VALORA TU VIDA.

ASSESS YOUR LIFE.

EBOLA CASES IN SPAIN AND USA.

On September 20, Thomas Eric Duncan landed in Dallas (Texas) to marry his partner and meet her and her son. At that time, unaware that he had contracted the Ebola virus. I was exposed to the disease in Liberia to help move the hospital to a pregnant neighbor. On September 25, he went to the emergency room because he started to show signs of illness, but sent him home. 

Three days later I had to be rushed to the hospital and infection was confirmed. Died in the center on October 8. 

On September 26, Teresa Romero, nursing assistant is going on vacation. A day earlier, the missionary had died because Garcia Viejo Ebola and repatriated after being admitted to the Carlos III. Teresa was doing "normal life" until the September 30 contacted Alcorcón Hospital, where he lives, because he had a fever. Although reported that he had participated in the device to treat the missionary, was not entered because the fever did not exceed alert levels. 

Six days of fever after they did the tests and infection was confirmed. 

These are the cases of Thomas and Teresa, which have placed the spotlight on health protocols worldwide Ebola to the crisis.

LOS CASOS DE ÉBOLA EN ESPAÑA Y EE.UU.

El 20 de septiembre, Thomas Eric Duncan aterrizaba en Dallas (Texas) para casarse con su pareja y reunirse con ella y su hijo. En aquel momento, desconocía que había contraído el virus del ébola. Se expuso a la enfermedad en Liberia al ayudar a trasladar al hospital a una vecina embarazada. El 25 de septiembre acudió a urgencias porque comenzó a mostrar signos de la enfermedad, pero le mandaron a casa.

Tres días después tuvo que ser trasladado al hospital y se confirmaba el contagio. Fallecía en el centro el 8 de octubre.

El 26 de septiembre Teresa Romero, auxiliar de enfermería se iba de vacaciones. Un día antes, había fallecido el misionero García Viejo a causa del ébola tras haber sido repatriado e ingresado en el Carlos III. Teresa estuvo haciendo "vida normal" hasta que el día 30 de septiembre contactó con el hospital de Alcorcón, donde reside, porque tenía fiebre. Pese a que informó de que había participado en el dispositivo para tratar al misionero, no fue ingresada porque la fiebre no superaba los niveles de alerta.

Seis días de fiebre después le hicieron las pruebas y se confirmaba el contagio.

Estos son los casos de Thomas y Teresa, que han situado en el punto de mira los protocolos sanitarios a nivel mundial ante la crisis del ébola.

SÓ UM PEQUENO ATAQUE CARDÍACO.

JUST A LITTLE HEART ATTACK.

 

UN PEQUEÑO ATAQUE AL CORAZÓN.

THE BATTLE WITH ANOREXIA.

LA BATALLA CONTRA LA ANOREXIA.

DEATH OF SPANISH RELIGIOUS HE WAS INFECTED WITH EBOLA.

The Spanish priest Miguel Pajares, 75, who was infected by the Ebola virus and was repatriated from Liberia, has died at 09.28 hours of Tuesday morning at the Hospital La Paz-Carlos III de Madrid, where he was admitted , as confirmed by a medical sources 20minutes. His death came a day after his partner George Combey.
According to hospital sources, the patient had experienced a "decline in vital signs" in the last hours, especially from three and four o'clock, when the virus had invaded his body and "had eaten by all sides. "Furthermore, had the wrong kidney, in fact no longer urinate, also suffered from typhus, suffered heart problems and "had lost all defenses" whereby "the salvation of his life was not possible." Although doctors "tried some medication in an attempt to stabilize" the camera and monitors with which it was observed, "indicating that he had trouble breathing" until the patient has stopped "show activity". Pajares, who was being treated with an experimental serum, medicine ZMapp reached the United States, arrived last August 7 at the base of Torrejón de Ardoz (Madrid) in an aircraft of the Air Force from Monrovia, along with sister Juliana, who is not infected by the virus and Tuesday will be put to a new test. The priest, taken under strict medical device safety, he was committed to the building of the Carlos III where the sixth floor was enabled and, in particular, three individual isolation rooms with negative pressure locks.

The remains have been cremated Pajares in the crematorium mortuary-Collado Villalba (Madrid). The ashes of religioson will be delivered after this process of religious family, explained from the address Parcesa. For its part, the Ministry stated that "has fulfilled all the rules in force" for such cases. Miguel Pajares had contracted the infection through contact with the director of St. Joseph Hospital in Monrovia, Cameroon Nshamdze Patrick, who was infected even though on first examination was negative. Repatriation of Pajares was controversial because it was unclear who would pay the cost of repatriation, which could be between 400,000 and 500,000 euros.

FALLECE EL RELIGIOSO ESPAÑOL QUE ESTABA INFECTADO POR EL ÉBOLA.

El religioso español Miguel Pajares, de 75 años, que estaba infectado por el virus del ébola y fue repatriado desde Liberia, ha fallecido a las 09.28 horas de la mañana de este martes en el Hospital La Paz-Carlos III de Madrid, donde estaba ingresado, según han confirmado a 20minutos fuentes médicas. Su muerte se produce un día después de la de su compañero George Combey.
Según fuentes hospitalarias el paciente había experimentado una "bajada de constantes vitales" en las últimas horas, sobre todo a partir de las tres y las cuatro de la madrugada, cuando el virus ya había invadido su cuerpo y "se lo había comido por todos los lados". Además, tenía el riñón mal, de hecho ya no orinaba, padecía también tifus, sufría problemas cardíacos y "había perdido todas las defensas", con lo cual "la salvación de su vida no era posible". Pese a que los médicos "probaron alguna medicación en un intento de estabilizarlo", la cámara y los monitores con los que era observado "mostraban que tenía problemas para respirar" hasta que el enfermo ha dejado de "mostrar actividad". Pajares, que estaba siendo tratado con un suero experimental, el medicamento ZMapp llegado de Estados Unidos, llegó el pasado 7 de agosto a la base de Torrejón de Ardoz (Madrid) en un avión del Ejército del Aire procedente de Monrovia, junto con la hermana Juliana, que no está infectada por el virus y este martes será sometida a una nueva prueba. El sacerdote, trasladado bajo un estricto dispositivo de seguridad médica, fue internado en el edificio del Carlos III donde se habilitó la sexta planta y, en concreto, tres habitaciones individuales de aislamiento con esclusas con presión negativa.

Los restos mortales de Pajares han sido incinerados en el tanatorio-crematorio de Collado Villalba (Madrid). Las cenizas del religioson serán entregadas tras este proceso a la familia del religioso, han explicado desde la dirección de Parcesa. Por su parte, la Consejería ha destacado que "se ha cumplido toda la normativa vigente" para este tipo de casos.

Miguel Pajares había contraído la infección al estar en contacto con el director del Hospital de San José en Monrovia, el camerunés Patrick Nshamdze, que estaba infectado pese a que en un primer análisis dio negativo. La repatriación de Pajares generó polémica debido a que no estaba claro quién iba a pagar los gastos de repatriación, que podrían estar entre los 400.000 y los 500.000 euros.

EBOLA.

What is it?

Ebola is an acute viral infectious disease that causes hemorrhagic fever in humans and primates (monkeys, gorillas and chimpanzees).
The virus alters a cell type called "endothelial" lining the inner surface of blood vessels and of coagulation. When damage blood vessels platelets fail to coagulate, and patients succumb to hemorrhagic shock which results in a very severe loss of blood.

How is it transmitted?

The virus is transmitted to humans by wild animals and spread in human populations by direct contact with blood, body fluids (saliva, semen) or skin and tissue of infected persons or their bodies, and by contact with medical equipment contaminated, such as needles.

             What are your symptoms?

The first symptoms of this disease include sudden high fever, severe weakness and muscle pain, headache and sore throat, followed by vomiting, diarrhea, rash, impaired kidney and liver functions and intense internal and external bleeding.

             Is there a cure or a vaccine?

No, it does not yet have any specific treatment or vaccine, as there is no definitive vaccine to other better known as gripe- virus, although they are testing several experimental vaccines. In the United States are being addressed two cases of Ebola with an experimental drug that has been tested only in apes.

     What is the treatment to stop the disease?

Severe cases require intensive care Ebola about your symptoms and replacement therapy of organs may be affected (kidneys, liver). The patients are frequently dehydrated and needing intravenous rehydration or oral solutions containing electrolytes.

              Who is risk of infection?
Currently, it is considered that people at risk of Ebola hemorrhagic fever viruses are those who care for infected patients and workers who are in contact with infected primates of African origin.

 

EL ÉBOLA.

          ¿ Qué es ?

El ébola es una enfermedad infecciosa viral aguda que produce fiebre hemorrágica en humanos y primates (monos, gorilas y chimpancés).
El virus altera un tipo de células llamadas "endoteliales" que recubren la superficie interior de los vasos sanguíneos y la coagulación. Al dañar los vasos sanguíneos las plaquetas no son capaces de coagular, y los pacientes sucumben a un shock hemorrágico que deriva en una pérdida muy grave de sangre.

  ¿ Cómo se transmite ?

El virus es transmitido al ser humano por animales salvajes y se propaga en las poblaciones humanas por contacto directo con sangre, líquidos orgánicos (saliva, semen) o la piel y tejidos de las personas infectadas o sus cadáveres, y por el contacto con equipo médico contaminado, tales como agujas.

            ¿ Cuáles son sus síntomas ?

Los primeros síntomas de esta enfermedad son fiebre repentina y alta, debilidad intensa y dolor muscular, de cabeza y de garganta, seguidos de vómitos, diarreas, erupción cutánea, funciones renal y hepáticas alteradas e intensas hemorragias internas y externas.

       ¿ Existe una cura o una vacuna ?

No, no se cuenta todavía con ningún tratamiento ni vacuna específicos -como tampoco hay una vacuna definitiva para otros virus más conocidos como la gripe-, aunque se están poniendo a prueba varias vacunas experimentales. En Estados Unidos se están atendiendo dos casos de ébola con un medicamento experimental que sólo ha sido probado en simios.

     ¿ Cuál es el tratamiento para frenar la enfermedad ?

Los casos graves de ébola requieren cuidados intensivos sobre sus síntomas y un tratamiento sustitutivo de los órganos que se pueden ver afectados (riñones, hígado). Los enfermos suelen estar deshidratados y necesitar rehidratación por vía intravenosa u oral con soluciones que contengan electrólitos.

         ¿ Quién está riesgo de contagio ?

Actualmente, se considera que las personas en riesgo de contraer fiebre hemorrágica por virus del Ébola son aquellas que cuidan a los pacientes infectados, así como los trabajadores que se encuentran en contacto con primates infectados de origen africano.

PELITRIASIS VERSICOLOR.

                                WHAT IS IT ?
 
Tinea versicolor is a superficial infection of the skin caused by increased proliferation of the yeast Malassezzia furfur, a yeast which is part of the normal flora of the skin (skin is between 90 - 100% the population). For this reason it is not considered a contagious disease.

            HOW REPRESENT?
It is characterized by the appearance, especially during the fall or winter, a few macules (spots) irregular, tan or brownish color, with a thin peeling scratching ("sign uñada"), located in the neck, trunk and the proximal parts of extremities.
After sun exposure (summer) stains may become more visible and take a white colored (hypopigmented), contrasting with the surrounding skin (which is usually pigmented). The white patches are often the reason for consultation. They may be totally asymptomatic lesions or lead to itching of varying intensity.

                                         TREATMENTS

We can perform topical antifungal treatment between 2 and 4 weeks. Topical antifungals usually applied to all affected areas (in extensive cases may be from the neck to the pubic region). Can also be performed oral antifungal treatment, but usually reserved for cases with frequent recurrences, with lesions affecting a large area, or after failure of topical treatment.
  After treatment the white spots do not disappear (immediately) and can take months to fully disappear.

                            HOW TO EVOLVE?

It is a disease that has no cure, but because the responsible body belongs to our normal flora, recurrences can be observed in the same individual

 

PELITRIASIS VERSICOLOR.

                                              ¿ QUÉ ES ?
La pelitriasis versicolor es una infección superficial de la piel producida por una proliferación aumentada de un hongo denominado Malassezzia furfur, que es un levadura que forma parte de la flora habitual de la piel (se encuentra  en  la piel de entre el 90 – 100% de la población). Por este motivo no se considera una enfermedad contagiosa.

       ¿ CÓMO SE
   MANIFIESTA ?                                                                                   

Se caracteriza por la aparición, principalmente durante el otoño o invierno, de unas máculas (manchas) irregulares, de coloración canela o marronácea, con una fina descamación al rascado ("signo de la uñada"), localizadas en el cuello, tronco y en las zonas proximales de las extremidades.

Después de la exposición solar (en verano) las manchas pueden hacerse más visibles y adoptar un color blanco (hipopigmentadas), contrastando con la piel de alrededor (que se ha pigmentado normalmente). Las manchas blancas son, a menudo, el motivo de consulta. Pueden ser lesiones totalmente asintomáticas o dar lugar a un  picor de intensidad variable.

                                          TRATAMIENTOS

Podemos realizar tratamiento con antifúngicos tópicos entre 2 y 4 semanas. Los antifúngicos tópicos suelen aplicarse a todas las zonas afectas (que en casos extensos puede ser desde el cuello a la región púbica). También puede realizarse tratamiento antifúngico por vía oral, pero suele reservarse a casos con frecuentes  recidivas, con lesiones que afectan una gran extensión, o tras un fracaso del tratamiento tópico.

Después del tratamiento las manchas blancas no desaparecen (de forma inmediata) y pueden tardar meses en desaparecer totalmente.

 

                           ¿ CÓMO EVOLUCIONA?

 

Se trata de una enfermedad que tiene cura, pero debido a que el organismo responsable  pertenece a nuestra flora habitual, pueden observarse recurrencias en el mismo individuo .

HEADACHE

It is a pain or discomfort in the head , scalp or neck. Serious causes of headaches are rare. Most people with headaches can feel much better by making changes in your lifestyle , learning ways to relax , and sometimes by taking medications.

                                               CAUSES

The exchange of common head aches are probably caused by muscle tension in the shoulders , neck , scalp and jaw. This type of headache is called a tension headache.

• It may be related to stress , depression , anxiety , head injury or hold the head and neck in an abnormal position.• Tends to be on both sides of the head . It often starts in the back of his head and spread forward. The pain may feel dull or squeezing , like a tight band or vice . You may feel pain and stiffness in the shoulders , neck and jaw.A migraine involves severe pain that usually occurs with other symptoms such as vision changes , sensitivity to noise or light or náuseas.

Con a migraine :

• Pain may be throbbing, pounding, or pulsating . It tends to begin on one side of the head and can be spread to both sides .• You may have an " aura" , a group of warning symptoms that start before your headache. The pain usually gets worse as you try to move from one place to another.• Migraines can be triggered by foods such as chocolate, certain cheeses , and monosodium glutamate ( MSG). Caffeine withdrawal , lack of sleep and alcohol can also trigger them.The rebound headaches , headaches that keep coming back can occur due to excessive consumption of analgesics. For this reason, you can also get headaches from excessive consumption of drugs. People who take pain medications more than 3 days a week on a regular basis can develop this type of headache.Other types of headaches:

• Cluster headache : is a severe headache and extremely painful happens several times a day for months and then disappear for a similar period . The headache lasts less than an hour and tends to occur at the same times every day.• Sinus headaches cause pain in the front of the head and face. This type of headache is due to inflammation in the sinus passages behind the cheeks , nose and eyes. The pain is worse when you bend forward and when you wake up in the morning.• Headaches may occur if you have a cold, flu , fever, or premenstrual syndrome.• Headache due to a condition called temporal arteritis. It is the inflammation and swelling of an artery of the head area , temples and neck.Rarely, a headache can be a sign of a more serious cause such as:

• Bleeding in the area between the brain and the thin tissue that covers (subarachnoid hemorrhage)• Very high blood pressure• Brain infection like meningitis or encephalitis , or abscess• Accumulation of fluid inside the skull that leads to brain swelling ( hydrocephalus)• Accumulation of pressure inside the skull appears to be a tumor, but it is not ( brain tumor)• carbon monoxide poisoning• Lack of oxygen during sleep ( sleep apnea)• Problems with blood vessels and bleeding in the brain, such as arteriovenous malformation (AVM ) , cerebral aneurysm or stroke

                                         HOME CARE

There are steps you can take to manage headaches at home, especially migraines or tension headaches . Try to treat the symptoms immediately.When migraine symptoms begin :

• Drink water to avoid dehydration , especially if vomiting .• Rest in a quiet , dark room .• Place a cool cloth on your head.• Use any relaxation technique you have learned.A daily headaches can help you identify triggers. When a headache occurs, write down the following:

• The date and time of beginning .• What we ate in the last 24 hours.• The amount of time you slept the night before.• What you were doing and where it was just before the headache started .• How long the headache lasted , and what stopped him.Check your journal to your doctor to identify triggers or pattern of headaches . This can help you and your doctor to create a treatment plan . Knowing your triggers can help you avoid them.Your doctor may have already prescribed medications to treat your headache. If so , take the medicine according to the instructions.For tension headaches Try acetaminophen , acetylsalicylic acid ( aspirin ) or ibuprofen. Talk to your doctor if you are taking painkillers three or more days a week .

WHEN TO CONTACT A MEDICAL PROFESSIONAL

Some headaches can be a sign of a more serious disease. Seek medical attention immediately for any of the following:

• It is the first headache you have ever had in your life and it interferes with your daily activities .• The headache comes on suddenly and is explosive or violent.• Headache is "the worst ever " even if you regularly suffer .• Also presented slurred speech, change in vision, problems moving your arms or legs , loss of balance , confusion or memory loss with your headache .• The headache gets worse over a period of 24 hours.• fever, stiff neck , nausea and vomiting with your headache is also presented.• The headache occurs with a head injury.• The headache is severe and just in one eye with redness in that eye.• You have more than 50 years and the headaches just began .• Your headaches are associated with vision problems, pain when chewing or weight loss .• have a history of cancer and develop a new headache.

WHAT TO EXPECT AT THE DOCTOR'S OFFICE

The doctor will take a medical history and perform an examination of the head, eyes , ears , nose , throat , neck and nervous system .The doctor will ask many questions to learn about your
headache . Usually, the diagnosis is based on history of symptoms.
Some of the tests include:

• Blood tests and a lumbar puncture if you may have an infection .• CT or MRI of the head if you have any warning signs or have been having headaches for a while.• X-ray of the sinuses.• Magnetic resonance angiography or CT scan.