Germany national laboratory of S for l’ test of avian flu confirmed Sunday evening that three swans had examined the positive one for the constraint of the influenza of l’ bird H5N1 which is mortal with the human ones. This brings to six whole the d’ number; wild birds found died in the last days in the Bavarian city of Nuremberg which examined the positive one for the disease; five dumb swans and a goose of Canada.
Les tests were carried out in Germany federal institute of search for search for S for the health of the animals based at Friedrich-Loeffler-Institute (FLI) in Insel Riems, close to Greifswald in Germany nord-est.
Le president of the FLI, professor Thomas Mettenleiter, declared in a report/ratio laid out that the FLI n’ were not astonished by the return by the virus after having intended to speak about the demonstration to a farm about turkey in Böhmen Ende in the Czech Republic last week. The demonstration had like consequence the gathering of 6.000 turkeys to the farm. Nuremberg is with 120 kilometers of the border tchèque.
FLI the spokesman of S for the health of the animals, Reinking d’ Elke, says was feasible for him that the virus was introduced into l’ Germany by l’ intermediary of the wild birds of migration or it could have already been present in the German wild population d’ oiseau.
Des scientific with the FLI is embarassés as for why the demonstration s’ is produced in summer since the birds aren T with the size of their migration in été.
Selon Bavarian civils servant of health it n’ y have any danger with human demonstration actuelle.
Les local authorities established a cord around a sector in a radius of 4 kilometers of the two lakes where the infected birds were found; the sector is indicated a high-risk zone and the restrictions on the animal movements are in force. poultry
Les firm in the high-risk zone must keep their birds with l’ interior for l’ moment, no bird can be transported in or out of the zone, and the owners d’ pet are invited not to leave their cats and dogs to wander approximately freely in the secteur.
“We will supervise to see whether the virus draws aside by l’ intermediary of the wild birds in the remainder of l’ Germany,” said Prof Mettenleiter.
Le principal danger is that the animals and the birds will become infected; the risk with human is very small puisqu’ they should come into direct contact with the infected birds. It n’ y has any cause for panic, said Mettenleiter.
Cependant, like precaution, the shooting of the wild birds should be stopped has dit.
Germany to him; the last epidemic of S of H5N1 started in 2005 in Ruegen close to the Baltic and diffusion with 6 of Germany states of S 16, including Bavaria where the current demonstration s’ is produite.
La disease s’ is widespread birds with the mammals, including three cats and a marten. No human case n’ was brought back. The last case reported in Germany took place in l’ August; last year, in a swan in a zoo with Dresde.
Selon l’ the World Health Organization (WHO), there were 313 cases confirmed and the 191 deaths among the human ones in the whole world due to the constraint mortal of the influenza of l’ bird H5N1, majority being in Indonesia (100 cases, 80 deaths) and Vietnam (93 cases, 42 deaths).
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Les authors give an account of 162 patients who underwent the nephrectomy radical for localised RCC or locally advanced over one 13 years period. The median follow-up for the group was 97 month. In l’ analyze univariable and multivariable, the authors noted qu’ a cut of size of tumour of 5 centimetres differentiated significantly from the patients as for the free repetition (p=0.004) and to total survival (p=0.001). The presence of l’ invasion lymphovascular however, n’ was not a significant predictive factor of results in l’ analyze univariable or multivariable.
Les authors concludes that the cut of 5.0cm could be more adapted distinction of size to envisage results in the patients with localised RCC.
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it number calls d’ ambulance of help in England struck a high news, figures of l’ exposure of center of l’ information of NHS.
Il had there 6.3 million 999 calls in 2006/07 - the almost double number d’ calls received there are 10 ans.
En spite of 6.3% rises l’ previous year, to serve d’ team-member maintained their rate of response to the calls immediately representing a danger to the life within eight minutes.
Mais the representatives of the trade unions informed qu’ a higher number d’ calls placed l’ effort on infirmiers.
Under pressure
Le a d’ number; incidents immediately representing a danger to the life (named category A) in 2006/07 was 1.8 million - to the top of 9.4% out of 2005/06, when there were 1.6 million.
Le percentage of the latter occupied within 8 minute was 74.6% - the target of the government is 75%.
Le a number of patients really carried with l’ hospital because d’ a call 999 fell to approximately 70% from 73% in 2005/06, which is in conformity with the goal of the government to reduce the number of patients carried to l’ hospital for the treatment, and in the place treated with the scène.
La target for serious calls but not immediately representing a danger to the life of the category B - a vehicle d’ ambulance able to transport the patient within 19 minute, 95% of time - was missed, but s’ was improved on l’ year derniere.
Professor Denise Lievesley, tallies higher of the center of l’ information, known as: “It encourages to see that the ambulances continue to immediately maintain their rate of response to the calls representing a danger to the life. ”
Ministre Andy Burnham of health known as: “The service d’ ambulance and their personnel provide an excellent day of service inside, day dehors.
“Those more in danger are reached more quickly - almost 75% d’ calls of category A are reached within eight minute - and more lives are sauvées.
“In l’ the patient outline most recent, patients of 98% were satisfied of the service d’ ambulance - one of the highest estimates received by n’ import which service of NHS. ”
Concern
Riz of Steve, secretary general of l’ union of service d’ ambulance, known as: “The workload was assembled constantly during the 10 last years, but without l’ significant increase in the ressources.
“We would like to see an increase in the placement for the service d’ ambulance. ”
Il says many services chose d’ to use the cheaper and inefficient personnel d’ ambulance to drive the vehicle, meaning that only the one rather than two qualified male nurses would be on board of. It says this could potentially compromise the care patient.
SAM national Oestreicher of leader d’ unison known as: “This n’ is not ambulance simply of line of the face serves d’ team-member which is stretched; the essential personnel of support in the control room and are essential elsewhere while ensuring the service can answer l’ continuous and significant climbing in the d’ number; calls d’ urgency. ”
Il said qu’ one of the reasons of l’ increase can be changes with the cover of outside-of-hours. A new contract of general practitioner in 2004 had as consequence nine in 10 family practitioners leaving to provide the care of rond-le-horloge.
Mais a department of spokesman of health known as: “It n’ y has any obviousness that the changes with arrangements of outside-of-hours encouraged l’ increase of 999 appels.
“the beginning of the current tendency antedates the changes with arrangements of outside-of-hours.”
L’ introduction of l’ prohibition of nicotinism on July 1 could be a soft turn, national results d’ suggèrent.
Presque outline eight out of 10 people questioned said they were d’ agreement with particularly strongly prohibiting the nicotinism in the places publics.
Peupler the feeling about d’ to prohibit the nicotinism in the restaurants and around the children, l’ Annual office of l’ national survey of statistics trouvée.
Le department of health indicated that the conscience of l’ prohibition had increased considerably in the last mois.
Un total of 1.200 individuals in Great Britain above l’ age 16 years were indicated on their spending patterns of the tabac.
La research, 2006, the exposures one 77% people are in conformity with the legislation l’ prohibition smoking in the public places included - with 53% strongly supporting l’ interdiction.
Mais 15% indicated qu’ they were l’ against; prohibition of tabagisme.
Although 8% d’ adults in England and with the Country of Scales indicated they would less often visit publications when that l’ prohibition is in force, 15% indicated qu’ they would go more souvent.
La large majority of participants supported restrictions of nicotinism in the restaurants, the places of work and the places where the children were likely d’ to be, and two-third supported l’ prohibition in publications.
Sous the legislation, smoking will be interdict in the stores, the offices, the factories, the publications, the coffees, the restaurants, the clubs d’ adhesion, public transport, and of the vehicles of work used by more d’ a personne.
Quiting
Sept on 10 smokers indicated qu’ they would like to stop - a similar proportion with previous years - mainly for reasons of santé.
La majority of the smokers had tried to stop at a certain point and 51% had sought the council or l’ help to stop the nicotinism during the last année.
Les figures come like the delegates during the annual meeting of l’ Scottish alliance of ordering of tobacco in Glasgow heard that too much d’ children are still exposed to smoke d’ occasion in the maison.
Les results of l’ ONS examine shown approximately 61% known as that the nicotinism n’ was not allowed in their house and 26% indicated qu’ it was allowed in some rooms or to some fois.
Et two-third indicated qu’ they would not smoke when they are in a room with a directing enfant.
Le of Martin Dockrell, policy and campaigns with l’ action on smoking and health said: “This confirms the results of vote which we have all the ressort.
“the totality of l’ England waits with interest on July 1 and we think qu’ there will be great advantages for many smokers who a long time tried to stop and will find it easier this time to stop for good. ”
Il said that l’ New York obviousness and d’ Ireland suggested d’ more; prohibitions of nicotinism presented by people in their house after prohibitions in the public places were put in place.
“What is really interesting of this figure is that new on 10 people already free rules of smoke in their houses have. ”
Le minister of public health, flint of Caroline said that the number of informed people of l’ prohibition of nicotinism had now reached 95%.
“a smokefree England will see the greatest simple improvement of the public health for a generation,” it s’ is ajouté.
Des “three quarters of people in England already choose not to smoke and almost three quarters of those which smoke, word qu’ they want to give up. A smokefree England will help to provide an environment of support for those which want to stop. ”
Mais Simon Clark, director of forest, said that the figures masked the fact that people supported some restrictions but not a pure.
prohibition “Much of people are ignorant way whose Draconian legislation is - large much of people always thinks that smoking will be allowed in publications which do not serve food or the private members of the clubs.
“Which people really want is a choice.”