‘Benito’ from ‘Pasión de Gavilanes’ is in serious health due to Covid-19

Giovanni Suárez, the actor who plays ‘Benito’ in ‘Pasión de Gavilanes’, let the program ‘I know everything’ know that he is “very ill” due to the coronavirus.

In short, the actor’s state of health is complicated and he reaffirmed it after videos published on his Instagram, where he let his followers know how he is.

Giovanni also pointed out that he felt “very weak” due to Covid-19 and that at that time he was going to be admitted to the Intensive Care Unit (ICU). For the same reason, ‘Benito’ asked that they pray for his health. “They are going to put me in the ICU, I am completely incommunicado; I ask my fans, my friends, those who love me to please put me in their prayer chains, so that the Lord can take me out of it ”, expressed Giovanni Suárez.

. Also, in the publication made, he added that: “I am not saturating anything.”

In the recordings, the ‘Pasión de gavilanes’ actor included a thank you to those who have been watching him.

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Super fast testing for COVID-19 with a breathalyzer developed in Rotterdam

The Ministry of Health has already ordered hundreds of devices for the breathalyzer known as ‘Spironosis’. According to lung specialist Hans in ‘t Veen of the Franciscus, they are initially used for the test streets. “This device is a godsend for the GGDs and the test streets. It takes a while to blow and then you know whether it is good or not good. If that test is not good, you will get an additional test.”

The new form of testing appears to be a good addition to the existing corona tests. Research by Fransiscus Gasthuis & Vlietland, the Leiden University Medical Center and GGD Amsterdam showed that of the 1,800 people tested, 1,350 could go home immediately because they were not infected. They did not need an additional test. They also did not have to be quarantined pending the results.

According to In ‘t Veen, the breathalyzer tests also take pressure off healthcare personnel. “We also want to use this test in testing and screening care workers and in nursing homes. In nursing homes, corona flames can also occur, and we don’t know who infects whom.”

Events

In ‘t Veen also sees other applications for the e-Nose, which could ensure that events can continue, for example. “You can use this device at events. Anyone who is negative at that moment can go to that event.”

The device will not be usable for the travel industry, says In ‘t Veen. “This device tells you how you are now, but not how you will be in a week. So when traveling you should still be quarantined when you go abroad.”

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UMCG study: greater risk of corona patient dying during surgery

Patients infected with the coronavirus who need regular surgery have a nearly four times higher risk of dying than those who need surgery who don’t have the virus.

This is evident from a large-scale study led by the UMCG, in which 24 Dutch healthcare institutions took part. ‘This information is extremely important for surgeons and patients when making choices within plannable care’, says UMCG surgeon and research leader Schelto Kruijff.

More than 500 patients

‘Sometimes surgery is necessary and there is no choice. But if there are alternatives to an operation or if it is possible to postpone the operation, it is important to be able to make that choice based on the exact dates and risks. ‘

The study was conducted on the basis of data from more than 500 patients who had undergone surgery in one of the participating Dutch hospitals in recent months. To this end, information about the patients, the type of surgery and the outcomes was collected.

Mortality rate 16 percent

By taking a test before surgery, it was determined whether a patient was infected with corona. At the same time, a large control group was deliberately made with patients who were proven non-infected in order to be able to make a good comparison of the risk.

In the group of patients with COVID-19, the mortality rate was 16 percent, compared to 4 percent in the non-infected control group. There were also more complications after the operation in the group of patients infected with the new corona virus.

First wave operations analysis

The national research group is now going to analyze the exact consequences of the postponement of treatments and operations during the first wave. Now that we have arrived in the second wave, it is important to understand this as soon as possible. Research is being done on this in collaboration with the Dutch Institute for Clinical Auditing.

The first results are expected in mid-November.

Also read:
Groningen studies of vaccines against corona have started
UMCG and Martini Hospital are testing whether TB vaccine also works against corona
Postponement of care due to corona: ‘Of course understanding, but I also want to get rid of the pain’

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Karaoke bar Sing Along closes doors after commotion: ‘It is difficult to do business’

That happens after it stadsblog Sikkom images appeared showing that too many people were standing close together on the terrace of the party pub in the Peperstraat.

‘Suddenly a lot more’

‘It was a group of people who had made reservations. But it turned out to be bigger than expected ‘, explains entrepreneur Elsbeth Maduro. ‘Only ten people were allowed to stand outside on the terrace. But suddenly there were many more. ‘

Staff and security have tried to send people away and keep everything running smoothly. It could not be enforced according to the manageress: “We asked if they wanted to leave, but they were really keen to spend the evening with us.”

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‘We are now a red flag. All eyes are on us and we cannot afford a fine. We have decided to close ourselves. It is difficult to do business in these times and with all the limitations of the corona measures, ‘she says.

Maduro doesn’t know when the karaoke bar will open again. She will examine with the staff how this can be done in a good way.

‘They were young people and this age group has a great need to go out somewhere. Nothing to the detriment of them. These are strange times and then you have no outlet anywhere, ‘says Maduro. ‘We are one of the few who are open and that creates a lot of pressure. Everyone wants to go in, but that’s not possible because of the rules. ‘

‘The fun is really off in a minute’, Maduro sighs. ‘I like to see the policy differently. It was good for the short term, but now really needs to be evaluated, ”says Maduro.

Elsbeth has another catering business across the street. It will remain open for the time being. She expects to hear from the government on Friday that opening hours will be even tighter. The province of Groningen was given the status ‘worrisome’ on Wednesday, which means that more measures are expected to be taken.

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Personalized diet: because there is no nutritional plan for everyone

Functional gastrointestinal pathologies are the result of an alteration of communications between the brain and intestines, that are continuous and necessary: ​​the need to go to the bathroom before an exam, for example, reflects the fear we feel and a atavistic mechanism born to allow us to escape better, lightened by the weight of the stool, but if the stress becomes chronic we can experience frequent diarrhea. The dialogue also takes place in the other direction: what happens in the intestine can affect the cerebral and therefore general well-being of the organism, so it is natural to think that the first step in addressing a functional gastrointestinal disease is a change in diet. In fact, the food that we introduce is also nourishment for the millions microbiota bacteria, the guardians of the intestinal barrier: a heterogeneous population that we must keep in a correct balance, favoring the proliferation of good bacteria at the expense of bad ones, in order not to have problems.

There is still little knowledge on the microbiota

We know that nutrition is essential to prevent and address gastrointestinal functional diseases, but current knowledge on the microbiota is in its infancy and we still navigate a bit in the dark, we do not have enough information to be able to give certain and above all personalized dietary indications, as it would be essential for true effectiveness, admits Antonio Crax, director of the gastroenterology and hepatology unit at the Policlinico Giaccone in Palermo. For example, we have long talked about the Fodmap (acronym from English for fermentable oligosaccharides, disaccharides and monosaccharides and polyols: all food sugars, ed) for the treatment of irritable bowel: foods containing these sugars are highly fermentable and abnormal fermentation can produce cytokines pro-inflammatory which irritate the intestinal mucosa and cause it to contract more, giving alterations in intestinal motility as a symptom. It was therefore believed that removing Fodmap foods could always be decisive, in reality the most recent evidence shows that not necessarily so: these foods are useful for the growth of populations of bifidobacteria with positive functions for the intestine, so in some people eliminating them can be deleterious.

MRI to study the metabolome

Unfortunately there is still no easy way to study everyone’s microbiota, understand which strains are to be encouraged and which are to be reduced and therefore how to increase or eliminate the consumption of foods that can have an effect on bacterial populations to be modified. There are magnetic resonance techniques to study the metabolome, that is the set of products of intestinal flora metabolism, which are promising and could tell us how to change diet to positively change the microbiota, but for now they are not applicable outside the trials. So you make rough attempts, take away a food and see what happens to the symptoms, Crax explains. Si also gropes a bit with probiotics, lactic ferments that can restore intestinal bacterial flora: Conceptually it makes sense to give them, in practice the effects are still quite limited, notes the gastroenterologist. It happens because in fact we parachute a few million bacteria among billions of others: they can improve the situation and even resolve the symptoms, but for a limited time. useful to do so if antibiotic therapy has depleted the bacterial flora and it would in theory be so for all patients with functional disorders, but to have results that are not short-term we should be able to administer particularly resistant bacterial species and above all to be able to make a tailor-made intervention: to do this, it is necessary to analyze an enormous amount of data, given the heterogeneity and abundance of intestinal bacteria, with a complex biostatistical approach that is still not within the reach of many.

Manage the symptoms

For now, therefore, the treatment of functional gastrointestinal pathologies consists in managing the symptoms and, as adds Antonio Gasbarrini, professor of gastroenterology at the Catholic University of Rome, Medicines must be used well, taking into account the importance of the psyche: if, for example, the intestine is inflamed due to stress and therefore no longer produces the neurotransmitter serotonin, an inhibitor of the reuptake of this molecule can be useful for the mood. It is necessary to personalize the therapy carefully by choosing the right symptomatic products, but above all it is essential to ask oneself about the real causes that induce discomfort and to review the diet.

19 September 2020 (change September 20, 2020 | 10:53)

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‘Waiting time for assessing euthanasia request for mental health patients doubled’ | NOW

The waiting time for assessing a request for euthanasia from patients with a mental illness has increased further. Last year, the waiting time at the Expertise Center Euthanasia was still one year, this year mental health patients have to wait two years before their request is assessed, writes Faithful.

That the waiting time has increased further is only partly due to the corona crisis, psychiatrist Paulan Stärcke told the newspaper. According to the psychiatrist affiliated with the center, the delayed waiting time is mainly a signal that regular mental health care is often not yet taking a euthanasia request seriously. “We are referred to too often.”

The expertise center dealt with in 2019 22 percent more requests for help than in 2018. The seven working psychiatrists can barely cope with the influx: to be able to handle the number of requests, the expertise center says it actually needs twenty psychiatrists.

According to Stärcke, more psychiatrists outside the Euthanasia Expertise Center should be prepared to provide euthanasia themselves because they know the patient best. “We have to start from scratch with establishing a relationship,” says Stärcke Faithful.

Last year, the expertise center granted euthanasia more than 60 times, while doctors did this six times outside the center.

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After the celebration of a mass, there are 16 infected with coronavirus and 900 isolated in Córdoba

At least 16 people who attended a mass last week in the Cordoba town of Justiniano Posse they tested positive in coronavirus and 900 others, among those attending that celebration and close contacts, were isolated in a preventive manner, while it is being investigated whether the priest promoted not wearing a mask.

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Fatigue in cancer patients: this is how chronic fatigue can be cured

Is called fatigue and virtually all people diagnosed with cancer know what it is. a symptom complex leading to a reduction of physical energy, mental abilities and also affects the psychological state: it is too often underestimated, because it is considered an inevitable part of the life of a cancer patient. Instead there is something that can be done to stem it, starting with gymnastics and psychological support. Just to diagnose and treat it in a timely manner, the first ones have just been published European guidelines approved by the European Society of Medical Oncology (ESMO), whose first author the Italian Alessandra Fabi, head of the Phase 1 and Precision Medicine Unit of the Regina Elena National Cancer Institute.

It affects at least 65% of cancer patients

According to the statistics cancer fatigue affects at least 65% of patients with cancer, 40% of people feel fatigue already at the time of diagnosis, the percentage rises to 80% -90% during chemotherapy The radiotherapy and in 20% it persists many years after treatment. Most likely it arises from the accumulation of stress that the person undergoes from the moment of diagnosis of cancer, as a sum of both psychological and physical tension that the organism forced to endure. But it is also one of the most common side effects of anti-cancer treatments: chemotherapy is the main cause of the onset of the disorder, followed by hormone therapy and fromimmunoterapia. After 20 years of study and observation of this phenomenon, the European guidelines, a valuable tool that helps clinicians first of all to understand, and then to deal with, this complex symptom. The publication is particularly useful in this historical period – he underlines Gennaro Ciliberto, scientific director of Regina Elena -, because unfortunately we are witnessing an increase in the predisposition to fatigue in cancer patients, significantly tested from an emotional point of view by the Covid epidemic.

Rarely diagnosed

But what is the best cure to counter the disorder? No specific drug for now. The guidelines recommend theaerobic exercise, mindfulness techniques, yoga and psychosocial interventions – explains Alessandra Fabi -. Steroids only in selected patients, while very unsatisfactory, until now, have been shown to use psychostimulant and antidepressant drugs. Removing fatigue during therapy means improving adherence to treatment. Being free from it once the oncological treatments are over, giving you the opportunity to take life back in your hands in a totalizing way. After cancer, the person recreates his own existence, he must do it with attention and awareness of the psycho-corporeal sphere. Perceived as a persistent and subjective sense of physical, emotional and cognitive exhaustion, fatigue is rarely diagnosed due to its multidimensional nature. a symptom underestimated by doctors, also because it is not always reported by the patient during visits. Today more than ever the problem emerges within the social networks created by the same groups of patients, important areas for sharing experiences of the individual’s experience.

Inactivity worsens the situation

Fatigue linked to cancer a container of situations of subjective inadequacy – says Fabi -: the fatigue is what the person tells. It differs from other types of fatigue for its persistence and the inability to alleviate it through rest or restful sleep. Until a few years ago it was impossible to define a measure of its severity, but today it is identified and measured through questionnaires validated at European level. This is a recent and very important goal that we have achieved thanks to the identification of tools for screening that take into account the multifactorial nature of the disorder and thus allow the targeted and multidisciplinary management of symptoms. However, “treatment” still remains difficult: patients with a similar intensity of fatigue can have very different levels of disability. In cancer patients, during and after treatment, prolonged inactivity is an element that fuels fatigue. This state, in fact, causes loss of muscle mass and strength. This gradually affects the ability to perform simple gestures such as climbing stairs or balancing, and can lead to cardiovascular problems and increased anxiety and depression. A structured exercise program that aims to increase the patient’s musculoskeletal mass, improves the quality of life and helps to counteract fatigue – concludes the alert -. The coronavirus health emergency did not help, but now we need to take advantage to resume a physical exercise adequate, aerobic and constant and follow the indications of the multidisciplinary teams for the treatment of fatigue.

15 September 2020 (change September 16, 2020 | 12:49)

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Less space required on ICs due to shorter hospital stay for corona patients | NOW

Less space is needed in intensive care units (ICs) to receive corona patients, because patients spend less time in the ICU compared to March and April. This confirms Diederik Gommers, chairman of the Dutch Association for Intensive Care (NVIC), Tuesday to NU.nl after reporting from De Gelderlander.

In the months of March and April, most corona patients were on the ic. According to Gommers, the average hospital stay of a patient was then 22 days. In May and June this had dropped to about sixteen days.

More patients will also survive if they are placed on the IC. In March and April almost 30 percent of the corona patients who came to the ICU died, now that is 15 percent.

According to Gommers, the shorter hospital stay means that fewer IC beds are needed than during the peak in March and April. A condition is that patients do not all need IC care at the same time.

“During the peak (in March and April, ed.) We had 1,400 COVID patients in the ICU and there were another 350 non-COVID patients. So we needed more than seventeen hundred beds,” said Gommers. “For example, a new peak would now only require 700 IC beds for people with COVID. If they don’t all come in at the same time.”

Shorter hospital stay presumably due to other treatment

The cause for the shorter length of stay of corona patients in intensive care is still being sought, but Gommers suspects that this is due to other treatment methods. “It is likely that it is due to other therapies, but it cannot be said with certainty yet.”

At the end of July, Gommers said already in conversation with NU.nl that the administration of blood thinners and dexamethasone, for example, allows corona patients to recover faster than in the spring, when these drugs were not yet given.

According to Gommers, “the spaces have been physically created” to increase the capacity of the intensive care units, but “there is no way to open a window with enough nurses”. “We try to give it a good interpretation in terms of staff, but where we are now cannot be expressed in a number. Every little bit helps.”

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