#opcp

[pacosemnoticias]

Faltam médicos, enfermeiros, psicólogos e assistentes sociais nos cuidado paliativos

Os serviços de cuidados paliativos apresentam “insuficiências significativas”, revela um relatório divulgado, segundo qual em 2022 estavam em falta 39 médicos, 246 enfermeiros, 19 psicólogos e 18 assistentes sociais.

O Observatório Português dos Cuidados Paliativos (OPCP) refere, no relatório de Outono 2023, que cerca de 85% dos médicos nestas unidades são de medicina geral e familiar e de medicina interna: “Apenas 37,7% têm competência em Medicina Paliativa”.

Entre os enfermeiros, apenas 13,1% possuem especialidade em Enfermagem Médico-Cirúrgica - Área da Pessoa em Situação Paliativa.

“A dedicação exclusiva a cuidados paliativos é baixa, com apenas 36% das equipas possuindo pelo menos um médico a 100% do tempo”, apontam os relatores.

De acordo com a mesma fonte, o tempo de alocação dos profissionais está “consideravelmente abaixo dos padrões internacionais e dos requisitos mínimos exigidos” pelo Plano Estratégico de Desenvolvimento dos Cuidados Paliativos Biénio 2021-2022.

No documento, em que se faz uma avaliação da cobertura e a caracterização das equipas de cuidados paliativos em Portugal, o Observatório defende “uma maior alocação de recursos e especialização dos profissionais”, para garantir a qualidade e acessibilidade destes cuidados a toda a população.

“A evolução no número de recursos de cuidados paliativos é insuficiente para alcançar uma cobertura aceitável e preconizada, tanto a nível nacional quanto internacional, com significativas assimetrias a nível distrital”, lê-se no relatório.

O OPCP recomenda a criação de um registo nacional da atividade assistencial e a caracterização dos profissionais nesta área, gerido pelo Serviço Nacional de Saúde (SNS) e acessível à comunidade científica, uma medida que “permitirá análises mais precisas e tomadas de decisão informadas, sem sobrecarregar as equipas”, advoga.

“Entre o ano de 2018 e 2022, a rede nacional de cuidados paliativos oferece principalmente cuidados generalistas, longe da desejada diferenciação especializada”, revela o estudo.

Para o Observatório, é essencial uma remodelação do planeamento estratégico.

[onpoli]

Last night’s election result is a nightmare for most of us and I’m sure nobody is interested in dwelling on that, but there are a few specific things I wanted to talk about, both good and bad.

Turnout

As it stands, Elections Ontario has the turnout count pegged at 43%. The ridings with the highest turnout are Huron—Bruce with 54%, and then both Niagara West and Parry Sound—Muskoka with 53%. The ridings with the lowest turnout were Kiiwetinoong with 28% (only 92% of results are in), Humber River—Black Creek with 32%, and Windsor West with 33%.

It’s impossible to gauge how many voters were discouraged from voting by polls that consistently showed the PCs with a strong advantage. We also don’t know how many people didn’t vote due to Covid-19 infection or a lack of easy access to a nearby polling station. All parties were handed a major setback yesterday when a tech issue prevented them from downloading lists of which voters had already cast a ballot and which hadn’t yet, so their ability to work strategically yesterday was limited. Regardless, 43% is a pathetic turnout rate.

It’s worth noting that the Green Party campaigned relentlessly in Parry Sound—Muskoka because, with no Liberal candidate running, they had a good chance of winning that seat. A lot of effort was made to engage with voters and win their support, both from the Greens and the incumbent PCs. Niagara West is Sam Oosterhoff’s riding, where he can mobilize a large group of supporters from his church to canvass and help people vote. Running an energetic campaign is a candidate’s job, but for the rest of us, volunteering and helping to get people to a polling station really does help. Persuading friends and family to vote helps. We’re at a disadvantage in a first past the post electoral system, so there’s zero room for apathy.

Andrea Horwath and the NDP

After four elections as leader, Andrea Horwath read the room and stepped down after running a low-energy and uninspiring campaign. In Brampton, deputy party leader Sara Singh lost her seat, as did Gurratan Singh. The PCs secured several union endorsements over the traditionally more labour-friendly NDP. The Liberals will get more attention for their trainwreck of an election, but yesterday was awful for the NDP.

With Horwath quitting, the NDP’s other deputy leader, John Vanthof, may be interested in running for the party leadership. Joel Harden and Marit Stiles are other potential contenders.

Notable losers

New Blue MPP Belinda Karahalios and New Blue leader Jim Karahalios both lost badly in Cambridge and Kitchener—Conestoga respectively. Derek Sloan also lost by a huge margin. The former Toronto Police Chief Mark Saunders lost in Kathleen Wynne’s old riding.

The Liberals took the riding of Kingston and the Islands from the NDP, beating Mary Rita Holland, the former president of Ontario’s NDP. Sandeep Singh, who was controversially chosen as the NDP candidate in Brampton North over the incumbent, Kevin Yarde, also lost.

Steven Del Duca has stepped down after failing to secure party status for the Liberals or win in Vaughan—Woodbridge. After flipping from the PCs to the Liberals in 2020, MPP Amanda Simard lost her seat and two of the most well-known Liberal newbie candidates, nurse Tyler Watt and vaccination advocate Jill Promoli, also lost.

There’s not much for the PCs to be disappointed about, but their candidate in Haldimand—Norfolk lost to an independent. Former seven-term PC MPP Toby Barrett chose not to run in this election, but he endorsed his assistant Bobbi Ann Brady who was running as an independent. 

Notable winners

After narrowly losing in 2018, Chandra Pasma unexpectedly flipped Ottawa West—Nepean to the NDP. With the NDP’s only other flip, Lise Vaugeois won in Thunder Bay—Superior North.

The biggest winners are obviously the PCs. It’s rare to win a comfortable majority and then increase that majority in the next election. Opposition to Doug Ford and the PCs over the last four years has been ineffective, and we need a hard reset in terms of organization. Signing petitions, marching to Queen’s Park, and literally begging Lisa MacLeod for help has made no material difference on PC policy. I hope that the NDP will fix their deep-seated problems and set the party on a better path, but mostly I hope that people who are upset today will feel motivated to help their neighbours who will be hit hardest by four more years of PC cuts and also to join a group organizing for material and achievable wins.

[casvision-blog]

Are you fuckin kidding me.

Doug Ford has launched a news channel that broadcasts non-stop positive stories showering himself with praise – and your family is paying for it.

At a time when Ford’s government is announcing steep cuts to schools, healthcare and assistance for the poor, running a taxpayer-funded propaganda outlet endlessly glorifying Ontario’s Premier might seem like a wrong priority to some.

Continue Reading.

[gildedmuse]

One Piece Trivia: Cultural Curio

Strawhat Vice Captain Pirate Hunter Roronoa Zoro has developed a unique fighting technique known as Santoryu or Three Sword Style. In terms of character design, this allowed the animators to highlight his Complete Extraness despite his often serious and terse outward demeanor as well as his Utter Fucking Pansexuality.

- 100% True Facts from the anime edition of the One Piece: A Companion Piece book.

The footnote included in the illustrated collector edition of OPCP goes on to note "Those who disagree are free to fight the author of this collection of One Piece Trivia nuggets, keeping in mind she tri-weilds like a badass bitch" but I believe that only appears in the limited release copies.

[I'm sure this has been brought up before. I'm choosing to re-highlight it because of course I am.]

[virtualdavis]

Transitions. Flux. Liminality. Interstices. Inflection. Evolving… To remain nimble amidst unpredictability and unforeseen challenges, optimistic astride setbacks and failures, innovative and creative under duress. And to navigate gratefully and passionately at all times! #transition #flux #liminality #interstice #inflection #evolving #nimble #optimistic #innovative #creative #grateful #passionate #meditation #mindfulness #mantra (at Essex, New York) https://www.instagram.com/p/ChyKmC-OPcP/?igshid=NGJjMDIxMWI=

[fatservice]

Taking advantage of this short trip to get some pecans!! And ice cream of course Lol 🍦❤️💛 #PriestersPecans https://www.instagram.com/p/B1R-oPcp-Iq/?igshid=cgmxozaxvinq

[96thdayofrage]

Russia’s Vladimir Putin v. NBC’s Megyn Kelly

Vladimir Putin mopped the floor with NBC’s Megyn Kelly last weekend, responding to her canned anti-Russia spiel with the contempt, and even humor, it deserved. NBC failed to broadcast a far more newsworthy interchange between Kelly and Putin, doubtless because it called attention to Washington’s deep ties to jihadist terror. “Vladimir Putin said that the U.S. is using terrorists against Assad and that the same terrorists are likely to bite back.”

“Kelly asked stupid questions and Putin answered intelligently.”

On Sunday, June 4th, Megan Kelly’s new NBC hour, “Sunday Night with Megyn Kelly,” debuted after much advance hoopla about her exclusive interview with Russian President Vladimir Putin. LA Times television critic Lorraine Ali wrote that Putin outmaneuvered her, grimacing and smirking all the way, and that it was “a poorly planned match.”

Hell yes. The simple truth is that Kelly asked stupid questions and Putin answered intelligently. How could he not grimace or smirk at Kelly’s appeal to the expertise of U.S. spooks and politicians with classified information that none of the rest of us have seen regarding the alleged Russian hacks that allegedly gave the 2016 U.S. presidential election to Donald Trump?

“What the experts say is that this couldn’t have been faked, that it’s 100 factors that point to Russia, they say it’s the forensics, it’s the digital fingerprints, it’s the IP addresses, the malware, the encryption keys, the specific pieces of code, that all of them, all of them, point to Russia, and none of them points to anyone other than Russia.” [Megyn Kelly]

The audience seemed to enjoy Putin’s response as much as I did:

“What fingerprints? Or hoof prints? Or horn prints? What are you talking about? IP addresses—they can be invented, you know. There are a lot of specialists who can even make it so it comes from your home IP address, as if your three-year-old daughter carried out the election..”

This exchange actually took place at the St. Petersburg International Economic Forum, which began on June 1st and concluded on June 3rd, the day before Putin sat down for the videotape of his one-on-one interview with Kelly, but NBC editors inexplicably chose to include it in the interview aired Sunday night.

Megyn Kelly had for some reason been invited to moderate at least one panel of the St. Petersburg forum, perhaps because its organizers knew that she would make us—Americans—even more of a laughingstock for allowing our public conversation to be swamped by the ridiculous story that Russians hijacked our election.

In Kelly’s hamfisted narration of the rest of her interview Putin—which lasted all of 11 minutes—she referred to him as a former “KGB spymaster,” “Russia’s strongman for 17 years now,” “the former KGB agent,” etc.

The most successful propaganda ever convinces us that "Western interests" or "national interests" coincide with ours, but "Kremlingate" now rivals the Tonkin Gulf Incident and weapons of mass destruction. If it trips off a nuclear war, it'll win the prize, even if none of us ordinary folks without nuclear bomb shelters survive to award it.

Putin on defending the Syrian state


Vladimir Putin and Megyn Kelly had a far more interesting exchange about Syria and sarin gas at the St. Petersburg forum. NBC did not included this in the 11 minutes that aired Sunday, but RT America filmed and posted it to the Youtube. In this one, Kelly echoed former UN Ambassador Samantha Power, NPR commentator Scott Simon and other American politicians and pundits who have characterized Bashar-al-Assad as “evil.” She noted that even his alleged co-conspirator Donald Trump called Assad an “evil guy,” as he did after the alleged chemical weapons attack by the Syrian army.

“Our president has said that you’re backing an evil guy there. He said Assad is an evil guy. Do you believe that?”

Putin dismissed the silly question about “evil” with a comic response, then responded that Russia is not defending Assad; it is defending the Syrian state from the fate of Libya, Somalia, and Afghanistan.

“It is not Assad whom we are protecting there. We are protecting the Syrian statehood. We don’t want their interior to be a situation similar to that in Libya, or in Somalia or in Afghanistan, and in Afghanistan, your army has been present for many years, but the situation is not changing for the better. We want to preserve the Syrian statehood. And on the basis of resolving this fundamental issue, we would like them to move towards settling the Syrian issue through political means. Yes, probably everyone that’s there is to blame for something, but let’s not forget that were it not for an active interference from outside, the civil war would probably not have broken out.”

Kelly refused to entertain the idea that preserving the secular Syrian state might help to stabilize the region, or that its collapse would destabilize the region.

Putin also said the same thing that Theodore Postol, MIT Professor Emeritus of Science, Technology and National Security has said—that there is absolutely no evidence that the Syrian army committed the August 4th chemical weapons attack.

“What has President Assad been accused of recently? We know he’s accused about using chemical weapons, but there’s no evidence to support that whatsoever. Right after the incident, we suggested that an inspection should be carried out at the air base from which allegedly the aircraft of President Assad had taken off carrying chemical weapons. If the chemical weapons had been used, then those weapons would have been loaded onto the aircraft and the cutting edge analyzing equipment would have detected that. But they refused to conduct this kind of inspection, so they are talking a lot, but not doing much.

“We suggested that an inspection should be carried out at the place where the strike took place. They [the Americans] are saying it’s too dangerous. Why is it dangerous if the strike was against the good part of the opposition [according to the Americans]? No, they say, it’s too dangerous.”

“There is a representative of Iraq here, whom we welcome, and Iraqi Kurdistan. The militants used chemical weapons [against Iraqi and Kurdish troops] and the world community recognized it, [as confirmed by Newsweek.] So we know that the militants have chemical weapons, but the OPCP [Organization for the Prohibition of Chemical Weapons] tells us that Syria has destroyed its stocks of chemical weapons.”

Kelly said that we know Assad has used chemical weapons before, and that Russia had acknowledged that in 2013, so the only question is whether or not Assad used chemical weapons on April 4th this year. She then asked whether we weren’t compelled to believe the videotaped evidence of the suffering, dying children?

Putin responded first by asking her to please be precise. Russia, he said, had acknowledged that Assad had chemical weapons, but not that he had used them in 2013. After that, he and President Obama had joined the agreement to dispose of them. Why, again, he asked, had there been no expert inspection after this year’s April 4thchemical weapons attack?

Kelly asked whether we were to believe that this had all been a conspiracy, involving even the World Health Institute and the Organization for the Prohibition of Chemical Weapons, who had been involved in the autopsies of the bodies of the victims at Turkey’s Forensic Medicine Institution. Are we really to believe that the whole thing was staged, that everybody was in on it? The World Health Organization? The Forensic Medicine Institution? The Organization for the Prohibition of Chemical Weapons?”

Putin accused Kelly of pretending not to understand the obvious—that the autopsies proved nothing about who had actually used sarin gas.

“Yes, sarin could have been used by someone, but not by Assad.”

“The answer is very simple and you know it. Yes, sarin could have been used by someone, but not by Assad. It could have been used by someone in order to accuse President Assad. So we have to understand who is to blame and otherwise, if there is no true investigation, it’s only going to play into the hands of those who orchestrated it.

“I’d like to ask you a question, why didn’t everyone go right away to inspect the air base, to the spot where chemical weapons allegedly had been used? Why didn’t they want to go to see the aircraft that had been allegedly used to perform this strike? The answer is very simple. Because they were afraid that everything, the truth, would come to light.

“What you are telling me doesn’t convince me of anything. It just persuades me that we’d better not engage in tug of war there, or speculate. We’ve got to pull our efforts together to counter real threats and we know what these real threats are.

“The U.S. has very far—yes, there was an explosion there, people suffered, for which we offer our condolences. But we also know what terrorism is all about. We have seen its manifestations and no one should try to use terrorists to address short term political interests, and there are attempts at that. Yes, there are attempts at using terrorists against—say, Assad.

“Why use them? Because no one else would fight. I do not think it’s worthwhile using these terrorists today, because tomorrow it’s gonna cost you a lot. When Al-Qaeda was created in Afghanistan to fight against the Soviet Union, they [U.S. policymakers] didn’t know that it would strike the U.S. on 09/11. We’ve got to think about negative ramifications in the long term.”

“When Al-Qaeda was created in Afghanistan to fight against the Soviet Union, they didn’t know that it would strike the U.S. on 09/11.”

Using terrorists? Really? Vladimir Putin said that the U.S. is using terrorists against Assad and that the same terrorists are likely to bite back.

Shouldn’t Megyn Kelly challenge that? RT cut the tape they posted to the Youtube at the end of Putin’s statement, but NBC no doubt had tape of the entire event, though they used only one short clip.

[chnuru]

【悲報】高城亜樹、写真集を出す為のクラウドファンディングで目標350万に対し二日間で60万しか集まらず

http://awabi.2ch.net/test/read.cgi/akb/1491227214/ 1: (SB-iPhone) 2017/04/03(月) 22:46:54.28 ヲタ離れすぎだろ、応援してあげろよ 10万出せば合コン出来るらしいぞ http://domeschick.jp/html/products/detail.php?product_id=103 2: 47の素敵な(東京都) (ﾜｯﾁｮｲWW 9f53-Nut6) 2017/04/03(月) 22:47:17.65 ID:9mRs1Klv0 全く興味なし。 3: 47の素敵な(庭) (ｱｳｱｳｶｰ Sa13-OpCP) 2017/04/03(月) 22:48:02.36 ID:fG7Jg/++a さんざんヲタ切りしといてよく言うわ 5: (pc?) 2017/04/03(月) 22:49:19.68…

[osanecif]

Distrito de Coimbra não tem nenhuma equipa de cuidados paliativos

FOTO DR

A cobertura universal de cuidados paliativos “está longe” de ser alcançada e revela “profundas assimetrias” no país, com seis distritos sem nenhuma equipa e outros com taxas superiores a 100%, segundo um relatório hoje divulgado.

“Mais uma vez se verificam assimetrias significativas com seis distritos (Aveiro, Braga, Castelo Branco, Coimbra, Leiria e Vila Real) sem nenhuma equipa e outros com taxas superiores a 100%”, nomeadamente Beja e o Açores, revela o “Relatório de Outono 2019”, do Observatório Português dos Cuidados Paliativos (OPCP), que analisou a cobertura da rede, reportando-se a dados vigentes em 31 de dezembro de 2018.

“No términus do primeiro plano estratégico nacional de cuidados paliativos [2017/2018], embora exista evolução no número de recursos desta tipologia de cuidados, continua-se com uma cobertura, estrutural e profissional, nacional e na generalidade dos distritos, muito abaixo do minimamente aceitável a que acrescem profundas assimetrias, a nível distrital”, salienta o estudo, a que a agência Lusa teve acesso.

O observatório alerta que esta assimetria “não garante uma abordagem especializada integrada e articulada entre as diferentes valências/equipas, por ausência de uma ou mais valências, sendo um sério obstáculo à acessibilidade a estes recursos como um direito humano e condição nuclear para uma cobertura universal de saúde”.

Distrito de Coimbra não tem nenhuma equipa de cuidados paliativos

[latestcanadaposts]

SNOBELEN: Next Ontario PC leader must convince voters that we can do better

SNOBELEN: Next Ontario PC leader must convince voters that we can do better

Like other members of the Ontario PC Party, I need to make an important decision over the next few weeks.

A month from now OPCP members will select a new leader. Three months later Ontarians will elect a new government.

The general election will be more than a referendum on a decade of Liberal governments. The vote is already in on that front. Ontario is ready for change.

The leadership question…

[onpoli]

York Centre MPP and lying enthusiast Roman Baber has been removed by Doug Ford from caucus and will not be permitted to run for the PCs in the next provincial election.

His removal comes only a couple hours after he posted his open letter calling for Ford to stop “imprisoning” Ontarians so we can “go back to normal life.”

[traelsnu-blog]

On Friday you can finde us at Frabrikanterne, in Vejle. You can make a bird house or a pillow at our event. Watch our video where Anders makes a bird house: https://www.youtube.com/watch?v=ifqB-opCpEs

[akb48loveantena-blog]

【欅坂46】ひらがな候補の14番ちゃんは辞退なのかー仕方がないとはいえ

16: 名無しって、書けない？(北海道) (ﾜｯﾁｮｲWW 9750-OPcp) 2017/08/15(火) 13:42:58.15 ID:uo+1Rsgd0 辞退したのか ねるが一番ショックなんじゃ 続きを読む Source: 欅坂46まとめ坂

[sunnywantsome]

RT @RJennromao: https://t.co/f6GOtTZAAU… #OpCPS #OpCAS #Quebec #dad #raped daughter had3 #kids by dad! https://t.co/hEXCFe3w6Z…… https://t.co/fdiNxEfSI3

https://t.co/f6GOtTZAAU… #OpCPS #OpCAS #Quebec #dad #raped daughter had3 #kids by dad!https://t.co/hEXCFe3w6Z…#EpicFail 👀@JustinTrudeau 😉 https://t.co/qHSFGGL8Tp

— AnonOntario (@RJennromao) February 28, 2017

from Twitter https://twitter.com/sunny_wantsome

[onpoli]

Twenty-five years ago this month, then Ontario premier Mike Harris slashed social assistance rates by 21.6 per cent.

In response to criticism of the cuts, Harris’s minister in charge of social services, David Tsubouchi, put forward a shopping list — later dubbed the “welfare diet” — to prove that welfare recipients could survive on the new lower rates by adhering to a $90-a-month grocery budget.

Tsubouchi’s list, which included nine servings of pasta but no sauce, and did not include butter, salt or other pantry staples, was widely ridiculed.

“It is totally out of touch with reality and is consistent with the stupidity and the ignorance of this minister,” Liberal MPP Dominic Agostino said in the legislature at the time.

A quarter-century later, social assistance rates still haven’t recovered and continue to lag behind inflation. Meanwhile, the cost of food, particularly good food, has risen sharply.