Important for Diabetes, This Food Reduces Blood Sugar Levels

Harianjogja.com, JAKARTA – Diabetics must eat foods that have low sugar levels to reduce blood sugar levels.

Reporting from Insider, Monday (10/8/2020), for example, consuming carbohydrates, fiber-rich foods, and other low-fat foods will help you lower blood sugar levels. However, enjoying carbohydrate foods which have a high sugar composition will also make it difficult for you to control diabetes.

According to dr. Deena Adimoolam, an Assistant Professor of Medicine, Endocrine, Diabetes and Bone Diseases at the Icahn School of Medicine, on Mount Sinai, states that there are several types of foods that are best for lowering blood sugar levels and controlling them.

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First, you must first identify the glucose index in food which will greatly help you in compiling a diet plan and reducing diabetes.

This is because the glucose index shows the level of carbohydrates by showing how quickly and how high the food raises your blood sugar on a scale of 1-100.

Foods with a low glucose index are usually rich in fiber, vitamins and minerals. This is because it is high in fiber, making food easier to digest by the intestines and gradually affecting blood sugar levels. People who suffer from diabetes, should eat this low sugar food.

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For example, foods that are low in sugar are pistachios, carrots, and bananas. While foods with high sugar numbers are white rice, bread, and potatoes.

If you have diabetes, it is also important that you keep a good record of the types of food and carbohydrates you consume. If you consume excess carbohydrates, it will immediately increase the level of sugar in the blood. But if you don’t have diabetes, enjoying foods from the high glucose index group can also increase your risk of stage II diabetes, obesity, and heart attacks.

Here are some foods on the low glucose index list;

1. Wheat

Enjoying whole grains, such as brown rice, will have a lower impact on your blood sugar levels. Moreover, according to dr. Adimoolam, this food is easier to digest because it is rich in fiber.

Based on the study of hormones and body metabolism in 2007, eating foods rich in fiber more than 30 grams per day can reduce the risk of diabetes.

2. Vegetables and fruits

Vegetables and fruit are two examples of foods with good carbohydrates that are high in fiber. For diabetics, doctors recommend eating five servings of two servings of fruit and three servings of vegetables to reduce blood sugar levels. You also need to consult a doctor to compile your meal plan according to your energy needs.

The fruits are also useful for smoothing the skin. According to dr. Adimoolam, the fiber contained can regulate blood sugar levels. Of all the nutrient-rich fruits, dried fruit and foam juices have many effects on sugar. If possible you can choose real fruit, fresh or chilled.

Adimoolam also added, that vegetables are good for diabetics such as potatoes as long as you enjoy them according to the portion.

3. Oatmeal

For diabetics, oatmeal is a food on the low glucose index list with high fiber. In a 2015 study, it was stated that enjoying 3 grams of oatmeal alone can be a real fiber solution in the body. These foods control the potential for stage 2 diabetes because they are able to control insulin.

You also need to ensure that the oatmeal is well managed, so that it is properly absorbed in the blood. Try not to add sugar in the oatmeal blend, or other carbohydrates.

4. Nuts

Nuts are a low-sugar food, rich in fiber, and a great source of calories. Nuts are also rich in vitamins such as vitamin E, omega 3 and magnesium which contribute to helping the diet. In a 2011 study published in the Journal of the American College of Nutrition, eating a quarter of nuts per liver can reduce the risk of diabetes.

5. Garlic

There is a lot of evidence that garlic helps control blood sugar levels by increasing insulin in the body. This is because a number of components in garlic can increase insulin sensitivity.

In a study from Food and Nutrition Research in 2017, consuming 0.05 to 1.5 grams of garlic can reduce blood sugar levels, especially the potential for stage II diabetes. Try to always add onions to your cooking. You also need to consult a doctor if you want to consume garlic, because these foods can trigger gas, bad breath, and heartburn if consumed in excess.

If you have acute diabetes, you should consult your doctor first, what kind of diet is right for you.

Source: Bisnis.com

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very cheap and long-known drugs help save the lungs with coronavirus

Cloving hospital on the basis of the Medical Scientific and Educational Center (ISSC) Moscow State University named after M.V.Lomonosov took the first patients on April 21 and completed his work on June 13. It turned out that it was possible to achieve the best treatment results for COVID-19 in Moscow. Over the entire period, 4 patients died, and among severe patients who got mechanical ventilation, the mortality rate was less than 14% (for comparison, the average for the city and the world was up to 70 – 80%). Eighteen doctors out of 220 employees of the hospital were infected with coronavirus, there were no deaths among the medical staff.

What approaches were used at the University Hospital of Moscow State University to achieve such results? We continue the conversation with the head. Department of Therapy, Faculty of Fundamental Medicine, Moscow State University, Head of the Department of Age-Associated Diseases, Medical Scientific and Educational Center, Doctor of Medical Sciences, Cardiologist Yana Orlova.

MEDICINE FOR COUGH FOR 80 RUBLES

– Most of those who are ill or are afraid to get sick are worried about fibrotic changes in their lungs. They say that you have developed special therapy that can reduce the risk of developing fibrosis. Is it possible?!

– Yes, we launched an appropriate clinical study. There are no final results yet, but we have developed clinical practice.

“What did you do to save the lungs?”

– We used a combination of bromhexine and spironolactone (both are long-known very cheap drugs. – Ed.). Bromhexine is an expectorant that has been prescribed to patients with pneumonia and cough for many years. At the same time, experimental data showed that this drug can block a specific enzyme and impede the penetration of coronavirus into cells. True, it was on this effect that we counted to a lesser extent in inpatients, since such an effect is important mainly in the early stages of the disease. But the expectorant effect of bromhexine really helps patients with COVID. I heard that our colleagues in Peter launched a study of bromhexine for prophylactic purposes. We will wait for the results.

Coronavirus infected 18 doctors from 220 employees of the hospital, there were no deaths among the medical staffPhoto: Ivan MAKEEV

FIBROSIS OBSTACLE

– The second drug – spironolactone – is traditionally widely used in cardiology for the treatment of heart failure, severe hypertension. It has a small diuretic, magnesium and potassium-preserving effect, continues Yana. Orlova. – It has several mechanisms through which it can be useful in coronavirus infection.

Firstly, a mechanism that prevents the development of fibrosis in general in the body. There are works that, in particular, show that spironolactone reduces fibrosis in the heart. At the same time, it is known that the tendency to fibrosis is not local, but systemic – where there is more inflammation, there will certainly be fibrosis. And we see, of course, fibrotic changes in the “covide” in our patients. Therefore, we prescribed spironolactone as a drug for the prevention of this process.

Secondly, this drug blocks sex hormone receptors, in particular testosterone. Some published studies suggest that “high-testosterone” men suffer from “covid” more often and develop more severe fibrotic changes. Therefore, blocking these receptors for several weeks during COVID treatment may be useful in reducing the severity of complications. We are not talking about a longer intake, since male patients are unlikely to agree with a decrease in testosterone levels in the long term.

And perhaps the most important point. In almost all of our patients, we observed hypokalemia (a decrease in potassium levels. – Ed.). With coronavirus infection, potassium is intensely excreted from the body, and scientific articles even suggest that hypokalemia serves as the trigger for a cytokine storm. So spironolactone has a real chance to reduce the risk of this dangerous complication. But the main thing, in my opinion, is that lowering the level of potassium in the body is extremely harmful to the heart and triggers life-threatening rhythm disturbances, increasing the risk of sudden death. We, like all others, replenished potassium with droppers, but it was more effective to retain it in the body with the help of spironolactone.


Men certainly get worse than women;  the elderly are heavier than the young;  overweight people are heavier than patients without excess weight Photo: Ivan MAKEEV

Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patientsPhoto: Ivan MAKEEV

WHEN PRESCRIBED PATIENTS

– Yana Arturovna, how many patients did you have on average?

– About 10 – 14 days. But someone and 50 days.

– Have you noticed signs by which it can be assumed that the disease in the person brought is likely to go the hard way?

– Such studies were carried out in the world, our clinical practice confirmed them. Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patients. Men with a classic male type of baldness, a lot of facial hair, we can say brutal men get sick harder.

– Under what conditions did you discharge patients?

– We acted as close as possible to the recommendations Ministry of Health: so that the temperature for three days was not higher than 37.5 degrees; so that C-reactive protein (an indicator of inflammation) is lower than 10 mg / l, and saturation, that is, the level of oxygen in the blood, is higher than 96%.

“HEAD OF EPIDEMIOLOGY DEPARTMENT OF ITSELF WORKED AT SANPROPUSNIK”

– How often do you get sick doctors and nurses?

– In the first month no one got sick at all. We have a very powerful epidemiological service. The head of the sanitary-epidemiological department, a senior researcher, correctly organized the whole process, and for the first two weeks she personally worked in the sanitary inspection room at the exit from the “red zone” and helped doctors and nurses who were exhausted after the shift safely remove protective clothing.

Then both people’s fatigue and viral load accumulated. By the middle of the second month, sick people began to appear. There were no seriously ill patients. We treated part of the staff in our observation, part of it was treated at home. In total, 18 people were infected from the medical staff (less than 10%).

– Doctors take something for prevention? Vitamins C, D, Zinc?

– I saw the recommendations of American nutritionists, they speak out positively about taking zinc, melatonin and vitamin C. There were somewhat conflicting data on vitamin D. But we did not give any such recommendations to our employees. We have all the prevention was associated with minimizing contacts and other measures of epidemiological safety.

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experts explain why obesity “helps” coronavirus

– Has long been known that overweight people have lowered immunity, says head of the Department of endocrinology of the medical faculty Russian national research medical University. N. And. Pirogov Tatiana Demidova. Research and practice show that in these patients increases the risk of atherosclerosis sharply increases the risk of heart attacks, strokes and heart failure. Increased risk of endocrinological, oncological diseases, joint diseases, psychological disorders.

Epidemic COVID has added another item to the list of high threats to people who are overweight. It turned out that when infected with coronavirus patients with obesity more often require hospitalization, fall into the ICU, on the ventilator (artificial lung ventilation). Alas, is growing and the risk of death.

– If the original messages from China on the most severe cases COVID it was mainly about the older people with severe chronic diseases, according to the latest data from Europe and USA the risk group includes people with obesity – says Tatiana Demidova.

FACTS AND FIGURES

In what diseases most often develop complications due to coronavirus

90% of patients admitted with severe COVID-19 US hospitals, were the following comorbidities:

– hypertension — 49.7%,and

– obesity or 48.3%,

– chronic lung disease — 34,6%,

– diabetes type 2 diabetes was 28.3%,

– cardiovascular disease — 27,8%.

Thus, obesity is second among the States in which CouId be severe.

CORONAVIRUS, INFLUENZA, AND HIV, “LIKE” ADIPOSE TISSUE

Visceral adipose tissue, that is, one that is in the abdomen, is, in fact, highly individual body, experts explain. This body affects the immune, endocrine system and metabolism in the body as a whole.

– People who are overweight fat cells are much larger. So, is synthesized in much more of various hormones and inflammatory cells. Among them, including interleukin-6, interleukin-1, tumor necrosis factor, and others, – says Tatiana Demidova. Often in the body, there is a creeping inflammation.

At the same time observed that many viral infections and especially COVID-19 amplify the effects cytokines and lead to the extension of the generalization of inflammation. “It was proved that adipose tissue serves as a reservoir for some viruses, such as influenza, HIV and cytomegalovirus. Also, according to the latest data, it can be activated and coronavirus,” adds Demidov.

INSULATION NEEDS TO BE LONGER?

Studies have shown one more feature of coronavirus. As it turned out, he is able to spread rapidly in adipose tissue surrounding internal organs – lungs, liver, kidneys, heart, etc. because Of this, developing severe damage to these vital organs and people with excess weight, excess amount of adipose tissue increases the risk of death from multiple organ failure.

There is evidence that such patients are also unable to stay longer carriers of the virus, require longer hospital stay and isolation, said Tatyana Demidova.

AFTER INFECTION — DIABETES

There is evidence and that not less than one-third of patients hospitalized with COVID-19 in China, European countries and the United States, the infection resulted in damage of the pancreas. This was confirmed by elevated enzymes amylase and lipase, and glucose levels in the blood plasma.

– This is a very disturbing circumstance. Since we talking about high risk of developing diabetes type 2 diabetes in people with the original obesity after recovery from infection, says Dr. Demidov.

It is not excluded that after the break the pace of the epidemic COVID, we will see a worldwide surge in the incidence of diabetes, experts say.

So now, when the opportunity walks, sports, seasonal ripe fruits and vegetables rich in fiber, doctors suggest the obese individuals to exert their maximum effort for getting rid of really dangerous extra pounds.

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A geneticist told the influence of blood group on the severity of COVID-19. Reedus

Scientists worldwide are trying to figure out why some people carry the coronavirus is extremely easy and virtually asymptomatic, while others require a ventilator and antibiotics. It is not always the outcome of disease is influenced by age and comorbidities.

“Ridus” talked with an expert in the field of genetics — a member of the Institute of General genetics RAS, doctor of biological Sciences Ilya A. Zakharov-Gezekhus and found, can blood type or genetics influence the severity of COVID-19.


Correlation between blood group and different diseases are trying to find from the beginning of the century, but until the scientific community there is no evidence that they are somehow connected. With the coronavirus while the same story. It is unlikely that for COVID-19 as dependent on blood group, then, most of all, it’s in the genetic factors that have not been revealed. And it is very interesting, because how many cases in same family someone difficult to tolerate coronavirus, and someone didn’t catch it. Blood had nothing to do, we must look for the answer to the question in the genes explained, “Reedus,” the geneticist.

Some scientists still find differences in the course of the disease in people with different blood groups. So, in a study published recently in the New England journal of Medicine, said that people with the second group of blood A (II) — had a 45% higher risk of infection by the coronavirus and the development of breathing problems compared with carriers of other blood groups.

Conversely, people with the first group of blood 0 (I) — the risk of Contracting coronavirus was 35% lower. The authors of the study say it is unclear why blood group can affect susceptibility to serious diseases.

Maybe it is just a coincidence, because the study involved only 1600 patients with COVID-19 from Italy and Spain, as well as more than 2,200 healthy people in the control group. To date, there is no clear reason to believe that blood type somehow affect the course of any coronavirus and other viral diseases.

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Coronavirus. “Blood group 0 more protected from the contagion”. Who is most at risk among A, B, and AB

To have a certain blood group can protect you from the new coronavirus. These are the preliminary results of a new study. The researchers of the genetic testing company 23andMe have discovered that people with blood type 0 had a probability of up to 18% in less than be positive Covid-19. In addition, those who had the blood group 0 and were exposed, had up to 26% less likely to contract the coronavirus.


The team says this indicates a link between the genes that have determined the blood group and the virus. The new study has found that people with blood type 0 were between 9% and 18% less likely than those with other blood groups to be positive for the coronavirus.

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For the study, the team recruited more than 750,000 participants, of whom 10,000 are reported to have COVID-19.
About 1.3 percent of the participants in the research on 23andMe with blood type 0 to be positive for COVID-19.
In comparison, 1.4 percent of those with type A blood, and 1.5 percent of people with blood type B or type AB have confirmed the virus.

People with blood type 0 that they had been exposed to the virus, including health care workers on the front line, had between 13 and 26 percent less likely to be positive. Among those exposed, 3.2% with blood type 0 positive, compared to 3.9% of people with blood type A, 4% with blood type B, and 4.1% with blood type AB.

The results , which still need to be subjected to peer review or published in a medical journal, have been maintained, adjusted for factors such as age, sex, body mass index and health conditions of the underlying. Researchers have identified a variant of the gene ABO, the responsible of the different blood groups, which was associated with a lower risk.

“The study and recruitment are in progress, with the hope that we can use our research platform to better understand the differences in the way in which people respond to the virus,” reads a statement on the blog of 23andMe. “Ultimately, we hope to publish our research results in order to provide more information about COVID-19 for the scientific community”.

But this is not the only study that has found that some blood groups can offer protective benefits, says the Dailymail. A search for march published by the China has discovered that people in blood group A had a greater risk of contracting COVID-19 compared to the people in the blood group is not A. Comparatively, those in blood group 0 had a lower risk of contracting the infection compared to people with blood group non-0. Similar conclusions of a group of researchers from italy and spain that has found a higher risk of the disease among the people-positive, and a protective effect for people with blood group 0.

Another , of the Columbia University Irving Medical Center of New York City, has discovered that people with blood A-positive and-negative were 33% more likely to be positive compared to other blood groups. In the meantime, both of blood group 0-negative to 0-positive were less likely to get sick of coronaviruses compared to other blood groups.

Last updated: 13:31

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it affects not only the lungs, but the whole body

The first 10 days after the onset of symptoms of the disease, the 38-year-old American was feeling quite well. He was not at risk; he had no chronic diseases.

– The man was examined, the disease was mild. The patient had a slight cough. Therefore, he was sent home for treatment, ”says the head of the Department of Vascular Surgery at Westchester Medical Center Sean Wengerter.

And then the incredible happened.

One morning, a man woke up with icy and numb legs. The body was constrained by terrible weakness; there was not even the strength to get out of bed.

The examination showed that the patient had aortic occlusion – a large blood clot formed in the main artery at the place where the artery diverged in two directions – to the right and left leg. Because of this clot, blood enriched with oxygen did not enter the iliac arteries.

“This is extremely dangerous.” From this can die from 20% to 50% of patients, – notes Vangerter. – But such things are not typical for 38-year-olds.

An emergency operation to remove a blood clot could save the patient’s life. But doctors working with patients with COVID-19 are everywhere faced with rather strange and frightening phenomena in infected patients. For example, the formation of blood clots (actually blood clots) of various sizes throughout the body, renal failure, inflammation of the heart muscle and malfunctions of the immune system.

“Coronavirus occurs in each patient in its own way,” notes Scott Brackenridge, associate professor of emergency surgery at the College of Medicine at the University of Florida. – In some cases, the patient has a problem with breathing, in others, the internal organs begin to fail. In children, the immune system as a whole begins to rebel.

Coronavirus is not just a respiratory diseasePhoto: Ivan MAKEEV

MYSTERIOUS STROKES

A new type of coronavirus is considered to be a respiratory virus, although it is already becoming obvious – the infection affects the entire human body. The most common symptoms are fever, pneumonia, and acute respiratory distress syndrome.

In this case, the virus attacks some organs directly. First of all, the mucous membrane of blood vessels, which entails unnatural coagulation of blood.

– COVID-19 provokes a local inflammatory reaction that leads to the formation of blood clots, – explains Wengerter. – This is due to the direct effect of the virus on the arteries.

A number of doctors recorded strokes in young patients with coronavirus, as well as the formation of blood clots in the lungs. Blood clots were found even in the smallest vessels.

“Since each organ feeds on blood vessels, and the virus attacks them first and foremost, we end up with damage to internal organs,” adds Dr. Scott Brackenridge.

Another serious symptom that is observed in some patients who become ill with the new coronavirus is the “co-fingers.” The infected toes swell, becoming red or purple. It is possible that the reason for this is blockage of blood vessels. But doctors say that usually this does not have serious consequences.

Kawasaki Syndrome

One of the most alarming reactions to COVID-19 is observed in children. It has already been named as a children’s multisystem inflammatory syndrome. In newYork Doctors have identified more than 100 cases.

This syndrome is characterized by a rather long fever, inflammatory process, malfunction of one or more internal organs, as well as the general condition, which is usually observed with shock. Pediatricians also compare these symptoms with the syndrome. Kawasaki.

Kawasaki syndrome is a rare disease that affects children aged 3 to 10 years. It is characterized by damage to the medium and small arteries, thrombosis, the formation of aneurysms and rupture of the vascular wall. Cases of infection are rare. However, recently, doctors have noted an increase in the number of patients with this syndrome.

Both childhood multisystem inflammatory syndrome and Kawasaki syndrome lead to an overly aggressive immune system response to coronavirus. This may be accompanied by inflammation of the blood vessels and heart muscle.

KILLER CELLS

However, scientists note that coronavirus is not able to cause a strong immune response, but, on the contrary, suppress the entire immune system. And this can allow the infection to freely attack the internal organs.

Partly this theory was confirmed by Chinese experts, led by Dr. Zhang Zhang. Scientists analyzed samples of immune cells taken from the lungs of 9 patients infected with coronavirus. The results of the study showed an abnormally high level of leukocytes – macrophages and neutrophils responsible for the destruction of harmful pathogen – in severe patients. At the same time, these patients had a rather low level of CD8 T cells, which are called killer cells. They are responsible for killing virus-infected cells.

But doctors are reassuring, noting that they have drugs that can thin the blood, and also help the work of white blood cells that resist infection.

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Virus, “mortality lower than seasonal flu”. Study on blood tests in Japan

The figure, in terms of the fight against coronavirus, is surprisingly encouraging: the actual mortality of Covid-19 would be 00:01%, even lower than that of milder seasonal flu, but the Japanese researchers themselves put their hands forward by calling for caution. Moreover, since the outbreak of the pandemic, experts have been divided on the criteria for assessing the mortality of the virus and on the comparison with the effects of the flu waves that affect the world every year with more or less dangerous consequences. Not to mention the non-homogeneous way of calculating mortality in the world.

IN DEPTH

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The research comes from City Medical Center Hospital of Kobe, city of 1.5 million inhabitants west of Osaka on the east coast of Japan. A city that in normal times is a destination for a strong tourist flow, also international, all year round.

The doctors of the hospital, which boasts a university and solid international collaborations, carried out tests on the blood of a thousand people (a significant sample) who entered the hospital for reasons other than the coronavirus epidemic, which in the country, however, triggered measures much less severe containment than in Italy.

Well, as reported by NHK-World Japan, the analyzes revealed that 3.3% of the people (33) who attended the hospital’s surgeries in March and in the first part of April showed traces of Covid-19 antibodies. . If projected on the population of the city – explain the doctors – these data may suggest that at least 50 thousand inhabitants of Kobe have been infected. Many more than those currently known.

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The director of the hospital, Kihara Yasuki, said that it is indeed possible that many more people than expected were infected with the virus without suffering the consequences and are now carrying antibodies.

A circumstance that could suggest a mortality of 0.01% (one death per 10 thousand patients) for the coronavirus, thus demoted, in terms of danger, to less than a normal flu. A scenario that in turn could guide governments in choosing the virus containment measures in order not to cause further slowdowns to the economy. Heavy topic everywhere, starting right from Japan, for example, forced to postpone the Olympics.

At this point, however, the doctors of the Japanese hospital invite caution in evaluating the results of their research: they remember that the accuracy of the tests and the fact that their sample is made up only of people who have attended the surgeries of their Hospital. This figure on the alleged low mortality of Covid-19 arriving from Kobe must now be accompanied by the results of other research carried out in Japan.

And Professor Katsuda Yoshiaki of the Kansai University of Social Welfare recommends respecting social distancing and staying at home because infected people could be many more than those officially known.

Last updated: 16:10

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Does the coronavirus actually attack the blood?

According to a widely circulated study, viral proteins attack hemoglobin. What credit should be given to this hypothesis?

The coronavirus has a very real, at least indirect, effect on the blood.
The coronavirus has a very real, at least indirect, effect on the blood. AFP

THE QUESTION. April 13, the venerable Edgar Morin publishes this statement on Twitter: “A new study by Pr Wenzhong Liu and Hualan Li shows that the Coronavirus attacks not the respiratory system, but the blood system. The ability of red blood cells to carry oxygen would be affected by blocking the metabolism of heme which captures oxygen” What is it exactly?

CHECK. Edgar Morin is far from being the first to report on this study entitled in all sobriety “COVID-19: Attacks the 1-Beta Chain of Hemoglobin and Captures the Porphyrin to Inhibit Human Heme Metabolism” This was published on April 6 on the online prepublication site ChemRxiv. As the name suggests, it is a chemistry platform for “preprints”, articles which have not yet been reviewed before publication in a scientific journal. It is therefore a very fundamental work, presented as such by its authors, and which has not

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This is the process of plasma transfusion to a patient with COVID-19 in San Juan

Dr. Muguette Isona, along with Dr. Alex Cruz, explained the plasma transfusion process for a COVID-19 positive patient on Friday.

“The plasma process, the plasma transfusion that began in the Municipality of San Juan is a process that began several weeks ago, approximately a month, when we diagnosed the first positive patient. Thereafter, we begin to track these patients daily. Most of these patients were made using a servi-car, others were made at the Municipal Hospital (in San Juan), ”explained Dr. Isona in an interview with journalists.

“The donor on this occasion, which was the first, is registered with the CDT servicarro of the Municipality of San Juan. We took that positive sample and from then on, we began to track both the patient and her family, as well as her close relatives. And from there we started doing the repeated samples to see when the patient was going to be negative, “he added.

“Once the patient tested negative, our plasma team was approached, we have a separate team that is working on what is a plasma transfusion and by accepting the part of the transfusion, the whole process began there,” abounded.

He mentioned that the donation was on Wednesday of this week and today he could perform the transfusion to another patient.

Dr. Alexis Cruz, hematologist, oncologist and specialist in Marrow Transplantation, explained that after the possible donor is identified by the staff who are working with the samples, “we take on the task of contacting that donor and verifying if you really are a candidate for plasma donation. For that the donor has to have a positive test, he has to show that he is symptom-free for 14 days, that is very important, and he has to have a negative test also with the criteria of more than 18 years ”.

“After confirming that this donor is a candidate, this is an experimental treatment that is done through a protocol, what we did was that we enrolled the institution in a protocol that exists at the national level of all the hospitals in the United States. United with the Mayo Clinic institution. Once the institution is registered, the patient was contacted and directed to the Blood Bank last Wednesday, the patient made her plasma donation and the plasma that we are using today was collected for the patient who is hospitalized here, “he added. the doctor.

Plasma is the liquid part of the blood that contains proteins and antibodies that are responsible for fighting infection.

“In this case, if we acquire plasma from a patient who had an infection with COVID, it is the same plasma that was fighting against COVID. They will neutralize or eliminate the virus. We collect these antibodies through the plasma that is the liquid part of the blood where the antibodies are and give it to a patient who has a COVID infection, but very importantly, it cannot be to any COVID patient. It has to be mostly a patient who is in a critical condition because they are the patients who benefit and it has been shown in the studies that have been carried out that they benefit from the therapy, ”said Dr. Cruz.P

Patients who have a very low oxygen level or who depend on a ventilator to breathe are the ones who benefit from this type of plasma transfusion called convalescent plasma because it comes from a patient who recovered from COVID, he explained.

“You have to monitor it day by day, there is no exact time. We are going to evaluate that patient day by day and see how his condition is improving, ”he said.

Doctors agreed on the importance of increasing plasma donation under these cases of convalescent patients of COVID-19.

“It is very important that we increase plasma donations. For this they have to have 14 days with negative proof, after recovering from COVID. This has no treatment, we have to go further, “he concluded.

The Mayor of San Juan, Carmen Yulín Cruz Soto, announced that on Friday medical personnel from the Municipal Hospital of San Juan will perform the first convalescent plasma transfusion, from a patient cured of COVID-19 in an intubated patient who suffers from the virus and who He is hospitalized in the Municipal Hospital.

It is the first time in Puerto Rico that this procedure related to COVID disease has been carried out19.

“We are entering a new stage, that of collaborating in the efforts to identify an effective treatment for the management and help of intubated patients who suffer from COVID-19 by making, for the first time in Puerto Rico, an infusion of convalescent plasma in a patient intubated in our Municipal Hospital of San Juan ”, Cruz Soto said in a written communication.

The Mayor thanked the Municipal Hospital work team led by Dr. Alexis Cruz, hematologist / oncologist and marrow transplant specialist for this effort to find viable treatments for COVID-19 patients. He also thanked José Alsina, from the Mutual Services Blood Bank, who managed to make an exception and allow the plasma collected in Puerto Rico to stay here.

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“Qüity and Cleo” are going to party her to the Virgin

It’s a bit like “Qüity and Cleo at the Villa»(And, in addition, with the Virgin) as there is Martine at the sea. Except that not at all. These are lives of misery filled with riches told with a catchy fantasy that explains this title, Full of grace. “Villa” here does not mean luxury but slum, “Villa miseria”. Argentina’s novel Gabriela Cabezón Cámara, born in 1968, begins when the two lovers left Buenos Aires and this “Villa” who suffered legal carnage, for Miami where a “Cumbia opera” allowed them to build a fortune. He tells the story of community life in the slum at full speed.

Most often, Qüity is the narrator, and sometimes Cleo. This is a transvestite who has abandoned prostitution. “About to suffocate in her own blood and in the semen of the whole police station, she had had a vision: the Virgin”, and the two will never let go. Qüity is a young journalist who went on a report to the “Villa” which does not have “Never been able to return from the other side of the world, that of those who live far from the small Auschwitz that we find in Buenos Aires both blocks away”. Qüity is the writer and has no morale at the start of the book. “I felt stranded and thought I had survived a shipwreck. I now know that no one survives a shipwreck. Those who sink die and those who get out live by drowning. “ Cleo will blame him for writing “Any bullshit”, “You have no imagination, you need things to happen so you can write them”. A child died before his eyes while searching “His favorite plush, the bald cook”, when the “Villa” has been cleaned.

It’s not just the Virgin being “Full of grace” but she’s the one who best describes the tone of the novel. Cleo wants to build her a “Nomad cathedral”, Qüity is appealing to a “Psychiatric treatment” for his partner, but here is how, over the chapters, one or the other evokes the mother of Jesus, the son in question and the stories swarming around this family. “And then, yes, we have the right to be selfish like all mothers in the world, even the Virgin says it: if it was up to her, Jesus would have been a carpenter and would have married Marie Madeleine, Even though she was a bit of a whore, it was still better than playing the prophets and getting married with a cross. ” “The host disappointed me that a few years later I would be disappointed with the drugs, even if I insisted more on coke than on God.” “She [la Vierge, ndlr] gave me the Bible to read. It’s super long. ” “She says you can’t know what it was like to pretend to be speaking as a single Jewish mother fifteen years ago two millennia ago.” Until : “And little by little I remembered and I cried, cried, cried with great cries and I insulted the Virgin in every way, I told her the most horrible things that came to my mind, “holy nitouche” was the sweetest, then I ended up saying much worse things, “grumpy”, I said to her, “treacherous daughter of a bitch”, I said to her, “a bitch raped by a pigeon, submissive and accomplice of this son of a bitch of God “». There is an original vision of Jesus in anti-Robin Hood demanding to “give back to Caesar” what belongs to him.

Full of grace also tells the life of the slum dwellers among the wealthy, the girl killed by vice, for the enjoyment of others, which offends a good friend of Qüity, “Stoic man who believed in murder without pleasure”. There are internships offering “Such difficult employment opportunities that even Theseus would never have found a job in such a labyrinth” and this moment when “The villa was filled with people, students, photographers, NGO activists who administered the tithing of guilt […]”

It changes from Miami where Qüity, from the beginning of the novel, became “Bunker freak”. “I know it now, but I can’t stand the slightest noise anymore, I think that if someone put cumbia on the bottom, I would shoot on sight. […] Curiously, this isolation is what best marks my adaptation to American society. I am part of the Bunker’s Club, an association of barjots locked in incubators as inviolable and impenetrable as they are autonomous. ” Life was different in the Villa in full activity, when it was really life but this troop was not equipped for combat. “Alone would have been enough to transform us into an army, but once we became a regiment we would have ceased to be what we were: a small and happy multitude.”


Mathieu Lindon

Gabriela Cabezón Cámara

Full of grace Translated from the Spanish (Argentina) by Guillaume Contré. L’Ogre, 202 pp., 18 €.

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