[000 02 43;00] this meeting is on the first page of the sacrifice page, it is over there on the other side of the valley, see the joy of meeting, sitting in the front row, stand up for justice, the burden of trust is left on your shoulders, some of the first page of the service page of the people, you have your stronghold, your table, and there is hope for you, on the other side of the table, there is a martyr in your eyes. Allahu rahman al rahim, hello and good night, dear viewers of the safavi news channel, i present to you tonight the host of mr. Dr. Karimi, the honorable deputy minister of medicine of the ministry of health, medicine and medical education , and about some of the hot topics that friends should talk to each other and see. The ministry of health has prepared for the unprecedented heat wave of course, we talked about the negotiations between roys sons, of course, we will talk about heaven again in tonights program, which is very welcome. Greetings, politeness and respect to his highness and dear viewers , i offer my condolences on the days of ayatollahs martyrdom. I announced the news program last night and today the high official of the Ministry Announced that the first proposal for the holidays is to create a closed door for days when the temperature is very high because of something that cannot be completely prevented from a disease that cannot be prevented. Do not be in a hot environment especially if you are not exposed to direct sunlight and do not do any physical activity in a very hot environment , it can be prevented and the information that you have been doing for a few days has been given to all medical centers and the Emergency Organization of the country and the recommendations that we had to our compatriots that they should take care of themselves, that is, they should take care of themselves, especially people who have underlying diseases, people who are over 65 years old or less than 4 years old , should be very careful with children. From 10 a. M. To 4 p. M if it is us, try to deposit it in the environment, especially in direct sunlight and with physical activity, and i have an obligation to not go out of the house. Regarding the cooling devices, of course, there were recommendations that were made in order to save electricity consumption, and the notification was made. The minister of health, referring to the Health Effects of the unprecedented heat of the air, proposed this ministry to the government board with the aim of weekend holidays in areas of the regions where the temperature experience above 40 degrees unfortunately, this year we have to face an unprecedented heat in the country, when this unprecedented heat rises above 40 degrees , it can disrupt Peoples Health , especially the elderly, people who have problems with various diseases, Blood Pressure patients, heart patients. Do they have children . According to the forecast of the Meteorological Organization for the end of the week and month , we proposed a shutdown to the government board, which for the health of the people , whenever the water level rises too high, it is necessary to shut down. We hope that they will accept this offer and god willing, by the end of the week, it depends on the state of the forecast of the Meteorological Organization, and if the temperature is high, it will rise this minute. The proposal has been made, and the last week of the index, if it rises anywhere in the country, the proposal of the ministry of health will be closed, along with health care everywhere. Of course, this proposal of the government should be placed next to the facilities that are in some areas and the priorities that exist. The ministry of health announced its opinion. The past questions have been implemented or not. If it was proposed, it is 37 degrees and for to be able to be cool so that they can be with their environment we exchange, usually when the temperature rises above 40 degrees , this possibility becomes difficult, of course, it is not only the temperature, the length of time a person is in a hot environment, whether he is physically active or not, the age of the camel, the disease of the earth , all these factors have been discussed in total , which usually Health Care Centers and the ministry of health and we think that the approval of this proposal has been notified in the government. We probably dont want these competitions to be a carpet for your Health Expectations , dear fellow countrymen. The state of weakness and dizziness and headache. If there is a drop in Blood Pressure, my heart rate will increase. Then, if the person who was in the fish does not move, fainting and loss of consciousness may occur. In the severe stages of corona , heart attack and in case of death of a person who is not transferred to a cool environment despite the announcement, treatment measures can be taken. Severe cases have many complications. At which stage is the next risk . Refer to yar hospital in case of severe weakness and lethargy. A drop in Blood Pressure occurs, causing severe muscle cramps is it possible or is it that the senses are created, it seems like he is talking, he says this now, but as soon as the person is very thirsty, he should take action and he is itchy from a warm environment , go to a cold environment, drink plenty of fluids and fluids that have a certain amount of salts. The same lemon juice syrup, fruit juice and cold water of mahmoudian are very helpful for people suffering from frostbite. It depends on the stage of the treatment. Of these cooling blankets are injections if you are able to eat, because sometimes they get sick due to a decrease in their level of consciousness, they are injected with intravenous fluids and the air is cooling , and if they have heart problems, brain problems , in my opinion, the wish that has been created , specific treatments should happen from the southern regions. Most of these countries, i think the summer days are experiencing the temperature of the summer holidays, we are in the meteorological warning, the warning is to report the unprecedented heat, when some cities, how many degrees are there, some of september 59, the countrys index has been announced and any region may cause the proposal is it possible to usually have heatstroke and heatstroke and the repairs of the ministry of health . There is another explanation that you can give me a strong recommendation that it is their own meditation time , as far as possible in the hot hours of the day , it is not located in the open environment and accompanied by physical activity, but some countries consider halls. It is a nail biter that he took out in the environment, you have traffic, you can go there and see the vision. Lets see if there is a shop nearby. It is important it is not necessary to transfer the eyes very quickly. The cool environment of the arbaeen ceremony has folders that spray this water in the form of a mist. In normal conditions, it is better for normal people to walk. It is hot. We need to build a high place. Places should be built. It is not possible to access the cool environment. The municipality will take action. Do this as a presuggestion of the ministry of health to all, in fact, organizations that work within their own responsibilities to the extent that they are less likely to see another report. I want to enter the package of this clinical guide with the introduction of the report and agreement between we will come back, karimi said, it was like for some it goes on and on. Medicines that are taken arbitrarily by the patient are very insistent that they refer to the doctors names of antibiotics and the results are prescribed. It has been a year since i got this bone infection and my body had become very resistant to the prescription of different strong antibiotics and so on. You could not accept these statistics, it shows that the consumption of some drugs in our country is at the global and regional standard , like serum , which is produced and imported, but we still have a shortage in the market. Wherever the economy is discussed and the issues are dying in addition to medicine , lose the limited range of patients, you are a stranger to the clinics , the multifold tariff of injections clarifies the reason for the high change , the third chapter comes in the General Health policies and the law of the sixth plan, the prescription of drugs and the provision of services and based on the clinical guidelines, the prescriptions for very strong and broadspectrum antibiotics should be prescribed for hospitals and in outpatient treatment. In fact , we do not have a defined and complete clinical guideline for the treatment of outpatient diseases. The Insurance Companies say that the guidelines are not implemented in the Health Centers of this ministry. In one of the hospitals where the general was not a cardiologist, the number of angiograms is 100 times the normal rate. Academic and Public University centers should be under the ministry of health. In my opinion, it will be very, very low. Insurance trustees say that by implementing clinical guidelines , the costs of the Health System will be reduced by more than 20 . From we accept our report that it is not followed in this world where it is a reality. Clinical guidelines are stated in the law that the ministry of health should write clinical guidelines in 2015. We have written 1,293 guidelines with high Service Standards from 2015 to now. The law is very specific. How should it be implemented . It has been said that this discussion should be communicated to all centers. What type of medical System Organization, most importantly , should i serve the Supreme Council of insurance and insurers based on this standard and how should this law be implemented . That is, the ministry of health is several times it was his duty to do this for a while we were present for 22 months. About 450 Standard Service clinical guides were published only with my own signature. This is the medical assistant of a radio reporter. I came and said that you are also like this. I went to the website live and saw that i am, so it is written that the 11yearold notification of the standard will not be implemented. And it will be implemented a little, or some people may be adamant that this jewel will actually happen. These people write a lot without essays interviewed, unfortunately, i dont know the issue of income, but it may be a case of violation to the entire medical community compared to the per capita consumption of medicine in iran, which is 60 dollars in the best years, it is lower in the united states, 1300 dollars, around 500 to 600 dollars compared to the world, and the per capita consumption of medicine is higher. If you look at the health costs in European Countries where i dont have a family doctor, they implement it very rigidly , comparing the value of the dollar from the National Currency to meters , and it is very beautiful and high to improve your life. He came, in fact, he became purposeful now it is not possible to do the specifications of double times 3 for children, it is far from the world order, irans health costs are completely accessible to the world statistics, about 500,600 dollars, it is not more than this , while in england , i have about 4,400 dollars, 4,500 dollars, and you look at the european country, look at the shop, look at south korea, look at the share of health is not more than 4 to 5 of gps. In iran , they waste space for a doctor in resources, i dont know , they dont adhere to it. 500 dollars in other countries, how much did i say , European Countries are about 3500 to 4000 dollars in comparison with the housing scheme, devaluation of the National Currency, what effect should it have on your face . When the device you buy is specific to the medicine we buy, the person is not like this. By the way, iranian doctors are the most scientific doctors and by the way, they follow the fast very well. It is not enough to say that a violation is being committed. In the end, there must be a violation, that there is a problem every day, it is not fair to blame the doctors. Excess and import it is too much, but it is not used, where does it happen, but a shorter wall, i will go immediately, he was talking about the clinical guide , there are 1297 clinical guides to date and they are published every day. Cough and be prescribed that you want to write instructions for outpatient use, antibiotics , hospital medicine, we need more clinical evaluation and i am at your service. We need more guidance. Clinical author, writing a game guide is not an easy task, but it includes board groups, forums, all the scientists of the fields, collect opinions and experience, and benefit because everything i asked for that is not available will become instructions on what to do, and even many times their legal duty. They did, we can still commit to myself that we can guide and specify and evaluate our implementation. If there was no relationship, our consumption should be much higher than other countries. Lower, but it is what it is, we are obliged to have maximum productivity and save money. Dear journalists, i expressed my displeasure that the Supreme Council has been insured to the organizations of the medical system. These names have been released to you from all universities and full information. If the cases of violation have been done, the complaint will be investigated by the authority and it was found that the medical System Organization is the authority for medical violations. I have doubts about the complaint. It is possible to double the 12 fonts in the world that prescribes the number of drugs in the prescription, which in iran is a little higher than the international software, the number of drugs is written , which is the simplest analysis, another analysis that many of the drugs , the worlds big pharmaceutical manufacturers, go to the combined drug, for example fereshte maliki, an ophthalmologist, someone who glucose it is in black water, two drops can be prescribed. The Pharmaceutical Company has combined 12. Now, if this is available, i will write a medicine that the pen will write. If not, he should write you. For a cold, i can write vitamin acetaminophen, four drugs, all companies. Together to understand i think it is possible to be a pharmacist who writes that the number of items depends on several factors and only that this number is higher means that the consumption of more essentials should be checked and a very Good Research is done by this university and our advice was this. Who treats the patient with the least amount of medicine possible, with too much, they are cultured , they want me to write medicine for them, what has not been done, but the doctors advised me that and training, and in fact , they submitted themselves to the agenda to write this medicine for me it is not necessary for them to insist that i write in addition to the Health Insurance service of the iran bank Health Insurance organization, out of 1200 services, 600 Service Codes only include service identification. My heart has been installed to identify your service code with 5000 codes. We have the services of this book and if we want to go after these codes , write 2500 instructions based on the frequency of the service. If it is a lot and how much it costs, write it based on the book and based on the services that the tariff is specified, it is standard, it is in the book , it is full of hatred towards you, it is prioritized, and some say that this guide has an advisory aspect, which means that it is better that way there is no obligation to follow the conventional clinical guidelines of this standard of service, which means that if there is no strict guidelines when leaving the bed, and this recommendation, if something happens to the patient and there is a complaint, the decision will be made based on this and the report card will be issued to the doctors. Health systems can be centralized according to the doctors height. I will do this the systems should be managed electronically, and now that the system of the ministry of health is expanding , and especially since dr. Masri brought in a lot of help in facial surgery , we can allocate Financial Resources according to the report that you receive. Maidani mato has deputy medical units for supervision and experts, the important task is that i go to the centers, they supervise, the medical system follows up the administrative unit and offices, there is a system of 190 , it is the inspection of the Home Ministry that takes peoples reports , the ministry itself inspects, there is someone who goes and checks there are reports that we receive from insurance organizations, Health Insurance , Social Security insurance , they are sent to us, and the systems of the ministry of health collect this information. It was handed over to the effort Clothing Organization and from there, if you have any, from the medical System Organization, it was created from my wishes for the patient who was followed up by the forensic doctor, and to the fact that i will give you guidance, still to this electronic version of the coin in time, some of when it is said that he can do the imaging twice a year and go to the alarm, he agrees that the doctor wants to write him an electronic prescription for the insurances and asked if someone wants to pay. They implemented it because if you leave this period free and pay extra money and the insurance will definitely publish the clinical guide and implement it so that it does not pay extra money, what is the use of discussing the separation of medicine license and Office License that the report of our colleagues prepares the report lets see and karim karimi content the imam of young doctors is our private business chapter. Dr. Mohseni far is one of the demanding graduates of the medical field who wants the regulations governing the issuance of medical licenses to be eased. The license is in the cat for how many years, more service in underprivileged areas and completion of points is done. Medical sciences in underprivileged areas. In the last few years, samia jakhali doctors will remain fake like many young doctors , and he demands from the ministry of health to remove points from the red medical professions, so that private hospitals can continue to work with young doctors illegally and for less money