarcelona.com%2f%23%2fes_CA%2fS101018%2fWEB" rel="noopener noreferrer" target="_blank">Àrea Visitant</a>. Inserir el codi a l’apartat de dalt a la dreta i polsar el codi, apareixerà la opció de passi gratuït i seguir tot el procés d’acreditació fins a finalitzar el mateix.</span></div>
<div class="MsoNormal" style="margin-left: 36pt;">
<span lang="CA" style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div class="MsoListParagraph">
<span lang="CA"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>MIREU L'<a href="http://www.healthio-global.com/es/agenda-2018?p_p_id=AAFullView_WAR_gaagendaactivitatsportlet&p_p_lifecycle=0&p_p_state=normal&p_p_mode=view&p_p_col_id=column-1&p_p_col_pos=2&p_p_col_count=3&date=&trackId=%27201%27,%27202%27,%27203%27,%27101%27,%27102%27,%27103%27,%27104%27,%27501%27,%27502%27,%27601%27,%27603%27,%27604%27,%27605%27,%27623%27,%27624%27,%27602%27,%27606%27,%27609%27,%27610%27,%27611%27,%27612%27,%27613%27,%27614%27,%27619%27,%27620%27,%27621%27,%27622%27,%27607%27,%27616%27,%27617%27,%27618%27&eventId=%272%27,%271%27,%275%27,%276%27,%277%27,%278%27,%279%27&keyword=&init=false#" target="_blank">AGENDA</a> AMB MES DE 300 PRESENTACIONS!</b></span></div>
<div style="background-color: white; box-sizing: border-box; color: #474747; line-height: 24px; margin-bottom: 10px;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div style="background-color: white; box-sizing: border-box; margin-bottom: 10px;">
<span style="color: #474747; font-family: "arial" , "helvetica" , sans-serif;"><span style="line-height: 24px;">Ens veiem aviat!</span></span></div>
<div style="background-color: white; box-sizing: border-box; margin-bottom: 10px;">
<span style="color: #474747; font-family: "arial" , "helvetica" , sans-serif;"><span style="line-height: 24px;"><br />
</span></span></div>
<div style="background-color: white; box-sizing: border-box; margin-bottom: 10px;">
<span style="color: #474747; font-family: "arial" , "helvetica" , sans-serif;"><span style="line-height: 24px;"><br />
</span></span></div>
</div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-9707871738200558422018-08-22T19:40:00.000+02:002018-08-22T20:01:23.465+02:00El maletí del Metge de Família del segle XXI<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="441" data-original-width="659" height="214" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiS15AcayYNuhtUA6t8JpMSCo_1kGEzFEmsUjflG0Hym4fTQxw5phg9qY2IHKoB6c4N0IOnAFTpHqWVa32SYV9oTbH1d8sBlUJ8GFqY9UlzloAlvgTnJGKaVC5q_15cAGyoruzySZux5EZM/s320/2.jpg" width="320" /></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"></span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"></span></span><br />
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;">El nou maletí del metge/ssa de familia del segle XXI es un concepte innovador.</span></span></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><br /></span></span></div>
<div align="justify">
<!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:HyphenationZone>21</w:HyphenationZone>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>ES</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Tabla normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:8.0pt;
mso-para-margin-left:0cm;
line-height:107%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;">El passat mes de maig del 2018, al 38º congrés de la Semfyc,
vaig poder presentar i mostrar aquest concepte en un<a href="http://www.gacetamedica.com/primaria/los-medicos-de-familia-dejan-hueco-en-su-maletin-para-las-nuevas-tecnologias-EA1534350" target="_blank"> taller interactiu.</a></span></span><br />
<span style="color: #0000ee; font-family: "arial" , "helvetica" , sans-serif;"><u><br /></u></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><a href="http://www.gacetamedica.com/primaria/los-medicos-de-familia-dejan-hueco-en-su-maletin-para-las-nuevas-tecnologias-EA1534350" target="_blank"></a></span></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiYHLOSlouxBbVtm9rhXVizxYZCkcpj8shp48Xf9UwPDTmrepNiW2GbB46qxmFYnizUeLI9Rvubko8sphZr2uJ7rwq4pq-IIk-OritZJAZ1kdhluITcObiicGp0X7gREDrjkKjosBU_q_Qd/s1600/PHOTO-2018-05-12-14-29-16.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="750" data-original-width="1000" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiYHLOSlouxBbVtm9rhXVizxYZCkcpj8shp48Xf9UwPDTmrepNiW2GbB46qxmFYnizUeLI9Rvubko8sphZr2uJ7rwq4pq-IIk-OritZJAZ1kdhluITcObiicGp0X7gREDrjkKjosBU_q_Qd/s200/PHOTO-2018-05-12-14-29-16.jpg" width="200" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6VkgeQAHoeDXeIAiV9yDzu8Sk3HujcUYv9GspSexDSng9suEcf5zjVZ5Rpum38aCIZnsDi00T5eNHF77sY6DjokP-PR0rpvGzouyjPN4ID0Jy8tmxyznJh15yEVMn3JwQnvg0088cB8sh/s1600/PHOTO-2018-05-12-14-29-28.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="750" data-original-width="1000" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6VkgeQAHoeDXeIAiV9yDzu8Sk3HujcUYv9GspSexDSng9suEcf5zjVZ5Rpum38aCIZnsDi00T5eNHF77sY6DjokP-PR0rpvGzouyjPN4ID0Jy8tmxyznJh15yEVMn3JwQnvg0088cB8sh/s200/PHOTO-2018-05-12-14-29-28.jpg" width="200" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEisjI4Ge2dmRzi6HYOjeAeMSHbnL6z5tZvyr8FbkbBNpVUO-47pcuRG5l8Chtw0xRAfXmBhfiNbKJxGpDmEB7U2OwQZKdMTAgy7tLFFVd0MevpKW44LFeiyNkj9ObzGVygt4had3V-RBvca/s1600/PHOTO-2018-05-12-14-29-53.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="750" data-original-width="1000" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEisjI4Ge2dmRzi6HYOjeAeMSHbnL6z5tZvyr8FbkbBNpVUO-47pcuRG5l8Chtw0xRAfXmBhfiNbKJxGpDmEB7U2OwQZKdMTAgy7tLFFVd0MevpKW44LFeiyNkj9ObzGVygt4had3V-RBvca/s200/PHOTO-2018-05-12-14-29-53.jpg" width="200" /></a></span></span></div>
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOabzSAhquuuU8DOE0vfdA1ZfxAXXghKURncelshg61KCv6rDHLwxFa168HCicrTfQoxivOwn-IvxS13CQlfhc2zj-wNYvFQvkjlrSBVqxs_sLqAJLAVSlXEhvQ5AZrz08uARz6v5r9ZIW/s1600/4.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="501" data-original-width="835" height="192" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOabzSAhquuuU8DOE0vfdA1ZfxAXXghKURncelshg61KCv6rDHLwxFa168HCicrTfQoxivOwn-IvxS13CQlfhc2zj-wNYvFQvkjlrSBVqxs_sLqAJLAVSlXEhvQ5AZrz08uARz6v5r9ZIW/s320/4.png" width="320" /></a></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;">En el futur, la medicina haurà d'assimilar que el pacient ja no és un element passiu sinó que disposarà d'elements que interaccionaran amb el nou maletí del metge: multiples sensors cardíacs, detector de venes amb sistema infrarojos, dermatoscopis per fer teledermatologia, sensors intel·ligents, fonendoscopis digitals, nous otoscopis, tensiòmetres, ECG de petit tamany i connectats al mòbil, ecògrafs portàtils, drones ambulància, glucòmetres sense punció, espiròmetres de smartphone, etc. </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;">L'extensió de l'ús d´ecògrafs per part dels Metges de
Família d´Atenció Primària i la incorporació d´aquesta activita als equips, pot reduir les derivacions dels
pacients fins a un 80%, augmentant d'aquesta manera la capacitat
resolutiva en una primera consulta.</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: small;">
</span></span><br />
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b style="line-height: 107%;">La pregunta que ens fem: ...és necessari continuar tenint els actuals dispositius mèdics, o podrien ser substituir
per eines més fiables i precises per millorar la capacitat de resolució?</b><span style="line-height: 107%;"> un
aspecte clau en la millora de les bones pràctiques en medicina de família.</span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; line-height: 107%;"><br /></span></div>
<div class="MsoNormal">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNoo8SmeL47h-vEDfXaGGbp_mWprlqWTwL1IRWZql-9uz3DRkUj7Vk_QmdRrFk0Hac223z8iBbLwtNz7CwwmsXeBZAlz0eAli0jiVo4XoskiK4PA1gyBp3Y-9C9mGJi2ZlHznXNupFnHaS/s1600/6.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="467" data-original-width="467" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNoo8SmeL47h-vEDfXaGGbp_mWprlqWTwL1IRWZql-9uz3DRkUj7Vk_QmdRrFk0Hac223z8iBbLwtNz7CwwmsXeBZAlz0eAli0jiVo4XoskiK4PA1gyBp3Y-9C9mGJi2ZlHznXNupFnHaS/s320/6.jpg" width="320" /></a></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><br /></span></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: small;">Per saber i aprofundir més en aquest concepte, deixo les <b>dues entrevistes</b>
que m'han fet així com una invitació a tots els professionals sanitàris que estiguin interessat a assistir al
proper<b> <a href="http://www.healthio-global.com/news/-/noticias/detalle/11655140/maletin-medico-xxi" target="_blank">Congrès d´Healthio</a></b> d'aquest octubre on intentaré seguint exposant els avenços
que hem tingut en els darrers mesos.</span></span></div>
<div style="text-align: center;">
<!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:HyphenationZone>21</w:HyphenationZone>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>ES</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Tabla normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:8.0pt;
mso-para-margin-left:0cm;
line-height:107%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><span style="font-size: large;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<img border="0" data-original-height="195" data-original-width="259" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXtdezXbLsZ-pftdLDcajwkIVImUqfb1UHxLSTdfarOt9rSx5ZObLCNN9lQ_nW0KVduWo4tETxQr-5xTrPRTGZ0D0fYS_FSuC1_3_WHAy2ouiQ083lsG3XB10W67K7Vsdy222lmqqDt3VL/s200/66.png" width="200" /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-size: large;"><b><br /></b></span>
<span style="font-size: large;"><b>CONTINGUTS</b></span><br />
<span style="font-size: large;"><b><br /></b></span>
<br />
<div style="text-align: left;">
<span style="font-size: large;"><b><i><b><span style="font-family: "arial" , "helvetica" , sans-serif;">1.- <a href="http://www.sietediasmedicos.com/actualidad/entrevistas/item/7547-entrevista-con-miguel-molina-de-heras-sobre-avances-tecnologicos-en-atencion-domiciliaria" target="_blank">Avanços tecnològics en atenció domiciliària</a></span></b></i></b></span></div>
</div>
<br />
<b><span style="font-size: small;"><span style="font-size: large;"><i>
</i></span></span></b><b><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"></span></span></b><br />
<div class="MsoNormal">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span style="font-size: large;"><i>2.- <a href="http://www.sietediasmedicos.com/actualidad/en-portada/item/7546-atencion-domiciliaria-tecnologia-y-mucho-mas" target="_blank">Atenció domiciliaria: tecnología i molt més</a></i></span></span></span></b></div>
<b><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;">
</span></span></b>
<br />
<div class="MsoNormal">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span style="color: white;"><span style="font-size: large;"><i> .</i></span></span></span></span></b></div>
<b><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;">
</span></span></b>
<br />
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><b><a href="http://www.healthio-global.com/news/-/noticias/detalle/11655140/maletin-medico-xxi" target="_blank">*El taller «Maletín del médico de familia del siglo XXI» es tornarà a realitzar en Healthio (Barcelona 16-18 d´ octubre)</a></b></span></span></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><b><span style="color: white;">. </span></b></span></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><b> </b> </span></span></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-75737140859734770982018-08-21T07:18:00.003+02:002018-08-21T08:43:54.235+02:00Millorant l'accessibilitat. Models de gestió de la demanda diària<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjysHH9O0M4OJsHCC5ftDJK6PkJH3WTcAO_aDztQ1zWCAvPhXawDTVs-sN3U3d8wGBfSu9ZcI3y2Ghpry2GJBfS662uecP6Ws3GpBUHKB6wsyH85BBDTRpKEenBi7IXsd-ir2DEWL5xKVK-/s1600/4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="432" data-original-width="768" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjysHH9O0M4OJsHCC5ftDJK6PkJH3WTcAO_aDztQ1zWCAvPhXawDTVs-sN3U3d8wGBfSu9ZcI3y2Ghpry2GJBfS662uecP6Ws3GpBUHKB6wsyH85BBDTRpKEenBi7IXsd-ir2DEWL5xKVK-/s320/4.jpg" width="320" /></a></div>
<br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiehPSaz-faLgG4vN7KdjeReh9WQlzne0_r_aCrxJcBYZRjn88K-k__tZaHEigO3oioT0kTIj03gnNBfUj_Zafg-wrFhQgd8Kx2Dpr4RKdkQ508pFKDZtRJe088SDlVM-EE22jRdwVW-DjL/s1600/6.png" imageanchor="1" style="clear: left; display: inline !important; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="100" data-original-width="500" height="40" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiehPSaz-faLgG4vN7KdjeReh9WQlzne0_r_aCrxJcBYZRjn88K-k__tZaHEigO3oioT0kTIj03gnNBfUj_Zafg-wrFhQgd8Kx2Dpr4RKdkQ508pFKDZtRJe088SDlVM-EE22jRdwVW-DjL/s200/6.png" width="200" /></a><br />
<span style="font-family: arial, helvetica, sans-serif;">Article original d´ AMF. </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , sans-serif;">Manuel Ferrán
Mercadé, especialista en Medicina Familiar y Comunitaria, CS Irún Centro. OSI
Bidasoa. Guipúzcoa, Miembro del Consejo Asesor de la semFYC iMarina Alapont
Serrano, Especialista en Medicina Familiar y Comunitaria, CS Irún Centro. OSI
Bidasoa. Guipúzcoa.</span><br />
<div class="MsoNormal">
<span style="font-family: "arial" , sans-serif;">Es revisan
els diferents aspectes organitzatius dels nostres centres de salut, i valorar
els avantatges i inconvenients de les diferents opcions existents en cada cas.
Explica evidències disponibles per a triar la millor opció disponible, que ha
de garantir sempre el manteniment de les qualitats essencials de l'Atenció
Primària de Salut, com són la longitudinalitat, l'accessibilitat, la
coordinació i la integració.</span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span style="font-size: x-small;">
<span style="font-size: small;">
</span></span></span></span><br />
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span style="font-size: x-small;"><span style="font-size: small;"><span style="font-family: "arial" , "sans-serif";">S´aborda la
gestió de la demanda al centre, s´analitza quin model garanteix millor
l'accessibilitat dels pacients. L'organització de l'atenció domiciliària, la
cronicitat, la docència i la longitudinalitat, entre d'altres, han de ser
objecte de pròxims articles.</span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span style="font-size: x-small;">
</span></span></span><br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://amf-semfyc.com/web/article_ver.php?id=2275" target="_blank"><img alt="http://amf-semfyc.com/web/article_ver.php?id=2275" border="0" data-original-height="225" data-original-width="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_kb4hMrAYVJlJLfaclov-hoTSRee22Brn5gOoM3gw-ExygJqfqdi5iSzZRnslv9B9WTpEu7pV_Niq4OMaLGF7tXv_b5duY3VgeK1Nu5LNVsm5WatgH_n8MlnAtmnlkFQAJEwybxe-rXSU/s1600/6.png" /></a></div>
<div style="text-align: center;">
<span style="font-size: large;"><b><a href="http://amf-semfyc.com/web/article_ver.php?id=2275" target="_blank"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="" id="result_box" lang="ca"> ARTICLE</span></span></a></b></span></div>
<br />
<br />
<br />
<div class="div_article_pdf">
</div>
<div class="div_article_pdf">
</div>
<span style="font-size: x-small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span class="" id="result_box" lang="ca"> </span> </span></span><br />
<div id="art_titol_autors">
</div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-18461648282568181472018-08-17T06:56:00.004+02:002018-08-17T07:01:29.070+02:00Noves pautes d'harmonització dels anticoagulants orals<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:HyphenationZone>21</w:HyphenationZone>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>ES</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Tabla normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:8.0pt;
mso-para-margin-left:0cm;
line-height:107%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div class="MsoNormal">
<img border="0" data-original-height="308" data-original-width="660" height="149" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLpEPm7_wXI8jGkNLxAjz0xZfv6bqGUeXtrA5WNzbjPJmc_HfNaqkZTBjakb032kZflLCZlfOsZ4oIPgaiS_RpFcqR92VyOyA9Fdk9sJ9yC0g9Z6pXmdDwetmgCNrj6xvpSvShFJWBb5vM/s320/5.jpg" width="320" /><span style="font-size: small;"><span style="font-family: "arial" , "sans-serif"; line-height: 107%;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<span style="font-size: small;">
</span><br />
<div class="MsoNormal">
<span style="font-size: small;"><span style="font-family: "arial" , "sans-serif"; line-height: 107%;">Pautes per a l’harmonització de l’ús d’anticoagulants
orals per a la <b>prevenció de l’ictus i l’embòlia sistèmica en pacients amb
fibril·lació auricular.</b></span></span></div>
<span style="font-size: small;">
</span><br />
<div class="MsoNormal">
<span style="font-size: small;"><span style="font-family: "arial" , "sans-serif"; line-height: 107%;">Aquesta pauta té l’objectiu d’harmonitzar el tractament
anticoagulant oral dels pacients amb fibril·lació auricular (FA) i es dirigeix,
principalment, als professionals de l’àmbit de<b> l’atenció primària, comunitària
i especialitzada.</b></span></span></div>
<span style="font-size: small;">
</span><br />
<div class="MsoNormal">
<span style="font-size: small;"><span style="font-family: "arial" , "sans-serif"; line-height: 107%;">La Pauta estableix els<b> criteris i les recomanacions d’ús
dels anticoagulants orals antagonistes de la vitamina K (AVK) i dels
anticoagulants orals directes (ACOD)</b>. Així mateix, és una eina per fomentar el
bon ús dels anticoagulants orals i incideix en aspectes fonamentals de
seguiment com el control de l’índex internacional normalitzat (INR), l’ús de
les dosis adequades, la importància de l’adherència o del seguiment de la<b>
funció renal. </b>També inclou el <b>maneig de l’anticoagulació en situacions
especials com la cardioversió, el perioperatori o els pacients amb malaltia
arterial coronària, entre d’altres.</b></span></span></div>
<span style="font-size: small;">
</span><br />
<div class="MsoNormal">
<span style="font-size: small;"><span style="font-family: "arial" , "sans-serif"; line-height: 107%;">Addicionalment, s’ha publicat una <b>Guia de consulta ràpida
de les Pautes que conté aquella informació més rellevant en un format reduït
per facilitar el seu ús en entorns assistencials</b>.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<img border="0" data-original-height="225" data-original-width="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0Xino7N1keakgP4WaL_kbhGa7oWkBMhEyaUCq3Q-Y5bMO-fCq4BtUBurg0wTBwFCVIzLkGICw6-yWfSa5xx-1VBso7ScKm4HS42EUorMTJAA04bBEQjiIVzJ_xY_drdXeGcBjvs1tt7gr/s1600/4.png" /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-size: large;"><b><span style="font-family: "arial" , "sans-serif"; line-height: 107%;"><a href="https://drive.google.com/file/d/1rfE632ZeCM0yPCaNla-DUyDDfhWiVr7m/view?usp=sharing" target="_blank">DOCUMENT COMPLERT</a></span></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<b><span style="font-size: small;"><img border="0" data-original-height="680" data-original-width="800" height="272" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5g7-wfEm8gtNrwo5YK_LSCR64z9EY53-XmYPPTEXv0jZtU7B9yQVXuR4W77azyzw7Ztlq9xz35XB6jKS2c5AT18DjEb-Lx8LDu2yxzMwqKmhV38NOwws01J-A4tbCXP0BBS4wJb8Bp1qX/s320/8.jpg" width="320" /></span></b></div>
<br />
<div class="MsoNormal" style="text-align: center;">
</div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-size: large;"><a href="https://drive.google.com/file/d/1gxJVzu1IYVEgL2LdfmsY8s-7MleuhOp-/view?usp=sharing" target="_blank"><b><span style="font-family: "arial" , "sans-serif"; line-height: 107%;">GUIA BREU </span></b></a></span></div>
<div class="MsoNormal">
<span style="font-size: small;"><span style="font-family: "arial" , "sans-serif"; line-height: 107%;"><br /></span></span></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-5325457712010481362018-08-16T06:39:00.001+02:002018-08-17T06:38:59.965+02:00Quadre resum de les restriccions a la conducció en determinades patologies cardíaques, segons la nova llei de trànsit<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="246" data-original-width="894" height="87" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5K2GHPyF0yGTK-AszgA2aG59pilqfuAVc_QdtIgNJkA6JtjchToiwAN50AJmMFcipekmrc1pSJbYvhhdGy8sGO9lonTLzjNLVuHnvurDXXqUl0WiFdz40tB2Qh6L_imsP4BXFroz0L_KM/s320/2.jpg" width="320" /> </div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvmrRgQ_4mHJliuFs5bi8KeuhiuvZiE-EXyo7IO3Omxz0x-_f-_nV6BPkW-HVXYZUVUWOpKYqma07cZkTf97-wxpBXAIpLV4N9-d0CMrv0R1Yz9GTn8YxD6Ksfj1fKmPb8c4CmfuLwLpHL/s1600/DkkpFxGXgAAcIgN.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1200" height="380" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvmrRgQ_4mHJliuFs5bi8KeuhiuvZiE-EXyo7IO3Omxz0x-_f-_nV6BPkW-HVXYZUVUWOpKYqma07cZkTf97-wxpBXAIpLV4N9-d0CMrv0R1Yz9GTn8YxD6Ksfj1fKmPb8c4CmfuLwLpHL/s400/DkkpFxGXgAAcIgN.jpg" width="480" /></a></div>
<br /></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-6106140622855987822018-07-17T07:13:00.001+02:002018-07-17T07:13:23.300+02:00Butlletí 7SETmanal<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 class="entry-title">
</h1>
<img alt="7setmanal" class="alignleft wp-image-2426" data-attachment-id="2426" data-comments-opened="1" data-image-description="<p>Àmbit d’Atenció Primària Barcelona Ciutat, ambulatori, salut, evidència, científica, apicsbcn</p>
" data-image-meta="{"aperture":"0","credit":"","camera":"","caption":"","created_timestamp":"0","copyright":"","focal_length":"0","iso":"0","shutter_speed":"0","title":"","orientation":"0"}" data-image-title="7setmanal, No sense evidència, butlletí" data-large-file="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal.png?w=200&h=72?w=640" data-medium-file="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal.png?w=200&h=72?w=300" data-orig-file="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal.png?w=200&h=72" data-orig-size="657,237" data-permalink="https://atencioprimariaicsbcn.wordpress.com/7setmanal/7setmanal-2/" height="72" src="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal.png?w=200&h=72" width="200" /><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span style="color: black;">Butlletí electrònic d’actualització que ofereix eines per a la millora de la pràctica clínica a les consultes de primària</span></span></span><br />
<hr />
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #cc0a0a;"><strong>Consulteu el butlletí 7SETmanal</strong></span></span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">
</span><ul>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #ff9900;">Curta o llarga, importa? <span style="color: black;">–</span></span></em><span style="color: #ff9900;"><span style="color: black;"> 15 de juliol de 2018 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/07/7setmanal_num-116_15072018.pdf" title="7SETmanal_Num-116_15072018">Núm. 116</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #6f02b8;">Afina el control tensional amb la MAPA</span></em> <span style="color: black;">– 25 de juny de 2018</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/06/7setmanal_num115_2018_06_25.pdf" rel="noopener" target="_blank">Núm. 115</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #0a7020;"><em>Dolor crònic no oncològic: guarda els opioides!</em></span> <span style="color: black;">– 30 de maig de 2018 –</span> <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/05/7setmanal_num114_2018_05_30.pdf" rel="noopener" target="_blank">Núm. 114</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #ff9900;">Les dones joves també s’infarten, pensa-hi!</span> –</em> <span style="color: black;">10 de maig de 2018</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/05/7setmanal_num113_2018_05_14.pdf" rel="noopener" target="_blank">Núm. 113</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: black;"><span style="color: #6f02b8;"><em>En la fragilitat, multi-intervenció</em></span> – 4 d’abril de 2018 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/04/7setmanal_num112_2018_04_04.pdf" rel="noopener" target="_blank">Núm. 112</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: black;"><span style="color: #0a7020;"><em>Per a les pedres, AINEs</em></span> – 5 de març de 2018</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/03/7setmanal_num111_05032018.pdf" rel="noopener" target="_blank">Núm. 111</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #ff9900;">Llarga vida a les UBAs</span> <span style="color: black;">–</span></em><span style="color: black;"> 21 de febrer de 2018</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/02/7setmanal_num-110_21022018.pdf" rel="noopener" target="_blank">Núm. 110</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #6f02b8;">Digue’m on vius i et diré com ingresses</span></em> <span style="color: black;">– 10 de febrer de 2018 –</span> <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/02/7setmanal_num-109_10022018.pdf" rel="noopener noreferrer" target="_blank">Núm. 109</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #0a7020;"><em><span style="color: #0a7020;">Fruita, verdura </span>i llegums per a tothom</em></span> <span style="color: black;">– 22 de gener de 2018 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/01/7setmanal_num-108_22012018.pdf" title="Núm. 108">Núm. 108</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #ff9900;">Houston, Houston, tenim un problema </span> –</em> <span style="color: black;">9 de gener de 2018</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2018/01/7setmanal_num-107_09012018.pdf" rel="noopener" target="_blank">Núm. 107</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em><span style="color: #6f02b8;">Intervencions</span> infermeres: factibles i ben acceptades <span style="color: black;">–</span></em><span style="color: black;"> 13 de desembre de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2017/12/7setmanal_num_106_131217.pdf" title="Núm. 106">Núm. 106</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #0a7020;"><em>Deixa estar <span style="color: #0a7020;">els greixos</span>, limita els carbohidrats! </em></span>– <span style="color: black;">27 de novembre de 2017</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2017/11/7setmanal_num-105_27112017.pdf" rel="noopener" target="_blank">Núm. 105</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>Ningú <span style="color: #ff9900;">millor</span> que ells<span style="color: black;"> –</span></em><span style="color: black;"> 21 de juliol de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_104_20072017.pdf" title="7SETmanal_Num_104_20072017">Núm. 104</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #0a7020;"><span style="color: #6f02b8;">Sedants i Alzheimer: receptant riscos</span></span></em><span style="color: black;">– 6 de juliol de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_103_06072017.pdf" rel="noopener" target="_blank" title="7SETmanal_Num_103_06072017">Núm. 103</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #6f02b8;"><span style="color: #0a7020;">‘Malos tiempos para la lírica’, Golpes Bajos</span> <span style="color: black;">–</span></span></em><span style="color: #6f02b8;"><span style="color: black;"> 21 de juny de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_102_21062017.pdf" title="7SETmanal_Num_102_21062017">Num. 102</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>Cuidadores: dones, pobres i sobrecarregades</em><span style="color: black;"> – 31 de maig de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_101_31052017.pdf" title="Núm. 101 ">Núm. 101 </a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Per una<span style="color: #6f02b8;"> atenció</span> <span style="color: #6f02b8;">primària</span> excel·lent </em><span style="color: black;">– 9 de maig de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_100_09052017.pdf" rel="noopener noreferrer" target="_blank">Núm. 100</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #0a7020;"><em><span style="color: #0a7020;">Heparina: ni sempre</span>, ni per a tothom <span style="color: black;">– </span></em><span style="color: black;">29 de març de 2017 –</span><em><span style="color: black;"> </span></em><a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_99_29032017.pdf" rel="noopener noreferrer" target="_blank" title="7SETmanal_Num_99_29032017">Núm. 99</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>N<span style="color: #ff9900;">o more SySADOA’s </span></em><span style="color: black;">– 17 de març de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_98_15032017.pdf" title="7SETmanal_Num_98_15032017">Núm. 98</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Des d’abans de l’embaràs, àcid fòlic et prendràs </em><span style="color: black;">– 23 de febrer de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_97_19022017.pdf" title="7setmanal_num_97_19022017">Núm. 97</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #0a7020;"><em>Promou<span style="color: #0a7020;"> l’ac</span>tivitat física, els resultats perduren </em><span style="color: black;">– 1 de febrer de 2017 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_96_01022017.pdf" title="7setmanal_num_96_01022017">Núm. 96</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>Recepta taitxí </em><span style="color: black;">– 22 de desembre de 2016 –<a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_95_221220164.pdf" rel="noopener noreferrer" target="_blank" title="7setmanal_num_95_22122016">Núm. 95</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #6f02b8;">Baby-led weaning, una moda igual de segura </span>–</em><span style="color: black;"> 12 de desembre de 2016 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_94_12122016.pdf" rel="noopener noreferrer" target="_blank" title="7setmanal_num_94_12122016">Núm. 94</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #0a7020;">No miris la televisió i belluga’t! </span><span style="color: black;">–</span></em><span style="color: black;"> 21 de novembre de 2016 –</span><span style="color: #b00707;"><span style="color: #c908d4;"> <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_93_21112016.pdf" rel="noopener noreferrer" target="_blank">Núm. 93</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>Esdevenimen<span style="color: #ff9900;">ts a</span>dversos: Allò que el vent s’endugué <span style="color: black;">–</span></em></span><span style="color: #b00707;"><span style="color: black;"> 24 d’octubre de 2016 – </span></span><span style="color: #b00707;"><a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_92_24102016.pdf" title="7setmanal_num_92_24102016">Núm. 92 </a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Embarassada, exercici del principi al final</em> </span>– <span style="color: black;">19 de juliol de 2016 – </span> <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_91_19072016.pdf" title="7SETmanal_Num_91_19072016">Núm. 91</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: blue;"><em><span style="color: #0a7020;">Els petits canvis són poderosos</span> <span style="color: black;">–</span></em> <span style="color: black;">4 de juliol de 2016 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_90_04072016.pdf" rel="noopener noreferrer" target="_blank" title="7SETmanal_Num_90_04072016">Núm. 90</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>AINE tòpics en l’artrosi </em></span>– <span style="color: black;">17 de juny –<a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_89_17062016.pdf" rel="noopener noreferrer" target="_blank"> Núm. 89</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Metformina power</em> </span>– <span style="color: black;">1 de juny de 2016</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_88_01062016.pdf" rel="noopener noreferrer" target="_blank" title="7SETmanal_Num_88_01062016">Núm. 88</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: red;"><em><span style="color: #0a7020;">Jo mal dormo, ell mal dorm</span> <span style="color: black;">– </span></em><span style="color: black;">11 de maig</span><span style="color: black;"> de 2016</span><em><span style="color: black;"> – </span></em><span style="color: black;"><a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_87_11052016.pdf" rel="noopener noreferrer" target="_blank" title="7Setmanal_Num_87_11052016">Núm. 87</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #ff9900;"><em>Diabetis i antihipertensius: tenim clars els objectius?</em> </span><span style="color: black;">– 26 d’abril de 2016 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_86_25042016.pdf" rel="noopener noreferrer" target="_blank" title="Setsetmanal_Num_86_25042016">Núm. 86</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Mira-li les dents i li veuràs el cor</em> </span><span style="color: black;">– 5 d’abril de 2016</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/7setmanal_num_85_04042016.pdf" rel="noopener noreferrer" target="_blank" title="7SETmanal_Num_85_04042016">Núm. 85</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #b610e8;"><span style="color: #0a7020;">One apple a day, keeps the fat away</span> </span><span style="color: black;">– </span></em><span style="color: black;">10 de març de 2016 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_84_10032016.pdf" rel="noopener noreferrer" target="_blank" title="Setsetmanal_Num_84_10032016">Núm. 84</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: red;"><span style="color: #ff9900;"><em>La insuportable soledat de l’ésser…</em></span><span style="color: black;"> – 26 de febrer de 2016</span></span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_83_26022016.pdf" rel="noopener noreferrer" target="_blank" title="Setsetmanal_Num_83_26022016">Núm. 83</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Activitat física, més val tard que mai… </em></span><span style="color: black;">– 10 de febrer de 2016 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_82_10022016.pdf" rel="noopener noreferrer" target="_blank" title="Setsetmanal_Num_82_10022016">Núm. 82</a></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #3366ff;"><em><span style="color: #0a7020;">Hem de fer un SPRINT en el control tensional?</span> </em><span style="color: black;">– 13 de gener de 2016 – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_81_130120161.pdf" rel="noopener noreferrer" target="_blank" title="Setsetmanal_Num_81_130120161">Núm. 81</a></span></span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><em><span style="color: #ff9900;">Quan es resisteixi, espironolactona </span>–</em> <span style="color: black;">3 de desembre de 2015</span> – <a href="http://bit.ly/1NumVNE" rel="noopener noreferrer" target="_blank" title="7SETmanal_Num_80_03122015">Núm. 80</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #6f02b8;"><em>Poc exercici és bo; més, millor!</em> </span>– <span style="color: black;">11 de novembre de 2015</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_79_11112015.pdf">Núm. 79</a></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #0a7020;"><em>Que no ens venguin la moto del calci </em></span>– <span style="color: black;">29 d’octubre de 2015</span> – <a href="https://atencioprimariaicsbcn.files.wordpress.com/2015/11/setsetmanal_num_78_29102015.pdf" rel="noopener noreferrer" target="_blank">Núm. 78</a></span></li>
</ul>
<span style="font-family: Arial, Helvetica, sans-serif;">
</span><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #cc0a0a;"><strong>Claus edi<span style="color: #cc0a0a;">t</span>orials:<br />
</strong></span><span style="line-height: 1.7;">rigor · visió pràctica · independència<br />
</span><span style="line-height: 1.7;">màxima actualitat · brevetat<br />
</span><span style="line-height: 1.7;">bidireccionalitat · visió integral</span></span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">
</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><strong><span style="color: #cc0a0a;">Crèdits<br />
</span></strong><strong style="line-height: 1.7;">Unitat de Recerca de l’Àmbit d’Atenció Primària Barcelona Ciutat de l’ICS</strong></span></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-50898569589119757172018-07-06T06:41:00.002+02:002018-07-06T06:41:36.080+02:00Dosis recomanades d´Antidiabètics en Malaltia Renal Crònica <div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="626" data-original-width="626" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5Y0IqoEwFkua3_MqXohOnqJALeqzU5SI4x3rsryiy80SvkKsOPevt4EjlkT1uQIUn43Klzdl2jSJgYJGSpybanbbbJoRhPEPvLWTZOQ8tL9HrAtfSMGn49p-wKA614puLvGSYkuQ0SjF1/s200/6.jpg" width="200" /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca">Dosis recomanades <span class="">d´</span><span class="">Antidiabètics</span> en Malaltia Renal Crònica a partir de fitxes tècniques per l'EMA a març <span class="">de 2018</span></span></span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<span class="" id="result_box" lang="ca"><span class=""> </span></span><a href="https://pbs.twimg.com/media/DhQgloRXUAAUy_8.jpg:large" target="_blank"><img alt="https://pbs.twimg.com/media/DhQgloRXUAAUy_8.jpg:large" border="0" data-original-height="696" data-original-width="790" height="451" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUeAtLFVgMrRPB1ErZrGg-VBek2b8sn8iwTlSklzoUUIlhg7Ljf9sK_yiQdDd-iTTy6qIXd9BlWMq3f4QcWxGhm8FMucsRDvYBItBhlBFvGcyxEEiPy2ggIE8uPgMxQ_nk5_aTHg8ujgBQ/s400/DhQgloRXUAAUy_8.jpg" width="480" /></a></div>
<br /></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-53092159087085340662018-06-12T06:35:00.000+02:002018-06-12T06:35:09.373+02:00Nou manual de vacunacions de Catalunya<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7Muzce3oFSMkFI5oxjDM9PI00ZjW8DhSOif0_puEeZa10jDEfpTexOFITPwvEAshOc6g4yQUSVWtbjVPnbigoa-wl_1e5gMUZFcbjbsIxe-NxE8FMWY1XX7P6duDBgwv6njpINP0L-KYa/s1600/3.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1599" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7Muzce3oFSMkFI5oxjDM9PI00ZjW8DhSOif0_puEeZa10jDEfpTexOFITPwvEAshOc6g4yQUSVWtbjVPnbigoa-wl_1e5gMUZFcbjbsIxe-NxE8FMWY1XX7P6duDBgwv6njpINP0L-KYa/s320/3.jpeg" width="320" /></a></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span itemprop="articleBody">El Departament de Salut ha presentat el nou <a href="http://salutpublica.gencat.cat/web/.content/minisite/aspcat/promocio_salut/vacunacions/00manual_de_vacunacions/Manual-de-vacunacions.pdf"><strong><em>Manual de vacunacions de Catalunya</em></strong></a>,
que vol ser una eina útil per als professionals sanitaris que recomanen
o administren vacunes. </span></span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span itemprop="articleBody">El document, que actualitza el de l’any 2006,
l’ha elaborat l’Agència de Salut Pública de Catalunya, amb la
participació de més de 40 experts, en el marc del Consell Assessor de
Vacunacions, on hi són representades les societats científiques
relacionades amb aquesta matèria.</span></span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-41871448295503584342018-05-23T06:42:00.004+02:002018-05-23T06:42:53.322+02:00Resum dels efectes adversos dels antidepressius<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="136" data-original-width="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTbajU1c9duV4htA6gbzfs2WvZaZVGd6vdfr2onLWNWiu6Oc8uhtGMIR27OGKiUq4Vm-OUcy6ea4FFQFc5FayFEb-plTFgeU9rwxFCrfOjX2rlZQmANl9GYFDypT6ZhcHjAOqmORfXziMn/s1600/8888.png" /></div>
<div style="text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://farmacoskm0.files.wordpress.com/2018/05/tabla-antidepresivos.jpg?w=710&h=455" target="_blank"><img alt="https://farmacoskm0.files.wordpress.com/2018/05/tabla-antidepresivos.jpg?w=710&h=455" border="0" data-original-height="455" data-original-width="710" height="205" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-6d4FmSiKtLVfS9kedCVHYiHBOthAZj1nHuyN__YawuzEhrcamomEGgoUypINwWrHDDdsfW3M6qY_zBYArQoTMrBzBZOUPEilE5MBofrkNSVyhYbVV6AuJgxKTdiCDeuwkYATGeyLiEfG/s320/5.jpg" width="320" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
MOLT PRÀCTIC!</div>
<br /></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-5220369524885666752018-05-18T06:50:00.000+02:002018-05-18T06:50:11.832+02:00(UK Medicines Information) Seguretat d'antihistamínics orals durant la lactància materna.<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><br /></span></span>
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="201" data-original-width="251" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwxJi61oTkBSIy3aO4gINmOCgI3I0j70MgqcweKSFqJzVVLM58xToaauU5J_SqZO4EvHqwcLPmT7afRMlRxvcXAOrcEXn0Ng_CfHaLuorjf8FfR0NqrxmiZ2mf9VhYxjyqVBXSwctqY-kb/s1600/5.png" /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span><span class="" id="result_box" lang="ca"><span class="">Una revisió de
la UK Medicines Information (UKMi) titulat: Què antihistamínics orals són
segurs per usar-los durant la lactància indica la escassetat
d'evidències sobre aquest tema, però recomana els antihistamínics no
sedants (loratadina o cetirizina) a excretar en quantitats no
significatives per llet materna i</span> <span class="">comptar amb </span></span></span></span></span><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span class="">major experiència d'ús.</span></span></span></span></div>
<br />
<br />
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span style="color: #0b5394;"><b><span>Resum</span></b></span></span></span></span><br />
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span style="color: #0b5394;"><b><span> </span></b></span><br /> <span>• Hi ha estudis molt limitats o informes de casos sobre l'ús d'antihistamínics a la lactància.</span><br /> <span class="">•
Els estudis dels antihistamínics no sedants, <b>loratadina i cetirizina</b>,
mostren baixos nivells de transferència a la llet materna i aquests es
consideren antihistamínics d'elecció per a una mare que amamanta.</span><br /> <span class="">•
Els dades limitats suggereixen que la transferència de <b>fexofenadina </b>a
la llet materna és baixa i es podria considerar acceptable quan la
loratadina i la cetirizina són ineficaces o estan contraindicades.</span></span></span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span class=""><a href="https://www.sps.nhs.uk/articles/which-oral-antihistamines-are-safe-to-use-whilst-breastfeeding/" target="_blank">https://www.sps.nhs.uk/articles/which-oral-antihistamines-are-safe-to-use-whilst-breastfeeding/ </a></span></span></span></span></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-65763552558557567332018-05-18T06:38:00.000+02:002018-05-18T06:38:09.053+02:00(Eur J Hosp Pharm) Ingressos hospitalaris per esdeveniments hemorrágics associats amb el tractament amb apixaban, dabigatrán i rivaroxabán.<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<img border="0" data-original-height="188" data-original-width="268" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHiH1JIszp-bcpzRSFLF-0GkGuINghog5xKyWwxjReqK05S7A9KdN3oE7oRHcpWwiFrBrYmigINZk5g_q48dB-YpAHa1qOYqSZhhnhTFlJIWk7FoU-m3Yv5muWyE6_5nKt0tRy_fdI77we/s1600/3.jpg" /></div>
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="373" data-original-width="700" height="170" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtbtyYYLUqjFrG06VTf08-8TPvXx1RM-3Xi0aojqtk4VNBDrfD8XVOVFBn6xBFAUjtGPMb1jCwU6j9E8BnrXsV9uYauWkUJhEvh00Pko6LHIOMRMojlGbDeWMq3aknYe6oBega96d4oftJ/s320/6.jpg" width="320" /></div>
<div style="text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
</div>
<div style="text-align: left;">
</div>
<span style="font-size: small;"><span style="font-family: Arial, Helvetica, sans-serif;"><span class="" id="result_box" lang="ca"><span>Els NACOs se associen amb esdeveniments hemorrágics greus que requereixen hospitalització.</span> <span class="">L'avaluació
de la relació risc / benefici tenint en compte les preferències del
pacient i un seguiment individualitzat, especialment en <b>pacients
ancians, polimedicats o amb insuficiència renal</b>, poden ajudar a reforçar
el segur ús dels NACO.</span></span></span></span><br />
<span style="font-size: small;"><span style="font-family: Arial, Helvetica, sans-serif;"><span class="" id="result_box" lang="ca"><span class=""> </span><br /><a href="http://ejhp.bmj.com/content/early/2018/05/08/ejhpharm-2017-001390"><span class="">http://ejhp.bmj.com/content/early/2018/05/08/ejhpharm-2017-001390</span></a></span></span></span><br />
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-67851196286786855892018-05-17T19:53:00.000+02:002018-05-17T19:56:56.273+02:00La meva assistència al XXXVIII Congrés de la semFYC<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="500" data-original-width="1200" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKNCwS5QgWnlrFoJIyMlWUN7sKcjq4MZysvjU7vK9n4NC2qWf0K86b7njvNeHao6vjXIjBsPglN0j1yqw9MEpb6HvlCeZrR70c0TaAl2L2sIw_asTcr1pSLO_uM3cMX7AhKmFvfY2oAHuM/s320/7.jpg" width="320" /></div>
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;">Des d'aquest bloc vull agrair a les persones que em van animar a realitzar aquesta presentació. Un esment especial als companys <a href="https://www.comb.cat/cat/colegi/seccions/esalut/junta.htm" target="_blank">d'e-Salut del COMB</a> del que sóc membre. </span><span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;">Durant el temps en què he estat recopilant informació, comprovant i utilitzant aquestes noves tecnologies he après molt i molt i em porto un gran record.</span><br />
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">L'aplicació de la tecnologia en la pràctica clínica, ha transformat la realitat. És d'esperar que gran part de les eines presentades en aquest Congrés formin part dels recursos quotidians de tots els Metges de Família. </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Recordem que el pacient no és un element passiu, disposa d'elements que interaccionaran amb el nou maletí: sensors cardíacs, detector de venes amb infrarojos, extracció de sang sense agulla, dermatoscopi, fonendos digitals, nous otoscopis, tensiòmetres, electrocardiogrames portàtils i connectats al mòbil, ecògrafs portàtils, espiròmetres de smartphone, etc. ",</span></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
</span></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">La meva pregunta .... <b>caldrà seguir tenint els actuals dispositius, o es podran substituir per eines més fiables i precises per a millorar la capacitat de resolució, la millora de l'atenció primària i les bones pràctiques en medicina de família?</b></span></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiALXbUxA7ylaLZErx5aKGWdsvbkU9fUZ1_xtJdnarf4B3tnS3_6MAPpRwQD_GJ_0e5VE9EYGZv6F4s5rZeHjZ23QFNIgxX5ZEGnqRWD2Jq5l6EQ56F93clmlSRGYTti0_kT6Ygoq5V4sf/s1600/1.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="820" data-original-width="1280" height="325" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiALXbUxA7ylaLZErx5aKGWdsvbkU9fUZ1_xtJdnarf4B3tnS3_6MAPpRwQD_GJ_0e5VE9EYGZv6F4s5rZeHjZ23QFNIgxX5ZEGnqRWD2Jq5l6EQ56F93clmlSRGYTti0_kT6Ygoq5V4sf/s400/1.gif" width="480" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfvIUuBHrdIR9W9GmcYHd67zWwzQaQ-qlD7Gz0geUqlRA1FtGS2krdtpFmtiI9_TDsA-CQT8fTruLuUnsAJlkFOOoXrDAPDQ9ZGfTO4zM7Jlx5qcV02z79DVVz5e7i-heFVI3c2GGhcn1H/s1600/a.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="780" data-original-width="999" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfvIUuBHrdIR9W9GmcYHd67zWwzQaQ-qlD7Gz0geUqlRA1FtGS2krdtpFmtiI9_TDsA-CQT8fTruLuUnsAJlkFOOoXrDAPDQ9ZGfTO4zM7Jlx5qcV02z79DVVz5e7i-heFVI3c2GGhcn1H/s400/a.jpg" width="480" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4-4taP3sZeqpyXN7hiaN4E_N7xm_WeboPfcE9MWNbZNAyDV_33QzRV7yva_wPOc8V_IgQpxu4dQQP9mMK2e7m9yfeP_yR1ljA0ue-btSG1e9P9V8A-lTjZuxcolrkyjcPNal50NQe2xNN/s1600/5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4-4taP3sZeqpyXN7hiaN4E_N7xm_WeboPfcE9MWNbZNAyDV_33QzRV7yva_wPOc8V_IgQpxu4dQQP9mMK2e7m9yfeP_yR1ljA0ue-btSG1e9P9V8A-lTjZuxcolrkyjcPNal50NQe2xNN/s400/5.jpg" width="400" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;">A partir d'ara em poso un altre repte, que és <b>d'actualitzar i millorar aquest maletí</b> i que ho tornaré a presentar al </span><a href="http://www.healthio-global.com/" style="font-family: Arial, Helvetica, sans-serif; text-align: justify;" target="_blank">Congrés Healthio de Barcelona </a><span style="font-family: "arial" , "helvetica" , sans-serif; text-align: justify;">a l´octubre amb <a href="http://www.healthio-global.com/news/-/noticias/detalle/11655140/maletin-medico-xxi" target="_blank">noves i interessants novetats!</a></span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.healthio-global.com/" target="_blank"><img border="0" data-original-height="200" data-original-width="328" height="195" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWgx6zgQmrLgB9U321Lafy_4TqzPMnYli3hZxebEUbWUvv2f3l-q3B3_DQXLN8x4RDQi6-i8J6efjZTploku15hJKeUgEFgTSq9bsECfYGENWsY9xQwKRib_2hinQkWtddJr03sIL-Gt5W/s320/geriatricarea-Healthio-Fira-Barcelona.jpg" width="320" /></a></div>
<br /></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-2854005426288458742018-05-17T18:25:00.003+02:002018-05-17T18:27:51.472+02:00Recomanacions de tractament antimicrobià a les infeccions del tracte respiratori inferior<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="500" data-original-width="1200" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwF9MS8lxjswa0RpQ1x0NuxkD8JTZoUuaJIHw7KVMUjNOlWrZ-4zG8GCpSWLPpqSRAWlaCeNLcznx0FG8CjmbyXWapr2T113YbtmWSh7vEK4BIptOXWRtBwDgDB7yFLKe2WeeGiDX_EA4u/s320/7.jpg" width="320" /></div>
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Presentació de Carles Llor a la Semfyc</span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKkK4ipC9EF0MgiYs-zbEl084NQ23oy8YhJsbMZGrsj7456kUsA2UeuAF-K4AMxJY4wXLqKaD5Uiqg7z4t4WMSf2hmN2vwIWIAVKyszv9wK6-AUfSD6zizIQzSibhHrMSwTjKUR-TPG__V/s1600/9.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1200" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKkK4ipC9EF0MgiYs-zbEl084NQ23oy8YhJsbMZGrsj7456kUsA2UeuAF-K4AMxJY4wXLqKaD5Uiqg7z4t4WMSf2hmN2vwIWIAVKyszv9wK6-AUfSD6zizIQzSibhHrMSwTjKUR-TPG__V/s400/9.jpg" width="480" /></a></div>
<br /></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-78091688916533927102018-05-16T10:01:00.001+02:002018-05-16T10:02:20.016+02:00Idees Clau de la dermatoscòpia a l'Atenció Primària<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<br />
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3nvQvCYo98BuqAJPRJhyVQUb-5xkyxMLiw7XdD95RsSOAwZG1xsOD_-a34nHpoq-fHfG_FbyRGodj8VpzlaR7b-Nsn8bjUPC5yDSqhvWTqauD1UkG5zIQmu4fBJe5Z02-u4wVC_BYUZnf/s1600/4.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="694" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3nvQvCYo98BuqAJPRJhyVQUb-5xkyxMLiw7XdD95RsSOAwZG1xsOD_-a34nHpoq-fHfG_FbyRGodj8VpzlaR7b-Nsn8bjUPC5yDSqhvWTqauD1UkG5zIQmu4fBJe5Z02-u4wVC_BYUZnf/s200/4.png" width="192" /></a></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Excel.lent resum aportat pel grup de la Camfic.<span style="font-family: "arial";"><br /></span></span></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://drive.google.com/file/d/11pu9gMWakFFEOsoYmtuFwu6fK-Ul3yeF/view?usp=sharing" target="_blank"><img alt="https://drive.google.com/file/d/11pu9gMWakFFEOsoYmtuFwu6fK-Ul3yeF/view?usp=sharing" border="0" data-original-height="764" data-original-width="1120" height="372" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiaJjvB2QgYUerhfe1JtFFhqPpgTJf4E7LqmWN3-5ZiSDPQx5NKxILwkd1VuQyKSpsjVk2E11z8qtmA41eeomDS3vJNhxQzyGyVyQ2D7mT4aDitkhY-eS_cILT6NioM4jwFxRF4jROh4SSM/s400/dermatoscopia.jpg" width="480" /></a></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-54204116630574294492018-05-06T19:56:00.002+02:002018-05-06T20:00:14.388+02:00El Maletí del Metge de Família del segle XXI<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="js-tweet-text-container">
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<img alt="" class="attachment-full size-full wp-post-image" height="166" src="https://www.semfyc.es/wp-content/uploads/2017/07/BCN2018banner1200-x-500-e1521733483732.jpg" width="400" /> </div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<br /></div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;">Aquest dissabte 12 de maig al Congrès de la semFYC us espero en el<i> <b>"TALLER DE GRAN FORMATO: EL MALETIN DEL MEDICO DE FAMILIA DEL SIGLO XXI"</b>.</i> </span></span></div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
</div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca">El maletí mèdic actual ja no és una <b>simple</b><b> </b><b>bossa</b> en el que portem un<b> estestoscopi, tensiòmetre o glucòmetre.</b> </span></span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIynOYGtpYmxrcfyYN0N3l0ngJbK2zGSwhOpnMiRPt1cfyDjISZKBKaisvp68aJY55wYid7neYiJJI4kokLke4NTWGwbYAiU4F27t9FcXsmzADw6-pZmr02P1pxkp3JOpFKPRnQqkQRgDJ/s1600/5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="450" data-original-width="600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIynOYGtpYmxrcfyYN0N3l0ngJbK2zGSwhOpnMiRPt1cfyDjISZKBKaisvp68aJY55wYid7neYiJJI4kokLke4NTWGwbYAiU4F27t9FcXsmzADw6-pZmr02P1pxkp3JOpFKPRnQqkQRgDJ/s320/5.jpg" width="320" /></a></span></div>
<br />
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca">Aquí presentaré un <b>nou concepte de maletí </b><b>mèdic</b> més adequat als nous temps on hem d´aprofitar per a realitzar la<b> telemedicina</b>, aprofitar <b>l'empoderament </b>del pacient i arribar a ser <b>més</b><b> resolutius </b>en la nostra <span class="">especialitat. </span></span></span></span></div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span class=""></span></span></span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: small;"><span class="" id="result_box" lang="ca"><span class=""></span></span></span></span></div>
<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYDGSWSIeOlJ5SxZnaS3a3YncRf_QSN81LTz8MjgJ_mLWVkIVxB2RYT3iasXE_DQi5OCwsOzxcGxzcnN7c-HOICkVNHaryUtgKWHkIyTjyT-RW1AnrVd7L844CsFqde7O1NGRYp8Eue7E6/s1600/1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYDGSWSIeOlJ5SxZnaS3a3YncRf_QSN81LTz8MjgJ_mLWVkIVxB2RYT3iasXE_DQi5OCwsOzxcGxzcnN7c-HOICkVNHaryUtgKWHkIyTjyT-RW1AnrVd7L844CsFqde7O1NGRYp8Eue7E6/s640/1.jpg" width="640" /></a><span style="font-size: small;"></span></div>
<b> </b><br />
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<b><br /></b></div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Per començar us avanço una primícia....</span></span><b><br /></b></div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es">
<b> </b><img alt="" data-aria-label-part="" src="https://pbs.twimg.com/media/DcW_ulJXUAAR_oG.jpg" style="top: -0px; width: 100%;" /> </div>
<div class="TweetTextSize TweetTextSize--normal js-tweet-text tweet-text" data-aria-label-part="0" lang="es" style="text-align: center;">
<br /></div>
</div>
<div class="AdaptiveMediaOuterContainer">
<div class="AdaptiveMedia
is-square
">
<div class="AdaptiveMedia-container">
<br /></div>
</div>
</div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-15272894665644009972018-04-23T09:50:00.002+02:002018-04-23T09:59:39.558+02:00Preguntes més freqüents sobre el tractament farmacològic de la Hiperplàsia Benigna de Pròstata (HBP)<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"></span></span></span></span></span></span><br />
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: "arial" , "helvetica" , sans-serif; font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1g7mxz33oHoXFJ7UqLNFSGjVFdP46CSyA-3X8JFSNr-e7ge21__-BdYT1ojY7wz_-iDcR-LVvFfK2yNT1JjNu6IM844LZucKjDmsKqO6bE8BqfZKdbVjo7fAmnyYXY9REbml2X05ksqOH/s1600/6.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="314" data-original-width="550" height="114" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1g7mxz33oHoXFJ7UqLNFSGjVFdP46CSyA-3X8JFSNr-e7ge21__-BdYT1ojY7wz_-iDcR-LVvFfK2yNT1JjNu6IM844LZucKjDmsKqO6bE8BqfZKdbVjo7fAmnyYXY9REbml2X05ksqOH/s200/6.jpg" width="200" /></a></span></span></span></span></span></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #4b4c4e; font-family: Arial;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #4b4c4e; font-family: Arial;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #4b4c4e; font-family: Arial;"></span><div class="separator" style="clear: both; text-align: left;">
<span style="color: #4b4c4e; font-family: Arial;"><span style="color: black; font-family: Times New Roman;">
</span></span></div>
<span style="color: #4b4c4e; font-family: Arial;"><span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">La hiperplàsia benigna de pròstata (HBP), procés
proliferatiu benigne de la glàndula prostàtica, és una de les causes més
freqüents de símptomes del tracte urinari inferior en homes majors de 40 anys.
L’edat és el principal factor de risc per desenvolupar-la.</span></span><div class="separator" style="clear: both; text-align: left;">
<span style="color: black; font-family: Times New Roman;">
</span></div>
<div style="margin: 0cm 0cm 10pt;">
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">Les opcions terapèutiques actuals en funció de la
gravetat dels símptomes són la conducta expectant, el tractament farmacològic i
el tractament quirúrgic. Tot i que hi ha diferents agents disponibles,
l’eficàcia absoluta dels medicaments per l’HBP és baixa. </span></span><div class="separator" style="clear: both; text-align: left;">
<span style="color: black; font-family: Calibri;"><br /></span></div>
<span style="color: black; font-family: Calibri;"><span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">Els agents alfa-blocadors tenen un inici d’acció ràpid,
milloren la simptomatologia i la taxa de flux urinari, però no redueixen la
grandària de la pròstata ni eviten la retenció urinària. <div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">Els inhibidors de l’alfa-5-reductasa es consideren d’elecció
en pacients amb pròstates grans (Major a 30 g). En aquests pacients han mostrat
disminuir la incidència de retenció urinària i la necessitat de cirurgia
després d’un ús perllongat. <div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">La teràpia combinada entre aquests dos grups de fàrmacs
es recomana en pacients amb símptomes moderats-greus, pròstata gran o unes
concentracions de prostatic specific antigen (PSA) d’1,5 ng/mL i alt risc de
progressió. Els agents anticolinèrgics es consideren una alternativa en
pacients amb símptomes principalment irritatius (freqüència, urgència o
incontinència). La fitoteràpia i les teràpies alternatives no es recomanen en
el tractament de la hiperplàsia benigne de pròstata.</span></span></span></span></span></span></span></div>
</span><br />
<div class="separator" style="clear: both; text-align: left;">
<span style="color: black; font-family: Times New Roman;">
</span></div>
<div style="margin: 0cm 0cm 10pt;">
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;"><strong>Punts Claus</strong></span></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: black; font-family: Times New Roman;">
</span></div>
<div style="margin: 0cm 0cm 10pt;">
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">. La hiperplasia benigna de prostata es un trastorn
benigne i frequent en els pacients d’edat avancada que s’acompanya de simptomes
obstructius i irritatius de la bufeta.</span></span><div class="separator" style="clear: both; text-align: left;">
<span style="color: black; font-family: Calibri;"><br /></span></div>
<span style="color: black; font-family: Calibri;"><span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="font-family: Calibri;"><span style="color: black;">•<span style="mso-spacerun: yes;"> </span></span><span style="color: black;">En els pacients
simptomes lleus (IPSS menor a 8) l’estrategia terapeutica es la modificacio de
l’estil de vida i la conducta expectant.<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="font-family: Calibri;"><span style="color: black;">. El tractament farmacologic esta indicat en pacients amb
simptomes moderats-greus (IPSS<span style="mso-spacerun: yes;"> </span></span><span style="color: black;">= 8 -
20).<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="font-family: Calibri;"><span style="color: black;">• Els alfa-blocadors selectius es consideren els
medicaments<span style="mso-spacerun: yes;"> </span></span><span style="color: black;">de primera linia en els
pacients amb simptomes moderats- greus i prostates petites, ja que son mes
efectius en la millora dels simptomes que els inhibidors de l’alfa-reductasa.<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">•Els inhibidors de l’alfa-5-reductasa estan indicats en
pacients amb simptomes greus i prostates grans (major a 30 g).<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">• La terapia combinada amb un alfa-blocador i un
inhibidor de l’alfa-5-reductasa esta indicada en aquells pacients que presenten
simptomes moderats o greus i una grandaria prostatica major a 30 g, o un PSA ≥
d’1,5 ng/mL i amb alt risc de progressio. En els pacients sense recurrencia
dels simptomes, es pot valorar retirar l’alfa-blocador als 6-12 mesos de
tractament.<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"><span style="color: black;"> </span></span><span style="color: black;">No es disposa de
dades que permetin establir la superioritat d’una combinacio sobre una altra,
les mes estudiades han estat: doxazosina/finasterida, terazosina/finasterida i
tamsulosina/ dutasterida.<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">• Els agents anticolinergics es podrien valorar en
pacients amb un volum residual postmiccional baix i amb simptomes irritatius
moderats-greus (frequencia i urgencia), que persisteixen tot i un tractament
amb un alfa-blocador. Cal tenir en compte que aquests medicaments presenten una
alta carga colinergica i, per tant, s’hauria de valorar el benefici-risc del
seu us individualment.<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<span style="line-height: 115%; mso-ansi-language: ES; mso-bidi-font-size: 10.0pt;"><span style="color: black; font-family: Calibri;">• El benefici de les terapies complementaries actualment
disponibles no es clar i, per tant, no es recomana el seu us.<div class="separator" style="clear: both; text-align: left;">
<span style="color: #4b4c4e; font-family: Arial;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #4b4c4e; font-family: Arial;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #4b4c4e; font-family: Arial;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #4b4c4e; font-family: Arial;"><br /></span></div>
</span></span></span></span></span></span><div class="separator" style="clear: both; text-align: center;">
<span style="font-family: Calibri;"><span style="color: black;"><span style="color: black; font-family: Calibri;"><span style="color: black; font-family: Calibri;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: x-large;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: "arial" , "helvetica" , sans-serif; font-size: small;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: large;"><span style="color: #009ee1; font-family: MyriadPro-Bold; font-size: large;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: MyriadPro-It;"><span style="color: #4b4c4e; font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: xx-small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="JA" style="color: #4b4c4e;"><span lang="JA" style="color: #4b4c4e;"><span lang="JA" style="color: #4b4c4e;"><span lang="JA" style="color: #4b4c4e;"><span lang="JA" style="color: #4b4c4e;"><span lang="JA" style="color: #4b4c4e;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: xx-small;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: xx-small;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><strong><a href="http://medicaments.gencat.cat/web/.content/minisite/medicaments/professionals/6_publicacions/butlletins/butlleti_informacio_terapeutica/documents/arxius/BIT-vol_29_n1_Preguntes-mes-frequents-hiperplasia-benigna-de-prostata.pdf" target="_blank">DOCUMENT COMPLERT</a></strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div>
</span></span><div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span><div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span></span></span><div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span></span><div class="separator" style="clear: both; text-align: left;">
<span style="font-family: Calibri;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span><div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span></span><div class="separator" style="clear: both; text-align: left;">
<span style="font-family: Calibri;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span></span></span><div class="separator" style="clear: both; text-align: left;">
<br /></div>
</span><div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<br />
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<br />
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: small;"><br />
</span></div>
<div style="text-align: justify;">
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: small;"><br />
</span></div>
<br /></div>
<div style="text-align: justify;">
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: small;"><br />
</span></div>
<br /></div>
<div style="text-align: justify;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: small;"><br />
</span></div>
<div style="text-align: justify;">
<br /></div>
<br />
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-size: small;"><br />
</span></div>
<div style="text-align: justify;">
<span style="font-size: small;"><br />
</span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
<br /></div>
</div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-53306703848281798702018-04-16T10:13:00.003+02:002018-04-16T11:53:30.459+02:00Apnea del son i conducció de vehicles. Recomanacions per a la interpretació del nou Reglament General de Conductors en Espanya<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="trans-verified-button-small" dir="ltr">
<span id="result_box" lang="ca"><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="Los accidentes de tráfico son una de las principales causas de mortalidad en todo el mundo, y la somnolencia
"><span lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="Los accidentes de tráfico son una de las principales causas de mortalidad en todo el mundo, y la somnolencia
"><strong></strong></span></span></span></span></span></span></span></span></span></span><br />
<div>
<span id="result_box" lang="ca"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span lang="ca"></span></span></span></span></span><br />
<div class="separator" style="clear: both; text-align: left;">
<span id="result_box" lang="ca"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span lang="ca"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBuyrIahmiJBJ7G3IgYM7F-_VmA9M3Mvf8lE8-yp0FxhFLtqUem6aeWTnA0EoKBpTcqXWU6-aRJv1Rj040pKKi8Z0qmdunmpZxJ0xz3JoboxanpOHRATF_fLZU-nHNhFG4j7agjUxF5uI2/s1600/evita-la-somnolencia-durante-la-conduccion.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="611" data-original-width="900" height="135" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBuyrIahmiJBJ7G3IgYM7F-_VmA9M3Mvf8lE8-yp0FxhFLtqUem6aeWTnA0EoKBpTcqXWU6-aRJv1Rj040pKKi8Z0qmdunmpZxJ0xz3JoboxanpOHRATF_fLZU-nHNhFG4j7agjUxF5uI2/s200/evita-la-somnolencia-durante-la-conduccion.jpg" width="200" /></a></span></span></span></span></span></div>
<span id="result_box" lang="ca"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span lang="ca"> </span></span></span></span></span></div>
<span id="result_box" lang="ca"><span id="result_box" lang="ca"> </span></span></div>
<span lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="Los accidentes de tráfico son una de las principales causas de mortalidad en todo el mundo, y la somnolencia
"><span lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="Los accidentes de tráfico son una de las principales causas de mortalidad en todo el mundo, y la somnolencia
"><strong><br />
</strong></span></span></span></span></span></span></span></span></span></span><br />
<div class="trans-verified-button-small">
<span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"></span></span></span></span></span></span></span></span><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "times new roman";">
<span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><strong>Idees Clau</strong></span></span></span></span></span></span></span></span></span></span><br />
<span lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "times new roman";"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><br /></span></span></span></span></span></span></span></span></span></span><br />
<span lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "times new roman";"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">- Els accidents de
trànsit són una de les principals causes de mortalitat a tot el món, i la
somnolència està clarament relacionada amb aquestes morts.<span style="mso-spacerun: yes;"> </span></span></span></span></span></span></span></span></span></span></span><br />
<span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "times new roman";"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">- Entre la població
amb alt risc de patir somnolència al volant, i consegüentment accidents de
trànsit, es troben les persones que tenen síndrome d' apnea del son (SAHS) sense
diagnosticar.<span style="mso-spacerun: yes;"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "times new roman";"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">- El tractament amb
CPAP ha demostrat una disminució en el risc d'accidentalitat de conductors amb
SAHS. És per això que la Unió Europea ha inclòs aquesta malaltia entre els
requisits psicofísics per obtenir o mantenir el permís de conducció.<span style="mso-spacerun: yes;"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span title="los médicos."><span style="font-family: "times new roman";"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">- Per a complir amb
aquesta Directiva Europea, Espanya ha actualitzat el Reglament de
Conductors.<span style="mso-spacerun: yes;"> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "times new roman";"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">- Amb l'objectiu
d'facilitar la implementació de la nova norma, un grup d'experts de diferents </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span style="font-family: "times new roman";"><span style="mso-spacerun: yes;"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">societats mèdiques
i institucions han elaborat la present guia, que conté qüestionaris de cribatge
de SAHS, criteris de diagnòstic i tractament i models estandarditzats
d'informes a completar per els metges. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "times new roman";"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span style="mso-spacerun: yes;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">
Actualització del Reglament General de Conductors considera no aptes els
conductors amb índex d'apnea del son superior a 15 i somnolència. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "times new roman";"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;">- El qüestionari
STOP-Bang és un excel·lent mètode de cribatge per la seva elevada sensibilitat
i facilitat d'aplicació.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span style="font-family: "times new roman";"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca">
</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span style="font-family: "times new roman";"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca"><br /></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "times new roman";"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span style="mso-spacerun: yes;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span title="los médicos."><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; mso-ansi-language: ES-TRAD; mso-bidi-font-size: 12.0pt;"><span id="result_box" lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca"><span id="result_box" lang="ca"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca" style="font-size: large;"> <a href="http://www.archbronconeumol.org/es/apnea-del-sueno-conduccion-vehiculos-/articulo/S0300289616303325/" target="_blank"><strong>DOCUMENT</strong></a></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div>
<div class="trans-verified-button-small" style="text-align: center;">
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.archbronconeumol.org/es/apnea-del-sueno-conduccion-vehiculos-/articulo/S0300289616303325/" target="_blank"><img alt="http://www.archbronconeumol.org/es/apnea-del-sueno-conduccion-vehiculos-/articulo/S0300289616303325/" border="0" data-original-height="134" data-original-width="134" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHLFHU4WhoXJoy6k9bJ3PSzqNb-fcTcluWt6Z5ZwG5AT8v5vzktdLPku6XtZ02nchyphenhyphen-kqkU1lMNU7xEm9MRDrCv1HtLaQoqFggyHK1co7DPl5idGwJG5ZvGv7mLhtNXjzNnRalVxwuSjLa/s200/10.jpg" width="200" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<span id="result_box" lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca">
<span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca">
<span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca" style="font-size: large;"><a href="http://media.wix.com/ugd/34dabf_3fbeb396761347bbb654fa36d123ce59.pdf?dn=sindrome%20apnea%20sue%C3%83%C2%B1o.pdf" target="_blank"><strong>RESUM DELS TESTS I VALORACIÓ</strong></a></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div>
</div>
<div class="trans-verified-button-small" style="text-align: center;">
<span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca"><br />
</span></span></span></span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<img alt="http://media.wix.com/ugd/34dabf_3fbeb396761347bbb654fa36d123ce59.pdf?dn=sindrome%20apnea%20sue%C3%83%C2%B1o.pdf" border="0" data-original-height="225" data-original-width="225" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzCgd68l03PW1cqNA4oduo8RQkclT-LNobRUezsh7Ny7UkSVImGHbxAGyaEwWs-2ltYcE8J6Nync0Pd36P1ZrP9bq-iTt0EwqFL8V7ReDGTTTMvPdHBr6kOw3tFEDRtoRBL4gv5gRKq6tV/s200/5.png" title="" width="200" /></div>
<div class="trans-verified-button-small" style="text-align: center;">
<span lang="ca"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span title="los médicos."><span lang="ca"><span lang="ca"><br />
</span></span><span aria-hidden="true" class="trans-verified-button goog-toolbar-button" id="t-served-community-button" role="button" style="display: none;" unselectable="on"><span class="jfk-button-img" unselectable="on"></span></span></span></span></span><span aria-hidden="true" class="trans-verified-button goog-toolbar-button" id="t-served-community-button" role="button" style="display: none;" unselectable="on"><span class="jfk-button-img" unselectable="on"></span></span></div>
<span id="result_box" lang="ca"><span lang="ca"></span></span><br />
<div class="trans-verified-button-small" dir="ltr" style="display: none;">
<div style="width: 100%;">
<textarea autocapitalize="off" autocomplete="off" autocorrect="off" class="goog-textarea" dir="ltr" id="contribute-target" name="edit-text" rows="1" spellcheck="false" style="-ms-overflow-x: auto; -ms-overflow-y: hidden; box-sizing: border-box; height: auto; padding-right: 20px;" tabindex="0" wrap="SOFT"></textarea><br />
<div aria-hidden="true" aria-label="Borrar texto" class="clear-button goog-toolbar-button" data-tooltip-align="t,c" data-tooltip="Borrar texto" id="gt-clear" role="button" style="display: none; right: 0px;" unselectable="on">
<span id="result_box" lang="ca"><span lang="ca"><span class="jfk-button-img" unselectable="on"></span></span></span><br /></div>
</div>
</div>
<span id="result_box" lang="ca"><span lang="ca"> </span></span><br />
<div class="trans-verified-button-small" dir="ltr" id="gt-res-tools">
<div id="gt-res-tools-l">
<div id="gt-pb-star">
<div aria-hidden="false" aria-label="Guardado" class="goog-toolbar-button goog-inline-block trans-pb-button" data-tooltip-align="t,c" data-tooltip="Guardado" role="button" tabindex="0" unselectable="on">
<span id="result_box" lang="ca"><span lang="ca"><span class="jfk-button-img" unselectable="on"></span></span></span><br /></div>
</div>
<div aria-hidden="false" aria-label="Copiar" class="copy-button goog-toolbar-button" data-tooltip-align="t,c" data-tooltip="Copiar" id="gt-res-copy" role="button" tabindex="0" unselectable="on">
<span id="result_box" lang="ca"><span lang="ca"><span class="jfk-button-img" unselectable="on"></span></span></span><br /></div>
<div aria-disabled="false" aria-hidden="false" aria-pressed="false" class="trans-listen-button goog-toolbar-button" data-tooltip-align="t,c" id="gt-res-listen" role="button" tabindex="0" unselectable="on">
<span id="result_box" lang="ca"><span lang="ca"><span class="jfk-button-img" unselectable="on"></span></span></span><br /></div>
</div>
</div>
<span id="result_box" lang="ca"><span lang="ca"> </span></span></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-23918890050605915702018-03-01T06:37:00.003+01:002018-03-01T06:37:18.782+01:00Guies Nord-americanes de Hipertensió Arterial: HTA ≥ 130 / ≥ 80 ó ≥ 140 / ≥90? <div dir="ltr" style="text-align: left;" trbidi="on">
<img alt="Resultado de imagen de camfic" class="rg_ic rg_i" name="65uR4icyMh9uVM:" src="data:image/jpeg;base64,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" style="height: 104px; margin-left: -11px; margin-right: -11px; margin-top: 0px; width: 364px;" /><br />
<br /><span style="font-family: Arial, Helvetica, sans-serif;"></span>
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><br /></span></span>
<div style="text-align: center;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;"><img alt="Resultado de imagen de debate" class="rg_ic rg_i" data-src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTeVFdyc6SkT9RA3XF7HMjaCaGjD8V2BIIl2Bn0JsfJ-qILbUH3" height="109" name="DrBta7CRCzbZfM:" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTeVFdyc6SkT9RA3XF7HMjaCaGjD8V2BIIl2Bn0JsfJ-qILbUH3" style="height: 166px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 304px;" width="200" /> </span></span></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">Recomanacions del Grup de Treball de HTA de la CAMFiC </span></span></b></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">Les noves Guies Nord-americanes sobre hipertensió arterial (HTA) prometen un ampli debat a Europa. Desapareix el concepte de prehipertensió com a tal i es considera que es pateix HTA amb registres de 130 mmHg a 139 mmHg, i de 80 mmHg a 89 mmHg. Aquestes guies americanes, a més, estableixen que en termes generals tots els pacients han d'assolir uns objectius de control de la pressió arterial menor de 130/80 mmHg per considerar-se dins del concepte de bon tractament, incloent als pacients d’edat avançada i als diabètics: les dades es basen en l'assaig clínic SPRINT i els resultats no han estat reproduïts en cap altre estudi, amb la qual cosa estem davant d'uns objectius que poden generar molta frustració perquè són molt difícils d'aconseguir si no s’utilitzen 3 o 4 fàrmacs antihipertensius. El fet de considerar que amb aquestes xifres una persona ja és hipertensa suposarà haver d'afrontar una important sobrecàrrega assistencial, ja que això significaria que a partir dels 65-70 anys d'edat més del 80 % de la població és hipertensa: òbviament es crea una situació de sobrediagnòstic de HTA. Previsiblement les properes Guies Europees no estaran d'acord amb les noves guies americanes. </span></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">Al darrer Congrés Català d'hipertensió arterial celebrat fa unes setmanes un dels membres del Grup Europeu de les Guies avançava, tot i no ser oficial, allò que en el proper mes de Juny de 2018 apuntaran les guies europees, i és que probablement es mantindran els límits que fins ara havíem acceptat, els de 140/90. Abans de poder etiquetar a una persona com hipertensa s’hauria de confirmar de manera ambulatòria, amb autodeterminació domiciliària de la pressió arterial o amb monitorització ambulatòria de la PA de 24 hores. Si es confirma la hipertensió ambulatòria, allò que expressa la guia americana -i també l'europea, la canadenca i moltes altres- és que <b>cal una estimació del risc cardiovascular global</b>, tenint en compte l'edat, el sexe, si el pacient té altres factors de risc com diabetis, hiperlipèmia, si és fumador, o si té ja alguna repercussió en forma de malaltia d’òrgan diana derivada de la hipertensió. En aquests casos, malgrat la hipertensió sigui classificada com lleugera, es recomana tractament farmacològic. Sigui com sigui, a Europa seguim utilitzant el concepte que probablement romandrà igual: xifres de 140/90 abans d’emprendre decisions terapèutiques. </span></span></div>
<br />
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: small;">El grup d’HTA de la CAMFiC, reitera el seu posicionament favorable a les Guies Europees, mantenint el diagnòstic a ≥ 140 i/o ≥ 90, i sobretot, <b>recomana no tractar només les xifres de PA, si no valorar el risc Cardiovascular global davant una persona hipertensa</b></span></span></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-9967736013230543592018-01-29T11:47:00.002+01:002018-01-29T11:57:14.410+01:00Actualització en el tractament de la infecció per Helicobacter Pylori de l'adullt<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjU44LsTBuw7EFhE7p-tUxi6BLJK-rJe0sUDwwLGni5nOSbstHGHGsJigI9ML89BOiPidkcdESY_JN23B7V7uYTzNTtzCvzDys5wbpzPQuyHOeFdTBEJ8E45OTsqBBJgcMN5yI2nMC4Kr8G/s1600/3.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="103" data-original-width="340" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjU44LsTBuw7EFhE7p-tUxi6BLJK-rJe0sUDwwLGni5nOSbstHGHGsJigI9ML89BOiPidkcdESY_JN23B7V7uYTzNTtzCvzDys5wbpzPQuyHOeFdTBEJ8E45OTsqBBJgcMN5yI2nMC4Kr8G/s1600/3.png" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdmCs7YrrIx4xJSrOg3jW9AveJ5DsjG2rwHn-wL8_U5MVk_pJ87qA_r3loVB9LSz7vpqbLe_D7Djbs8RklIgb8jvtzR1gX-F8actKwSLzCW2Y9xzHvTGHMtqHQYwJyDE1R9cWWvqLiZLke/s1600/5.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="194" data-original-width="259" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdmCs7YrrIx4xJSrOg3jW9AveJ5DsjG2rwHn-wL8_U5MVk_pJ87qA_r3loVB9LSz7vpqbLe_D7Djbs8RklIgb8jvtzR1gX-F8actKwSLzCW2Y9xzHvTGHMtqHQYwJyDE1R9cWWvqLiZLke/s1600/5.png" /></a></div>
<br />
<br />
<br />
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"></span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><strong>
</strong><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"></span></span></span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><strong>
</strong><span style="font-family: "arial" , "helvetica" , sans-serif;"></span></span></span></span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><strong>
</strong><span style="font-family: "times new roman";"><strong>
</strong></span><span style="font-family: "arial" , "helvetica" , sans-serif;">Autors: </span></span></span></span></span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></span></span></span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Jordi Artigas Guix<span style="mso-spacerun: yes;"> </span></span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Metge de família. CAP Passeig de Sant Joan. Institut Català
de la Salut. </span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">
</span><br />
</span></span></span></span></span><div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Carlos Martin Cantera<span style="mso-spacerun: yes;">
</span></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Metge de família. CAP Passeig de Sant Joan. Institut Català
de la Salut. EAP Passeig Sant Joan. Professor associat Departament. Medicina.
Universitat Autònoma de Barcelona. </span></span></span></span></span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></span></span></span></span><br />
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Resum </span></span></span></span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">A tots els pacients amb evidència d’infecció activa
d’Helicobacter pylori (H. pylori) s’hauria d’oferir tractament.</span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">L’elecció del regim antibiòtic inicial de tractament
s’hauria de guiar per la presència de factors de risc de resistència a
diferents antibiòtics i la presència d’al·lèrgia a la penicil·lina. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">L’augment progressiu de resistència a antibiòtics,
principalment a la claritromicina, amb taxes superiors al 15%, unit a
l’absència d’antibioticoteràpia alternativa han fet que les pautes actuals per
millorar l’eficàcia de curació combinin una supressió potent de l’àcid gàstric,
tractaments quàdruples i una extensió de la durada fins a 14 dies en tots els
tractaments empírics de primera línia i de rescat. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">El subcitrat de bismut ha ressorgit i la seva addició als
règims triples ha mostrat augmentar les taxes de curació per sobre del 90%. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Com a tractament inicial, al nostre medi es recomana la
teràpia quàdruple concomitant durant 14 dies. Una alternativa és la teràpia
quàdruple amb bismut en el cas que la taxa de resistència conjunta
(claritromicina i metronidazole) sigui superior al 15%. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">En els que ha fallat un tractament previ, es suggereix un
règim terapèutic alternatiu que usi una combinació d’antibiòtics diferent. En
general, claritromicina i els antibiòtics usats prèviament s’haurien d’intentar
evitar, si és possible. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">En el cas de fallada de 3 règims terapèutics, s’hauria de
valorar la determinació de la sensibilitat “in vitro” als antibiòtics per tal
de guiar el tractament antibiòtic. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">L’adherència al tractament és cabdal per obtenir bons
resultats terapèutics. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">La pauta amb rifabutina es reserva per a pacients amb més de
3 fallades a tractaments previs. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">És important una supressió àcida potent per tal de
maximitzar l’eficàcia dels antibiòtics. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">No hi ha evidència clara del benefici d’afegir probiòtics al
tractament. </span></span></span></span></span></div>
<div style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span></div>
<div style="margin: 6pt 0cm 0pt; text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">TRACTAMETS D’ELECCIÓ</span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">PAUTA QUÀDRUPLE CONCOMITANT SENSE BISMUT</span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">(IBP, CLA, AMO, MTZ) OCAM durant 14 dies.</span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Aquest tractament és el recomanat a totes les guies de
pràctica clínica recents. En aquest cas s’ha estimat que la teràpia concomitant
té una efectivitat entre el 86 i 92%, com demostren els resultats de diversos
estudis des de l’any 2012 a Espanya. </span></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><strong><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></strong></span></span></span></span><br />
<div style="margin: 6pt 0cm 0pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><strong><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></strong></span></span></span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><strong><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span></strong></span></span></span></span><br />
<br /></div>
<div style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-family: "arial" , "helvetica" , sans-serif;">
</span><br /><strong><span style="font-size: large;"><a href="http://medicaments.gencat.cat/web/.content/minisite/medicaments/professionals/6_publicacions/butlletins/butlleti_informacio_terapeutica/documents/arxius/BIT-vol_28_n9_Helicobacter-Pylori-de-ladult.pdf" target="_blank">DOCUMENT</a></span></strong><br />
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><br />
<br />
</span><br /><br />
<br />
</span><br /><br />
<br />
<br /><br />
<br />
</span></div>
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br /></div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0tag:blogger.com,1999:blog-2040063203560028833.post-62475491700340184412017-12-14T07:05:00.003+01:002017-12-14T10:44:08.116+01:00Què he de saber sobre el tractament de la infecció per Helicobacter pylori? <div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="separator" style="clear: both; text-align: left;">
<img border="0" data-original-height="750" data-original-width="750" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBgOZxNIKH5dxTO3NlNU3SjMyIAV2DEac7rpyGQZYFpUSJUozyXGGjHA3Tr5cIpL_HZ43mBuAFmX0MPxKzFHAJj7EHAUclFfqVyMtD_f1e2zlUqLWCSa7kC_tUNHI7RHEWflr4AbuVJ0Z9/s200/11.png" width="200" /></div>
<h3 class="r">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Nova Actualització 2017 del maneig de l´Helicobacter Pylori amb idees claus</span></h3>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_7-x63VRkccWZ6Dzqcn2Idw8lAINdgbq6SP8iy1Ig_yQN6sDTQ2RljcYjF-gBSZTPph46SjP0DowTDeUUfOcWAAdf3G1IxQxwyzwq-mqztld08cr1Ekt9eFykU1xb5tB65BKc_XltnXKc/s1600/hp.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="865" data-original-width="1199" height="387" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_7-x63VRkccWZ6Dzqcn2Idw8lAINdgbq6SP8iy1Ig_yQN6sDTQ2RljcYjF-gBSZTPph46SjP0DowTDeUUfOcWAAdf3G1IxQxwyzwq-mqztld08cr1Ekt9eFykU1xb5tB65BKc_XltnXKc/s400/hp.jpg" width="480" /></a></div>
<br />
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Si vols més informació clica a:</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"> </span><br />
<div style="text-align: center;">
<a href="https://www.google.es/url?sa=t&rct=j&q=&esrc=s&source=web&cd=9&ved=0ahUKEwiTgJKT6ojYAhXB2hoKHcEdDSsQFghaMAg&url=http%3A%2F%2Fwww.1aria.com%2Fimages%2Fimagenes_subidas%2FCONSENSO%2520SOBRE%2520EL%2520TRATAMIENTO%2520DE%2520LA%2520INFECCI%25C3%2593N%2520POR%2520HELICOBACTER%2520PYLORI%25202017.pdf&usg=AOvVaw0z5xqE0ciPpPZyV1s5mNxG" target="_blank"><span style="font-size: large;">DESCRIPCIÓ I MANEIG</span></a></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://www.google.es/url?sa=t&rct=j&q=&esrc=s&source=web&cd=9&ved=0ahUKEwiTgJKT6ojYAhXB2hoKHcEdDSsQFghaMAg&url=http%3A%2F%2Fwww.1aria.com%2Fimages%2Fimagenes_subidas%2FCONSENSO%2520SOBRE%2520EL%2520TRATAMIENTO%2520DE%2520LA%2520INFECCI%25C3%2593N%2520POR%2520HELICOBACTER%2520PYLORI%25202017.pdf&usg=AOvVaw0z5xqE0ciPpPZyV1s5mNxG" target="_blank"><img alt="https://www.google.es/url?sa=t&rct=j&q=&esrc=s&source=web&cd=9&ved=0ahUKEwiTgJKT6ojYAhXB2hoKHcEdDSsQFghaMAg&url=http%3A%2F%2Fwww.1aria.com%2Fimages%2Fimagenes_subidas%2FCONSENSO%2520SOBRE%2520EL%2520TRATAMIENTO%2520DE%2520LA%2520INFECCI%25C3%2593N%2520POR%2520HELICOBACTER%2520PYLORI%25202017.pdf&usg=AOvVaw0z5xqE0ciPpPZyV1s5mNxG" border="0" data-original-height="225" data-original-width="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiTcVdO7OZK3KjJSpTQySx1gTpleRrO0jdm-n6rInxn7_YT_aC7UvmzWhkgYUkHjC92Hm9cb-udDAKftZ1qaViDKUgd36-kE4cpPaVSdlAEezBBTbjV1vUkWL2IkJgIMaagKylB51Y3HpN/s1600/999.jpg" /></a></div>
<div style="text-align: center;">
</div>
</div>
Miguel Molinahttp://www.blogger.com/profile/14342000067088193239noreply@blogger.com0