Self Wegies For Punishment Poll

CMG: NATIONAL DAY OF MULTIPLE SCLEROSIS.

The importance of optimal nutrition status for the quality of life of patients.

The power is a basic need that all people have to maintain the vital functions of our body and to perform our daily activities.
Knowing the recommendations of a balanced diet can help MS patients improve their quality of life.
To be healthy your diet should provide enough energy to replace daily and help keep your weight balanced weight, providing variety in the different food groups that provide vitamins and minerals.

Daily
should consume 4-6 servings of starchy foods (vegetables, potatoes, cereals and cereal products such as bread), 5 servings of fruit and vegetables, 2-3 servings of dairy, 2 servings of meat (meat, fish , eggs), 3-5 servings of vegetable fat and water (about 1.5-2 liters).

Very occasionally, and if there are no other diseases that contraindicate can eat fatty meats, sausages, sugar, pastries, butter and sweet treats.

Multiple sclerosis is a risk factor for malnutrition in the patient since the evolution of the disease goes through stages where there is difficulty or inability to swallow (dysphagia).

To this we add other risk factors that may be associated and accelerate the process of malnutrition and anorexia (appetite loss), oral problems (ulcers, parts shortages, infections, complications with the prosthesis), polypharmacy, loss of autonomy, restrictive therapeutic diets (no salt, ..), etc.

monitoring of nutritional status from the onset may help delay the onset of malnutrition states that favor a worse course of illness.

weight loss the patient's condition worsens and increases the risk of suffering falls, pressure ulcers or decubitus and the emergence of various infections.

On the contrary, an excessive weight gain due to a disordered diet leads to the development of obesity associated with mobility problems, hypertension, dyslipidemia, diabetes, etc.

One of the most frequent complications related to the act of feeding of this disease and worsens the patient's nutritional status is the emergence of changes in the process of swallowing, dysphagia.
Dysphagia is any alteration of the swallowing process, from placement of food in the mouth until it reaches the esophagus and its subsequent passage into the stomach. The fatal consequences that entails are malnutrition, dehydration and respiratory illnesses such as aspiration (may cause death.)

When dysphagia prevents proper nutrition is necessary for the medical team assess the possibility of feeding through a nasogastric tube or gastrostomy (feeding artificial).
This form of artificial administration of food is usually quite safe because the complications are not severe, though not free of problems, especially if not handled with care or monitoring is inappropriate. Occasionally mechanical problems, gastrointestinal, metabolic, infectious and psychological, so it resorts to its establishment only if it is really necessary.

Some useful tips in case of dysphagia:

• To facilitate the opening of the mouth can be covered using small, preferably touches spoon and apply ice and massage the jaw.
• To encourage chewing the tongue can be pressed to shed at the time of placing food in the mouth, squeezing the base of the chin with your finger to stimulate the start of chewing and manipulation, easy to chew soft foods , purees and creams develop and use a bottle or reeds for food and drink always be active sucking reflex.
• If you want you can use commercial ground texture modified. Provide optimum hygiene and are perfect nutritionally speaking. They are easy to prepare.
• To enhance swallowing and prevent choking change the consistency, tilt your head down at the moment and switch to swallow a bolus of solid and a liquid to facilitate the passage of food.
• It is advisable to drink cold water or soft drinks before and during the meal to trigger the swallowing reflex.
• Use thickeners for commercial liquids and gels.

Knight Marta González

Does Apple Cover Liquid Damage

CMG: FOOD SANA

Celiac disease is an intolerance food permanent gluten produces atrophy of the villi of the intestine and leads to malabsorption of all nutrients.

Gluten is a protein found in all cereals (wheat, barley, rye, buckwheat, kamut, triticale and oats) and their derivatives, excluding rice and corn.

The most common symptoms are loss of appetite and weight, chronic diarrhea, bloating, iron deficiency anemia, mood changes and growth delay in children .

Sometimes these symptoms are atypical or even be absent, hamper the diagnosis of the disease.

The presence of serological markers (antigliadin, endomysial and / or transglutaminase) higher in the active phase of the disease, ie when the patient is eating gluten, and its disappearance after eliminated from the diet is a factor biological supports the diagnosis, but not a sufficient criterion. Definitive diagnosis is essential to intestinal biopsy and pathological study of a sample obtained at the duodenal mucosa.

The only treatment to prevent atrophy of the villi is to follow a diet strict gluten-free for life (no drug treatment, at least for now). When gluten-free diet is repaired villous injury and provided not eat again remains in good condition.

From the time of diagnosis must eliminate all foods that contain gluten security: bread and wheat flour, barley, rye, oats or triticale, muffins, pies, cakes and other pastries, cookies, cakes and pastries, Italian pastas such as macaroni, noodles and wheat semolina, milk and malt beverages, manufactured goods in which they appear flours with gluten in any form (starches, modified starches, starch, flour and protein), fermented drinks from grain, beer, barley water, some liquor, etc.

Gluten is a plant protein that can be replaced by others, both from plant sources (nuts, beans, rice and maize) and animal origin (meat, fish, eggs and dairy), so its exclusion Lifetime does not have to be linked to a nutritional deficiency.

The celiac can keep the balance of your diet is not complicated. To do this you should eat fresh food in moderate amounts as vegetables, meat, eggs, fish, fruits, vegetables, tubers, fats (olive oil and seeds), sugar (honey, table sugar, jam, ...), gluten-free cereal products, always following the pyramid healthy eating.

olive oil 10 ml
20-30 grams Occasional and moderate Occasional and moderate Drinking water 200 ml

Food Groups	Weight per serving (raw and net)
Flour Foods: bread, cereals, grains, rice, pasta, potatoes	40 - 60 grams of bread 60-80 grams of pasta, rice 150-200 grams of potatoes
Dairy: milk, cheese and yogurt	200-250 200-250 ml milk yogurt grams 40-60 grams of cheese 80-125 grams of cheese
Vegetables	150-200 grams
Fruit	120-200 grams
Pulses	60-80 g
Frutos dry
Seafood	125-150 grams
Lean meats, poultry	100-125 grams
	Eggs Medium (53-63 grams)
Occasional and moderate
Wine / Beer	Wine: 100 ml Beer. 200 ml

Of course, be careful with the labeling of manufactured products since many of them contain gluten added as a food additive. You can only consume to ensure the total absence of this protein through a certificate. Intake in small quantities and very gluten continued long term can cause major disruptions.

Some examples of foods that contain gluten are meats like bologna, chorizo, poplar or black pudding, flavored cheeses, canned meat, canned fish with different sauces, candies and jellies, coffee and other substitutes fountain soda, salt roasted nuts, ice cream, chocolate and artificial food colors.

should be monitored with tagging because sometimes food is not specified as gluten ingredient but as cereals, flour, modified starch (E-1404 (oxidized starch), E-1410 (monostarch phosphate), E-1412 ( distarch phosphate), E-1413 (phosphate starch phosphate), E-1414 (phosphate, acetylated starch), E-1420 (Acetylated Starch), E-1422 (distarch acetylated adipate), E1440 (Hydroxypropyl starch), E -1442 (distarch phosphate), E-1450 (starch octenyl succinate)), starch, starch, fiber, thickeners, meal, protein, vegetable protein, hydrolyzed protein, malt, malt extract, yeast, yeast extract, spices and flavorings.

To make life easier for celiacs and their families, the Federation of Associations of Celiac Spain (FACA) publishes an annual list of the products manufactured entirely excluding gluten from the composition. For more information, visit the following website:

http://www.celiacos.org

to avoid gluten from the diet must be cautious with the handling of food when eating out home, in bars and restaurants and canteens (the chips can be made in pans that are used also for frying croquettes or patties, sauces linked with flour, batter, puree or vegetable puree is natural to add "croutons" wheat bread, etc.)..

addition, the home must avoid gluten-free foods fried in oils used for frying foods containing gluten from the rest of the family.

To solve this problem it is recommended that the whole family eat flour and bread crumbs gluten-free cereal. This must be purchased only in places where evidence of the absence of gluten.

Other helpful tips include:

- Delete products in bulk, handmade and not bearing a label where you can check the list of ingredients.

- Pharmaceutical products can be used gluten, flour, starch or other derivatives for the preparation of its excipients. You have to check, especially in long-term treatment.



- Be cautious of imported food and that a manufacturer can employ, in different countries of distribution, different ingredients for a product that is sold in all under the same brand.

- In the market are special products for celiacs who can facilitate their daily life as croassants, pizza, bread, muffins, etc.








Knight Marta González

Shutters On Half Brick House

COELIACS MANIFESTO FOR WORLD AIDS DAY 2009

December 1 Day commemorating the World Day of AIDS , where we remember those who have been affected by this pandemic , and those who are absent, and make a call on the current situation in our country.

Today we have a very different picture from years ago, where despair has now become an expectation and desire of life. But this has not enabled this disease be let over a thousand people a year in our country, and produced nearly three thousand new diagnoses each year.

Worldwide there are 33 million people living with HIV and AIDS, with over 50% women aged 15 to 49 years. These figures demonstrate the feminization of the pandemic, women require special attention. Note that this phenomenon is not confined only to developing countries.

just one year are more than 2.7 million new infections and two million people die from this cause. In sub-Saharan Africa accounts for 70% of these deaths, but in Eastern Europe and Asia have, today, the fastest growth.

45% of new HIV infections affect young people between 15 and 24, and not being able to diminish, but increases the transmission from mothers to children although there are tools to control this transmission .

Today we are faced with potential developments which mark a hopeful future in cancer treatments, but there are still people for whom these new opportunities are almost inaccessible, either because the evolution of the disease has generated a significant physical impairment or in a situation of exclusion and social marginalization hinders them equal access.

witnessing great progress in pharmacological theory allows people living with HIV and AIDS develop their lives and enable their full integration into society, but unfortunately find themselves in a tense climate where prejudice, stigma and discrimination associated with HIV undermine their chances of access to full citizenship.

Today we remember that continues to assist settled violation of fundamental rights of people affected by HIV and AIDS, which sometimes breaks the opportunity to access basic social rights such as social services, health, educational, labor, and leisure participation and as equal access to housing or purchase insurance for the simple fact of living with HIV pathology that is still attached to behaviors not well seen or outside of the normally established.

It is therefore necessary to consider the precise and prevention policies and actions to be developed from a holistic sense, where you contemplate differences of each person. Being a transsexual or homosexual, be deprived of liberty, as a person dependent on drugs or prostitution; be on the threshold of poverty or a woman, to concentrate on those people more vulnerable, since this gives them a double discrimination where their rights are measured by their social or personal.

"never get to make a difference if we consider AIDS in isolation," said Michel Sidibe during his first meeting as Executive Director of UNAIDS in Geneva. Work experience gained during these years we can say that the promotion and protection of human rights are a key factor in preventing HIV transmission and reduce the effects of AIDS, being necessary to protect the dignity of people affected and to achieve public health goals mainly consisting of reducing vulnerability to HIV infection and mitigate the negative effects of the pandemic on the social, family and work. Human rights and public health share the common goal of promoting and protecting the health and welfare of the people by ensuring access to equal services, information, education and training and knowledge of their rights. Therefore, the UNAIDS theme this year is Universal Access and Human Rights.

From entities that make up the citizen's movement working in the field of HIV / AIDS believe that society has to make a difference, but a change driven by women and men, from groups, from the media and those with political responsibility. The actions taken from each of these sectors can feed back and enrich each other, and from the synergy generated relations of peace, mutual understanding and respect for differences, so that these in turn influence the collective gaining access to greater levels of respect, involvement and commitment.

believe that people with political responsibility must continue to undertake initiatives and improving health and social actions designed to alleviate this situation, with the entities we work every day in the field of HIV and AIDS, and therefore know reality directly.

appreciate that the role of media is essential and continuing involvement is essential to help get our message globally, with a dimension linked to the enjoyment of social rights.

For this reason, this change necessary and a priority value has to be aimed to respect, healthy dialogue and tolerance towards greater involvement as part of the solution of a problem, a joint commitment basis from knowledge of a reality ever more palpable and near those most disadvantaged sectors where HIV / AIDS act with greater virulence. After nearly 30 years of death, pain and suffering we must continue to act decisively with keys more comprehensive and humane. We demand equal treatment where discrimination has no place and will not continue breaking the Rights of Persons affected.

For us it is essential to an inclusive and cohesive society, that enables an awareness of where everyone forward.

CESIDA

Striming Mario Salieri Gratis

THE ROLE OF THE FORMATION OF THE CRISIS SHOCK AS THE SUBSTITUTE SINTROM

Training can be a weapon to deal with the crisis. I would like to recall now, with the help of some examples, the role that training as a buffer against the crisis.

In Franche-Comte, the region of Peugeot, have disappeared since last year, 10,000 jobs in the Existing 28,000. Automobile subcontractors have been badly affected.

David Barbier, staff representative of society Trevest, manufacturer of technical textiles for cars, is explained in the newspaper La Croix: "With the co-PSA and Faurecia, we realized since last September that the volumes down across the industry and we were going to the disaster. Then it was necessary to test of imagination. "

Imagination has not led to violent actions, but has been to mobilize all stakeholders, ie the State, representatives of the region, employers and representatives of the management of joint training system. All together, they reflected on how to cushion the shock. The result has fallen short of what was at stake. An agreement signed by all unions makes training the lever to improve future productivity and job retention. The agreement envisages the training of 10,000 employees in 56 companies.

train for not firing, while preparing the future. Thanks to the device created for partial unemployment, reacting to the low forming activity rather than bouncing. The financing is secured, the agreement for the region, the State and partners that support the project with more than 11 million euros. The set of actors are mobilized. Jacques

Bauquier, regional secretary of the CGT (General Confederation of Labour) and signatory of the agreement, has struggled to sell the project. So when he learns that a firm cut, has plans to lay off 35 workers, contact the director and prevents the region. "The employer wanted to charge € 1 million, says the union. This amount corresponded to the formation of 94 employees. This was what was negotiated and the employer withdrew its social plan. "

A nice example of social intelligence and good regional governance. This example illustrates good management of the region as competition law in the education sector in the center of their basins of jobs. The training has enabled this way, to overcome certain social tensions generated in this region by the crisis.

This is concrete proof of the manifestation of positive externalities. Jean

Wemaere

Alcalá Training:

We are dedicated to organizing and conducting continuing education courses, signed and certified by the commission for continuing education of consumers and health ministry. The courses are available both for health personnel, as non-medical personnel.

Our courses are computed at the national and international job boards, competitions, transfers ...

We are the first national company that is organizing Resource Master Remote for health personnel.

For more information go to Alcalá Training portal on the Internet since here.

Neither more nor less , training consultants:

Our job is to advise and manage any business plan training, the organizers of the course to the credit of it. Our

specialize in health sciences, we also have educational experiences in other areas such as HR, RRLL, management, design, computing, education, construction and many more.

Most courses are subsidized health and accredited by the CFC (Commission of Continuing Education) or ESSSCAN (School of Social and Health Services Counseling and Health of the Canary Islands) through training Alcalá.

Since neither more nor less, training consultants, is the best solution to leverage the funds available to take your business and turn them into training for their workers, which is a guarantee for the future.

If you want additional information please contact neither more nor less, training consultants, through our website .

Welcome Message To Newborn Babies

:

diabigratan His name is, and seems to cause the disappearance of Sintrom known. This new drug is much more accurate and safe because of no need for periodic adjustments, leaving the patient more comfortable. The results of the study that has come to this conclusion was presented at the European Congress of Cardiology held last month in Barcelona and is published in the New England Journal of Medicine.

The Sintrom is an anticoagulant to avoid episodes such as stroke and to prevent cardiovascular events . In Spain it takes about 800,000 people.

Patients who take it regularly must pass an analytical control every few weeks depending on the outcome of control taking into account the side effects it can cause bleeding such as frequent. The track is hard on the patient and a great burden on the healthcare system.

diabigratan The trials have been conducted in 44 countries, funded by Boehringer Laboratories, involved over 18,000 patients with atrial fibrillation. This disease affects a third of patients taking Sintrom. The study tested the efficacy of two doses, 110 and 150 mg, both twice daily. The highest is even more effective and the risk of bleeding is lower.

is currently only approved the drug agency in the U.S. (FDA) and Europe (EMEA). If everything is on track the new drug could be in pharmacies in about a year. Sergi López

Godia
Specialist Family and Community Medicine.

Hard Spot By Lip Ring

CMG: THE FOOD IN THE TREATMENT OF DIABETES.

November 14 marks the World Day of diabetes. It is a chronic metabolic disease characterized by a relative or absolute deficiency of insulin secretion in the pancreas. In Spain, affecting 3 million people and is expected to arrive in 20 years to suffer 6 million.

Silent Reflux Mylanta Treatment Adults

Services provided

De CASD NURSING OF

The nursing CASD educational institution provides first aid services to those who need it within the campus, our staff is trained to provide first aid: wounds, choking, Cures, First-degree burns, bleeding.

De CASD NURSING OF

ESSENTIAL MEDICATION

De CASD NURSING OF

Our kit the CASD
Nursing has a complete kit which is available for the whole community of the institution. The drugs are all required to address mild illnesses and first aid.

OUR LOCATION ... ....

De CASD NURSING OF

HOURS Monday to Friday

From 6:00 to 11:00 a.m.

From 1:00 to 6:00

Itchy Belly 24 Weeks Pregnant

C IN C: PRIORITY OF DIAGNOSIS AND TREATMENT IN THE EPIDEMIC OF INFLUENZA A / N1H1

NAC: N eumonía A dquirida in C ommunity.

How do you get the diagnosis of pneumonia?:

The diagnosis of pneumonia is mainly clinical radiological type certification. In this sense, the main laboratory test is the chest radiograph in 2 positions, anteroposterior and lateral, which confirms the location of suspected pneumonia by physical examination, to quantify the size and the presence of complications such as pleural effusion .. .. Other tests are only for support and help us as secondary to try to guide us in the possible etiologies (viral, bacterial), in which studies have respiratory virus (Test Pack for respiratory syncytial virus, Adenovirus IF) , serologic titers (Mycoplasma pneumoniae), complete blood count, speed sedimentation (unspecified), C-reactive protein or CRP.

CLINICAL IN CHILDREN.
The clinical manifestations of bacterial pneumonia vary primarily according to the child's age, the most dangerous in children under three months. Require a high degree of suspicion because the classic signs are replaced by nonspecific manifestations of infection or hypothermia cooling trend, periods of apnea, in general conditions, food rejection, impaired consciousness and diarrhea. The lung test does not usually give higher marks. Hence the importance of taking X-ray chest to every child under three months of this cough in progress.

During the lactation period, ie up to two years of age, signs and symptoms are more clear and counselors of lung involvement. The doctor usually finds signs of high suspicion when listening to both lungs:

- General signs: Highlights by fever, irritability, pallor, and in general conditions.

- specific signs: difficulty breathing, grunting, increased respiratory rate and cough.

Finally, in the preschool and school children more likely to find all the classic symptoms known to all: Fever, malaise, pain, side stitch type, abdominal symptoms added as pain, vomiting and bloating. The doctor when listening to it is easier to find the pathology condensing.

CLINICAL IN ADULTS.

The diagnosis of pneumonia in the elderly was established based on the following clinical signs: cough, sputum, green, greenish-white or white-bloody, fever or hypothermia, dehydration, malaise, impaired consciousness (drowsiness , disorientation, drowsiness, stupor, coma).

This evaluation was performed because some older adults admitted for consciousness disturbance and is difficult to diagnose pneumonia in community in these clinical conditions.

signs: respiratory distress, or fine crackles, tachypnea, tachycardia, hypotension, air bronchogram or chest radiograph show pneumonic infiltrate, condensation zone or pleural effusion.

in older adults the diagnosis of bacterial agent causing community-acquired pneumonia takes less than 50% of patients due to low production of sputum for evaluation, or that the samples are contaminated with microbes usually colonize the oropharynx. Despite these problems, through some research has been possible to conclude that the most common bacteria are Streptococcus pneumoniae, Haemophilus influenzae, enteric gram-negative bacilli, Staphylococcus aureus, anaerobes, viruses and other less common as Chlamydia pneumoniae, Mycoplasma pneumoniae and Legionella pneumophila.

RECOVERY OF PATIENTS WITH NAC IN THE EMERGENCY SERVICES.

NAC diagnosis must be based on compatible clinical features with specific radiological findings, which requires, above suspicion, practice a chest radiograph. Classically, we describe two clinical syndromes and radiological:

- typical syndrome, characterized by high fever, chills, productive cough and pleuritic chest pain. In the chest radiograph usually shows a well defined homogeneous condensation.

- atypical syndrome: characterized by a clinic subacute with fever without chills, headache, myalgia, arthralgia and cough. Radiographic findings are variable, prone to multifocal involvement: multiple infiltrates or interstitial pattern images.


In emergency, once the diagnosis is made, we must discern which patients are tributaries of home treatment, admission to the ICU or hospital admission. The decision is complex and depends mainly on the severity of pneumonia and the patient's circumstances.

When making decisions, it must establish a balance between the physician's clinical trial and systematization given by the different protocols or guidelines distributed among professionals. !!!!¡¡ Initial treatment of CAP is usually empirical, antimicrobial selection should be based on outbreaks and microbiological studies and clinical trials!

The severity of the pneumonia can be very variable: hemodynamic instability, disorientation, or stupor, breathing work important (FR> 30 res / min), multilobar involvement, significant pleural effusion, respiratory failure, acute renal failure, severe leukopenia or leukocytosis, Anemia Hypoalbuminemia, bacteremia or metastatic.

OWN EXPERIENCE IN THE FLU EPIDEMIC N1H1 IN ARGENTINA.

The community-acquired pneumonia (CAP) is a high prevalence, initial treatment must be empirical. Acquired pneumonia in adults in the community is an acute disease, characterized by worsening general condition, fever, chills, cough, mucopurulent sputum and respiratory distress on physical examination associated with tachycardia, tachypnea, fever and focal signs in pulmonary testing. The probability that a patient with acute respiratory symptoms of pneumonia depends on the prevalence of the disease in the environment where it occurs and clinical features. It is estimated that the prevalence of pneumonia outpatient services is 3-5% of patients with respiratory disease.

EYE! The clinical diagnosis of pneumonia without radiographic evidence lacks specificity because the clinical (history and physical examination) did not allow to differentiate the patient with pneumonia and other acute respiratory conditions .. required for diagnosis: a clinically compatible ( at least two of the following symptoms: fever, chills, a cough or worsening of chronic coughing and an increase or change in color of sputum, pleuritic pain, dyspnea) and acute radiation injury can not be explained by other causes (infections of the upper airway, bronchitis, influenza)

But accurate diagnosis is made when confirming the presence of pulmonary infiltrates on chest radiograph.



DIAGNOSIS MANAGEMENT.

should be based on the existence of a compatible clinical symptoms, accompanying certain radiological findings, which necessarily involves the practice of chest radiography (CXR). The clinical findings and chest radiography can not predict with certainty the etiology of pulmonary infection. The chest radiograph to confirm the clinical diagnosis, establish the location, extent and severity, in addition to differentiate between pneumonia and other diseases, to detect possible complications, and may be useful in monitoring patients at high risk. The diagnosis is clinical and radiographic pneumonia: the history and physical examination that the election is considered an appropriate antimicrobial regimen greatly influences the prognosis of the patient, as it has devoted much of its length consensus documents produced by the scientific societies.
The aim was to evaluate the evolution of a group of CAP caused by atypical pathogens in terms of empirical therapy had been scheduled to determine whether the use of antibiotics directed at this group of pathogens influenced the course of the infection process and the predecessor of Influenza A.

Patients with NAC were performed in the emergency department a complete medical history and physical examination, laboratory tests.

SUMMARIZING: NAC is an acute infection of the lung parenchyma. Its diagnosis requires a compatible clinical picture (at least two of the following symptoms: fever, chills, a cough or worsening of chronic coughing and an increase or change in color of sputum, pleuritic pain, dyspnea) and acute radiation injury can not be explained by other causes.

Older adults often have co morbidities such as congestive heart failure, diabetes mellitus, chronic renal failure and chronic obstructive pulmonary disease (COPD), whose symptoms more difficult the investigation of classical clinical signs of pneumonia.

Pneumonia is the only acute respiratory infection in a delay in the initiation of antibiotic therapy has been associated with an increased risk of complications and death.

IMPORTANT! There atypical pneumonia presentation make diagnosis difficult and delay the onset of treatment, adversely affecting the prognosis of patients. These patients often do not present the classic respiratory symptoms and / or fever, consult by nonspecific symptoms such as malaise, anorexia, altered mental status, or decompensation of chronic diseases. DRA

ESTER Matzkin.

Does A Dent Effect A Flute?

Journalism

pm

Greetings student community, I invite you to read our newspaper online, seeds of peace, you will find all the news and events of our institution.

Common Symptoms For Reynolds Sydrome

MESSAGE OF THE RED CROSS

This is a recommendation of the Red Cross worldwide: Ambulances and emergency medical services have realized that in accidents, often wounded carry a cell phone. However, when action not know who to contact in the long list of numbers.

Therefore, we suggest to all, we add to our agenda the mobile phone number of the person to contact in case of emergency, under the name 'AA Emergency' (the letters AA is to always appear as first contact in the list.) It's simple, costs nothing and could get us out of some trouble.

Paranoid I Have Herpes

CMG: Clean Break, THE LAST GREAT HOPE FOR OBESE.

has been news of the tragic story of a British man considered obese the world, with 450 kilograms of body weight. Paul Mason is 48 years old and appears to have provided the hospital operated in St. Richard, in southern England, with the aim of initiating an effective weight loss.

is currently a slave to his excess kilos, which keeps him locked in his room, and his only entertainment is to play with your computer and eat without any control (can consume in just one day about 20,000 Kcal., about 8 times what you should eat). His inability to move is such that to arrive at the hospital will need a helicopter.

Obesity is a chronic disease in which there is a weight gain associated with excess fatty tissue, usually accompanied by a decrease in muscle mass.

men are considered to have a healthy body fat percentage when body weight has a composition between 10% and 20% fat (the man is obese at 25% or more body weight composed of fat) and for women the percentage is between 17% and 25% (obese women with 32% or more of fat.)

The most common source of excess calories, reduced physical activity and dietary habits , but sometimes also involved genetic factors (family history with a background in obesity), mental (nerves or depression affect appetite), endocrine (hypothyroidism, Cushing syndrome, hypogonadism, ...) or taking medications (antidepressants, glucocorticoids, insulin, oral contraceptives).

The impact of obesity on the health of any person is totally devastating, several studies have linked this disease with many complications in the short and long term

- Cardiovascular problems.
- metabolic disorders.
- breathing problems.
- musculoskeletal problems.
- Digestive problems.
- Kidney problems.
- Skin problems.
- gonadal problems.
- Problems during pregnancy.
- Sexual problems.
- neurological problems.
- Infections.
- surgical and anesthetic problems.
- Problems psychological.
- Social Problems.
- increased mortality due to complications.
- high suicide rate compared with those with normal weight.
- Problems cancer.

caloric restriction associated with physical exercise is the best treatment for weight loss but many patients, having failed in many attempts, decided to try drugs such as sibutramine or orlistat or surgery . For the latter you must have a Body Mass Index (BMI) greater than 35 kg / m², failed weight loss and no history of substance abuse or psychiatric disorders (including eating disorders like anorexia or bulimia nervosa).

The most common method is known as gastric bypass. It consists of a statement made by laparoscopy, in which shortens the small intestine to reduce the ability stomach. This gives the amount of food it eats the patient necessarily need to be reduced by having a much smaller bag.

really is an effective technique, which shows a weight reduction of approximately 65-70% of overweight a 5-year period.

The new operator must be psychologically prepared to submit for a while longer or shorter, depending on the recovery, a strict diet (totally different that followed before the intervention) which includes eating volumes very little food and continued throughout the day and take vitamins and minerals daily to prevent nutritional deficiencies.

Following the intervention displayed altered nutrient absorption, malnutrition, dumping syndrome (the food moves too quickly from the stomach to intestine, causing weakness, sweating and palpitations), constipation, nausea, vomiting and dehydration.


Marta González Caballero.