UDLA provides veterinary, medical, and emotional health telecare during the health emergency | Ecuador | News

A medical, veterinary and emotional health telecare service provides the University of the Americas from Monday to Friday during the health emergency.

The initiative, which started on April 8, comes after a joint effort between the Medicine, Veterinary and Psychology courses and the support of the company HighTelecom-Genesys.

Through a statement, the university indicated that this program seeks “to provide a safe space, so that the community has access to containment and basic services in health, emotional well-being and veterinary medicine.”

The attention is at national level and it is given from 10:00 to 22:00 by calling (02) 3981000 ext. 3340, there will be attended by one of the assigned volunteers.

In total 17 people provide veterinary medicine care, among student volunteers and four professionals from the UDLA Veterinary Clinic. In the Psychology area, there are 20 student volunteers who went to telecare in mental health. They are also supervised by a team of graduates and tutors (Psychology teachers).

In the medical service there are 32 student volunteers and 16 teaching doctors who support the students who receive the calls.

“The intention is to be able to provide adequate support with valuable information at present to prevent contagion in the community. A posteriori it is an opportunity for the academy to make a greater presence in society.”

Assistance will continue until the end of the emergency, but the university will analyze the welcome and impact of the initiative and could consider keeping it permanently. They also aspire to make an agreement with the UDLA Faculty of Engineering and Applied Sciences (FICA) to develop a mobile application that allows support during hours when the service is not provided. (I)

Health Minister sends a new message to citizens about “Corona”

07:17 PM

Saturday 25 April 2020

Books- Ahmad Juma:

Dr. Hala Zayed, Minister of Health and Population, said that the Ministry has received 3229 Egyptian citizens stranded abroad in a number of countries in the world after the decision to suspend flights, within the framework of the comprehensive state plan to face the repercussions of the crisis of the new Corona virus, and in line with health and precautionary measures related to entry through the country’s ports .

She explained in a statement today, Saturday, that 52 medical teams have examined and followed up the coming citizens and provided them with all medical and preventive services in their quarantine places, until the end of the 14-day quarantine period.

The Minister called on all citizens and owners of chronic diseases, especially the elderly and pregnant women, to adhere to social divergence, reduce contact and adhere to preventive measures, in addition to drinking a lot of fluids in the period between iftar and suhoor, and ensuring a healthy diet that strengthens the immune system.

She stressed that in case of any symptoms, the hot lines 105 and 15335 should be contacted immediately, or through the WhatsApp or the Ministry’s mobile application, or to go to the nearest fever hospital or issued to receive the medical service.

On the occasion of the anniversary of the liberation of Sinai, the Minister congratulated the Egyptian armed forces and the Egyptian people, wishing God Almighty to perpetuate the blessing of security, safety and health on Egypt.

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SARS-CoV-2 increases the risk of blood clots – naturopathy & naturopathy specialist portal

Relationship between COVID-19 and blood clots identified

Worldwide, COVID-19 is treated as a primary lung disease, but complications from blood clots are also repeatedly observed in people with COVID-19. This indicates that respiratory failure in COVID-19 is not solely due to the development of acute respiratory distress syndrome, but that microvascular thrombotic processes may play a role.

The University of Edinburgh’s recent investigation found that microvascular thrombotic processes appear to play an important role in the development of respiratory failure in COVID-19. The results of the study were published in the English-language journal “Radiology“Published.

Thrombotic complications in COVID-19 sufferers?

The study described the prevention, diagnosis and treatment of complications from blood clots in patients with COVID-19. Concerns about thrombotic complications have increased based on recent reports that show a strong association between elevated D-dimer levels and poor prognosis.

Is COVID-19 really a primary lung disease?

Worldwide, COVID-19 is treated as a primary lung disease. However, from analysis of all available current medical, laboratory chemical and imaging data on COVID-19, it became clear that the symptoms and diagnostic tests cannot be explained by impaired lung ventilation alone, the researchers report.

Respiratory insufficiency in COVID-19 is not solely due to acute respiratory distress syndrome

Recent observations suggest that respiratory failure in COVID-19 is not solely due to the development of acute respiratory distress syndrome, but that microvascular thrombotic processes may play a role. This can have important consequences for the diagnostic and therapeutic management of those affected. The research group explains that there is a close relationship between D-dimer values, the course of the disease and features of the chest CT that indicate venous thrombosis.

The prothrombotic and thrombotic state of COVID-19 must be considered

In addition, various studies in COVID-19 sufferers have shown a very strong association between increased D-dimer levels and a serious illness or poor prognosis. The researchers emphasize that careful attention needs to be paid to the initial diagnosis and treatment of the prothrombotic and thrombotic condition, which can occur in a significant percentage of those affected by COVID-19.

COVID-19 syndrome gradually affects all organs in the body

Imaging and pathological studies confirmed that COVID-19 syndrome is a thrombotic inflammatory process that initially affects lung perfusion, but affects all organs of the body in succession, the researchers report. Another study came to similar results and showed that the novel Coronavirus causes systemic vascular inflammation.

When is anticoagulant therapy appropriate?

This highly thrombotic syndrome leads to macrothrombosis and embolism. Therefore, strict thrombosis prophylaxis, adequate imaging monitoring with early anticoagulant therapy in the event of suspected venous thromboembolism are appropriate, the researchers advise.

What measures should be taken?

Recommendations for diagnostic and therapeutic management, which vary depending on the patient’s symptoms and risk profile, include prophylactic dose heparin, chest CT, pulmonary CT angiography, and routine D-dimer testing, the research group continues.

Connection between COVID-19 and pulmonary embolism?

Findings have also been made that more specifically relate COVID-19 to pulmonary embolism. When analyzing 106 pulmonary CT angiograms performed for COVID-19 patients over a one-month period in a tertiary care center in France, 32 patients (30 percent) had acute pulmonary embolism. This rate of pulmonary embolism is much higher than usual in critically ill patients without COVID-19 infection (1.3 percent) or in emergency room patients (three to ten percent).

COVID-19 is more than a lung infection

The researchers conclude that COVID-19 affects the vascular system of the lungs and other organs and is associated with a high risk of thrombosis with acute life-threatening events that require adequate treatment. (as)

Sources:

  • Matthijs Oudkerk, Harry R Büller, Dirkjan Kuijpers, Nick van Es, Sitse F Oudkerk et al .: Diagnosis, Prevention, and Treatment of Thromboembolic Complications in COVID-19: Report of the National Institute for Public Health of the Netherlands, in Radiology ( Published 23.03.2020), Radiology

Important NOTE:
This article contains general information only and should not be used for self-diagnosis or treatment. He can not substitute a visit at the doctor.

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Increase in serious side effects when testing for Covid-19 treatments

The drugs used for the Marseille IHU tests. (drawing) – GERARD JULIEN / AFP

Reports of adverse reactions related to treatments tested against Covid-19 have continued to increase in recent weeks, reaching more than 300 cases, announced the Medicines Agency (ANSM), which confirms in particular the “vigilance signal” concerning hydroxychloroquine. “As of April 22, 2020, 321 cases of adverse reactions have been reported in connection with a Covid-19 infection, of which 80% were serious,” said the National Security Agency of
drug, which announced a hundred cases on April 10.

In two-thirds of the cases (215 people), the pharmacovigilance was able to conclude that there was a probable link between the effect observed and the drug administered to the patient with Covid-19. Of these, more than half relate to patients with coronavirus treated with hydroxychloroquine (23%) or with this drug combined with the antibiotic azithromycin (31%), while 42% relate to Kaletra (an antiretroviral combining lopinavir and ritonavir).

Four deaths

The number of deaths observed in this context is still four, all related to hydroxychloroquine and occurring in hospitals. This drug, a derivative of the antimalarial chloroquine, is known to cause electrical abnormalities in the functioning of the heart in some patients, visible on the EKG, which can lead to heart rhythm disturbances or even death.

But it seems that “Covid patients are more fragile cardiovascular and therefore more likely than ordinary people to have problems with drugs that are harmful to the heart” such as hydroxychloroquine, explained the director general ANSM Dominique Martin in early April. The side effects linked to Kaletra are mainly damage to the liver, but also to the digestive system, heart and kidneys.

These reports of side effects do not reflect “the exhaustiveness of the number of cases actually occurred, and this in particular because of the very strong under-notification, but makes it possible to send signals in order to take risk reduction measures », Such as reserving hydroxychloroquine for hospital use, underlines the ANSM. For this reason, it is notably not possible to relate the number of side effects reported to the total number of patients treated to calculate a “risk rate” of each drug, insists the health agency.



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There is no evidence yet that corona patients are immune after recovery – The Daily Standard

The rumor had been around for a long time, numerous scientists warned us about it and are now underlined the WHO it again. There is no evidence yet that corona patients are immune after recovery, so the WHO warns countries not to use so-called “immunity passports” for the time being.


This is said by the WHO in response to a measure in Chile. As of next week, people who have been healed can walk freely on the street again – with a special document ‘the immunity passport’.

After all, it is not at all certain that if one has antibodies, one is also immune. People have been speculating about this for months, and now the WHO also endorses this. There is still too much unclear to start working with “immunity passports”.

“Before you come up with means such as an immunity passport, a lot of research is still needed into the build-up of immunity. You must be able to offer certainty and not false security. It is still unclear to what extent people build up immunity after a covid infection, especially if it has gone mildly. Just like the flu virus, the corona virus can adapt a little each time. If you contracted the coronavirus in China and fell ill, it cannot be ruled out that you get sick in Germany because of a slightly different variant. ”

More research will have to be done before countries start working with a system around ‘immunity passports’. It is hoped that Chile will also listen to the WHO message.

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Do supplements protect against viruses? – Naturopathy & naturopathic specialist portal

How supplements protect against COVID-19

Eating a healthy diet and taking certain supplements could be a safe and inexpensive way to help our immune system fight COVID-19 and other acute respiratory diseases. A recent study has examined the effect of various vitamins and micronutrients in protecting against viruses.

A study at Oregon State University found that supplements containing vitamins C and D and other micronutrients appear to be useful in helping the human body fight COVID-19 and other acute respiratory diseases. The results of the study were published in the English-language journal “Nutrients” released.

This is how we support our immune system in the fight against COVID-19

When people take vitamin C and D and other micronutrient supplements, it can help the immune system fight COVID-19 and other acute respiratory diseases. Therefore, in addition to the hygiene requirements and vaccination recommendations, clear nutritional recommendations should also be made in the healthcare system to counter the spread of infections, the researchers emphasize.

Healthy nutrition supports the immune system

Across the world, more than 2.5 million people die from acute respiratory infections each year. “There is now a wealth of data showing the role that healthy eating plays in supporting the immune system. As a society, we have to convey this message (…) better, ”says study author Professor Adrian Gombart from the Oregon State University College of Science in one Press release to the study results.

Which vitamins are particularly important?

Certain fatty acids, Vitamins and minerals play a key role in supporting the immune system. In particular, vitamin C, vitamin D, zinc and an omega-3 fatty acid found in fish, the so-called docosahexaenoic acid, also known as DHA, are of crucial importance for the immune function.

What do vitamins D and C do?

“The role that vitamins C and D play in immunity is particularly well known,” Professor Gombart continues. Vitamin C is involved in several aspects of immunity, including the growth and function of immune cells and antibody production. Vitamin D receptors on immune cells also influence their function. This means that vitamin D has a profound effect on your response to infections.

People often do not consume enough of the nutrients

“The problem is that people just don’t get enough of these nutrients. This could destroy their resistance to infection. As a result, we will see an increase in disease and all of the additional burdens associated with these diseases, ”added the study author.

Dosages need to be increased

That is why the researchers not only recommend a daily multivitamin, but also doses of 200 milligrams or more of vitamin C. This value is higher than in the diet guidelines, but is still rated as safe. The researchers also recommend taking 2,000 international vitamin D units.

Influenza kills hundreds of thousands of people every year

Taking supplements could make a big difference when it comes to protecting themselves from diseases, the researchers report. For example, millions of people are hospitalized every year due to influenza alone and several hundred thousand die worldwide.

Standard procedures to curb the spread of respiratory viruses

“To curb the spread and impact of respiratory viruses, a number of standard public health practices have been developed: washing your hands regularly, avoiding contact with people with symptoms of infection, and covering your nose and mouth to cough“Explains Professor Grombart. There are annual vaccination campaigns for certain viruses such as flu.

We need complementary strategies

Professor Gombart emphasizes that current public health practices such as contact restrictions, hygiene and vaccination are important and effective, but complementary strategies are needed. A nutritional focus on the immune system could help minimize the effects of many types of infections.

Are we just not doing enough?

“The current situation with COVID-19 and the number of people who die from other respiratory infections make it clear that we are not doing enough. We strongly encourage health authorities to include nutritional strategies in their arsenal, ”added the professor. (as)

Sources:

  • Philip C. Calder, Anitra C. Carr, Adrian F. Gombart, Manfred Eggersdorfer: Optimal Nutritional Status for a Well-Functioning Immune System Is an Important Factor to Protect against Viral Infections, in Nutrients (Published Apr 23, 2020), Nutrients
  • Dietary supplements an important weapon for fighting off COVID-19, other respiratory conditions, Oregon State University (Published Apr 23, 2020), Oregon State University

Important NOTE:
This article contains general information only and should not be used for self-diagnosis or treatment. He can not substitute a visit at the doctor.

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Virologist Drosten: Why many are still infected with corona

Contact restrictions have applied in Germany since March 23. Virologist Drosten explains why the measures were effective. Image: imago images / photothek

Lockdown senseless? This is how virologist Drosten rebukes his critics

The corona pandemic will not be stopped so easily. That is why it is now Germany’s declared goal to at least flatten the pandemic wave. In order to understand the flattening, experts calculate the number R: This is the infection rate and describes how many people are infected with a corona infected on average. At the moment the number in Germany is 0.9, which means that not everyone who carries the coronavirus is infecting someone else on average.

According to the Robert Koch Institute the number had already dropped in early March, before the lockdown on March 23. According to this, there was possibly no longer any exponential growth of the newly infected at this point. Therefore critical voices are increasing: The lockdown in Germany was unnecessary.

This graphic shows the course of the infection rate:

source: robert-koch-institut

Other critics say the lockdown is ineffective: After all, over 2,000 people are still infected with the corona virus every day.

In his NDR podcast “Corona virus update“Virologist Christian Drosten from the Charité in Berlin sheds light on the dark theories about the supposedly unnecessary or ineffective lockdown and explains exactly what the infection rate is all about. In his opinion, there are four reasons why the number R has decreased since the beginning of March, before the lockdown:

People took action before they were ordered

According to the virologist, mobility data from mobile operators can be used to understand “that mobility will be greatly reduced in the whole of Germany as early as the week from March 9”. Drosten remembers:

At this point, the outbreak in Heinsberg became known, and recordings of catastrophic situations from Italy went through the media. The virologist suspects:

There has been a lot of public discussion about how we should proceed in the Corona crisis. According to Drosten, it is not true that the first social changes did not come until March 23.

The measures show their effects gradually and with a time delay

According to Drosten, the gradual introduction of measures has led to a gradual reduction in the number of infections. First, major events were banned, then the schools were closed – however, the level of infection in the household continued.

But since we can see that the number of new infections fell in early April and again in mid-April, in several stages, it is clear: The lockdown shows positive effects – albeit with a slight delay.

The measures could not be implemented in all social groups

The fact that there are still new infections with the corona virus is not because the population has not followed the measures consistently enough or because the lockdown is ineffective. But because the virus has now broken out in closed parts of society, for example in nursing homes or in hospitals. According to Drosten, these are …

“(…) special situations, where you basically have a situation almost like in a household, but much larger. And where these contact measures simply couldn’t work.”

This means that the virus could continue to spread to new people, but not in the general population. The measures were able to reduce the mass of infections. Nevertheless, there were people who were still exposed to contagion because the ban on contact and distance rules could not be implemented for them.

Test capacities have been increased since March

From mid-February to mid-March, the laboratories made a huge leap in terms of diagnosing the coronavirus, says Drosten. “There were 87,000 tests done each week starting March 2nd,” says the virologist. A week later there were already 127,000, another week later 348,000. “This is of course an extreme increase,” says Drosten.

Against this background, the expert explains that R depends not only on the number of newly reported cases that have been tested positive using the PCR tests, but also on the test capacities.

“That means we had two effects that occurred at the same time: namely the increase in the possibilities to recognize this at all, and then the real increase (of new infections).”

Drosten therefore has strong suspicions: Before, we had two increases in parallel, namely that of the newly infected and that of the test capacities. As a result, we had a sharp increase in the number of cases reported. Test capacities are now stagnating, they are not increasing. The fact that the number of reported cases no longer increases can also be due to the fact that we simply cannot test more people.

The conclusion regarding the number R is: It cannot really be calculated exactly because we cannot know what the real number of infected people is. It could also be a statistical bias that the infection rate has decreased.

The criticism that the lockdown would be unnecessary or ineffective is not justified

According to Drosten, the researchers will carry out further calculations on the number R in order to investigate the situation more closely and to avoid distortions. Nevertheless, the virologist says: The effects he mentioned could be held against the assumption that the lockdown would have brought nothing.

Drosten also talks to the NDR in his podcast about a possible vaccine from China and the role of T cells in immunity. You can find the whole podcast here.

(ak)

Highly functional depression: When nobody realizes how sick you really are

Liliana Kröger (name changed by the editors), 34, suffers from a so-called atypical depression: Although she is successful in her job and copes well with her everyday life, she is depressed. Your form of depression is sometimes called “highly functional depression”. Liliana’s condition was not diagnosed for years – partly because she didn’t dare to go to the doctor because she didn’t feel “sick enough”. This is how a person feels when he or she masters their everyday life – and tr

I wake up this morning and it is already bright, but the sun is not shining. At least that’s how it feels.

I press the snooze button on my alarm clock, just ten more minutes. I felt like I was wheeled, wondering how to get out of bed. The last night I slept badly again, the world went under in a dream. I often dream that when I’m not feeling well.

I torture myself out of bed, get dressed, read the message from a friend who saw me tonight …

Link to the article

Corona virus: how does online pandemic dating work?

WORLD: Dating apps like Tinder and Bumble, but also partner exchanges like ElitePartner, have seen significantly increased activity since the beginning of the Corona crisis. There are 20 percent more chats worldwide on Tinder, which are also significantly longer. Bumble reports around 70 percent more video calls in March. Apps are the new way out – and virus-free as long as you stay good.

Johanna Degen: The corona crisis shows that a pandemic does not mean that you have to delete dating apps, on the contrary. If Tinder were just an app for sex, there wouldn’t be that many there now. This is now proving – contrary to many prejudices. Even before Covid-19, psychological research showed that Tinder users have complex, often deep motives, wishes and hopes. This is now confirmed, physical meetings are not possible, but online dating is booming, or rather “chat dating”. There are very different motives and causes: Environmental fear, loneliness, boredom and reflections: How do I want to live when the going gets tough, and with whom? When too high demands prevent love

WORLD: Tinder regularly sends WHO warnings to its users. In addition to advice such as “Stay home” and “Be safe”, emoticons such as the hand-washing emoji or sexting symbols such as eggplants and peaches are also sent. And since the pandemic started, users have sent almost four times as many “Dick Pics”. What role does the virus currently play on Tinder – and which is flirting?

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Doctor Coen Feron (28) himself ended up on the IC with corona | 1Limburg

While Coen Feron, as an anesthesiologist in training, was busy rescuing corona patients in Maastricht UMC, he turned out to be infected. The 28-year-old doctor even ended up on the ICU where he had to be given artificial respiration.

His biggest fear was getting the ventilator. But he now knows that the impact after leaving intensive care is also very great, he says de Volkskrant.

‘Do not overreact’
On March 24 things went wrong and Coen Ferron ended up in the hospital where he normally works. At first he thought it would be over soon. “I thought: don’t you like Coen, are you hyperventilating?”

But when he recognized his own colleagues from the intensive care unit and the Emergency Room, the seriousness of the situation came to him.

To the ventilator
His colleagues wanted to put him on a ventilator immediately. “Baloney,” he said to them. “Not going to happen.” But by midnight it still had to happen. Everything in him screamed that he did not want this, he says in the newspaper. He was terrified.

For days, Coen Feron was kept asleep on the IC. He even had to be tied up because he was so restless.

Panic attacks
Finally he comes through; he may be released from ventilation and leave intensive care. But the impact of this drama is huge. Feron suffers from panic attacks. They just flood him out of nowhere. “I would prefer to run hard now,” he says in de Volkskrant. “and get to work as soon as possible. But I know I’ll walk into a wall.”

Physically he is far from the old one. But a lot has also changed mentally. He thought that patients were through the hardest once they got out of the ICU, but now he knows they have a long way to go.

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