What IC doctors do differently in the second wave – Wel.nl

The second wave of corona is different from the first wave of March, when we had to deal with a completely unknown virus and it turned out that we had far too few ic beds. IC doctors explain to RTL Nieuws what has now been improved.

Firstly, there is more space in intensive care. In the Jeroen Bosch Hospital in Den Bosch, for example, 20 beds are now available instead of 14 and it is possible to scale up to 26. Logistics and other processes have also been improved. But more importantly, better treatment is possible.

“We now know that we need to do proper research into clotting disorders in the blood, which can lead to pulmonary embolisms,” says IC doctor. Peter de Jager, head of intensive care of the Jeroen Bosch Hospital. “Much more is also known about ventilation techniques, which allow patients to leave the IC more quickly. Moreover, we now know that it is good to administer anti-inflammatory drugs at an early stage. ”

Marco Knook, ic-arts in the Reinier de Graaf hospital in Delft explains that patients receive the drug dexametasone. “We see that they respond well to that, which means they can get off the ventilator more quickly. As a result, they don’t have to stay on the IC for as long. We already give the patients dexametasone before they end up on the IC. ”

“In percentage terms, fewer patients will go to the ic, because we can treat the consequences of the virus better,” says De Jager. But he warns: “The virus has not diminished in strength, corona is still hitting just as hard as in the beginning.”

Bron (nen): RTL News

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Some young people get very sick from corona. Why them? – Wel.nl

Most young people do not suffer much from a corona infection. But some become critically ill without having any weak spots or illnesses before.

It seems that those youngsters have genetic unlucky, say two studies in the Lancet.

“It is no coincidence that someone who is healthy and who has only just run a marathon, so to speak, can end up in intensive care with Covid-19”, says Fil Deal Haerynck, professor of immunology (UZ Gent / UGent). The newspapaer. “For 14 percent of the patients who were previously perfectly healthy, we were able to demonstrate that there is a problem with their immune system. They have a shortage of a certain substance that is crucial in the defense against the sars-CoV-2 virus. ”

In addition to the specific autoantibodies, the researchers found another explanation for a critical course of a Covid-19 infection in healthy patients: their genes. Genetic analyzes were performed for almost 2,000 patients. Again, patients were examined who were admitted to hospital with life-threatening Covid-19 (and who may or may not die), but who had no known medical problems before. Their genes were compared with patients who, although infected with sars-CoV-2, had little or no problems with it. In that critically ill group, 3.5 percent turned out to have a genetic defect, particularly in one of the thirteen genes that are known to play a role in the production of the type I interferons.

It is also quite remarkable that most of them are men. “We suspect that the production of these faulty antibodies is linked to the X chromosome,” says Haerynck. “But more research is needed for that.”

Bron (nen): The morning

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‘That lockdown will come’ – Wel.nl

“That lockdown will come. I am not involved, but I feel that. ” Diederik Gommers said that today The Coen and Sander Show on Radio 538.

“We are unable to reduce the number of infections,” thinks the chairman of the Association for Intensive Care. He does advocate a tailor-made lockdown, “more for the elderly than for the young.” Because Gommers also thinks: “We are not only talking about health care, but also about the economy and social life.”

The chairman of the Social and Economic Council (SER), Mariëtte Hamer, even calls a second peak of infections “disastrous for the economy”. She continues: “The cabinet would do well to make it clear every day that it is 5 to 12 am and that we must do everything to prevent a further outbreak. The GGDs need to be helped better. And we must take measures that disrupt the economy as little as possible. ”

Bron (nen): WE

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‘Entire group of friends contaminated in the open air at the festival’ – Wel.nl

An evening of partying in the open air will not do much harm, a group of friends of twelve men must have thought. Eleven were subsequently found to be infected with the corona virus.

The people in their twenties and thirties had gone to an outdoor festival in Nijmegen on 12 September to celebrate a birthday, but there, at the Nijmeegse Bierfeesten on a former factory site in the Hazenkamp district, things did not end well.

A few days later, one of the friends reports in the group app that he has a cold. Another has a test and turns out to be infected. In the end, all but one turned out to have the virus. They did not keep their distance. There was even cuddling. “You don’t pay much attention to each other,” says one in De Gelderlander.

Whether the infections really took place at the festival and therefore in the open air, the GGD can only suspect, not prove. “The GGD does not know whether an infection has taken place in the open air. This is an assumption. Infections mainly take place when people do not keep to the 1.5 meter distance ”, said a spokesman.

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I also wondered if it was that bad. But if you see coffins in the coffee rooms, you know it ‘- Wel.nl

With the second corona wave just around the corner, Edzo Doeve, chairman of the board of funeral director Dela, looks back on that first wave in de Volkskrant. “We hadn’t made it for another six months.”

At the time, there were three to four times as many funerals as normal. “We were one of the first to see where the dead came from. Not only from hospitals, but also from nursing homes, ”he says. “And what was added: nobody wanted to keep a dead person in the house for fear of contamination. We had to set up extra morgues and cooling to be able to recover the dead, sometimes hidden behind screens so that the public did not have to see it. ”

Doeve emphasizes that it was precisely thanks to the lockdown that it was possible to offer everyone a suitable funeral. “Had we not responded adequately in Uden, such a massive outbreak could have occurred everywhere. I also wondered at first if it was that bad. But if you see coffins in the coffee rooms, then you know. ”

The CEO of Dela belongs to the risk group. “But I also wanted to have a look at the crematoria myself. I was shocked by the number of deaths, we have added a lot of additional cooling capacity. ”

But that could not go on. “It was great that we could solve it like this, but we had not kept it up for another six months.”

Edzo Doeve
Photo: Marcel van Hoorn

Bron (nen): De Volkskrant

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Spain reports more than 30,000 new corona infections since Friday – Wel.nl

MADRID (ANP / RTR) – Spain has registered 31,428 new corona infections since Friday. The Health Ministry confirmed on Monday that a total of 671,468 people in the country have now contracted the virus. More than 30,000 patients have succumbed to Covid-19.

The Madrid region in particular has been hit hard by the second wave of the epidemic. Local authorities have declared a partial lockdown for the areas where corona strikes the hardest. In fact, residents are only allowed on the road if their work requires it or if they have to see the doctor elsewhere. That decision sparked a lot of protest.

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Scientists impressed by spectacular photo of Jupiter – Wel.nl

NASA shared a particularly impressive snapshot of the planet Jupiter on Friday. The Hubble space telescope even captured the gas giant, which is at least 588 million kilometers from Earth, with one of its moons in the background.

At the rear left of the spectacular photo, we see icy moon Europa, which is suspected of hiding a liquid ocean beneath the ice crust. Most striking, however, is the large red spot on Jupiter itself, which has been visible since the first observation in 1930. It is a gigantic storm that has likely raged through the planet’s atmosphere for centuries. That storm alone is bigger than Earth.

Below the red spot is a white spot, a storm called Oval BA. It was still very red in 2006, but is now much lighter in color. An elongated white spot can be seen in the Northern Hemisphere. This is also a storm, NASA reports.

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Flight without destination sold out within 10 minutes – Wel.nl

Flying used to be a necessary evil, now people get on a plane for fun, even if it has no destination. At least in Australia, a 7-hour tour over the continent sold out in 10 minutes.

Down under the borders are still closed. That’s why Qantas Airlines offers enthusiasts the opportunity to fly around the main tourist attractions. On October 10, a 150-passenger Dreamliner will depart from Sydney Airport for a tour of the Great Barrier Reef, Uluru Rock and Sydney Harbor to land in the same spot.

Travelers do need to wear a face mask. A ticket costs at least 500 euros, people have to pay 2,300 euros for a place in the business class. Then they will receive Qantas pajamas, a chef’s lunch and a special certificate. For the airline it is a way to generate extra income in these difficult times. The airline has to cut at least 6,000 jobs.

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“Current infection figures create devilish dilemma” – Wel.nl

The corona virus is spreading again, but still mainly among young people. It was reason for the cabinet to tighten up the corona rules a bit, but not to go all out. Experts explain to the NOS that we are at a difficult point in the epidemic, but that something needs to change.

“There is no clear moment from here and no further,” concludes medical microbiologist Marc Bonten of the UMC. “But the trend is not going to change by itself. Sooner or later this will lead to risks for the elderly. ”

“Something happened that we had not predicted: a lot of infections in young people and few hospital admissions,” says Bonten. That creates a “devil’s dilemma”. “Are you going to intervene in the group with the most infections but the least consequences?”

Epidemiologist Patricia Bruijning of the UMC is more certain. “It always takes a while before you also see the effect in hospital admissions.” She calls it naive to think that the Netherlands is capable of spreading the virus only among young people. “Nowhere in the world has a country succeeded.”

She therefore thinks that the new measures are not strict enough. “My feeling is that it is too little.” According to Bonten, we have to wait and see. “It’s one big experiment. With these measures, the threshold for getting together is somewhat higher. But they are small steps, in the hope that it works. ”

Bron (nen): WE

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‘The penis is the canary in the coal mine’ – Wel.nl

Men with erectile dysfunction only want one thing: for him to do it again. And thanks to pills, it is usually not that complicated. That is why erectile dysfunction is insufficiently researched, says Professor Guy T’Sjoen (UZ Gent), who is famous in Belgium as a doctor of men’s ailments. “In any case, it pays to keep researching erectile dysfunction. It could be an indication of type 2 diabetes or heart problems. The penis is the canary in the coal mine, it could be an indication of other problems. ”

According to T’Sjoen, men are hardly concerned with health and too much with side issues, such as whether their penis is big enough.

“We’ve all been mis-grown by watching too much porn. The men in it all have a larger size. Otherwise they might not be selected. The average length of the Fleming is 14 centimeters when erect. That’s an average. That means that a penis of 11 or 17 centimeters is normal. Many men have a different idea about that. I can reassure them with this data. ” When he says that to a man in his office, it rarely helps.

“Of course not, because they have come up with the idea that maybe something could be done to make their penis longer. But those possibilities do not exist. In the best case, you can gain two centimeters through all kinds of interventions. That makes no sense. Another misconception is that men who come too quickly would benefit from circumcision. Nor is it the case. Research has shown that. ”

The biggest taboo among men? “Based purely on my experiences, I would say: talk about feelings. Everything technical – pills, exams, injections – usually goes smoothly. But when it comes to feelings, fears, men often close. ”

Bron (nen): The morning

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