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Answers fifth of Otolaryngology and Maxillofacial Surgery MIR 2011


Well, let's do our part of the work and discuss the questions of Otolaryngology and Maxillofacial Surgery MIR call yesterday. This year has been a total of six, as detailed below with the version numbering 1:

133. A diagnosis of advanced nasopharyngeal carcinoma, therapy should be recommended initially include:
1. Concurrent chemoradiotherapy.
2. Induction chemotherapy followed by surgery and radiotherapy.
3. Surgery of the tumor and bilateral neck dissection.
4. Palliative chemotherapy.
5. Palliative radiotherapy.

cavum cancer is a classic in the MIR. From there it is to know three key things are: 1. To be suspected when a unilateral serous otitis media in adults. 2 That is the only cancer ENT unrelated to snuff, but with EBV. 3. That is non-surgical treatment. Under these assumptions, options 2 and 3 are eliminated and the right must be the 1, 4 or 5. As doubt among three options, we are compelled to respond. Although the cancer is in advanced stage, is treatable and not palliative, and therefore the answer I would mark 1.

134. 60 year old woman diagnosed with breast cancer treated with surgery and radiation therapy 10 years ago. Present with metastases at the spine and sacroiliac joint so that during the past two years have been treated with iv zoledronic acid monthly. Go to the doctor because of spontaneous bone exposure of the jaw bone at about 2 cm. No evidence of acute infection and gum around the exposed bone is completely normal. The mandibular CT evidence of bone sclerosis zone. What is your diagnosis?
1. Odontogenic abscess.
2. Osteonecrosis and bisphosphonates.
3. Osteoradionecrosis.
4. Dental root included.
5. Metastatic breast carcinoma.

This has been difficult to me, let's go discarding. The 1 can not be because there would be signs infectious. The 2 is possible because bisphosphonates create mandibular necrosis. The 3 me seems unlikely because the patient received radiation therapy that would be oriented on the breast and not on the jaw. The 4 rule it is not a dental root box included. The 5 is possible in the final analysis, the patients already have bone metastases. So, I doubt between two, 2 and 5, what to choose? Of course I'm not sure what it means bone sclerosis in a TAC, but in a bone metastasis have a more destructive behavior esclerotizante. Furthermore, using reverse psychology, what did you put the question I know? What bisphosphonates can create mandibular necrosis? Or that a woman with multiple bone metastases also may have a metastasis in the jaw? The latter seems too simple, and would make me more inclined towards the 2, but I have not clear. Either way, between two possible answers must always answer, and between 2 and 5, dial the 2, that is more likely.

135. The most important risk factors in carcinogenesis of oral squamous cell carcinoma (squamous cell carcinoma of the oral mucosa) are:
1. The consumption of alcohol and snuff.
2. Exposure to sunlight and diet with plenty of fat.
3. Exposure to asbestos fibers and nickel.
4. Diets rich in fiber and carbohydrates.
5. Infection with herpes simplex virus type I and varicella-zoster virus.

Very bad question. It is too easy, many opponents will answer correctly, which is 1, and serve little to discriminate.

136. Patient 64 years old, smoker and drinker important concerns right jugulodigastric adenopathy painless progressive growth in the past two months as puncture-needle aspiration was reported as squamous cell carcinoma. Which following is the most probable locations of the primary tumor:
1. Scalp.
2. Parotid.
3. Lung.
4. Esophagus.
5. Larynx.

're in the middle of the block of ORL. You get past the block of Pulmonology and Gastroenterology. Lack of Dermatology output, but a dermatologist (reply 1) does not ask this. So we left parotid gland and larynx, but squamous cell carcinoma of the parotid gland is rare, I would mark the 5 and I would stay quiet. Perhaps because all the lymph nodes at this level that I've seen have finished corresponding to carcinomas of the upper aerodigestive tract.

138. If a patient reports for months have increased the size of the tongue, but other alterations of it causing it to constantly bite, what would he think of the following condition:
1. Hypoglossal paralysis.
2. Hyperthyroidism.
3. Mastocytosis.
4. Amyloidosis.
5. Granuloma facial. What question

so rare. Behold, I stand all day looking at languages \u200b\u200band I've never seen a case like this. Perhaps the first thing I think would be acromegaly, GH excess and this option does not even come. In Finally, the 1 and 5 do not have much to be painted. I do not remember the growth of language as a characteristic of mastocytosis. Hyperthyroidism can be expressed in many ways, but the growth of the tongue, were you among them? So what? "Amyloidosis lingual? It would make sense, but I remember amyloidosis as more typical of other organs and tissues. I do not know. Perhaps this would not have responded, unable to eject from the list of answers emphatically no. Or maybe I should have been brave and have marked 4.

139. In patients with malaise, fever (axillary temperature 39.5 °), bilateral submandibular swelling six days evolution, oral pain and trismus, which of the following statements is correct?
1. The first probability is diagnostic of mouth floor carcinoma with bilateral cervical metastases.
2. The priority is to ensure food treatment of the patient.
3. We are almost certainly to a mediastinitis.
4. We must give priority consideration to the risk of airway obstruction.
5. As a first step we perform a Pap smear diagnosis by fine needle aspiration.

This patient is serious. Trismus and fever forced to think of a deep neck space infection and that's not a game because it can block the airway. Knowing this, options 1, 2 and 5 are out of place and I still have the 3 and 4. There may already be a mediastinitis, in the final analysis, the natural history of deep cervical space infections is that, but the answer 4 is correct and also are in the block of ORL, the specialty of the airway. I like this question because it requires knowledge that is important in clinical practice.

I hope you have been helpful. You have access to reviews of other questions on this link:

Wikisanidad: MIR 2.0 Project

Photo: Trying to bail out those who are within days on the beach.

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What is a Temporary Blogs and 2.0


A blog is the cry of someone who asks to be heard.

According to this metaphor, the blogosphere is not just a set of screaming themselves, resulting in a constant sound emitted by those that did not used to have a voice and sovereignly may annoy those who are accustomed to silence when making decisions that affect others.

Sometimes the various cries of each of the authors of the blogs, are oriented in the same direction, either to report a situation that affects a particular group or for the purpose of creating something that will be bigger if it is among many. This noble phenomenon is known as a Temporary or UTB Blogs.

Health Within the English-speaking blogosphere, have occurred spontaneously several BTUs. The best known were " Influenza A, above all calmly," whose purpose was to provide scientific information to citizens and business interests away from Influenza 2009, "Internet in the office , need, supported health professionals who believe that access to the Internet daily in our profession is a tool with an excellent utility respect to the price and " My life without you," an unprecedented project to help people quit smoking.

On Saturday, the MIR will be held, in which thousands of general practitioners eligible for a training place in a medical specialty. The Sunday after the traditional examination are published on the website of the Ministry the 260 test questions with their answers 260.

However, the answers are not discussed. You have to believe that the answer is the one that says the Ministry. So when in doubt between two answers, the student does not have the tools to discern what is the correct one or the other. The student often can not understand why all the years fall one or two questions on glomerulonephritis, fortunately rare disease, while almost never questioned the very frequent hypertensive crisis.

This year he planned to select the questions of Otolaryngology (usually five to eight) of the MIR review and comment on this blog. At that time, I thought that if each of the Health Blogosphere specialists would do the same to me with questions in his field, could do a collaborative project never seen before and could be helpful for future opponents examinations.

Excited with my idea, it is mentioned to my closest fellow bloggers, who accepted it gladly. For now, the list of specialty and blogger is tentative, you can participate and let whoever wants to do without any commitment.

If you wish to contribute your bit for discussing questions that you are probably very simple, do not forget to sign up to review draft MIR 2.0.

In this link you will see how they have divided the questions between the different blogs: Wikisanidad: MIR 2.0 project.

Photo: The construction of another major project in my town.

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The MIR project when you hang snuff


say many times after day and so many people who quit smoking, I sometimes feel frustrated when I see how the addiction to snuff me win most battles.

This we knew, and taught me during the race: "the anti-snuff oral advice of a doctor gets too few patients quit smoking, but work in some cases." Despite this, I still recommend that you stop smoking, while I cross my fingers that I have before the patient is of those who will be lucky to not only hear but also listen, and therefore consider the quit.

When the lights go out to consultation next day I hang up the robe and I lose my doctor costume, hidden among the multitude of the city and experiencing the reality of actual smokers. It seems that no white coat, smokers make you even less the case when you advise them to quit.

- I know it's bad, but I like they say and continue to peacefully his cigarette in any of the watchmen of the city, unaware of the excuses that addiction to snuff put in your mouth.

Sometimes it is even worse, your friends who smoke have a pneumonia and quit, and I'll say, and you get happy and give them congratulations, and I promise never to return. I met three people in this situation. The three returned to smoking within a year.

Others, who know they do not approve of his addiction, quit before you, but the smell of snuff them away. Believe that you are cheating, but do not deceive you. They deceive themselves.

But sometimes there are success stories. Are those that you said you were going to leave, they were planning a day and when it arrived, not more comments. That day arrives and notes has come because, when everyone else is up smoking, some former smokers are now sitting.

I say nothing and continue acting normally at the time, but I'm glad in my heart. If life were a movie, at that time a song should sound.

Photo: Public support for the project " My life without you."

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gown Digitizing my Diagon Alley


My favorite part of Harry Potter , the sorcerer's apprentice, is that in which first visited magic shops of Diagon Alley to buy school materials, books of different disciplines a pot with different ingredients for potions, a couple of coats, an owl and a magic wand.

read this book while I was in first race, the scene reminded me that he had recently lived in which medical students had to buy our first medical equipment: a white coat, stethoscope and an atlas of human anatomy.

To me, the embroidered robe my mother to me, the stethoscope I inherited from my grandfather and I had to buy Atlas.

remember visiting the library faculty on the first Friday after classes have ended, along with two colleagues I had just met. The shop was small, with wood flooring, and was full of other medical students who, like me, visit the various atlas to choose which was more suited to be the teacher's explanations.

That day I bought my first book and learned Medicine an important lesson: that this kind of books were expensive and a poor choice of the right book hurt not only the heart but also in the pocket. My atlas cost more than 30,000 pesetas in 2000. Fortunately, I was right to choose.

However, I could easily have been mistaken. Standing, confused by a counter, with other students behind me eagerly awaiting his turn and not knowing even how to study anatomy well, might have finally chosen the wrong book.

Ten years later, continue to need books and they are still expensive. However, there are now purchasing methods alternative and far more secure. I chose my book of Otolaryngology Surgical among several available and consulted their sample chapters for free on Google Books . I convinced the content and its availability consulted José Mateos, a known medical librarian introduced in social networks.

I asked via Twitter some doubts about the book's contents, shipment and payment options. It was ten o'clock at night. At one o'clock in the morning and from my own computer, we reached an agreement and, forty exact hours later, I found a box in my living room.

The book is wonderful.

Photo: Today, when I get home.

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Youth in Motion "

Some European Commission studies show that 35% of new jobs will require high level skills by 2020, requiring 50% of new mid-level occupations skills.

is why the European Commission has launched program "Youth in Motion" , which aims to "open all the possibilities for young people to access training demanded by the labor market and increasing opportunities for access to a first job."

This program is framed within the 2020 strategy, which aims to shelve some of the major educational problems currently plaguing the European Union.

This program proposes 28 actions to achieve the EU 2020 targets as "Your first job EURES, which provide counseling, job search help and give financial support to young people who wish for a job in a country other than their own.

Source: The Truth

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Salen tree! Alaska


the adventure begins again. The sixth adventure, to be exact. "Give me this hour", "Chicken Half-Price", "Marana tha!", "With feet and no head," "The Diary of Superman" and now it is the turn a. .. Salen

tree!

which effectively begins:

The scene takes place in the kitchen of the house of Gloria and John. Gloria and John are a middle-aged couple fucking high and low middle class by pulling living in a small apartment on the outskirts of Seville. The kitchen is very humble and furniture look old. The terms are those of the actor. The output of the right seems to give at the door of the house on the left communicating with the bedrooms. In the kitchen counter, are from left to right a light sink and butane stove. Limit the left door has a small fridge on top a pot with a pot very gloomy, which is in the branches, along with a cat of Chinese, those golden, which is believed to bring money home. In the middle of the kitchen, there is a circular table with four chairs arranged around it, which is used for dining. They are nine in the evening of a weekday in the spring. Sale

Gloria from the right with linen. He seems very happy. Gloria is not beautiful nor ugly, but never has an unkind word for anyone. Seems to be made to please others and everyone thinks it's charming. Unfortunately, many of the few known Gloria believe it is a naive, because all he has done in his life is devoted to her home, her husband and daughter Marta. Even as far as Gloria has been in Seville has been on her honeymoon, a week in Fuengirola in November. Gloria lives for his little family and that makes her happy.

light comes on and Gloria goes into the kitchen with a couple of grocery bags full of humble meal: rice, pasta, steaks, chicken, potatoes. It introduces the action as Gloria is putting food in their drawers, put macaroni fire and water with a glass of water the plant. Having done all this, sitting at the table, looking tired and the music is falling. Rings doorbell.

How Do U Program A Scanner

In college, I was taught the importance of seeing, hearing and touch to patients, offers two advantages. The first is that physical examination can take many data on the disease and the second is that the patient feels reassured to see a doctor.

Teachers who taught me this would the outcry if they tell the practices that are carrying out some ENT in regions like Alaska and Australia.

Alaska and Australia are the first world with a low density of population in the face doctor visits may involve costly and difficult to travel due to distance and weather conditions. It is the perfect setting for the development of models of doctor-patient relationship over the Internet.

Several publications have noted the advantages of tele-medical model, which are comfortable for all parties, security of diagnosis and treatment (defined as the error rate compared to-face consultation) and significant reductions in direct and indirect costs.

Operation is: I want to see my audiologist, which is hundreds of miles. As the movement is difficult, the audiologist makes me relevant questions put online or contact my doctor or primary care nurse for me to do them. Similarly, if indicated some exploration, the audiologist says the doctor or nurse how to close them myself and if you need any pictures, my doctor or nurse makes them and sends them at the time. Then the audiologist asks for further studies, as needed, and studying the results without even having seen his face. It makes me treatment and, if you think I should have surgery, we will meet in the operating room itself, on intervention. Doctors

exploration advocates and supporters face for face to face, among which for now I include myself, find it hard to accept this new method. We argue, remembering the precepts taught in the university, the classroom is more effective exploration and, moreover, the patient seeks personal contact, which provides spiritual comfort.

But when we read studies which demonstrated statistically that telemedicine is as safe as the face and we see how every day there are more patients who seek health care through the Internet independently of the physician, the two arguments previous collapse.

And in those moments, we believe that the current model is still far from perfect, we have the truth of the lessons learned in class when we were twenty-odd years of age.

Photo: Alaska according to Google Images.

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publish the finalists of the" III Web Awards Edition Diario La Verdad "

Well, the contest is now coming to an end and the newspaper La Verdad has published today, January 12, 2011, applicants for awards in various categories ....

The next February 10 will act in the Regional Archives where they will announce the winners .....

This blog has not been chosen as candidate, but no one takes away the illusion and the efforts made in the attempt.

From here to thank you for your support .....

keep in touch!

I leave here news, greetings ....

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Presenteeism What is Labor? Training

is known as "presenteeism at work" when the employee is present in your workplace, but "absent" in office, or put another way, when for fear of being fired it is more hours than necessary at work without increasing their productivity.

Then we can consider this phenomenon as opposed to the classic "absenteeism", although the former may result in the second, because the employee feels ill and tired and, of course, diminishes their performance.

profile What is the present?

A man is usually less than 25 years , English and basic studies. Belongs to a group of people who suffer most from unemployment. For their lack of education has very little chance in getting employment. Hence their fear of losing it has.

presenteeism rates

- unnecessarily lengthen the working day to appear because

- One worker extolling its functions, takes longer to solve problems, when, at best, can it in no time. Thus, enhancing the functions performed because it adds an element of difficulty and effort that does not exist

- one who constantly complains about the workload it has, when in fact, productivity is very low.

What to do with this situation

is necessary for the company to avoid these situations generated by the crisis, to promote communication within the organization to be more fluid, make workers aware of issues such as evolution of this and involve them in the results of the company, which helps improve productivity because they feel part of the project.

then the company is the hardest hit in the topic, because it really does not increase their productivity and is eroding the real work of the employees to feel more tired and sad to be leaving aside other important facets such as the family.

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2.0. New Immigrants in companies


Until recently, the face in training methodology has been the only or most requested at the time of study among workers who want to recycle ...

With the boom of new technologies, will impose new forms of learning and appear semi-face mode, with a number of hours away and the other face, the form "distance", which as its name indicates no student contact hours and the course at home, and e-learning, using telecommunications as a link between trainer and student content ...

With the crisis this off has been even greater, since it has been found that this way you can train more people with less investment, but today the formula used only 15% of the companies occupying, therefore, second choice from among the students ....

And in English companies still do not have this culture and mistrust of its effectiveness .... The solution? train managers and middle managers in the field of web 2.0 tools. so that the company will lose their fear and learn what tools can be used and to what use ....

What are the benefits, then the e-learning for business? Mayra

Villar says the following:

* Benefits from a logistical standpoint :

• Access to training on a large scale and without any time or space. Constant updating
• staff of the company, making it ever more competitive and efficient. Quick adaptation
• to market changes. Greater flexibility
• about training times and locations as well as distribution methods learning content

* Benefits from the pedagogical point of view:

• Customized training. MOODLE platform, for example, is based on the ideas of constructivism. For this reason, can implement courses where the student is the main actor in the process of training to gradually build their knowledge by choosing your own path according to their needs and interests.
• communication and interactivity. Through synchronous communication tools such as chat and videoconferencing or asynchronous such as email and discussion forums can build learning networks that promote information exchange.
• strategy development. Multimedia applications can enable the use of cognitive, metacognitive and social benefits from such tasks as search and information analysis, organization and planning of learning and participation in collaborative tasks.

* Benefits from the economic point of view:

• wide variety of resources. You can combine different kinds of audiovisual materials and access to different sources of information to a relatively low cost. Reuse
• content. Ie e-learning courses can be reused, modified, adapted, improved, etc.
• Administration formation process. An e-learning system can carry out different functions, for example, keep a detailed record of data on the number of times a user's connection, communication between users, the exercises performed and the results obtained.

having the advantages of e-learning training for the company, noted that training, "if a competitive advantage for the company .... each which are, in order to increase competitiveness, feel the need to train their employees and retain talent in organizations ...

And you, what do you think?

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Employment


With the crisis in Spain, comes a new generation of emigrants. English is not looking for a "field work" abroad carrying a cardboard suitcase and a blank stare, sad .... the fear of not knowing if they will.

While there are still such migrants (although they do not have to go to Spain, if not moving from one region to another), this post comes to seeking out qualified young people opportunities not found in your country . Administrative

, engineers, ..... take advantage of the nearly 800,000 jobs that are unfilled in Europe, and even move to other continents .... This phenomenon is no longer unthinkable to many looking for work closer to home so ..... With Erasmus, Leonardo Da Vinci and the possibility of placements abroad, has increased to 30% of queries and applications for employment outside of Spain between Murcia.

are well-qualified, they thrive in English (and if it does not take advantage of unemployment time for training in the language) and belong to a generation that has incorporated into its DNA professional the opportunity to spend a few years in any place the world ..... Many of them almost half of the university, which practices outside of Spain, stays in the country of destination or extend their stay because of the crisis plaguing our country.

"The willingness to go higher in future generations. Many have studied a course in their degrees outside, and who has not left, has had foreign partners. The labor globalization is a fact, and even families of young people have changed his idea of \u200b\u200bemigration and no longer act as a brake, "he argues María Isabel Sánchez Mora, Vice Rector of Students and Employment and sociologist.

And, increasingly, is more associated with "working out" as a learning experience a personal and professional niverl which, together with the crisis, is an option especially in younger thanks to programs such as "English for the world" have a much more positive this option ....

Who wants to luggage to a destination full of surprises ?......

Source: The Truth

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ENT MIR Five Rules for the Study of Otolaryngology


Medical students are concerned about the MIR. Is a more than reasonable if we consider his professional future depends largely on how to do this test on a single card.

In recent years, students ask me what I should be aware of otolaryngology, I reply that study because it dominates in a couple of days and because they always fall, at least five questions, being more profitable than other subjects.

Despite this, some people ask me what "can fall." I reply that there are five things in my field you need to know for the MIR, which are:

1. That before any chronic ear discharge is described in the wording of the question as "offensive " should mark the response cholesteatoma. This in real life is a lie, because all are pretty otorreas stink, but hey, it works the MIR.

2. That all pregnant that in the middle of the block of questions ENT, begins to hear evil has otosclerosis. Yet another fallacy considerable, because hearing loss in pregnancy may correspond to any disease.

3. Which primarily unilateral middle ear effusion in an adult are calling for a response related check with your nose and not to the ear. This question has been repeated ad nauseam in the history of MIR, it is very important because it require any medical examination to be prepared to remember the cavum cancer screening.

4. That every smoker with a hoarseness of more than one week duration should be reviewed by a specialist , because that is a cancer of the larynx until proven otherwise and, if subject to revision, there is a suspicious lesion should be biopsied. This question is also quite good because, any physician should be alert for a smoker with dysphonia.

5. That the above rules have worked so far in all the reviews, but despite that must be applied with caution in future reviews.

I hope you will be helpful. And just in case, the golden rule: to hesitate between two or three having ruled out other options, most likely the correct answer is number 4.

Photo: Four in the "Number pinball" Sesame Street.

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quixotic illusions of quality indicators


I'll tell you " Don Quixote."

Well, a short, Don Quixote is very long and you do not have time. Don Quixote is the story of a man who pulled a whole book Castilla walking and discovering the meaning of life with your partner.

The problem that this summary would also serve to summarize "Lazarillo de Tormes " and we all know that both books are very different.

In Statistics, often commit the same error and awkward: summarize too. The average of the numbers 4, 5 and 6 is 5, the average of 1, 1, 5, 9 and 9 is 5 also and they are completely different populations. But as you it happens and it happens to me, no time. We need a summary. We need to know that the average is 5 because we have no time to meet the entire population, but, as we do, we must not forget that the average is a parameter with the perverse condition that simplifies too much the nature of the numbers behind it.

Throughout my life I have worked on several occasions with quality indicators. The quality indicators are "abstract numbers" that evaluate the quality of some specific aspect of health and, even more Machiavellian, so it can be compared to other years and other sites. I was very keen

using quality indicators until one day, one of the hospitals I've been, I was trapped in the elevator. I stayed there a long time and I had a chance to think.

the damage I was doing a broken elevator, for example, patients could not go to the operating room for surgery. This would increase the rate of suspensions surgical and probably the complaints.

Then I realized that these indicators not only measure the operations that are not made or claims escriben.Estos indicators are also evaluated if it works the elevator. And, by analogy, that the surgeon had not come that day because he had flu, among other things. Therefore, indicators that collapse, do not necessarily indicate that assessing a malfunction.

Now I will be easy to imagine a counterexample in which a malpractice then light a gauge. Therefore, your city indicators are the best summary of the service will have you to be evaluated, but do not forget that internally, these indicators do not mean anything.

Photo: Don Quixote, falsely fascinated by a piece of paper, Ehecatzin .

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reversed this year from 27.5 million to create 2,000 jobs in the municipalities of the region (Murcia) Employment

The Ministry of Education, Training and Employment invested this year more than 27.5 million euros that have allowed more dynamic labor market in towns in the region and create about 2,000 jobs work. Constantino said the counselor Sotoca the regional government's effort to initiatives that "help reduce the unemployment figures" and "invigorate the local implementation of projects related to the development of the municipalities."

In this sense, the manager said regional development programs like the Workshop Schools and Employment, the Local Public Employment, Promotion of Local Development and vocational guidance for employment and self-employment assistance, "which have been instrumental in creating new job opportunities during this year. "

It recalled the investment of EUR 11.5 million for the program of Workshop Schools and Employment which has enabled the launch of 16 new projects and has provided a first job placement through about 500 unemployed.

These workers have been trained in professional profiles related to new sources of employment such as health and social care for dependents, home help, equipment and installation of renewable energy or solar energy, and others associated with traditional trades such as carpentry , plumbing, painting or masonry.

addition, the Minister stressed the 13.3 million that his department has allocated this year to municipalities to cover the hiring of 900 unemployed have been able to engage in general and social interest in the various municipalities in the region. The papers said Sotoca, "have focused on improving public spaces and promoting services related to culture or leisure."

local development agents promote employment

The holder of Employment said the work of local development actors to develop and promote programs that generate new business activities in the various municipalities in the region. In this regard, he noted that this year we have allocated more than 1.6 million euros to cover this network of agents, which has sixty members.

Moreover, the vocational guidance for employment and self-employment assistance (OPEAS) have been this year, according to the counselor, "essential to strengthen and improve employment opportunities for unemployed and facilitating their work either employed or self-employed. "

Therefore, the Ministry has allocated one million euros that has allowed municipalities to hire about 70 counselors. They have been responsible for implementing actions to improve guidance and job placement of some 6,500 people across the region.

Source: Press CARM

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unable to insert the 43 percent of unemployed people trained in the plan Navantia (Murcia)

The Minister of Education, Training and Employment, Constantine Sotoca, said last January 2 that "43 percent of the unemployed who have been trained so far in the employment plan and training have already been incorporated Navantia the planned construction of the submarine S-80. " The figure amounts to some 150 workers, "a placement rate that is very important this year to continue promoting new training initiatives."

Specifically, the Department last year spent more than a million euros for the completion of 26 courses, involving 350 workers. Some specialties that have been given are related to the owner's naval shipbuilding welding, fabrication and installation of industrial pipe fitter-assembler.

Employment

The owner recalled that the training plan and Labor Intermediation, launched by the Ministry, is worth 2.5 million euros and includes a total of 70 training courses, which will run until 2012. The aim of the plan, said Sotoca, "is to meet the demand of workers required by companies Navantia assistants for the construction of the submarine S-80."

In this sense, the manager said regional up plan "a good pace, and this year will continue the programming of new courses that focus on" a chance to qualify and work more unemployed workers who have been previously trained in these training activities. " To this end the Ministry established an employment by which subsidiary companies contracted by workers Navantia selected that best fit the profiles of respondents.

Source: Press CARM

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ham and cheese sandwiches in the stable in Bethlehem


were two marriages that were seen quietly talking through the window of one of the best bakeries in the city, while snacking coffee and ham and cheese sandwiches for an afternoon of Christmas.

The beggar took shelter from the cold and rain of that night under the porch of the window, you may not have another better place to hide, as happened to the occupants of the site of Bethlehem.

One woman stood up shocked to see how someone from the street trying to make a picture. The indiscreet observer, who had run away, just trying to get as few bricks could separate two worlds different, making each other invisible.