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スペインの保健大臣アナ=マット(Ana=Mato)氏は、医療費削減のために健康保険制度から排除される弱症状の426の薬の替りに、伝統的な薬草を薦める??
Volver a la botica de la abuela
La ministra Mato sugiere la sustitución de fármacos por remedios naturales
Algunos son eficaces, otros no
Los expertos advierten de que no deben seguirse tratamientos sin supervisión
Back to Grandma's pharmacy
The Minister Mato suggests the substitution of drugs for natural remedies
Some are effective, some not
Experts warn not to follow treatments without supervision
'Evidence based medicine', by M. I. TABLE GALLARDO
Kings Corner / Mary R. Sahuquillo 27 JUN 2012 - 21:42 CET
The Minister Mato suggests the substitution of drugs for natural remedies
Some are effective, some not
Experts warn not to follow treatments without supervision
'Evidence based medicine', by M. I. TABLE GALLARDO
Kings Corner / Mary R. Sahuquillo 27 JUN 2012 - 21:42 CET
Health Minister Ana Mato, on Monday defended the exclusion of some drugs in public funding in the alleged ineffectiveness of many of them: "Medicines for minor ailments that can be replaced by another product, often natural," he said. What the minister concerned with the possibility of changing medications natural remedies? Thinking of the Government in promoting the use of medicinal plants at the expense of chemical-based drugs? Or throw advocates of home remedies like fighting a sore throat by drinking milk and honey?
The answer to these questions is not easy because the ministry, embarrassed by the controversy generated by the words of Mato has chosen not to clarify what he meant exactly. On Tuesday, Secretary of State for Social Services and Equal, Juan Manuel Moreno, was limited to ensuring that the minister's words were taken out of context.
Health claims that the review was "taken out of context"
The context in which the minister made the remarks was an act sponsored by Farmaindustria, employers in the pharmaceutical industry. And the experts consulted by this newspaper seems to agree that the health minister is more concerned with the use of traditional remedies of packaged products sold in health food, diet centers and even pharmacies. The most widespread interpretation among practitioners is that Ana Mato consulted made the remarks without being aware of the extent that his words could have. Jovell Albert, president of the Spanish Patients' Forum, has criticized the statements of Mato, claiming to be "a blunder" and "nonsense." In his opinion, "is very disturbing coming from a Minister of Health." "The only useful and proven to combat any type of pathology is what is scientifically tested and proven. All the rest is air, "he says. Jovell, as most experts consulted, did not really understand what the minister was pursuing its claims. "Do you want that instead of syrup we take an infusion? It really is encouraging us to use the remedies grandma? "He asks.
On the same lines, Juan Hernandez Martinez, an expert in Public Health and Preventive Medicine at the Health Institute Carlos III, criticizing what he considers an "occurrence". "You can not promote the consumption of products without a certificate of membership and do not know its real effects," he says. Until the 1920s most drug recalls Martinez Hernandez, extracted from natural products such as plants and animal tissues. The doctor prescribed and prepared the apothecary. They were called complex drugs because it was difficult to get the same effect in patients with equivalent doses equivalent. "Grandma's remedies are full of uncertainty, no one knows what dose should be used and what effects may result for sure," she says.
Should be informed that the products are unsafe
RUIZ CLARA, FAMILY DOCTOR
Previously, these remedies are propagated by word of mouth and from generation to generation. Hence the grandmother's remedies. Now, the spread is multiplied by the Internet. The Web is filled with pages devoted to sharing these tricks home. In one of them, www.remediospopulares.com, there are dozens of supposed remedies for more than a hundred ailments, from heartburn to chickenpox or Alzheimer's. For the latter, for example, offers up to seven alleged treatments to prevent disease, such as taking a daily spoonful of cod liver oil or three cups a week of pouring the resulting mixture of two tablespoons of blackcurrant in a cup boiling water. Another example: up to 13 treatments for preventive or curative heartburn, such as drinking half a glass of papaya juice half an hour after eating or pour 15 grams of dried basil leaves in a quart of boiling water, let cool and drink three cups daily after meals.
Although most of these recommendations seem at least harmless, many professionals also warn that should be taken under medical supervision. "It's risky to replace drug treatment for any natural remedy, when there is also a controlled drug for it, labeled, certified and tested. You can not play with it, "says Martinez Hernandez.
Anesthesiologists, for example, always ask the patient if you have taken a natural preparation, because any product can cause interactions with drugs. "St John's wort, for example, known as St. John's wort, used to elevate the mood, interfere with many drugs. Grapefruit, which many people take as a tonic food, potentiates the action of antihypertensive drugs and can trigger a drop in blood pressure, "says this expert, for whom the use of natural remedies is" nonsense ". "Out of the cold shock and hydration to alleviate the effects of heat, everything else is attempting to provide non-medicinal drug".
Until the twenties, the drugs were obtained from plants and animal tissues
Advocates of more natural medicine advocate, however, that if there are natural remedies that work should be taken into account by the official medicine. "If you take just a few days with kiwi and constipation, why we can not accept it as a remedy," asks Robert San Antonio, president of the Spanish Association of Natural Therapies and Non Conventional Cofenat APTN. San Antonio value "positively" the words of the minister to the extent that they relate to complementary medicine (natural and alternative therapies) to coexist with the official one. "At no time preach the substitution of one for another," he says.
The natural medicine practitioners often use home remedies and more popular. "But they are only part of complementary medicine, the most basic. In natural medicine there is much more than those remedies that people popularly known, "says San Antonio. "It is not just to verify that the kiwi is good for constipation, if not look at what has the kiwi to do this effect. That is what makes natural medicine, "he explains.
Practitioners of natural medicine advocates to regulate the discipline to avoid the legal vacuum that now exists regarding the exercise and training in this area. "Now users are unprotected and regulation in these areas would be a benefit to all professionals and citizens," said the president of the Spanish Association of Unconventional Natural Therapies.
But skeptics insist that there is nothing to sort. "You can not regulate because it is proven to work. A naturist prescribe a tea is as if a lawyer will tell you how to make a home, "says Mauricio Jose Schwarz Huerta, a member of the Skeptic Circle, a cultural association very combative with alternative therapies. Schwarz Huerta believes that the Minister of Health falling in a widespread and wrong dichotomy: "The mistake of thinking that the artificial and the natural is bad, good." "It is false. Anesthesia is very good however artificial it may be very bad and some mushrooms are natural, "he recalls.
Clara Ruiz, family doctor, admits that the company is overly medicalized, but believes that the way to combat it is to encourage the use of natural remedies. "What we have to do is to disseminate information campaigns that drugs are not safe. Neither are many traditional remedies, "he observes. This doctor that it is not unusual that patients come to his office are telling you who have tried this or that herb, tea or natural pills. Especially diet. "They do not realize that many of those tricks do nothing, but others are considered within the miracle products that are very harmful," he warned.
One of the issues of greatest concern to those opposed to encourage home remedies is that its use delayed patient access to mainstream medicine. And, when you get to the doctor, too late. Here several of the experts consulted agree cite the case of Apple founder Steve Jobs. His reluctance to be treated with conventional medicine have raised much debate in the United States. Was detected with pancreatic cancer in October 2003, but for almost a year tried to fight the disease with diet and other natural treatments.
When in late 2004 agreed to be treated by medical officers, the tumor was widespread. Some U.S. media have said even then returned to refuse to put her on chemotherapy or other standard treatments for cancer, but never made public the actual details of his fight against the disease. After the death of Jobs, Ramzi Amri, a doctor from Harvard University, he hung up on the web Quora his theory, no longer a speculation, which generated much controversy: "It seems logical to assume that the choice of alternative medicine It took an early death. " It seems clear that the Minister did not refer to such an extreme approach in his defense, no doubt controversial, of Grandma's remedies.
The answer to these questions is not easy because the ministry, embarrassed by the controversy generated by the words of Mato has chosen not to clarify what he meant exactly. On Tuesday, Secretary of State for Social Services and Equal, Juan Manuel Moreno, was limited to ensuring that the minister's words were taken out of context.
Health claims that the review was "taken out of context"
The context in which the minister made the remarks was an act sponsored by Farmaindustria, employers in the pharmaceutical industry. And the experts consulted by this newspaper seems to agree that the health minister is more concerned with the use of traditional remedies of packaged products sold in health food, diet centers and even pharmacies. The most widespread interpretation among practitioners is that Ana Mato consulted made the remarks without being aware of the extent that his words could have. Jovell Albert, president of the Spanish Patients' Forum, has criticized the statements of Mato, claiming to be "a blunder" and "nonsense." In his opinion, "is very disturbing coming from a Minister of Health." "The only useful and proven to combat any type of pathology is what is scientifically tested and proven. All the rest is air, "he says. Jovell, as most experts consulted, did not really understand what the minister was pursuing its claims. "Do you want that instead of syrup we take an infusion? It really is encouraging us to use the remedies grandma? "He asks.
On the same lines, Juan Hernandez Martinez, an expert in Public Health and Preventive Medicine at the Health Institute Carlos III, criticizing what he considers an "occurrence". "You can not promote the consumption of products without a certificate of membership and do not know its real effects," he says. Until the 1920s most drug recalls Martinez Hernandez, extracted from natural products such as plants and animal tissues. The doctor prescribed and prepared the apothecary. They were called complex drugs because it was difficult to get the same effect in patients with equivalent doses equivalent. "Grandma's remedies are full of uncertainty, no one knows what dose should be used and what effects may result for sure," she says.
Should be informed that the products are unsafe
RUIZ CLARA, FAMILY DOCTOR
Previously, these remedies are propagated by word of mouth and from generation to generation. Hence the grandmother's remedies. Now, the spread is multiplied by the Internet. The Web is filled with pages devoted to sharing these tricks home. In one of them, www.remediospopulares.com, there are dozens of supposed remedies for more than a hundred ailments, from heartburn to chickenpox or Alzheimer's. For the latter, for example, offers up to seven alleged treatments to prevent disease, such as taking a daily spoonful of cod liver oil or three cups a week of pouring the resulting mixture of two tablespoons of blackcurrant in a cup boiling water. Another example: up to 13 treatments for preventive or curative heartburn, such as drinking half a glass of papaya juice half an hour after eating or pour 15 grams of dried basil leaves in a quart of boiling water, let cool and drink three cups daily after meals.
Although most of these recommendations seem at least harmless, many professionals also warn that should be taken under medical supervision. "It's risky to replace drug treatment for any natural remedy, when there is also a controlled drug for it, labeled, certified and tested. You can not play with it, "says Martinez Hernandez.
Anesthesiologists, for example, always ask the patient if you have taken a natural preparation, because any product can cause interactions with drugs. "St John's wort, for example, known as St. John's wort, used to elevate the mood, interfere with many drugs. Grapefruit, which many people take as a tonic food, potentiates the action of antihypertensive drugs and can trigger a drop in blood pressure, "says this expert, for whom the use of natural remedies is" nonsense ". "Out of the cold shock and hydration to alleviate the effects of heat, everything else is attempting to provide non-medicinal drug".
Until the twenties, the drugs were obtained from plants and animal tissues
Advocates of more natural medicine advocate, however, that if there are natural remedies that work should be taken into account by the official medicine. "If you take just a few days with kiwi and constipation, why we can not accept it as a remedy," asks Robert San Antonio, president of the Spanish Association of Natural Therapies and Non Conventional Cofenat APTN. San Antonio value "positively" the words of the minister to the extent that they relate to complementary medicine (natural and alternative therapies) to coexist with the official one. "At no time preach the substitution of one for another," he says.
The natural medicine practitioners often use home remedies and more popular. "But they are only part of complementary medicine, the most basic. In natural medicine there is much more than those remedies that people popularly known, "says San Antonio. "It is not just to verify that the kiwi is good for constipation, if not look at what has the kiwi to do this effect. That is what makes natural medicine, "he explains.
Practitioners of natural medicine advocates to regulate the discipline to avoid the legal vacuum that now exists regarding the exercise and training in this area. "Now users are unprotected and regulation in these areas would be a benefit to all professionals and citizens," said the president of the Spanish Association of Unconventional Natural Therapies.
But skeptics insist that there is nothing to sort. "You can not regulate because it is proven to work. A naturist prescribe a tea is as if a lawyer will tell you how to make a home, "says Mauricio Jose Schwarz Huerta, a member of the Skeptic Circle, a cultural association very combative with alternative therapies. Schwarz Huerta believes that the Minister of Health falling in a widespread and wrong dichotomy: "The mistake of thinking that the artificial and the natural is bad, good." "It is false. Anesthesia is very good however artificial it may be very bad and some mushrooms are natural, "he recalls.
Clara Ruiz, family doctor, admits that the company is overly medicalized, but believes that the way to combat it is to encourage the use of natural remedies. "What we have to do is to disseminate information campaigns that drugs are not safe. Neither are many traditional remedies, "he observes. This doctor that it is not unusual that patients come to his office are telling you who have tried this or that herb, tea or natural pills. Especially diet. "They do not realize that many of those tricks do nothing, but others are considered within the miracle products that are very harmful," he warned.
One of the issues of greatest concern to those opposed to encourage home remedies is that its use delayed patient access to mainstream medicine. And, when you get to the doctor, too late. Here several of the experts consulted agree cite the case of Apple founder Steve Jobs. His reluctance to be treated with conventional medicine have raised much debate in the United States. Was detected with pancreatic cancer in October 2003, but for almost a year tried to fight the disease with diet and other natural treatments.
When in late 2004 agreed to be treated by medical officers, the tumor was widespread. Some U.S. media have said even then returned to refuse to put her on chemotherapy or other standard treatments for cancer, but never made public the actual details of his fight against the disease. After the death of Jobs, Ramzi Amri, a doctor from Harvard University, he hung up on the web Quora his theory, no longer a speculation, which generated much controversy: "It seems logical to assume that the choice of alternative medicine It took an early death. " It seems clear that the Minister did not refer to such an extreme approach in his defense, no doubt controversial, of Grandma's remedies.
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