Maybe it is.
The future is uncertain
Tuesday, December 22, 2009
Monday, December 7, 2009
Most Reliable Sd Card
Novel 6: The script
PRESENTATION
As I told you before, I was going to a screenwriting workshop, every Tuesday and Thursday for two months. When I got there it was started, but I still found it very interesting to attend to him because we talked and we explained ideas for the script of a play.
A that we like to write, just trying all genres, and because she had some knowledge of the workshop, I started writing a script to test.
THEMATIC
was very recent, the topic of fashion, when I started screenwriting workshop, which took the opportunity to write a screenplay on this subject. So this script is a group of models who travel to an island paradise to be done several photo shoots.
addition to the ambitious is this world, there was the chance of only one would be the cover of the magazine, and therefore arise all sorts of rivalries and clashes. Tripping alleged professional and betrayals among friends.
PROBLEM
understood that this was not my genre, and my knowledge of theater is summarized in several books read by high school obligation, which has fascinated me ever read, and apparently seen, nor writing.
So that's why this project was left half and I do not retake it, maybe if as a novel, as the fashion world gives to this and more.
must test all things and all styles of writing experience to know which is best we are given. And that brought me much to keep learning. 
.
OVERVIEW:
Tentative title: Writer
date: 2002
Years author: 19
Writing time: be determined
Corrections: ...
Pages (Word in Times 12 p): unfinished
Theme: intrigue.
Narrator: Writer
be held at: Paradise Island
Tentative title: Writer
date: 2002
Years author: 19
Writing time: be determined
Corrections: ...
Pages (Word in Times 12 p): unfinished
Theme: intrigue.
Narrator: Writer
be held at: Paradise Island
PRESENTATION
As I told you before, I was going to a screenwriting workshop, every Tuesday and Thursday for two months. When I got there it was started, but I still found it very interesting to attend to him because we talked and we explained ideas for the script of a play.
A that we like to write, just trying all genres, and because she had some knowledge of the workshop, I started writing a script to test.
THEMATIC
was very recent, the topic of fashion, when I started screenwriting workshop, which took the opportunity to write a screenplay on this subject. So this script is a group of models who travel to an island paradise to be done several photo shoots.
addition to the ambitious is this world, there was the chance of only one would be the cover of the magazine, and therefore arise all sorts of rivalries and clashes. Tripping alleged professional and betrayals among friends.
PROBLEM
understood that this was not my genre, and my knowledge of theater is summarized in several books read by high school obligation, which has fascinated me ever read, and apparently seen, nor writing.
So that's why this project was left half and I do not retake it, maybe if as a novel, as the fashion world gives to this and more.
must test all things and all styles of writing experience to know which is best we are given. And that brought me much to keep learning.
Monday, November 30, 2009
How To Make Lattice Fence Private
599gtb rotation
ended and make one or two weeks down the stairs and I have given up and in the absence of joining the layers. Furthermore
prepare the animation to rotate the 599GTB and he managed the doors and such that the command center had petado inside the mesh and therefore I had to redo and deposit hole of the door as well because the modele I had them made by Boolean so that when I finished this project was shredded and just wanted to finish it now and make a couple renders and start with something new.
Thus, the 599 retouched material (still red, I've only touched color sequence together now to try After Effects I'm used to fusion) and well sculpted and such, I have also removed the wires and then make animation rendering pass a wire to the reel and now begin to search for a phrase to make a close-talking acting, because Dexter had a sequence that I liked, but the other day watching Casablanca me point a few seconds to think can operate, to see what are and what can pass. mkv to video to work.
PS: Edited with final video because the video had been posted on blogspot just deleted: S 
ended and make one or two weeks down the stairs and I have given up and in the absence of joining the layers. Furthermore
prepare the animation to rotate the 599GTB and he managed the doors and such that the command center had petado inside the mesh and therefore I had to redo and deposit hole of the door as well because the modele I had them made by Boolean so that when I finished this project was shredded and just wanted to finish it now and make a couple renders and start with something new.
Thus, the 599 retouched material (still red, I've only touched color sequence together now to try After Effects I'm used to fusion) and well sculpted and such, I have also removed the wires and then make animation rendering pass a wire to the reel and now begin to search for a phrase to make a close-talking acting, because Dexter had a sequence that I liked, but the other day watching Casablanca me point a few seconds to think can operate, to see what are and what can pass. mkv to video to work.
599GTB 360 º rotation and render from NeoLitus on Vimeo .
PS: Edited with final video because the video had been posted on blogspot just deleted: S
Wednesday, November 18, 2009
Remote Control Sand Rails
time Storing Memories
Those who say they have time at all,
Those who say they have time at all, at risk of becoming men gray, those Momo those dreaded ...
Those whom I fear also.
You can always important.
Saturday, November 7, 2009
Volleyball Players In Spandex
Vaccine against pandemic flu: against demagoguery, accuracy.
I think it is important that health professionals disclose scientific and technical reality, compared with conspiracy theories like that of Teresa Forcades a video circulating on the Internet. This woman internist without exercise-truths mixed with falsehoods, and so is undermining public confidence in vaccines. That is very serious because the entire edifice of vaccination rests on the confidence of citizens and professionals foot soldiers in the health authorities.
against demagoguery, several facts true:
1. It is impossible for pandemic influenza vaccines cause any pandemic flu or avian flu or, as suggested by the video. The vaccine virus is not alive, as assumed in the video, but killed virus, split, or subunit (depending on brand). This ruling indicates the author's misinformation regarding vaccines. In addition, any item that hits the market meet quality control over the content of the vaccine, like any medicine, pharmacopoeia. A sample is deposited to the National Center for Pharmacobiology carry out inspections and analysis to create appropriate. Forcades hypothesized that laboratories are using the vaccine to cause a pandemic of bird flu or any other disease is really unprecedented, irresponsible and disturbing in a person who assumes some training.
2. Interveners are two of the vaccines (Pandemrix and Focetria) comply with the safety guidelines of the EMEA, and have already been used in seasonal flu vaccines. The MF59.1, containing 9.75 mg of squalene, has been used in the vaccine brand Chiromo (R) in the year 2008/2009.
3. The Baxter is precisely the only vaccine containing no adjuvant, because it contains a larger amount of antigen, hemagglutinin, a dose Like the seasonal influenza vaccine. It would therefore be precisely the vaccine safer, and should be used for sensitive groups such as pregnant women, if not just demagoguery intimidating potential recipients of this vaccine, and forcing policy makers to avoid it for health clear the controversy, with great disservice to public health.
4. It is false that the labs that they have been marketed legally absolved of responsibility for the possible adverse effects of the vaccine. All laboratories are formally accountable to possible side effects of drugs, when used as directed by the SPC. RD 1015/2009, regulating what was once known as "compassionate use" of drugs, effectively exempts all laboratories of responsibility for the use of any medication NOT LISTED IN THE TECHNICAL CONDITIONS. This is nothing new, but specific regulation of what was once known as "compassionate use" and has NOTHING to do with vaccination against influenza A pandemic.
Therefore, the benefit / risk of the vaccine is expected to be positive for risk groups established by the Ministry of Health. People who belong to one of these groups can be vaccinated safely with the vaccine set for it. 
I think it is important that health professionals disclose scientific and technical reality, compared with conspiracy theories like that of Teresa Forcades a video circulating on the Internet. This woman internist without exercise-truths mixed with falsehoods, and so is undermining public confidence in vaccines. That is very serious because the entire edifice of vaccination rests on the confidence of citizens and professionals foot soldiers in the health authorities.
against demagoguery, several facts true:
1. It is impossible for pandemic influenza vaccines cause any pandemic flu or avian flu or, as suggested by the video. The vaccine virus is not alive, as assumed in the video, but killed virus, split, or subunit (depending on brand). This ruling indicates the author's misinformation regarding vaccines. In addition, any item that hits the market meet quality control over the content of the vaccine, like any medicine, pharmacopoeia. A sample is deposited to the National Center for Pharmacobiology carry out inspections and analysis to create appropriate. Forcades hypothesized that laboratories are using the vaccine to cause a pandemic of bird flu or any other disease is really unprecedented, irresponsible and disturbing in a person who assumes some training.
2. Interveners are two of the vaccines (Pandemrix and Focetria) comply with the safety guidelines of the EMEA, and have already been used in seasonal flu vaccines. The MF59.1, containing 9.75 mg of squalene, has been used in the vaccine brand Chiromo (R) in the year 2008/2009.
3. The Baxter is precisely the only vaccine containing no adjuvant, because it contains a larger amount of antigen, hemagglutinin, a dose Like the seasonal influenza vaccine. It would therefore be precisely the vaccine safer, and should be used for sensitive groups such as pregnant women, if not just demagoguery intimidating potential recipients of this vaccine, and forcing policy makers to avoid it for health clear the controversy, with great disservice to public health.
4. It is false that the labs that they have been marketed legally absolved of responsibility for the possible adverse effects of the vaccine. All laboratories are formally accountable to possible side effects of drugs, when used as directed by the SPC. RD 1015/2009, regulating what was once known as "compassionate use" of drugs, effectively exempts all laboratories of responsibility for the use of any medication NOT LISTED IN THE TECHNICAL CONDITIONS. This is nothing new, but specific regulation of what was once known as "compassionate use" and has NOTHING to do with vaccination against influenza A pandemic.
Therefore, the benefit / risk of the vaccine is expected to be positive for risk groups established by the Ministry of Health. People who belong to one of these groups can be vaccinated safely with the vaccine set for it.
Monday, October 12, 2009
Skip Levels Cubefield
Vaccines "without trust?
Vaccines are one of the greatest achievements of modern medicine. Have prevented many deaths and suffering, many of them to the most worthy of protection as children. But they are a very sophisticated instrument. Neither doctors who work directly with patients, much less users are able to evaluate epidemiologically when the benefits of a vaccine are clearly outweigh their risks. Therefore, health authorities developed immunization schedules in which we all rely. The magnificent building of vaccines rests on a pillar of confidence.
The issue of trust is that it takes a lot to win, but lost in an instant. When a difficult issue assess as vaccination, trust is lost, the field is paid to questions, gossip, theories more or less justified, and so on. In an irresponsible and unintelligent, health authorities and some pharmaceutical companies are breaking down a beautiful building that has taken decades to build. How? Betraying the trust of citizens and using vaccination towards political and economic benefits.
The first step in this Tremeda health irresponsibility occurred when GSK meningococcal vaccine, a vaccine very effective, hit the market in the late 90's. Then he blew up health warnings on cases of meningitis There was nothing unusual, and sparked panic everyone into believing that vaccination was necessary and was not done for economic meanness, then PP government. I remember how they were used as antibacterial prophylaxis is sold in pharmacies. Then, the regional governments were quick to use the vaccine to the cry of "stupid the last." First disaster.
The second disaster was, year after year, the false news that "this year we expect a more virulent virus, according nosequé expert." When in 2008 the pope traveled to Australia, the media were quick to call "Papa flu," saying that young people from Europe carrying hazardous influenza virus. All false. Laboratories each year using this strategy to increase sales of influenza vaccine. And the media-idiots-bribed or press releases published outputs from the kitchen of a pharmaceutical laboratory.
The third disaster was the papillomavirus vaccine, publicly adopted in Spain by political and ideological reasons, not epidemiological studies, with newsprint to see the Minister Bernat Soria dance music to marketers of this product. To make matters worse, some of which benefit / risk not even know what well-educated doctors-only specialists on the subject, is at the discretion of parents or users, without information, have to decide whether vaccinated or not interested. Frightening. Of course, there is no other interest: as it is known that the fallacy of "safe sex", advertised to exhaustion by the Ministry of Health, will lead to an epidemic of condyloma and cervical cancer, the vaccine I covered a bit. ..
Finally, we have the current circus of influenza A. The WHO, which had made it clear that it is sold to laboratories and pressure groups (losartan recommended antihypertensive of choice just outside the market, and adopted as their own slogans of the abortion lobby and laboratories related to this business), now has been devoted to mount a worldwide scam with the flu A. The facts are as follows: since the beginning of the decade, several laboratories have invested millions in a matter of urgency to be prepared to produce vaccines against a possible flu pandemic. WHO has been responsible for spreading panic about a virus, the famous influenza A, which is nothing dangerous about the flu that attacks us every year. And the labs are going to make August.
Apparently, all you lose with this is money. But on the way we lost much more: now proliferate in myriad Internet Video demagogic cast doubt on many other aspects of vaccinations. The problem is that now these videos demagogic may lead many to suspect of vaccines which have always relied. And all because the WHO, health authorities, laboratories, media and other dipped in this racket, we have lost something far more important than money: trust.
is a pity that threatens to derail decades of labor and goods for all mankind, that have been achieved with vaccines. I
Vaccines are one of the greatest achievements of modern medicine. Have prevented many deaths and suffering, many of them to the most worthy of protection as children. But they are a very sophisticated instrument. Neither doctors who work directly with patients, much less users are able to evaluate epidemiologically when the benefits of a vaccine are clearly outweigh their risks. Therefore, health authorities developed immunization schedules in which we all rely. The magnificent building of vaccines rests on a pillar of confidence.
The issue of trust is that it takes a lot to win, but lost in an instant. When a difficult issue assess as vaccination, trust is lost, the field is paid to questions, gossip, theories more or less justified, and so on. In an irresponsible and unintelligent, health authorities and some pharmaceutical companies are breaking down a beautiful building that has taken decades to build. How? Betraying the trust of citizens and using vaccination towards political and economic benefits.
The first step in this Tremeda health irresponsibility occurred when GSK meningococcal vaccine, a vaccine very effective, hit the market in the late 90's. Then he blew up health warnings on cases of meningitis There was nothing unusual, and sparked panic everyone into believing that vaccination was necessary and was not done for economic meanness, then PP government. I remember how they were used as antibacterial prophylaxis is sold in pharmacies. Then, the regional governments were quick to use the vaccine to the cry of "stupid the last." First disaster.
The second disaster was, year after year, the false news that "this year we expect a more virulent virus, according nosequé expert." When in 2008 the pope traveled to Australia, the media were quick to call "Papa flu," saying that young people from Europe carrying hazardous influenza virus. All false. Laboratories each year using this strategy to increase sales of influenza vaccine. And the media-idiots-bribed or press releases published outputs from the kitchen of a pharmaceutical laboratory.
The third disaster was the papillomavirus vaccine, publicly adopted in Spain by political and ideological reasons, not epidemiological studies, with newsprint to see the Minister Bernat Soria dance music to marketers of this product. To make matters worse, some of which benefit / risk not even know what well-educated doctors-only specialists on the subject, is at the discretion of parents or users, without information, have to decide whether vaccinated or not interested. Frightening. Of course, there is no other interest: as it is known that the fallacy of "safe sex", advertised to exhaustion by the Ministry of Health, will lead to an epidemic of condyloma and cervical cancer, the vaccine I covered a bit. ..
Finally, we have the current circus of influenza A. The WHO, which had made it clear that it is sold to laboratories and pressure groups (losartan recommended antihypertensive of choice just outside the market, and adopted as their own slogans of the abortion lobby and laboratories related to this business), now has been devoted to mount a worldwide scam with the flu A. The facts are as follows: since the beginning of the decade, several laboratories have invested millions in a matter of urgency to be prepared to produce vaccines against a possible flu pandemic. WHO has been responsible for spreading panic about a virus, the famous influenza A, which is nothing dangerous about the flu that attacks us every year. And the labs are going to make August.
Apparently, all you lose with this is money. But on the way we lost much more: now proliferate in myriad Internet Video demagogic cast doubt on many other aspects of vaccinations. The problem is that now these videos demagogic may lead many to suspect of vaccines which have always relied. And all because the WHO, health authorities, laboratories, media and other dipped in this racket, we have lost something far more important than money: trust.
is a pity that threatens to derail decades of labor and goods for all mankind, that have been achieved with vaccines. I
Friday, October 9, 2009
Remove Sprocket From Schwinn Spinner
Why not dispense the morning-after pill health
pharmacist. When, in 2001, a national government approved the DDA PP and PSOE Andalusian regional government offered it for free in health centers, I was a pharmacist in a district primary health care. Studied the mechanism action of the DDA, and all studies confirm what their own data sheet says: that works by preventing conception, but with low efficiency, 50%, and the rest of their effect is achieved by preventing the implantation of the embryo. I
pharmacist to help people. I believe that every job, from the humblest to the most socially valued, must be able to give satisfaction to strive for a better society, that's the main thing. In particular, health professionals have a vocation to health care, not only what we demand, but everyone's health. That is, do I have so much responsibility on the health of the girl who demand a PDD, as on the life of the embryo that can carry in your breast. Give a product that can lead to death of this man, still in its infancy, it is against the most elementary principles of the pharmaceutical profession.
So, though I had a contract for works and services poor and my salary was the only one who entered the house, I determined to refuse any professional intervention that had anything to do with the DDA. When you changed jobs and went to the hospital, I informed the same decision for my department head. And so I have always acted opportunity has been presented.
Today I find the outrage that this product has been approved for purchase without a prescription at pharmacies. It has not seemed to matter to the Government, which is a product that attacks human life, not even the fact of uncertainty and repeated administration in adolescents, and has been shown epidemiologically that its availability does not reduce the incidence of unplanned pregnancy. Approve and extend its use are making propaganda for an ideology that despises the prenatal human life, no health decisions. To make matters worse, the Ministry of Health has misled the people saying, in an official document, which is not an abortifacient because it does not work when the embryo has implanted, entering a dialectic unfortunate to hide the truth: that prevents embryo implantation, and therefore leads to the elimination of a human being. This brochure is posted on the web as is the General Council of Colleges of Pharmacy, shamelessly. And already approved another pill (ulipristal) can be used up to five days later.
If even this fails, we are free and funded abortion as a right with our taxes. And finally, the abortion failed to address the lives of adolescent girls and their families (it shatters), shame and misunderstanding just impose their fetid silence of solitude and sadness of hundreds of thousands of young women who was educated in the fallacy of "sex sure. "
Someday, sooner or later, someone will ask, and we wonder how we could fall as low pharmacists up to be a hazard for parents who want to give a humane and responsible education to their sons and daughters, because said to be able to sell us this, and even over the counter, just to us, we have a responsibility to society to ensure health. The answer to how we have fallen so low is very clear, and we find, by analogy, at the end of that unforgettable film about the Nuremberg trials: "it was that every time you dispense a product, knowing that threatened health and human life. " This professional responsibility we have and we autoexigírnosla. Sooner or later, someone will.
In short, the answer to why not dispense the PDD is simple, and is already in the first sentence of this comment.
Build A Rope Swing On A Dock
scientific considerations on the "morning after pill"
Paper prepared following the approval of the supply without prescription in pharmacies.
Professional intervention in relation to the so-called "morning after pill" (PDD) raises serious problems from the standpoint of professional ethics for many health professionals. Especially now, for the pharmaceutical, health care worker involved only in relation to the DDA, a correct interpretation of their professional duties may lead you to not dispense this product. EFFECT
Reproductive effects of DBM
The official sheet recognizes at least two main effects of DBM on reproductive function: the birth and antiimplantatorio. The contraceptive mechanism occurs by inhibiting ovulation. When this does not occur, and fertilization takes place, you may receive antiimplantatorio effect: by altering the ability of the lining of the uterus to receive the embryo at the right time, it can not implant in it and ends up being deleted.
In one study, women who received the DDA had a pregnancy rate of 1%. Accordingly, it is estimated that the use of the PDD could be reduced by 85% the chance of pregnancy. This figure could be overestimated, since the probability of pregnancy in the PDD applicants may already be impaired by stress, partial use of contraceptives, etc.
Effect of DBM in the rate of unplanned pregnancy
Numerous epidemiological studies of different nature and origin, show that the use of the PDD does not reduce the rate of unintended pregnancies, or the rate of abortions in the population (Raymond, Obstetrics & Gynecology 2007). How
can explain this paradox? First, the ability of DDA to reduce the likelihood of pregnancy may be overestimated. Moreover, it is known that a greater sense of protection induces greater acceptance of risk. There is difficulty in detecting changes in intimate behavior, some studies show that the availability of the PDD causes an increase in risky sexual behavior in adolescents (Belzer, Los Angeles, 2005), while other studies show no difference.
In Spain, the total number of units sold PDD has increased since its adoption in 2001, from 160,000 to over 600,000 in 2007. At that time, the rate of induced abortions not has decreased (69 858 abortions in 2001, 112,138 abortions in 2007, the latest official data available). Among adolescents, abortions have followed the same increase. In Andalusia, the PDD has been provided free at health centers. However, between 2000 and 2006, developments in Andalusia was 5 more abortions per thousand women, compared with 4 in the rest of Spain, failed to confirm it projected on the basis of epidemiological studies. SAFETY
Security
PDD for women
The PDD is a megadose hormone, equivalent to 20 times the daily dose of levonorgestrel used as anticonteptivo. Consequently, reactions occur frequently effects such as nausea (in 15% of cases), vomiting (15%), diarrhea (3%), fatigue (13%), vertigo or dizziness (20%), headache (10%), breast (8%), abdominal pain (15%), vaginal bleeding (31%) and delayed menstruation (5%).
These reactions may be more severe and frequent in people with a hormonal disorder, underlying disease, or ages at which sexual hormone balance is still in development.
is not known with certainty the safety of the PDD in adolescents, which were excluded from major clinical trials. Neither is known in government security repeated. This can be facilitated by a dispensing without prescription, even several administrations per year, which can have harmful effects on the female cycle.
uterine relaxing properties of levonorgestrel may delay the spontaneous abortion of viable embryos and implanted, increasing the risk of complications for women. For that reason, avoid progestogens in women who are at the beginning of pregnancy (Levonorgestrel, Micromedex 2009).
Finally, if the availability of the PDD induced an increase in risky sexual behaviors, such as observed by some authors, would increase the spread of disease transmission sexual such as AIDS, gonorrhea, yeast infections, human papillomavirus and cervical cancer, etc.. Security
PDD for the embryo
The PDD is not safe for the embryo, on the contrary, as by interfering with implantation in the uterus, prevent their physiological development, leading inevitably to death.
on an embryo or fetus resulting from a previous relationship which motivates the use of the DDA, and already in place, the safety of massive doses of postcoital levonorgestrel is poorly understood. Studies in a few cases seem to indicate that no significant adverse effects, but would require more extensive studies to verify their security. ADDITIONAL ISSUES
ethical and professional considerations
"It's not ethics admit the existence of a period in which human life is worthless. Consequently, the doctor is obliged to respect it from the beginning "(Article 25.1 of the Code of Ethics and Medical Ethics). For its part, "the pharmacist shall refrain from participating in any type of action, whether or not related to their profession, their knowledge and skills are put to the service of acts against life, human dignity or the rights of man "(Art. 10 of the Code of Professional Ethics Pharmaceuticals).
Since it is a scientifically proven fact that human life begins at conception, these requirements have a direct application to the conduct of health professionals.
should clarify that, where information dissemination and / or promotional DDA stated that the PDD is not abortion, it can be confusing the beginning of human life, with the time of clinical diagnosis of pregnancy (which is done after implantation). Moreover, although not always produce the effect antiimplantatorio, an elementary principle of precaution against an action that could endanger human life leads us to avoid actions that could end this life.
Moreover, the Code of Ethics and Pharmaceuticals, which meets minimum ethical principles require the pharmacist (Art. 1), provides in its general principles, that this, in practice, exceed the strict compliance adopt existing legislation and ethical behavior in all its activities (Art. 2), but not be requested or required (Art. 9).
A pharmacy is not just a trade, but a health facility. Activity and health, professional, pharmacist covers all functions in relation to the drug, since its acquisition, until dispensed and pharmaceutical care, including their duties in promoting community health. All of them can and should be your best professional and ethical criteria, for the sake of everyone's health. These criteria affect both their knowledge about the effect of PDD on the embryo, as the difficulty of ensuring maximum safety for women in the specific conditions under which the dispensing occurs.
The Medical Association has specified that "a medical act is not because it makes use of a technique, to a chemical or an instrument of those used in medicine." (Medical Journal, 15/09/1998). Similarly, the entire dosage form is worthy be considered medicine or any procedure that involves a dosage form is an act pharmacist. In this sense, the possibilities for cooperation in actions that threaten the health and even human life (abortion, death penalty, assisted suicide or not, euthanasia, etc.) Products using dosage forms, are expanding in some countries, and are a drift in the health professions clearly lost the ethical foundation that has sustained its historical development and its contribution to a better society.
Other considerations (psycho-social, economic, legal, etc.).
Consider, authoritatively, that the harmful effect of PDD the embryo is not relevant to the user, denying them access to that information in a clear and understandable, it is unfair to them and inconsistent with the scientific literature. Many women may face psychological feelings of guilt and frustration if, after using the DDA, come to the knowledge that their use may have killed a human life. Unfortunately, some brochures on the DDA, including the recently published by the Ministry of Health, fall into this defect.
The measure to allow the use of DBM without prescription counter as indicated in two judgments of the High Court (February 4 and October 8, 2003), justifying its distribution provided that is authorized by a physician prescription. In addition, the 1 st sentence assumes that the DDA can not be given to minors.
The total cost of the PDD in Spain, even if consumption remained stable, would be around 13 million euros annually. Recently (04/08/2009), the English Agency of Medicines in Spain has approved a new product for postcoital contragestation (ulipristal acetate, RH Pharma). The availability of the PDD without prescription in pharmacies allow their dealers (Bayer, Chiesi and Medimpex) make a market repositioning, the imminent advent of a new competitor. Using
PDD under 16 years:
- No representative studies in which it is shown that the use of PDD in children under 16 years (30-40% of consumers) is secure. Consequently, the supply charge and without prescription may conflict with Article 10.1.b) of LGURM which states that among the applicable requirements for approval of drugs is safety. We can not assure that the frequent intake during adolescence is without negative effects on sexual and reproductive health in adulthood.
- With PDD dispensing without prescription, the pharmacist must be the one to judge in some cases on the maturity of the child to decide on making a product affecting their health, entering into competition with the right and duty of parents to an educational intervention, a role that seems foreign to the work of a pharmacist. Experience shows that many children are not yet known sexual cycle, so taking a medicine that depends on these factors can lead to complicated situations.
or Article 9, 3.c) of Patient Autonomy Act states that where the minor patient is not intellectually or emotionally capable of understanding the scope of the intervention, consent shall be given by the legal representative . In the case of children unable or not disabled, but emancipated or sixteen years old, no it should give consent by proxy. However, in case of serious risk of action, at the discretion of the physician, parents will be informed and their views be taken into account when making the decision.
- Nothing prevents it from being a man who acquires the DDA unintentionally can facilitate unscrupulous and even criminal behavior of abuse of female minors, such as those that occur within the family. SUMMARY
the evaluation of the PDD:
The PDD is a product that does not reduce the population incidence of unplanned pregnancy or induced abortion, antiimplantatorio its effect can be fatal to the life of the embryo, which has troublesome side effects are very common for users, which could be harmful in adolescents, or repeated misuse or as a contraceptive, etc., representing unnecessary cost to society and that is a conflict of ethics and ethical principles recognized by many health professionals.
The dispensation of the PDD without medical supervision can encourage their use, difficult information for users and aggravate its security problems.
Legal considerations and performance to the dispensation of the PDD
The law requires pharmacists to dispense medications that are properly required except for just cause (Art. 101.15 of the Act guarantees and rational use of medicines, LGURM), including non-prescription for dispensing. We understand that a petition for dispensation of the DDA, may be valid reasons to oppose his best professional approach to the dispensation of the PDD:
- Knowledge about the harmful impact of PDD on the embryo
- Knowledge its overall negative effect on public health, for their ineffectiveness population, insecurity and cost.
- Failure to ensure safety for women, due to:
or the uncertainty of possible diseases, pregnancy or other baseline of the user,
or lack of a record of usage to detect repeated use would be harmful to your health,
or inability to properly judge the maturity of a child in the concrete conditions of the supply of the DDA, or uncertainty
who will actually be the recipient of the product being dispensed,
or inability to take responsibility, as the only health worker involved in the process, for any errors or adverse consequences that may arise from the administration of the product dispensed and would be potentially avoidable.
These would, in our view, sufficient conditions to express explicitly the PDD and applicants who may require, the unsuitability of the supply. Constitute what has been called "object of science." This is a pharmacist's performance, exercising their professional autonomy in the interest of the health of those who are covered by their professional liability (including potential embryo), refuses to dispense a harmful product, or in conditions that are far from ensuring an appropriate risk-benefit balance. Other health professionals (doctors, nurses) could exercise their professional autonomy as scientific and ethical criteria analogous paraprofessionals.
addition, the professional involved in the use of the PDD (doctor, pharmacist, nurse) qualifies for conscientious objection, refusing to dispense a product harmful to the life of the embryo. This is a fundamental right, which is part of freedom of ideology and conscience, and that enables in exceptional and duly justified situations, not to comply with a legal obligation because it conflicted with personal conscience.
As much as you say, the legal measure to enable the dispensing of DBM without prescription in pharmacies did not change, nor can it change the validity and legitimacy of the right to conscientious objection, as a fundamental right linked to the constitutional freedom of conscience (Art. 16 of the Constitution), recognized by several statements, enshrined in the Code of Ethics and collected, in addition, several regional laws (Galicia, La Rioja, Castilla-La Mancha). This right, as noted, among others, the TC can be exercised regardless of whether there is a specific law to regulate it. Professional who recognizes the need to invoke this right as a citizen should not give it, since the objection is a right for all, and if the rights are not exercised, will end up losing.
The refusal of a health professional to dispense a product harmful to human life, fit both the simple exercise of best professional criteria, such as invoking a conscientious objection as relevant scientific, ethical and professional are inseparable. A truly professional performance worthy of the name only when it is both ethically impeccable and based on the best scientific evidence available. 
Andalusian
Paper prepared following the approval of the supply without prescription in pharmacies.
Professional intervention in relation to the so-called "morning after pill" (PDD) raises serious problems from the standpoint of professional ethics for many health professionals. Especially now, for the pharmaceutical, health care worker involved only in relation to the DDA, a correct interpretation of their professional duties may lead you to not dispense this product. EFFECT
Reproductive effects of DBM
The official sheet recognizes at least two main effects of DBM on reproductive function: the birth and antiimplantatorio. The contraceptive mechanism occurs by inhibiting ovulation. When this does not occur, and fertilization takes place, you may receive antiimplantatorio effect: by altering the ability of the lining of the uterus to receive the embryo at the right time, it can not implant in it and ends up being deleted.
In one study, women who received the DDA had a pregnancy rate of 1%. Accordingly, it is estimated that the use of the PDD could be reduced by 85% the chance of pregnancy. This figure could be overestimated, since the probability of pregnancy in the PDD applicants may already be impaired by stress, partial use of contraceptives, etc.
Effect of DBM in the rate of unplanned pregnancy
Numerous epidemiological studies of different nature and origin, show that the use of the PDD does not reduce the rate of unintended pregnancies, or the rate of abortions in the population (Raymond, Obstetrics & Gynecology 2007). How
can explain this paradox? First, the ability of DDA to reduce the likelihood of pregnancy may be overestimated. Moreover, it is known that a greater sense of protection induces greater acceptance of risk. There is difficulty in detecting changes in intimate behavior, some studies show that the availability of the PDD causes an increase in risky sexual behavior in adolescents (Belzer, Los Angeles, 2005), while other studies show no difference.
In Spain, the total number of units sold PDD has increased since its adoption in 2001, from 160,000 to over 600,000 in 2007. At that time, the rate of induced abortions not has decreased (69 858 abortions in 2001, 112,138 abortions in 2007, the latest official data available). Among adolescents, abortions have followed the same increase. In Andalusia, the PDD has been provided free at health centers. However, between 2000 and 2006, developments in Andalusia was 5 more abortions per thousand women, compared with 4 in the rest of Spain, failed to confirm it projected on the basis of epidemiological studies. SAFETY
Security
PDD for women
The PDD is a megadose hormone, equivalent to 20 times the daily dose of levonorgestrel used as anticonteptivo. Consequently, reactions occur frequently effects such as nausea (in 15% of cases), vomiting (15%), diarrhea (3%), fatigue (13%), vertigo or dizziness (20%), headache (10%), breast (8%), abdominal pain (15%), vaginal bleeding (31%) and delayed menstruation (5%).
These reactions may be more severe and frequent in people with a hormonal disorder, underlying disease, or ages at which sexual hormone balance is still in development.
is not known with certainty the safety of the PDD in adolescents, which were excluded from major clinical trials. Neither is known in government security repeated. This can be facilitated by a dispensing without prescription, even several administrations per year, which can have harmful effects on the female cycle.
uterine relaxing properties of levonorgestrel may delay the spontaneous abortion of viable embryos and implanted, increasing the risk of complications for women. For that reason, avoid progestogens in women who are at the beginning of pregnancy (Levonorgestrel, Micromedex 2009).
Finally, if the availability of the PDD induced an increase in risky sexual behaviors, such as observed by some authors, would increase the spread of disease transmission sexual such as AIDS, gonorrhea, yeast infections, human papillomavirus and cervical cancer, etc.. Security
PDD for the embryo
The PDD is not safe for the embryo, on the contrary, as by interfering with implantation in the uterus, prevent their physiological development, leading inevitably to death.
on an embryo or fetus resulting from a previous relationship which motivates the use of the DDA, and already in place, the safety of massive doses of postcoital levonorgestrel is poorly understood. Studies in a few cases seem to indicate that no significant adverse effects, but would require more extensive studies to verify their security. ADDITIONAL ISSUES
ethical and professional considerations
"It's not ethics admit the existence of a period in which human life is worthless. Consequently, the doctor is obliged to respect it from the beginning "(Article 25.1 of the Code of Ethics and Medical Ethics). For its part, "the pharmacist shall refrain from participating in any type of action, whether or not related to their profession, their knowledge and skills are put to the service of acts against life, human dignity or the rights of man "(Art. 10 of the Code of Professional Ethics Pharmaceuticals).
Since it is a scientifically proven fact that human life begins at conception, these requirements have a direct application to the conduct of health professionals.
should clarify that, where information dissemination and / or promotional DDA stated that the PDD is not abortion, it can be confusing the beginning of human life, with the time of clinical diagnosis of pregnancy (which is done after implantation). Moreover, although not always produce the effect antiimplantatorio, an elementary principle of precaution against an action that could endanger human life leads us to avoid actions that could end this life.
Moreover, the Code of Ethics and Pharmaceuticals, which meets minimum ethical principles require the pharmacist (Art. 1), provides in its general principles, that this, in practice, exceed the strict compliance adopt existing legislation and ethical behavior in all its activities (Art. 2), but not be requested or required (Art. 9).
A pharmacy is not just a trade, but a health facility. Activity and health, professional, pharmacist covers all functions in relation to the drug, since its acquisition, until dispensed and pharmaceutical care, including their duties in promoting community health. All of them can and should be your best professional and ethical criteria, for the sake of everyone's health. These criteria affect both their knowledge about the effect of PDD on the embryo, as the difficulty of ensuring maximum safety for women in the specific conditions under which the dispensing occurs.
The Medical Association has specified that "a medical act is not because it makes use of a technique, to a chemical or an instrument of those used in medicine." (Medical Journal, 15/09/1998). Similarly, the entire dosage form is worthy be considered medicine or any procedure that involves a dosage form is an act pharmacist. In this sense, the possibilities for cooperation in actions that threaten the health and even human life (abortion, death penalty, assisted suicide or not, euthanasia, etc.) Products using dosage forms, are expanding in some countries, and are a drift in the health professions clearly lost the ethical foundation that has sustained its historical development and its contribution to a better society.
Other considerations (psycho-social, economic, legal, etc.).
Consider, authoritatively, that the harmful effect of PDD the embryo is not relevant to the user, denying them access to that information in a clear and understandable, it is unfair to them and inconsistent with the scientific literature. Many women may face psychological feelings of guilt and frustration if, after using the DDA, come to the knowledge that their use may have killed a human life. Unfortunately, some brochures on the DDA, including the recently published by the Ministry of Health, fall into this defect.
The measure to allow the use of DBM without prescription counter as indicated in two judgments of the High Court (February 4 and October 8, 2003), justifying its distribution provided that is authorized by a physician prescription. In addition, the 1 st sentence assumes that the DDA can not be given to minors.
The total cost of the PDD in Spain, even if consumption remained stable, would be around 13 million euros annually. Recently (04/08/2009), the English Agency of Medicines in Spain has approved a new product for postcoital contragestation (ulipristal acetate, RH Pharma). The availability of the PDD without prescription in pharmacies allow their dealers (Bayer, Chiesi and Medimpex) make a market repositioning, the imminent advent of a new competitor. Using
PDD under 16 years:
- No representative studies in which it is shown that the use of PDD in children under 16 years (30-40% of consumers) is secure. Consequently, the supply charge and without prescription may conflict with Article 10.1.b) of LGURM which states that among the applicable requirements for approval of drugs is safety. We can not assure that the frequent intake during adolescence is without negative effects on sexual and reproductive health in adulthood.
- With PDD dispensing without prescription, the pharmacist must be the one to judge in some cases on the maturity of the child to decide on making a product affecting their health, entering into competition with the right and duty of parents to an educational intervention, a role that seems foreign to the work of a pharmacist. Experience shows that many children are not yet known sexual cycle, so taking a medicine that depends on these factors can lead to complicated situations.
or Article 9, 3.c) of Patient Autonomy Act states that where the minor patient is not intellectually or emotionally capable of understanding the scope of the intervention, consent shall be given by the legal representative . In the case of children unable or not disabled, but emancipated or sixteen years old, no it should give consent by proxy. However, in case of serious risk of action, at the discretion of the physician, parents will be informed and their views be taken into account when making the decision.
- Nothing prevents it from being a man who acquires the DDA unintentionally can facilitate unscrupulous and even criminal behavior of abuse of female minors, such as those that occur within the family. SUMMARY
the evaluation of the PDD:
The PDD is a product that does not reduce the population incidence of unplanned pregnancy or induced abortion, antiimplantatorio its effect can be fatal to the life of the embryo, which has troublesome side effects are very common for users, which could be harmful in adolescents, or repeated misuse or as a contraceptive, etc., representing unnecessary cost to society and that is a conflict of ethics and ethical principles recognized by many health professionals.
The dispensation of the PDD without medical supervision can encourage their use, difficult information for users and aggravate its security problems.
Legal considerations and performance to the dispensation of the PDD
The law requires pharmacists to dispense medications that are properly required except for just cause (Art. 101.15 of the Act guarantees and rational use of medicines, LGURM), including non-prescription for dispensing. We understand that a petition for dispensation of the DDA, may be valid reasons to oppose his best professional approach to the dispensation of the PDD:
- Knowledge about the harmful impact of PDD on the embryo
- Knowledge its overall negative effect on public health, for their ineffectiveness population, insecurity and cost.
- Failure to ensure safety for women, due to:
or the uncertainty of possible diseases, pregnancy or other baseline of the user,
or lack of a record of usage to detect repeated use would be harmful to your health,
or inability to properly judge the maturity of a child in the concrete conditions of the supply of the DDA, or uncertainty
who will actually be the recipient of the product being dispensed,
or inability to take responsibility, as the only health worker involved in the process, for any errors or adverse consequences that may arise from the administration of the product dispensed and would be potentially avoidable.
These would, in our view, sufficient conditions to express explicitly the PDD and applicants who may require, the unsuitability of the supply. Constitute what has been called "object of science." This is a pharmacist's performance, exercising their professional autonomy in the interest of the health of those who are covered by their professional liability (including potential embryo), refuses to dispense a harmful product, or in conditions that are far from ensuring an appropriate risk-benefit balance. Other health professionals (doctors, nurses) could exercise their professional autonomy as scientific and ethical criteria analogous paraprofessionals.
addition, the professional involved in the use of the PDD (doctor, pharmacist, nurse) qualifies for conscientious objection, refusing to dispense a product harmful to the life of the embryo. This is a fundamental right, which is part of freedom of ideology and conscience, and that enables in exceptional and duly justified situations, not to comply with a legal obligation because it conflicted with personal conscience.
As much as you say, the legal measure to enable the dispensing of DBM without prescription in pharmacies did not change, nor can it change the validity and legitimacy of the right to conscientious objection, as a fundamental right linked to the constitutional freedom of conscience (Art. 16 of the Constitution), recognized by several statements, enshrined in the Code of Ethics and collected, in addition, several regional laws (Galicia, La Rioja, Castilla-La Mancha). This right, as noted, among others, the TC can be exercised regardless of whether there is a specific law to regulate it. Professional who recognizes the need to invoke this right as a citizen should not give it, since the objection is a right for all, and if the rights are not exercised, will end up losing.
The refusal of a health professional to dispense a product harmful to human life, fit both the simple exercise of best professional criteria, such as invoking a conscientious objection as relevant scientific, ethical and professional are inseparable. A truly professional performance worthy of the name only when it is both ethically impeccable and based on the best scientific evidence available.
Hyperthyroid Neck Pain
Dignity Act before the death process in Andalusia: the Trojan horse for euthanasia.
This law seems innocuous, but quite the opposite: a Trojan horse. The "trick" is in the definitions used, significantly different to the common use of terms. The law is not restricted to avoid therapeutic cruelty (it would be a good thing), but requires a physician to perform passive euthanasia, which is what they did to Terry Schiavo and Eluana Englaro, so that we understand: BLS withdraw non-therapeutic as drinking and eating, to die.
If we study the law, then we come to a deliberate confusion, which disguises the bitterness law against what is not. It is precisely in the definitions are a prelude to the law and are wrong:
"f) Limitation of treatment: Withdrawal or non-establishment of a support measure VITAL or any other intervention, given the poor prognosis patient in terms of quantity and quality of future life, is, according to health professionals involved, futile, only helps to prolong the time a clinical situation lacks a reasonable expectation of improvement.
g) MEASURE OF LIFE SUPPORT: health intervention aimed at maintaining a patient's vital signs, regardless of whether the ACT or non-therapeutic intervention on the disease or biological process, which threatens the life of the patient. "
Thus "withholding treatment" is defined as a tortuous effort limitation necesria NO TREATMENT. This is a contradiction in terms, "but has a very clear purpose: not to distinguish between what are the therapeutic measures or extraordinary keep a patient alive (drugs, mechanical ventilation, parenteral nutrition) and ordinary care or ordinary measures such as the feed to the patient or give him a drink. And you get to demonize a measure such as watering, no less than the following definition:
i) therapeutic futility: A situation in which a person found in the terminal or dying, you start or maintain SIOPORTE MEASURES VITAL or other interventions that lack of clinical utility, which only prolong their biological life, with no real chance of improvement or recovery, being therefore subject to limitation. "
So just by squaring the circle: it is not even therapeutic, is treated as "therapeutic obstinacy." Therapeutic obstinacy would therefore give water to a terminal patient.
It's amazing how it has diverted attention from many professionals, how it has "gold pill" into thinking that this law allows the terminal sedation and analgesia but runs the risk of shortening life (which in itself is ethically acceptable and common practice), and instead the problem, very serious, terrible, unheard of anywhere else-is the law.
But there is another dismal
"L) Palliative sedation: Administration of drugs, dosages and combinations required to reduce the consciousness of a terminally ill patient or agony, to relieve symptoms adequately one or more refractory explicit informed consent on the terms set out in Law. "
These are ambiguous definitions that allow it. He identified two "stop", and introduced as the first order to "reduce the conscience." One thing is to reduce awareness and other sedate. Sedar is to respond to restlessness or anxiety, using a sedative or anxiolytic action, which is the same. At higher doses, the effect is hypnotic, and can be reached drug induce coma. This is "reduce consciousness" ... to the extreme, far beyond sedation. As written, the law would consider as "palliative sedation" for a man who learns he has lung cancer and will have four months of life, and which says: "I want you to sleep as long as I left and not learn anything, because it makes me uneasy. "
also uses the ambiguous term "terminal sedation" when more accurate would be "palliative sedation in agony," clearly to extend not only to the time when death is very close, but the whole, against as recommended by the Palliative Care Society (SECPAL): "terminal sedation is defined as the deliberate administration of drugs to achieve relief, unattainable with other measures of physical pain and / or psychologically, by lowering expected deep enough irreversible consciousness in a patient whose death is very close and with their explicit consent, implicit or delegate. " I also omitted the "unattainable with other measures." In short, this is ambiguous and misuses and will so far: with this in hand, any patient can ask their doctors to induce a coma and will not give or drink until I die, or risk being defendants, if they do, of "therapeutic stubbornly, and unable even to refuse to do so for personal and professional conscience. Unprecedented.
But how many months you have to be living with this man?. In palliative care, is generally regarded as "terminal condition" a life expectancy of less than six months: http://www.secpal.com/guiacp/index.php?acc=dos
"1. Presence of disease advanced, progressive, incurable.
2. Lack of a reasonable chance of response to specific treatment.
3. Presence of numerous problems or severe symptoms, multiple, multifactorial and changeable.
4. Great emotional impact on patient family and treatment team, closely related to the presence, explicitly or not, death.
5. Prognosis of less than 6 months. "
How understand the law? Here:
" o) TERMINAL STATUS: The presence of advanced disease, incurable and progressive, with no reasonable chance of response to specific treatment, with a forecast limited life and in which severe symptoms and changing concur that require intensive specific interventions by health professionals
.
"Limited" ... without limit! But who does not have a "limited life prognosis? That indefinción, what it does in fact remove the limitation of time and let the conditions have "advanced disease, incurable and progressive, with no reasonable chance of response to specific treatment in severe symptoms who attend and changing, but the patient can live for two years, four, etc.
In conclusion, the legislator has manipulated the definitions to make a law tortious, fooling everyone. Reading the information that is on this law, had almost reached the view that the fund does not cover anything new, it was a law to the gallery. Tremendous error! This law is a bomb that demonized the most basic care to the patient's life and allows terminal inducing a coma and passive euthanasia to any patient, perhaps even without knowing what these definitions tort down, have not treated with "therapeutic obstinacy" when you have an incurable disease. 
This law seems innocuous, but quite the opposite: a Trojan horse. The "trick" is in the definitions used, significantly different to the common use of terms. The law is not restricted to avoid therapeutic cruelty (it would be a good thing), but requires a physician to perform passive euthanasia, which is what they did to Terry Schiavo and Eluana Englaro, so that we understand: BLS withdraw non-therapeutic as drinking and eating, to die.
If we study the law, then we come to a deliberate confusion, which disguises the bitterness law against what is not. It is precisely in the definitions are a prelude to the law and are wrong:
"f) Limitation of treatment: Withdrawal or non-establishment of a support measure VITAL or any other intervention, given the poor prognosis patient in terms of quantity and quality of future life, is, according to health professionals involved, futile, only helps to prolong the time a clinical situation lacks a reasonable expectation of improvement.
g) MEASURE OF LIFE SUPPORT: health intervention aimed at maintaining a patient's vital signs, regardless of whether the ACT or non-therapeutic intervention on the disease or biological process, which threatens the life of the patient. "
Thus "withholding treatment" is defined as a tortuous effort limitation necesria NO TREATMENT. This is a contradiction in terms, "but has a very clear purpose: not to distinguish between what are the therapeutic measures or extraordinary keep a patient alive (drugs, mechanical ventilation, parenteral nutrition) and ordinary care or ordinary measures such as the feed to the patient or give him a drink. And you get to demonize a measure such as watering, no less than the following definition:
i) therapeutic futility: A situation in which a person found in the terminal or dying, you start or maintain SIOPORTE MEASURES VITAL or other interventions that lack of clinical utility, which only prolong their biological life, with no real chance of improvement or recovery, being therefore subject to limitation. "
So just by squaring the circle: it is not even therapeutic, is treated as "therapeutic obstinacy." Therapeutic obstinacy would therefore give water to a terminal patient.
It's amazing how it has diverted attention from many professionals, how it has "gold pill" into thinking that this law allows the terminal sedation and analgesia but runs the risk of shortening life (which in itself is ethically acceptable and common practice), and instead the problem, very serious, terrible, unheard of anywhere else-is the law.
But there is another dismal
"L) Palliative sedation: Administration of drugs, dosages and combinations required to reduce the consciousness of a terminally ill patient or agony, to relieve symptoms adequately one or more refractory explicit informed consent on the terms set out in Law. "
These are ambiguous definitions that allow it. He identified two "stop", and introduced as the first order to "reduce the conscience." One thing is to reduce awareness and other sedate. Sedar is to respond to restlessness or anxiety, using a sedative or anxiolytic action, which is the same. At higher doses, the effect is hypnotic, and can be reached drug induce coma. This is "reduce consciousness" ... to the extreme, far beyond sedation. As written, the law would consider as "palliative sedation" for a man who learns he has lung cancer and will have four months of life, and which says: "I want you to sleep as long as I left and not learn anything, because it makes me uneasy. "
also uses the ambiguous term "terminal sedation" when more accurate would be "palliative sedation in agony," clearly to extend not only to the time when death is very close, but the whole, against as recommended by the Palliative Care Society (SECPAL): "terminal sedation is defined as the deliberate administration of drugs to achieve relief, unattainable with other measures of physical pain and / or psychologically, by lowering expected deep enough irreversible consciousness in a patient whose death is very close and with their explicit consent, implicit or delegate. " I also omitted the "unattainable with other measures." In short, this is ambiguous and misuses and will so far: with this in hand, any patient can ask their doctors to induce a coma and will not give or drink until I die, or risk being defendants, if they do, of "therapeutic stubbornly, and unable even to refuse to do so for personal and professional conscience. Unprecedented.
But how many months you have to be living with this man?. In palliative care, is generally regarded as "terminal condition" a life expectancy of less than six months: http://www.secpal.com/guiacp/index.php?acc=dos
"1. Presence of disease advanced, progressive, incurable.
2. Lack of a reasonable chance of response to specific treatment.
3. Presence of numerous problems or severe symptoms, multiple, multifactorial and changeable.
4. Great emotional impact on patient family and treatment team, closely related to the presence, explicitly or not, death.
5. Prognosis of less than 6 months. "
How understand the law? Here:
" o) TERMINAL STATUS: The presence of advanced disease, incurable and progressive, with no reasonable chance of response to specific treatment, with a forecast limited life and in which severe symptoms and changing concur that require intensive specific interventions by health professionals
.
"Limited" ... without limit! But who does not have a "limited life prognosis? That indefinción, what it does in fact remove the limitation of time and let the conditions have "advanced disease, incurable and progressive, with no reasonable chance of response to specific treatment in severe symptoms who attend and changing, but the patient can live for two years, four, etc.
In conclusion, the legislator has manipulated the definitions to make a law tortious, fooling everyone. Reading the information that is on this law, had almost reached the view that the fund does not cover anything new, it was a law to the gallery. Tremendous error! This law is a bomb that demonized the most basic care to the patient's life and allows terminal inducing a coma and passive euthanasia to any patient, perhaps even without knowing what these definitions tort down, have not treated with "therapeutic obstinacy" when you have an incurable disease.
Thursday, October 8, 2009
Lost The Combination To A Master Lock
the truth is that some time ago that I do not signs of life, but I had a somewhat forgotten September, finally, I have too much to do and too little time but there are little things out, I have to render again the scene of the car to change the lighting to the car and as I have a thousand files of that scene is not what is the date and what not, and what weight to go around watching and taking test renders ... xD
Then I began with a character who is more or less finished face but telling step up missing it and all the body hair and such and that is roll anime, so is not no big deal in terms of modeling high, and growing in the end I think I'll do the animation reel only and if that will put all things end modeling quick and roll already, because if I have to get into then make the rig a character, that works, make an animation with the character I will be all hands, again, in time.
the other hand I have started this week with the animation down a ladder, which in theory should be longer but I think I'll leave it at least for the moment to try to encourage other rigs than Norman and just because it would be very long such as I have always thought of as less quality longer if not proportionally increase the time it .
And all this along with trying to get me a driver's license mean that the days are fleeting and do not have time for anything -.-
Wednesday, July 22, 2009
Toy Desert Eagle Pistol
HQ Drift battle finish
I finished a while ago but now before going to sleep I thought if you upload it or not and say, boh, come to, is rendered in 3 passes in 3DS Max + Vray (mountains, soil) asphalt, guardrail and the two cars, all with their capes of reflection, specular, shadows, ambient occlusion ... layers and "special" to get alphas, like the mountain just below or without the headlights, and partly from other render passes to get volumetric lights or the streak of light separately, like the map to make a dof zdepth with dofpro Photoshop.
Asin, that, in theory it is well and the demo reel and I would put the composition with the layers above as well.
I finished a while ago but now before going to sleep I thought if you upload it or not and say, boh, come to, is rendered in 3 passes in 3DS Max + Vray (mountains, soil) asphalt, guardrail and the two cars, all with their capes of reflection, specular, shadows, ambient occlusion ... layers and "special" to get alphas, like the mountain just below or without the headlights, and partly from other render passes to get volumetric lights or the streak of light separately, like the map to make a dof zdepth with dofpro Photoshop.
Asin, that, in theory it is well and the demo reel and I would put the composition with the layers above as well.
Tuesday, July 21, 2009
Dutches Vs Blunt Wraps
wip drift hq
so this being the thing, postpro, come on, the beast is postpro in lq and there are lots of different layers to assist in the shadows, lights ... part I had to develop special coatings to enhance their own piece rendering some areas of the image, and basically took me both to 1080 that because I was unable to remove, was pulled and petar render the max, so that the end is at 1280x720, rendering parts and parts that did not look for hidden or deleted could be finalized, which such as the mountain is to displace or anything sack and occupy about 2 million cops and it was the only way that the light was right above it and there was the hullabaloo Stipica of displace / normal part of being in the foreground.
Finally, it is late and that, needless to add motion blur to the road, make a field blur, and make color corrections still not made any tinting and make over to give him something more than good atmosphere, so nothing, to not know when because I guess will finish it tomorrow, but then as I am busy setting up things at the laptop and looking for possible exercises ahcerlos on vacation and keep the piston from the demo reel.
So I guess that this remain so until the end of August, if not I decide to upload the final image at 720 before
8-)
so this being the thing, postpro, come on, the beast is postpro in lq and there are lots of different layers to assist in the shadows, lights ... part I had to develop special coatings to enhance their own piece rendering some areas of the image, and basically took me both to 1080 that because I was unable to remove, was pulled and petar render the max, so that the end is at 1280x720, rendering parts and parts that did not look for hidden or deleted could be finalized, which such as the mountain is to displace or anything sack and occupy about 2 million cops and it was the only way that the light was right above it and there was the hullabaloo Stipica of displace / normal part of being in the foreground.
Finally, it is late and that, needless to add motion blur to the road, make a field blur, and make color corrections still not made any tinting and make over to give him something more than good atmosphere, so nothing, to not know when because I guess will finish it tomorrow, but then as I am busy setting up things at the laptop and looking for possible exercises ahcerlos on vacation and keep the piston from the demo reel.
So I guess that this remain so until the end of August, if not I decide to upload the final image at 720 before
8-)
Wednesday, July 15, 2009
Pbase Kates Playground
Drift lowq finish
not really going to be so well, but it is just a test 504 to see where you throw then the image resolution to 1920 and if I could do pretty much everything as I wanted, now, here's the motion blur in photoshop when I go to play it by direct 3D and stuff to part I was missing a layer in order to make good the burning of the headlights, but then when they had brought out big in little easier. So nothing to see if the renders (which have to be hell looks uber quality) leave on time or I have to go on vacation for the middle 8-)
Come on, for example here the shadows are wrong and it gives the feeling of being put up blow, but I had already set and renders drawn, as was only to test for nothing, I do not care enough to tug again render even this out very quickly.
not really going to be so well, but it is just a test 504 to see where you throw then the image resolution to 1920 and if I could do pretty much everything as I wanted, now, here's the motion blur in photoshop when I go to play it by direct 3D and stuff to part I was missing a layer in order to make good the burning of the headlights, but then when they had brought out big in little easier. So nothing to see if the renders (which have to be hell looks uber quality) leave on time or I have to go on vacation for the middle 8-)
Come on, for example here the shadows are wrong and it gives the feeling of being put up blow, but I had already set and renders drawn, as was only to test for nothing, I do not care enough to tug again render even this out very quickly.
Wednesday, July 8, 2009
Response Card Wording With Dietray Needs
ao
As expected it has become chaos and Anarkia all in, I lost a couple of days trying to learn is to use particle to the smoke from the wheels, until I gave up on seeing it was too hard, I mean, I stayed like clouds and such, and some gray, and in theory the wheel so to burn fine without doing burnouts tire so petar capita is only a black and white fine already, so it will be easier in photoshop I suppose, but my main idea was to do it live.
Then there is the light that I lost everything today testing the lighting, testing say it is a hullabaloo, reflecting fucking car, you put a fucking light and burn the car body when these thoughtful, and pam, for every light that you put hullabaloo in calibararla, along with a scene that is heavy in itself and the modeling and such, for endless Pronatura hours for little or nothing.
I still have a lighting too flat for my taste, but to be night in the beginning, it has to be all ilu very subtle so it is not too clear, boh, a mess, because part of the bodywork also are crystals that reflect how they want, because they put a spot to score more in the shadow of the car as general support, and boom, right behind the glass gets burned and you have to move the light a bit and lower your intensity and this and that, together with crystals of the headlights, which ale, a couple of lights for each, one for light and shadows of things, and another to illuminate the glass without lights is no more and burned.
And all this is compounded by having to make the tire burning on the asphalt, that if, a priori would be easy, the problem is that all the asphalt is procedural, with a thousand layers of smoke and bumps, and layers within layers dirt to the sides ... so it's quite touching mess now.
A part of it also touches ferrari shader to do something more reflective and to burn a little less light to drop you off, but so far only ambient occlusion fails to make it look like walking far, there are also stones that I think there was actu last.
As expected it has become chaos and Anarkia all in, I lost a couple of days trying to learn is to use particle to the smoke from the wheels, until I gave up on seeing it was too hard, I mean, I stayed like clouds and such, and some gray, and in theory the wheel so to burn fine without doing burnouts tire so petar capita is only a black and white fine already, so it will be easier in photoshop I suppose, but my main idea was to do it live.
Then there is the light that I lost everything today testing the lighting, testing say it is a hullabaloo, reflecting fucking car, you put a fucking light and burn the car body when these thoughtful, and pam, for every light that you put hullabaloo in calibararla, along with a scene that is heavy in itself and the modeling and such, for endless Pronatura hours for little or nothing.
I still have a lighting too flat for my taste, but to be night in the beginning, it has to be all ilu very subtle so it is not too clear, boh, a mess, because part of the bodywork also are crystals that reflect how they want, because they put a spot to score more in the shadow of the car as general support, and boom, right behind the glass gets burned and you have to move the light a bit and lower your intensity and this and that, together with crystals of the headlights, which ale, a couple of lights for each, one for light and shadows of things, and another to illuminate the glass without lights is no more and burned.
And all this is compounded by having to make the tire burning on the asphalt, that if, a priori would be easy, the problem is that all the asphalt is procedural, with a thousand layers of smoke and bumps, and layers within layers dirt to the sides ... so it's quite touching mess now.
A part of it also touches ferrari shader to do something more reflective and to burn a little less light to drop you off, but so far only ambient occlusion fails to make it look like walking far, there are also stones that I think there was actu last.
Tuesday, June 30, 2009
How Good Is Bas Vampire Cricket Bats
drift wip2
said I would be that long ago, but I've spent almost two weeks blank that I could not do anything with the pc so I left the scene almost out today, the truth, I could have finished in a day job as he went, but I said, boh, must be for the reel so currartelo a little better with the work already done and learn from it to illuminate something I will always fish.
As the scene night passes as would be in the beginning and had dismissed the testing above and see that it was very quebradero, so that, I'll stick with it and see if it ends well or not.
said I would be that long ago, but I've spent almost two weeks blank that I could not do anything with the pc so I left the scene almost out today, the truth, I could have finished in a day job as he went, but I said, boh, must be for the reel so currartelo a little better with the work already done and learn from it to illuminate something I will always fish.
As the scene night passes as would be in the beginning and had dismissed the testing above and see that it was very quebradero, so that, I'll stick with it and see if it ends well or not.
Tuesday, June 9, 2009
How To Make Cookie Ship
drift wip
Even has a lot, especially in postpro I've done so over to see how was if the light shaders I have and I can do something cool, and it seems that playing well and getting good layers there are plenty, so arrange a little more light on how this morning there and see if I get some time after to see Dexter and evening and left half-finished, me and the motion blur are not good friends because I always pass beast xD
Even has a lot, especially in postpro I've done so over to see how was if the light shaders I have and I can do something cool, and it seems that playing well and getting good layers there are plenty, so arrange a little more light on how this morning there and see if I get some time after to see Dexter and evening and left half-finished, me and the motion blur are not good friends because I always pass beast xD
Death Anniversary Invitation Card
Helmet
've finished with the joker as I said, take 720p render everything again and with the shader and render a bit touched to the bottom to jump less when moving the camera, and managed with the arm that had a time that was left behind and then jumped lol because inadvertently had touched shoulder and I had not realized it was long, while a couple of times to fix clipping between hand and table.
As I left that and went to the rig and move all notes to the pc, mostly because my idiot I made a pencil and began to fade
xD Come on, I got in mind that more or less rig I remembered everything but a couple of glitches tube sites not remember if parents had to do, no, or that, but anyway, as I did seem to be going well -.-
So leaving all that side and yesterday wanted to model something, as I quickie modele a helmet for a little scene I have in mind and already half done.
I wanted to throw them some pegate
or something, but cars with "street" does not hit much, besides that freaked me to take a decent uvw because having the hole in the hood is not the same as taking a face uvw and to throw me 3 hours to put a flag and that fits well and does not cut it wrong for the uvw ale, smooth running and that is what matters jojo 
Over
've finished with the joker as I said, take 720p render everything again and with the shader and render a bit touched to the bottom to jump less when moving the camera, and managed with the arm that had a time that was left behind and then jumped lol because inadvertently had touched shoulder and I had not realized it was long, while a couple of times to fix clipping between hand and table.
As I left that and went to the rig and move all notes to the pc, mostly because my idiot I made a pencil and began to fade
xD Come on, I got in mind that more or less rig I remembered everything but a couple of glitches tube sites not remember if parents had to do, no, or that, but anyway, as I did seem to be going well -.-
So leaving all that side and yesterday wanted to model something, as I quickie modele a helmet for a little scene I have in mind and already half done.
I wanted to throw them some pegate or something, but cars with "street" does not hit much, besides that freaked me to take a decent uvw because having the hole in the hood is not the same as taking a face uvw and to throw me 3 hours to put a flag and that fits well and does not cut it wrong for the uvw ale, smooth running and that is what matters jojo
Over Thursday, May 28, 2009
How Much Is It To Renew Ohio License
Terminado?
believe, need to take it to 720p to get it as and a set of lights make something decent, I have not played since the final year of the course, a party that will surely make it bigger to touch me touch the materials to avoid flicker in the background. A part of it too if not convince me that when he digs on the table the camera is still moving and is not quite right as the table moves, I've seen 1000veces and already moving, but not if it can create confusion to others, so it stays thus depending on the time and more people to open the field or not.
Anyway, this week try out at 720p to see if I have time to leave and do well rendering the comments and I'm going to start now rigger, who long ago that I do nothing and it's not like me how to forget xD step and try to make some Zbrush exercise these days, it does not touch it since 2.5 and it also then knew only the basics and little more, so keep
tutorials ^ ^
this without motion blur now that I think, but that. 
believe, need to take it to 720p to get it as and a set of lights make something decent, I have not played since the final year of the course, a party that will surely make it bigger to touch me touch the materials to avoid flicker in the background. A part of it too if not convince me that when he digs on the table the camera is still moving and is not quite right as the table moves, I've seen 1000veces and already moving, but not if it can create confusion to others, so it stays thus depending on the time and more people to open the field or not.
Anyway, this week try out at 720p to see if I have time to leave and do well rendering the comments and I'm going to start now rigger, who long ago that I do nothing and it's not like me how to forget xD step and try to make some Zbrush exercise these days, it does not touch it since 2.5 and it also then knew only the basics and little more, so keep
tutorials ^ ^
this without motion blur now that I think, but that.
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