#Patient Data Management in Naples | Explore Tumblr posts and blogs

tenthgrove · 4 years ago

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Can I request the one where La Squadra thought the reader was pregnant (when she just actually visited her kid) situation for Bruno's gang?

Mother Mother- Bucci Edition

Team Buccerati x Reader (Fem), Platonic, SFW

Bruno Buccerati is feeling restless. He's not one to pry, but your behaviour lately is starting to concern him. Leaving the base for hours without explanation is no cause for worry in itself, after all, you're not obliged to inform him of your whereabouts 24/7 and you're hardly the only one on the team who does this, but together with the ceaseless obsession with cutting your finances, the uncharacteristic melancholy and the jolt of panic whenever your personal circumstances become the topic of conversation all add up to a bad picture.

The final straw for Buccerati came today, in which while passing you idly on the sofa he caught sight of the word 'parenthood' printed on the title of the leaflet you were reading. He didn't see the rest of what it said, but your guilty smile at being caught spoke well enough for itself.

Buccerati truly does feel bad about this, but with how defensive you become at even the smallest sign of confrontation, he sees no other choice. As he watches you depart your bedroom and head into the bathroom, he waits quietly for the rush of water from the shower, before sneaking into your unlocked bedroom unnoticed.

He will make clear, he thinks to himself as he pilfers through the loose paper on your desk for that leaflet, that he is not angry. If it's what your heart is set on, he isn't even that opposed to the idea of you raising the baby yourself. The squad is decently paid and their work isn't as dangerous or all-consuming as some, so they can manage. He even feels a little bit of excitement at the thought of helping you with your offspring. He's only doing this because it can't be healthy for you to conceal your pregnancy like this. Children have always been such precious things to him.

A pink leaflet flits off of the desk and Buccerati picks up his prize. He reads the title in full.

"Parenthood for the Parents of Hospitalised Children: What Doctors Advise"

Ahh. Now that changes things. Buccerati feels his heart sink at the sight of the stock image of a mother and father standing over the bedside of a sickly-looking girl. He guiltily returns the leaflet to its former place and tries to reorganise the paper as he found it, before exiting quickly.

Having learned his lesson well about making assumptions on too little evidence, Buccerati sits down with his phone book. There's a fellow on one of the intel teams who owes him a small favour, and it's time he called on it.

“Hello, it’s Buccerati, could you do something for me quickly? I need you to check the records of all the hospitals in Naples that hospitalise chronically ill children, and take a look through the names of the patients in the children's ward," he requests. "There's a specific surname I'm after, hang on, I'll find it for you." Buccerati racks his brains. If there's one thing he's certain your being honest about it's your real name. He pulls it from his memories and relays it to his friend. "No, no need to take any action once you find them. Just let me know the details, particularly of the illness. Very well, thank you," he concludes the phone call and hangs up. He leans back in the seat and sighs.

He barely gets half an hour to rest before the phone rings.

"Oh hello, that was quick. Did you find them? That's excellent. What did the records say?"

The agent relays his findings. Matching the surname he gave him is a little girl about 5 years old, currently residing in the hospital closest to Buccerati's base. The child is suffering from a frightful condition that, although rarely fatal with treatment, can leave sufferers in need of constant medical care for months on end, along with more minor support for years after.

The most concerning thing about the records is that the agent was able to find visitation logs attached to the data, and they all speak of a single, anonymous visitor with recorded visits matching perfectly with the dates and times of your disappearances.

Buccerati thanks the agent and promises to wire him a little money for his quick and extensive help. Hanging up, he broods deeply. He cannot simply allow your suffering to continue if there's anything, anything at all he can do to help.

He is broken from his trance by the sounds of panicked footsteps running in from the hall. He catches sight of Mista and Narancia sneaking in from the hallway, and is struck by the immediate impression that they are by all definitions, up to no good.

"What's the matter you two? You seem startled," he presses them patiently. He is met with two loud sounds of 'uhhhh'.

"Nothing Buccerati, we swear it!" Narancia promises.

"Yeah! In fact, we were just going to the shops and were arguing over what to get!" Mista backs him up. Buccerati rolls his eyes and smiles.

"Alright. Not too much sugar, Narancia? We don't want to find you being sick in the bathroom at two in the morning again, do we?"

"It's not me you have to worry about doing that now," Narancia mutters under his breath.

"Pardon?" Buccerati asks, confused.

"Nothing! We should go now!"

The boys immediately make their exit out the front and disappear down the street. Bruno tuts. Sometimes he thinks he'll never understand that lot. He smiles.

As he replays the encounter in his head, it occurs to him what that strange item poking out of Mista's pocket was. The leaflet from (y/n)'s room. Shit.

"Mista? Narancia? I think we should have a word please!" Buccerati shouts down the entry street. But it's two late, they've both disappeared out of earshot. Buccerati throws his hands up in despair, and returns to his room.

::::::::::::

Abbacchio knows what he sees. Mista and Narancia go running down the street and about 20 second later, Buccerati goes out shouting. As Abbacchio watches Buccerati return to the house in defeat, he makes a decision. He's had enough of those kids and their petty little antics. If Buccerati doesn't have it in him to set them straight, he will.

"You look pressed," Fugo remarks as Abbacchio pushes past him in the corridor.

"None of your business. Mista and Narancia are up to no good and now I've got to go and find them," Abbacchio grunts.

"Narancia?! But he promised me he'd work on his assignments tonight! Little bastard, I'll kill him!" Fugo fumes.

"Will you now? Better keep up then," Abbacchio says, throwing on his coat.

It doesn't take them long at all to find Mista and Narancia. Indeed, they're cowering in the very first alleyway left of the house.

"We can explain," Narancia promises.

"I bet you can," Abbacchio mutters half-heartedly.

"Take a look at this!" Narancia urges them. He pulls a pink leaflet from Mista's pocket and rereads it himself. "It says 'parenthood'. We found it in (y/n)'s room. Does that mean she's pregnant?"

"Why in god's name were you snooping around in (y/n)'s room?" Abbacchio interrogates them.

"Furthermore Narancia, you can't read," Fugo adds.

"Well, for a start, Buccerati did it first. We just went in after him to see what it was he was looking for. Second, Mista read it for me, and he swears it says 'parenthood'. Isn't that right Mista?"

"Sure is," Mista affirms. "Look."

He flicks the leaflet in front of them and, sure enough, they all read the same word. Abbacchio and Fugo curse simultaneously.

"What the hell is their game, thinking they can hide something like this from us?" Abbacchio fumes. "Does Bruno think he's protecting her or something? He's a fool."

"If I may, Abbacchio, it is most uncharacteristic of you to speak ill of Signor Buccerati," a voice from behind protests. Abbacchio turns with a jolt to see Giorno standing at the entrance of the alleyway along with a very bewildered looking Trish. They each have a couple of shopping bags in their hands.

"Are you spying on me?!" Abbacchio shrieks.

"Not at all. I simply thought that going after dark would be a much safer time for Trish to do her shopping, so I was taking her out," Giorno explains. "I overheard your voices and came to investigate, but I really haven't heard much."

"(Y/n)'s pregnant and Buccerati's hiding it from us," Mista fills him in.

"Wait, I'm lost. Did Buccerati get her pregnant? Because if so, what in the actual hell?" Trish comments.

"Fucking christ. Could you imagine?" Narancia remarks. The group soon devolves into a mess of interrupted shouting.

"All of you quiet!" Abbacchio yells. He holds up his hands in desperation. "We are going to get to the bottom of this and we're going to do it now! We are going right home, and we are getting (y/n) to explain herself, whether she likes it or not. Agreed?"

::::::::::::

You had an awful eery feeling getting out that shower would be a mistake. The last thing you expected tonight was being hounded by your dear teammates while you're half dressed and wet haired, particularly on such an outlandish concept as pregnancy.

"Slow down! What the hell are you accusing me of again?"

"You're having a baby and you aren't even telling us! Do you have any idea how much those cost?" Trish accuses. You don't even have an answer for that one, it's just so completely wrong there's no way to refute it.

"We aren't looking to judge, we just want to help," Giorno assures you, though his voice is drowned out by the rest of the rabble.

"I don't need help, I'm not having a baby!" you protest. Narancia opens his mouth.

"But the leaflet says-"

"What on god's earth are the lot of you doing?" Bruno calls from the hallway. "Why are you all hounding (y/n) all of a sudden."

"You think we don't know what you know, Buccerati?" Abbacchio confronts him. "You're complicit in this. You're helping to hide this- baby!"

Buccerati breathes deeply.

"Ah. I believe I know what this is about. Mista, I want you to take that leaflet you found and read the front page out to me. In full."

Mista complies.

"Parenthood... for the Parents of Hospitalised Children. Oh."

"You made the same mistake I did," Buccerati explains. "You saw the first word and immediately jumped to your own conclusions. But in regards to the full title I have carried out some follow up and have confirmed it is exactly what it sounds like. (Y/n) has a young daughter who is unfortunately quite sick at present, and she has understandably been taking time off to be with her."

"You know about her?" you exclaim in panic.

"Apologies (y/n), I was acting only in concern for your health. It was admittedly due to my poor caution that the others found out and, well, it went from there."

"Look," you protest, thoughts spiralling into panic. "I didn't mean for you to know. You said I could do what I wanted with my money so I did. There- there was no other way I could afford to treat her," you justify, tears starting to leak from your eyes. "Please don't kick me out. I swear this doesn't affect my work, all I need is a few hours a week to check on her!"

You collapse against the door in tears. The crowd goes into a shocked silence. Buccerati pushes to the front.

"Hey, hey, I'm not going to kick you out so don't worry," he promises. "I would never cut off a member of my squad like that, especially not when they have such a vulnerable dependent. We can talk about helping you with the money tomorrow, but now, let's get you calmed down okay?"

You nod through your tears. Buccerati guides you to your feet and leads you gently into the kitchen. The remaining group in the hall look at each other with pressed lips. Fugo takes the leaflet from Mista and reads through the front cover once more. He hits him.

#team buccerati #team buccellati #bruno buccerati x reader #bruno buccellati x reader #bruno buccerati #bruno buccellati #leone abbacchio #leone abbacchio x reader #giorno giovanna #giorno giovanna x reader #guido mista #guido mista x reader #narancia ghirga #narancia ghirga x reader #pannacotta fugo #pannacotta fugo x reader #trish una #trish una x reader

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mathewwon802 · 5 years ago

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Barrette’s Esophagus Market 2020: Experts Anticipate Market Boom in Near Future, 2027

Global Barrette’s Esophagus Market, by Treatment Type (GERD Medicines, Photodynamic Therapy, Radiofrequency Ablation, Endoscopic Mucosal Resection, Esophagectomy), By Treatment Providers (Hospitals, Ambulatory Surgical Center, Clinics), and By Region (North America, Europe, Asia Pacific, Latin America, Middle East, & Africa) is expected to grow at a significant CAGR for the period between 2019 and 2027.

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As per the report, growing prevalence of gastroesophageal reflux disease (GERD) and poor management of GERD are prime factors driving growth of Barrette’s esophagus treatment market. Barrett’s esophagus is a serious complication chronic of chgastroesophageal reflux disease, and its high prevalence is leaving significant economic impact on global healthcare system. According to US Surveillance Epidemiology and End Results (SEER), 10% of the GERD patients develop Barrett’s esophagus. Low treatment rate for GERD is another major factor leading to the increased prevalence of Barrett’s esophagus. Risk factors for the development of Barrett’s disease also include obesity and tobacco smoking, but GERD is the major risk factor. Costs due to poorly treated GERD with Barrett’s esophagus represent a substantial burden for the healthcare systems. For instance, according to study conducted by Universitat de Barcelona and University of Naples Italy, the estimated cost for the healthcare systems for the population with poorly treated GERD with Barrett’s esophagus was found to be €18 million in Spain, € 12 million in Germany and € 7 million in Germany, in 2015. Furthermore, improving diagnosis rates for Barrett’s esophagus is expected to drive the market for Barrett’s esophagus over the forecast period. A study from Mayo clinic suggests that the concurrent increase number of endoscopies performed annually has improved the ability to diagnose Barrett’s esophagus.

Furthermore, Meridian Market Consultants (MMC) Study identifies that, in 2011, the population with poorly treated GERD with Barrett’s esophagus was estimated to be 29,678 in Spain, 19,327 in Germany and 10,079 in Italy. Barrett’s esophagus is a precursor of esophageal adenocarcinoma (EAC) incidence of which has dramatically increased in past four decades. Although EAC is classified as a rare cancer, it is the most rapidly rising cancer in the U.S. Barrett’s esophagus is primarily observed in the older adults of the developed countries such as U.S. and European countries. Barrett's esophagus is two to three times more common in men than in women. The exact prevalence of Barrett’s esophagus in living adults is difficult to find, because patients with Barrett’s esophagus are often asymptomatic. The prevalence of the Barrett’s esophagus can be estimated based on findings of upper endoscopy procedures. Treatment options for Barrett’s esophagus include medicines for GERD, endoscopic mucosal resection, photodynamic therapy, ablation therapy and surgery etc. Most doctors recommend periodic surveillance endoscopy with biopsy to monitor signs of cancer. Endoscopic ablation therapies use different techniques to destroy dysplasia – abnormal cells developed in esophagus. Photodynamic therapy uses light-activated chemical and laser to destroy precancerous cells in the esophagus.

To know the latest insights, qualitative data, trends, quantitative data, and more related to Global Barrett’s Esophagus Market, visit: https://www.meridianmarketconsultants.com/global-barrett-esophagus-market

MMC Study identifies some of the key participating players in Barrett’s esophagus market globally are GlaxoSmithKline Plc., Pfizer Inc., AstraZeneca, Bayer AG, Cadila Pharmaceuticals, Johnson and Johnson, Eisai Inc., Takeda Pharmaceuticals etc. among others.

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#barrette's esphagus market #Barrett's Esophagus #market report barrette esophagus #barrette esphagus market growth

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nikki-reuclife · 6 years ago

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medical marijuana card california

However this step-by-step guide outlines what steps you must take in order to get medical marijuana in New Jersey. There may come a time when New Jersey does acknowledge that marijuana is a secure and efficient remedy for a large variety of psychological disorders. A medical marijuana card offers for the use of marijuana for quite a lot of illnesses and afflictions, providing some relief to lengthy-suffering individuals. There are numerous benefits which might be enjoyed when you might have a legally issued Santa Monica medical marijuana card in your possession. Since you’re ready to acquire medical cannabis in Naples, Florida, it’s essential that you play the game properly. Hollywood Easy Clinic and Medical Marijuana Card Doctors Online have areas in California, Florida, and New York. Chelsea Handler got her very own medical marijuana card. The states which have legalized medical marijuana are not attracting crime or bringing in hoards of questionable characters.

Never let any unchosen medical marijuana doctor evaluate you, in particular in case you're feeling harsh signs and signs. It's unconscionable to let these people die without it because of bureaucratic foot-dragging or overly-cautious government restrictions. This card will let you buy medicines for your treatment. Since your medical marijuana card expires after one 12 months, you have to undergo the identical course of each year to renew it. Put on your headphones and provides Medical Marijuana Card a listen and get ready rejoice the joy of this unbelievable plant and, problems aside, the joy of progress towards ending prohibition! If they inform you "Yes, we truly do," simply cross it out of your checklist, because licensed marijuana card service would by no means provide over-the-cellphone suggestion. The only means that you will get your marijuana card on this metropolis legally is by first seeing Temecula medical marijuana docs and getting a written recommendation to take action.

Every seven months it is advisable to renew your Registry Identification Card with the State of Florida. Lately, due to the rising success of medical marijuana contained in the USA, loads of marijuana card registration suppliers have been opened. As of December 2017, the legalization of medical marijuana has prolonged to 29 states and the District of Columbia. The dollar amounts only mirror primary fees imposed by the state and do not embody the Medical doctors examination, or any extra fees associated with acquiring your Medical Marijuana licensing. In the event that they deem the affected person a candidate, they should signal a detailed doctor recommendation for a medicinal cannabis card, sign it and submit it to the state well being division for approval. A doctor’s advice is a certificate from a doctor recommending the usage of medical marijuana to treat a patient’s qualifying illness. Starting New Year’s Day, adults no longer will need a doctor’s recommendation to legally buy marijuana in California.

It is regulated by Proposition 215, which can also be known because the Compassionate Use Act of 1996. Over the previous few years, California was joined by several other states which have legalized medical marijuana. Veriheal is a medical cannabis community that helps on a regular basis individuals discover MMJ doctors that can advocate them for medicinal marijuana remedy and get certified inside their state to make use of cannabis legally. As soon as that is complete, you’ll be ready to have your “tele-consultation” with an accepted on-line cannabis physician. Medical cannabis is another time period for medical marijuana. Each medical marijuana and medical marijuana cards are granted to patients who undergo from various kinds of sickness, diseases, debilitating conditions or chronic pain/symptoms that aren't eased by high-dosage opiates. These types of data are almost usually helpful for first-timers who need to try a product or establishments similar to a medicinal marijuana dispensary. If you imagine your medical situation(s) qualifies for a Medical Marijuana card, talk about your symptoms and condition with your doctor. Let’s give the doctor the advantage of the doubt and say he does full history and a full physical examination and a review of data, and then he decides that that is the perfect remedy,” Berland says. Learn When to Let Medical Marijuana Attorneys Handle Your Case A migraine is a chronic headache that is primarily a result of the spasm and narrowing of microscopic blood vessels which carries blood to the brain. The headache is severe and debilitating which enable it to occur from once a year or as frequently as 4x every week. It is seen as nausea, vomiting, light sensitivity, aura but a majority of of most by the throbbing pain one or each side of the head. Several factors are already defined as triggers for any migraine attack such as stress, anger, caffeine, nicotine and hormonal imbalance. A few preclinical studies an incident reports investigating the application of medical cannabis to regulate the the signs of dystonia, primarily these twisting and repetitive movements or abnormal postures are actually obtainable in recently published scientific literature. The July issue of The Journal of Pain and Symptom Management carries a 2002 research study that reports a vast improvement in the the signs of dystonia from a 42 years old patient struggling with chronic pain smoked medicinal marijuana. It was reported by investigators and medical researchers that the pain score (subjectively) dropped from your high 9 to nothing (considering a 0-10 analog visual scale of pain) as soon as the patient inhaled MMJ. Additionally, this issue would not need additional analgesic medication for the next forty eight hours.

Think of these cards as state issued IDs which might be very assessed and regulated with the Health Department in every 15 states plus DC where medicinal marijuana cards are actually legally approved by voters. States need to closely track the patients, doctors and dispensaries which are an element of these "medical cannabis programs." In order to effectively accomplish that, they've got created an ID card system, where patients who happen to be approved by doctors for the programs are issued state IDs that permit the crooks to legally use how to get a medical cannabis card the medicine and access dispensaries where they could purchase it. This helps to control the industry.

Patients may also be given teaching through the marijuana clinics inside proper technique drug, with all the suggestion of utilizing a recognized dispensary instead of getting the street version of marijuana, mainly because it can contain other illicit drugs or chemicals are detrimental towards the patients' mental and physical health. Since marijuana is a controlled substance, patients must carry their prescription identification card using them all the time to be able to advise police along with emergency medical personnel of these using medicinal marijuana or THC pills within their medical treatment so that you can prevent misunderstandings or errors in emergency medical therapy. Some research shows that THC (the main component of marijuana) has some pain reduction activity in cancer patients. Cancer patients would fall under the chronic pain category in fact, but technically most legal states have a separate category for cancer being a reason for usage. There have been multiple studies showing that medical cannabis works for chronic painful conditions for example cancer, and not for acute painful situations for example as an example severe sunburn.

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bookpiofficial · 3 years ago

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Study on the Relationship between Macrovascular and Microvascular Hemodynamics | Chapter 14 | New Horizons in Medicine and Medical Research Vol. 8

The goal of this research is to see if there is a link between macrovascular hemodynamic status and microvascular hemodynamic parameters in periodontal disease patients. The interactions between the macrovasculature and microvasculature have received little attention, but a better knowledge of these vessels' interconnections could lead to new therapeutic and management targets. Seventeen adult patients are voluntarily recruited at the Dentistry Department of the "Mater Domini" University of Catanzaro, with sampling that determines the lipid profile, blood glucose, inflammatory mediators, and blood plasma viscosity: anamnesis, blood pressure measurement, and detection of anthropometric parameters: eco-Doppler of the carotid and brachial arteries with noninvasive hemodynamic measurements and evaluation of inflammation and phlegm The locations with a high probing depth differ from healthy ones in that they had poor oxygen saturation and a significant rise in tissue edoema, although there was no link between macro- and microvascular values. As probing depth increased, there was a correlation between low oxygen saturation levels and tissue edoema values; however, no correlation between macrovascular hemodynamic status and microvascular hemodynamics indices was discovered, most likely due to the heterogeneity of the population studied, the small sample size, and the small number of data collected. It's likely that the two circulatory districts were not firmly connected in gingival pathology, and that the systemic inflammation was the sole thing that caused the carotid hemodynamic condition to worsen in patients with periodontal disease due to the growth of the local gingivopathy. Author(S) Details M. M. Figliuzzi Department of Health and Oral Sciences Periodontology Clinic, Medicine and Surgery School, “Magna Graecia” University of Catanzaro, Catanzaro, Italy. S. Sestito Department of Health and Oral Sciences Periodontology Clinic, Medicine and Surgery School, “Magna Graecia” University of Catanzaro, Catanzaro, Italy. D. Pacifico Department of Health and Oral Sciences Periodontology Clinic, Medicine and Surgery School, “Magna Graecia” University of Catanzaro, Catanzaro, Italy. L. Parentela a Department of Health and Oral Sciences Periodontology Clinic, Medicine and Surgery School, “Magna Graecia” University of Catanzaro, Catanzaro, Italy. Carlo Rengo University of Naples “Federico II”, Napoli, Italy. View Book:- https://stm.bookpi.org/NHMMR-V8/article/view/6652

#Microvascular hemodynamic #anthropometric parameters #periodontal probing #heterogeneity

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your-dietician · 4 years ago

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Efficacy of intraarticular radiofrequency for OA pain

New Post has been published on https://depression-md.com/efficacy-of-intraarticular-radiofrequency-for-oa-pain/

Efficacy of intraarticular radiofrequency for OA pain

Introduction

Osteoarthritis (OA) is the most common cause of chronic knee pain; it is a debilitating condition that often causes a significant reduction in functional capacity. OA incidence is directly proportional to age, as well as presenting well-known risk factors such as gender, obesity, knee trauma, and family history.1–9 Among the pathophysiological mechanisms underlying OA, there is an imbalance between the synthesis and degradation of chondrocytes. The key to increased degradation of the chondrocytes lies in alterations of the extracellular cartilage matrix (ECM), which supports the biomechanical properties of this tissue. It has been demonstrated that factors such as IL-1, TNF, IL-6 and IL-17 are involved in the degradation process, which is fundamental in the regulation of cartilage metalloproteinases.10–12 An increase in these substances can interfere with cartilage repair mechanisms by inhibiting the response of insulin-like growth factor-1 and growth factor-β. Therefore, “anti-cytokine” therapies could potentially be successfully integrated into OA management.13–15

Standard treatments of OA include physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), tramadol, opioids, intraarticular hyaluronic acid or steroids, as well as genicular nerve ablation.16–19 In more severe cases, surgical knee arthroplasty should be considered.16 Pharmacotherapy cannot always guarantee benefits, especially in light of the high incidence of side effects. Furthermore, NSAIDs should not be administered for long periods of time due to increased risks of gastric bleeding,20 adverse cardiovascular events,21 and renal failure,22 iatrogeneses that are not favorable in the treatment of a chronic pathology. Opioids are often used, but are associated with numerous side effects, especially in the elderly. Knee surgery is not always feasible and can cause complications, such as hematomas, infections and damage to the surrounding tissue.

Pulsed and/or continuous radiofrequency are neuromodulatory and/or neurolytic techniques that represent an alternative to these therapies.23–26,39

Radiofrequency does not involve the use of drugs; it is not particularly invasive and may be repeatable.27,28 In 2011, in a double-blind randomized controlled trial, Choi et al proposed continuous radiofrequency treatment from 70 ° C to 80 ° C for 90–180 seconds on the superior lateral (SLGN), upper medial (SMGN) and lower medial (IMGN) genicular nerves (IMGN).29 The medial retinacular nerve and the infrapatellar branch of the saphenous nerve were also identified as target points.30 Similarly, in 2008, Sluijter and Teixeira reported on the successful intraarticular use of pulsed radiofrequency (PRF) using the Poisson curve for energy distribution (Sluijter-Teixeira Poisson radiofrequency) (STP).31,32 More recently, we reported on both intraarticular and genicular nerve simultaneous use with a longer period of efficacy.33,34 In that study, we carried out a retrospective analysis of patients treated with STP intra-articular knee radiofrequency over a 20-month period in a single center.

Methods

This investigation was a retrospective analysis of patient records of STP unipolar intra-articular knee radiofrequency from March 2018 to November 2019. The study was conducted at Ospedale dei Colli, Naples, and approved by the hospital’s Institutional Ethics Committee. One hundred and seventy-two consecutive patients treated with this method were included. Data from 43 patients were discarded as they were incomplete or because follow-ups did not meet the minimal number of observations. For the remaining 129 patients, data were available regarding the Lequesne Index of severity for knee osteoarthritis prior to the procedure35 and the intensity of pain using a 10-cm visual analog scale (VAS). Zero identifies no pain whatsoever and 10 identifies the most severe pain imaginable. VAS values were collected prior to the procedure (baseline), immediately following the procedure, and at 30-, 90- and 180-days post-procedure. Based on the Lequesne Index, patients were classified into six groups of differing severity of osteoarthritis.36 Medication intake before and after the procedure was evaluated, followed by further assessment after each follow-up visit. A satisfaction questionnaire was administered to all patients at 180 days, on which patients could choose between “very satisfied”, “satisfied”, “neither satisfied nor dissatisfied”, “dissatisfied” and “very dissatisfied”. An informed-consent form for non-sensitive data utilization was signed prior the procedure. The study was conducted in accordance with the ethical principles of the Declaration of Helsinki of 1996.

Technical Procedure

Under aseptic operating room conditions, a NeuroTherm NT-1100 lesion generator was used. Following cutaneous local anesthesia with 1% lidocaine, a PRF needle (SMK C-10, 22G, active tip 10 mm; NeuroTherm, Wilmington, MA) was inserted into the joint. Insertion was performed under fluoroscopic guidance in two planes for 56 patients and under in-plane sonographic guidance for the remaining 73 patients. A superior, medial or lateral retro-patellar approach was used to enable insertion of the radiofrequency cannula as close as possible to the painful area within the joint. A “tunnel-vision” fluoroscopic technique was also adopted, taking care to visualize the intra-articular space. The lateral view is necessary to determine the depth of the needle in the joint.

Statistical Analysis

A one-way analysis of variance (ANOVA) using Microsoft Excel was used to test the statistical power of pain reduction between the different timeframes (from baseline to 180 days after treatment). In addition, t-tests were performed using Microsoft Excel between every two consecutive timeframes. A Shapiro Wilk normality test was used to detect any departure from normality for each group. P-values were corrected using the Bonferroni method and the level of significance was set at 0.05. The bar plots and linear charts were prepared using Microsoft Excel.

Results

With respect to the demographic data, the 129 patients were divided as follows: 34 males, 95 females; mean age 74±10.7 years. Based on the results of the Lequesne Index of severity for osteoarthritis, the majority of patients were classified as having very severe disability in 46/129 subjects (35.66%) or extremely severe disability in 71/129 subjects (55.04%) (Figure 1). Pain reduction in terms of VAS was found to be statistically significant immediately post procedure, at 30 days and at 90 days (p<0.001); this difference was less significant at 180 days (p<0.005) (Figure 2). VAS values for first quartile, median and third quartile for all observed times are presented in Table 1. By assessing pain relief for the various disability classes obtained with the Lequesne classification, it is clear that efficacy in patients with moderate disability and severe disability was considerably more significant than in patients with very severe disability or extremely severe disability (Figure 3).

Table 1 VAS Values of Median, First and Third Quartiles for Different Observation Points

Figure 1 Patient distribution based on the Lequesne Index of severity for osteoarthritis.

Figure 2 Box plot of median, first and third quartile of VAS values at different observation points.

Figure 3 Pain relief related to the various disabled classes obtained using Lequesne classification.

More specifically, 2 of 3 patients in the moderate Disability group, 7 of 8 in the severe Disability group, 31 of 45 in the very Severe Disability group, and 33 of 73 in the extremely severe Disability group reported greater than 50% pain relief.

None of the 3 patients in the Moderate Disability group, none of the 8 in the Severe Disability group, 6 of 45 in the Very Severe Disability group and 21 of 73 in the Extremely Severe Disability group reported less than 30% pain relief. No difference was found in pain relief between patients treated with fluoroscopic guidance compared to those treated with ultrasound guidance (Figure 4). Likewise, regarding the degree of satisfaction at 180 days, patients declared themselves very satisfied 74/129 (57.36%), satisfied 38/129 (29.46%), neither satisfied nor dissatisfied 12/129 (9.3%), dissatisfied 3/129 (2.33%) or very dissatisfied 2/129 (1.55%) (Figure 5). At least 118/129 patients (91.47%) opined that they would repeat the procedure if necessary. No major adverse events occurred, and only three patients experienced post-procedural pain, which, in each case lasted less than 24 hours.

Figure 4 VAS values compared between patients treated under fluoroscopic guidance vs sonographic guidance.

Figure 5 Patients satisfaction recorded 180 days after procedure.

Discussion

Our retrospective study arose from the need to evaluate our clinical experience originating from clinical data reported in the scientific literature by Sluijter et al,30,31 and continued from an empirical evaluation of patient satisfaction data collected in our 2020 case series. Although the mechanism of action of PRF is not yet entirely clear, our data support the assertion of Schianchi et al, who postulated that intra-articular PRF may have a dual effect.37 PRF is characterized by short bursts of energy application (10–20 milliseconds), between which were interspersed long silent phases (480 milliseconds), which contribute to maintaining tissue temperature below the irreversible tissue damage threshold of 42°C. This approach suppresses excitatory C-ﬁber activation and the spread of pain impulse at the synaptic junction, thus creating a neuromodulatory effect. In the STP mode, radiofrequency provides a short pulse width for minimal destructive effect and a higher coeﬃcient of variance for greater efficacy of treatment.

This pulsed method has been administered inside the intervertebral discs for discogenic pain, and with intra-articular application for arthrogenic pain, resulting in significant efficacy rates in terms of pain reduction and mobility improvement.34

The initial effect of this treatment is on nerve fibers and is thought to be due to amplification of the electric field that occurs within a closed joint. The second and most probable effect occurs due to modulation of the inflammatory response. Further to this, in a case study reported by Schianchi et al,35 the authors concluded that the biological effects of low-range electrical fields consist of a remodulation of inflammatory cytokine production. This hypothesis has been supported through in vitro investigations.37,38

The primary weakness of this study relates to its retrospective design. Even though the results were highly significant, prospective studies including control arms will be necessary in order to confirm our findings. Further, our study was performed at a single site, and generalizability of results will improve once we conduct a multi-site investigation. The minimally invasive nature and high safety levels of this procedure, in addition to the marked success rate anecdotally observed in common clinical practice, amplify the need for appropriate studies in order to clarify the efficacy of intra-articular knee PRF in OA patients.

Conclusion

In the current study, for Moderate and Severe Disability groups, intraarticular STP Pulsed Radiofrequency resulted in significantly reduced VAS scores at 1, 3 and 6 months compared to baseline in osteoarthritis pain. However, in the Extremely Severe Disability group, despite high levels of patient satisfaction, approximately one-third of patients reported less than 30% pain relief. In light of our experience, this technique should be reserved for the Moderate and Severe Disability groups as those are the groups which currently reported higher levels of satisfaction and good pain relief. In the Extremely Severe Disability group, this technique may be considered only in selected cases, when an adequate therapeutic and/or surgical alternative is not contemplated. Although this study’s results are quite encouraging, a prospective analysis will be needed in order to substantiate the relative beneﬁts of this technique.

Disclosure

Dr Michael E. Schatman is research consultant for Firstox and Modoscript, outside the submitted work. The authors report no other conflicts of interest in this work.

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priceaamal · 4 years ago

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Napoli Fixtures | Sky Sports

Napoli champions league fixtures - Napoli Scores & Schedule | FOX Sports

Napoli Fixtures & Results

Contini Baranovsky 24 years old 0 0. Ospina 32 years old 15 0. Idasiak 19 years old 0 0. Zedadka 20 years old 0 0.

Los Angeles Dodgers. Miami Marlins. Milwaukee Brewers. Minnesota Napoli champions league fixtures. New York Mets. New York Yankees. Oakland Athletics. Philadelphia Phillies. Pittsburgh Pirates. San Diego Padres. San Francisco Giants. Seattle Mariners. Louis Cardinals. Tampa Bay Rays. Texas Rangers. Toronto Blue Jays. Washington Nationals. Atlanta Hawks. Boston Celtics. Brooklyn Nets. Charlotte Hornets. Chicago Bulls. Cleveland Cavaliers. Dallas Mavericks. Napoli champions league fixtures Nuggets.

Detroit Pistons. Golden State Warriors. Houston Rockets.

Napoli Fixtures

Indiana Pacers. LA Clippers. Los Angeles Lakers. Memphis Grizzlies. Napoli champions league fixtures Heat. Napoli champions league fixtures Bucks. Minnesota Napoli champions league fixtures. New Orleans Pelicans. New York Knicks. Oklahoma City Thunder.

Views Read Edit View history. Help Learn to edit Community portal Recent changes Upload file. Download as PDF Printable version. Wikimedia Commons. Real Madrid. Spartak Moscow.

Manchester City. Bayern Munich. Borussia Dortmund. Athletic Bilbao. After a change of coach, Napoli are ready to tough it out. When was it? Who was involved? How did it work? The venues have been confirmed for this season's remaining round of 16 second legs.

How the system works and what it means for Champions League places. Antoine Griezmann's first-leg away goal has given More an advantage after the game in Naples finished Who makes the cut for the all-star Fantasy XI from this week's round epl points table latest 16 first legs? As the club returns to Champions League, its current form has been mixed, winning three of its last five matches, and beating Lazio,on Saturday.

However, Napoli will be taking on a bruised and battered Barcelona, which will also be without integral Arturo Vidal -- the playmaker is out on a red card suspension sustained in the first leg. If Napoli can be patient and score early, the club could set the tempo and manage the match away from Barcelona.

By Sandra Herrera. Aug 3, at pm ET 2 min read. Getty Images.

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covid19updater · 5 years ago

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COVID19 Updates: 10/23/2020

Germany: Coronavirus: Germany hits five-figure infections again amid lockdown warning LINK

Philippines: Philippines reports 1,923 new coronavirus cases, 132 more deaths

Romania: Romania rose by a daily record of 5,028 in the past 24 hours,

North Korea: North Korea has warned its citizens to stay indoors over fears that "yellow dust" which blows in from China could bring coronavirus with it. The streets of the capital Pyongyang were reported to be virtually empty on Thursday following the warning. LINK

India: Autopsy finds Covid patient’s lungs ‘hard as a leather ball’ LINK

Scotland: Coronavirus in Scotland: Traces of Covid-19 found in waste water from almost every Scottish area LINK

New Mexico: OVERALL STATE HOSPITAL CAPACITY: As of today, 85 percent of adult general beds at New Mexico hospitals are occupied, and 70 percent of adult ICU beds across New Mexico hospitals are occupied. This includes patients hospitalized for COVID-19 and other illnesses.

Netherlands: 10,007 new confirmed corona infections have been reported to the RIVM until 10:00 this morning. That is 726 more than were reported yesterday.

US: Santa won't be at Macy's for the first time in 159 years LINK

Poland: Poland's PM Morawiecki: - highest tier of restrictions - primary schools switch to e-learning (years 4-8) - restaurants, pubs, cafes, bars to close; takeaway only - rule of five for social meetings - seniors 70+ asked not to leave home unless essential (groceries, GP, pharmacy)

Switzerland: Switzerland 7 day positivity rate: 17.7% LINK

Italy: Italian governor calls for national lockdown amid coronavirus surge

Belgium: Belgium reports 16,746 new coronavirus cases, by far the biggest one-day increase on record - Positivity rate: 18.7% (+1.8) - In hospital: 3,649 (+375) - In ICU: 573 (+48) - New deaths: 49

Iowa: Coronavirus outbreak infects nearly every resident of Amana nursing home LINK

Czech Republic: Czech Health Minister Roman Prymula has refused calls from the country's prime minister to resign, after being pictured by a tabloid newspaper coming out of a restaurant late at night - despite all such establishments being closed. The affair has thrown the country deep into political crisis, and public confidence in government restrictions has been left in tatters. There was already considerable public grumbling at the latest restrictions, which include closing all pubs and restaurants. So when the man who thought up those rules was caught by a tabloid photographer emerging from a restaurant and without a mask, it appeared his days – perhaps hours – were numbered. However, he now says he was at a meeting in a private room in the building that also houses the restaurant, and that he put on his mask as soon as he got to his car. The country now finds itself in an unedifying and toxic political struggle – right in the middle of the worst health crisis it has ever seen.

Kenya: Kenya has reported a sharp increase in Covid-19 cases, with more than 1,000 people confirmed to have contracted coronavirus on Thursday. This is the highest number of single-day cases to be recorded in the country since the first case was reported on 13 March. Critics say the rise in cases is a result of people not adhering to safety measures in open spaces after President Uhuru Kenyatta relaxed restrictions three weeks ago. The health ministry is holding talks with the management of about 20 hotels that will be converted into isolation facilities to ease off pressure in hospitals. Some hospitals are said to have started recording a surge in admissions. Daniel Yumbya, the chief executive of the Medical Pharmacists and Dentists Council, said the country has a total of 18,443 isolation beds - which is not enough. "We’re now back to negotiating with private hotels to charge the bare minimum for patients in isolation. We do not want hospitals to be overwhelmed," Yumbya told journalists on Thursday.

UK: Rugby: England v Barbarians called off after players breach Covid rules LINK

US: Coronavirus pandemic is causing 'unacceptable' shortages in US drug supplies, report says LINK

Italy: Italy: +19,143

US: In the United States, 10.9% of detected COVID19 cases are children, according to data from mid-October. They were only 2.2% in April. --(American Academy of Pediatrics)

France: As millionth case looms, COVID tears through France faster than in spring LINK

World: WHO's Tedros: We are at a critical juncture in the COVID-19 pandemic, particularly in the Northern hemisphere. The next few months are going to be very tough and some countries are on a dangerous track. "We urge leaders to take immediate action, to prevent further unnecessary deaths, essential health services from collapsing and schools shutting again. As I said it in February and I’m repeating it today: This is not a drill. Too many countries are now seeing an exponential increase in infections, and that is now leading to hospitals and intensive care units running close or above capacity -- and we’re still only in October.

Spain: The Spanish Health Ministry's "symptoms starting in the last 14 days" figure has skyrocketed this week too. Now up to 60,000.

US: LINKEDIN EXTENDS WORK FROM HOME TO JULY 12, 2021

France: French President Macron says coronavirus epidemic in "extremely strong" acceleration, measures could be strengthened if they're not effective enough - BFM

Russia: Russia says COVID "under control" despite record infections, bodies lined up in hospital basement LINK

UK: Covid-19: Boris Johnson hopes families can have Christmas together LINK (The cheese has slid off the poor man’s cracker)

US: TOP NIH OFFICIAL DR. FAUCI: WE NEED TO DOUBLE DOWN ON WEARING MASKS, SOCIAL DISTANCING, AND OTHER PUBLIC HEALTH MEASURES. US TOP NIH DR FAUCI SAYS WH VIRUS TASK FORCE MEETINGS DOWN TO ONCE A WEEK

UK: Coronavirus: 'Uncontrolled epidemic' in young people would have 'dire consequences for NHS', SAGE warns LINK

France: In France, the number of COVID patients in hospital is rising fast (see chart). Nearly 2,100 people were admitted on Thursday, or roughly 1 person every 40 seconds

US: Dr. Eric Ding: My god, I cry so much for North Dakota and the Midwest right now. We are just at the beginning of the wave of deaths that are coming. North Dakota has the highest mortality in the world. Higher than ANY country.

Germany reports 13,405 new coronavirus cases, biggest one-day increase on record - @risklayer - In hospital: 5,175 est. (+377) - In ICU: 1,121 (+87) - New deaths: 46

Italy: S&P: THE COVID-19 PANDEMIC HAS HIT ITALY'S ECONOMY HARD UNDER OUR PROJECTIONS, GDP WILL NOT RETURN TO 2019 LEVELS UNTIL 2023.

Italy: Governor of southern Italian region of Campania calls for national lockdown. PM Conte is resisting a national shutdown, saying it would be a disaster for economy.

Oklahoma: OKLAHOMA CITY (KFOR) – An Oklahoma family is being forced to consider COVID-19 treatment in Texas after one of the state’s top doctors says open COVID-19 ICU hospital beds in Oklahoma are rare. LINK

US: JUST IN: The US reports over 80,000 new coronavirus cases, the highest daily figure since the pandemic began.

Texas: State sends emergency medical personnel, supplies to El Paso as COVID-19 cases rise across Texas LINK

Italy: Protesters in Naples, Italy, take to the street in defiance of curfew after governor calls for total lockdown. Earlier today, the governor said: "The current contagion figures render any type of partial measure ineffective. It is necessary to close everything, except for sectors that produce and move essential goods" - ANSA

Alabama: Alabama reported 3,852 new cases today on 9,078 tests (42.4% positive).

World: COLD COMFORT Covid second wave spreading FASTER than the first because of the cold, top doc warns LINK

Argentina: Argentina COVID update: - New cases: 15,718 - Positivity rate: 44% (+2.4) - In hospital: 30,405 (+158) - In ICU: 4,696 (+85) - New deaths: 382

US: Total U.S. COVID-19 deaths could hit 500,000 by February, researchers say LINK

Belgium: Belgium reports record 17,568 new coronavirus cases, daily death toll at highest level since May - New cases: 17,568 - Positivity rate: 18.8% (+0.1) - In hospital: 4,061 (+412) - In ICU: 632 (+59) - New deaths: 70

UK: Covid: The NHS workers 'still recovering' as second wave looms LINK

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techcrunchappcom · 5 years ago

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New Post has been published on https://techcrunchapp.com/lesson-not-learned-europe-unprepared-as-2nd-virus-wave-hits-national-news/

Lesson not learned: Europe unprepared as 2nd virus wave hits | National News

ROME (AP) — Europe’s second wave of coronavirus infections has struck well before flu season even started, with intensive care wards filling up again and bars shutting down. Making matters worse, authorities say, is a widespread case of “COVID-fatigue.”

Record high daily infections in several eastern European countries and sharp rebounds in the hard-hit west have made clear that Europe never really crushed the COVID-19 curve as hoped, after springtime lockdowns.

Spain this week declared a state of emergency for Madrid amid increasing tensions between local and national authorities over virus containment measures. Germany offered up soldiers to help with contact tracing in newly flaring hotspots. Italy mandated masks outdoors and warned that for the first time since the country became the European epicenter of the pandemic, the health system was facing “significant critical issues” as hospitals fill up.

The Czech Republic’s “Farewell Covid” party in June, when thousands of Prague residents dined outdoors at a 500-meter (yard) long table across the Charles Bridge to celebrate their victory over the virus, seems painfully naive now that the country has the highest per-capita infection rate on the continent, at 398 per 100,000 residents.

“I have to say clearly that the situation is not good,” the Czech interior minister, Jan Hamacek, acknowledged this week.

Epidemiologists and residents alike are pointing the finger at governments for having failed to seize on the summertime lull in cases to prepare adequately for the expected autumn onslaught, with testing and ICU staffing still critically short. In Rome this week, people waited in line for 8-10 hours to get tested, while front-line medics from Kiev to Paris found themselves once again pulling long, short-staffed shifts in overcrowded wards.

“When the state of alarm was abandoned, it was time to invest in prevention, but that hasn’t been done,” lamented Margarita del Val, viral immunology expert with the Severo Ochoa Molecular Biology Center, part of Spain’s top research body, CSIC.

“We are in the fall wave without having resolved the summer wave,” she told an online forum this week.

Tensions are rising in cities where new restrictions have been re-imposed, with hundreds of Romanian hospitality workers protesting this week after Bucharest once again shut down the capital’s indoor restaurants, theaters and dance venues.

“We were closed for six months, the restaurants didn’t work and yet the number of cases still rose,” said Moaghin Marius Ciprian, owner of the popular Grivita Pub n Grill who took part in the protest. “I’m not a specialist but I’m not stupid either. But from my point of view it’s not us that have the responsibility for this pandemic.”

As infections rise in many European countries, some — including Belgium, Netherlands, the United Kingdom, Spain and France — are diagnosing more new cases every day per capita than the United States, according to the seven-day rolling averages of data kept by Johns Hopkins University. On Friday, France, with a population of about 70 million, reported a record 20,300 new infections.

Experts say Europe’s high infection rate is due in large part to expanded testing that is turning up far more asymptomatic positives than during the first wave, when only the sick could get a test.

But the trend is nevertheless alarming, given the flu season hasn’t even begun, schools are open for in-person learning and the cold weather hasn’t yet driven Europeans indoors, where infection can spread more easily.

“We’re seeing 98,000 cases reported in the last 24 hours. That’s a new regional record. That’s very alarming,” said Robb Butler, executive director of the WHO’s Europe regional office. While part of that is due to increased testing, “It’s also worrisome in terms of virus resurgence.”

It’s also worrisome given many countries still lack the testing, tracing and treating capacity to deal with a second wave of pandemic when the first wave never really ended, said Dr. Martin McKee, professor of European public health at the London School of Hygiene and Tropical Medicine.

“They should have been using the time to put in place really robust ‘find, test, trace, isolate’ support systems. Not everybody did,” McKee said. “Had they done that, then they could have identified outbreaks as they were emerging and really gone for the sources.”

Even Italy is struggling, after it won international praise for having tamed the virus with a strict 10-week lockdown and instituted a careful, conservative reopening and aggressive screening and contact-tracing effort when summer vacation travelers created new clusters. Anesthesiologists have warned that without new restrictions, ICUs in Lazio around Rome and Campania around Naples could be saturated within a month.

As it is, Campania has only 671 hospital beds destined for COVID-19, and 530 are already occupied, said Campania Gov. Vincenzo De Luca. Half of Campania’s 100 ICU virus beds are now in use.

For now, the situation is manageable. “But if we get to 1,000 infections a day and only 200 people cured, it’s lockdown. Clear?” he warned this week.

The ICU alarm has already sounded in France, where Paris public hospital workers staged a protest this week to demand more government investment in staffing ICUs, which they said haven’t significantly increased capacity even after France got slammed during the initial outbreak.

“We did not learn the lessons of the first wave,” Dr. Gilles Pialoux, head of infectious diseases at the Tenon Hospital in Paris, told BFM television. “We are running after (the epidemic) instead of getting ahead of it.”

There is some good news, however. Dr. Luis Izquierdo, assistant director of emergencies at the Severo Ochoa Hospital in Madrid said at least now, doctors know what therapies work. During the peak of the epidemic in March and April, doctors in hardest-hit Spain and Italy threw every drug they could think of at patients — hydroxychloroquine, lopinavir, ritonavir — with limited success.

“Now we hardly use those drugs as they hardly have any effect,” he said. “So in this sense we have had a victory because we know so much more now.”

But treating the virus medically is only half the battle. Public health officials are now dealing with a surge in anti-mask protests, virus negationists and residents who are simply sick and tired of being told to keep their distance and refrain from hugging their loved ones.

The WHO this week shifted gears from giving medical advice to combat infections to giving psychological advice on how to nudge virus-weary Europeans to keep up their guard amid “COVID-fatigue” that is sweeping the continent.

“Fatigue is absolutely natural. It’s to be expected where we have these prolonged crises or emergencies,” said the WHO’s Butler.

The WHO this week put out new advice for governments to consider more social, psychological and emotional factors when deciding on lockdowns, closures or other restrictions — a nod to some in the field who say the mental health toll of lockdowns is worse than the virus itself.

That data, Butler said, “is going to become more important because we have to understand what restrictions we can put in place that will be sustained and adhered to, and acceptable to our populations.”

———

AP reporters across Europe contributed.

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#europe #learned #lesson #unprepared #virus #National

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virologyconsultcovid19 · 5 years ago

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HealthLynked Corp. Tracks Worldwide Spread of Coronavirus and Keeps Users Informed With Novel Interactive App NAPLES, Florida, March 9, 2020 /PRNewswire/ -- HealthLynked Corp. (OTCQB: HLYK ), a global healthcare network focused on care management of its members and a provider of healthcare technologies that connects doctors, patients and medical data today announced that is has developed technology to help track the spread of [...] Click here to view original web page at www.prnewswire.com

#virus

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thehivehealth · 6 months ago

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Medical Implant Pricing in Naples | The Hive

Discover transparent and optimized medical implant pricing in Naples with The Hive. We specialize in helping healthcare providers achieve cost efficiency by streamlining the procurement of orthopedic, cardiac, and other medical implants. Our data-driven strategies ensure competitive pricing while maintaining quality and patient outcomes. By analyzing vendor contracts and supply chains, we uncover opportunities for savings without sacrificing care standards. Partner with The Hive to gain control over medical implant costs and improve financial performance for your healthcare facility. Visit The Hive to learn more about our solutions for cost-effective implant pricing in Naples.

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speedypeacething-blog · 5 years ago

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Barrette’s Esophagus Market- Share, Growth And Forecast Report 2019- 2027

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blogjamesw123 · 5 years ago

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Barrette’s Esophagus Market: Industry Size, Analysis Report and Forecast 2019 - 2027

For requesting free sample our latest study on Global Barrett’s Esophagus Market, visit: https://www.meridianmarketconsultants.com/requst?rid=9574

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About Meridian Market Consultants:

Meridian Market Consultants (MMC)

13121, Louetta Road,

#440, Cypress, Texas 77429

United States

Tel: +1-(281)-619-8646

For Sales Queries: [email protected]

#Barrette’s Esophagus Market trends #Barrette’s Esophagus Market Report #USA Barrette’s Esophagus Market #Barrette’s Esophagus Market News #MEA Barrette’s Esophagus Market #Healthcare market report #Health manegement market report

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addictionfreedom · 6 years ago

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Addiction Treatment Program South Miami Hospital

Contents

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d-j-highlanders · 5 years ago

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CORONA VIRUS (COVID19) CHINA vs ITALY

I would like to analyze with you these data which, from my point of view, should make you think.

The infection started from China, and today it is still difficult to understand when all this started. Reading an article, published by Corriere.it, it seems that an approximate date may be November 17th 2019, but it is not certain! https://www.corriere.it/…/coronavirus-primo-caso-17-novembr…

On January 23, the Chinese authorities dispose of the lockdown of the city of Wuhan, where the infection is out of control. The situation will ease, but not completely, only after two months. While China was fighting against its new demon, the monster had already arrived in Italy ... when? Good question! Apart from a Chinese couple from Wuhan who, having symptoms, were hospitalized at the Spallanzani Hospital in Rome (30 January), the first case ascertained by the health authorities is the patient "1" of Codogno (Lodi), on 21 February 2020 ... but subsequent research (from safe and reliable sources, certified laboratories) have shown that on that date, in Italy, the epidemic had already been running for days, if not weeks ... so it is probable that patient 1 we will have to rename patient 10 ?, 100 ?, 1.000? Once the history of the infection was reconstructed, I analyzed the numbers that, while in China tend to stop, in Italy, to date March 31, 2020, although slowing down, they are still increasing by a considerable number. To date, 82,272 of the population of nearly one and a half billion people in China have been infected, equal to 0.0055% of the population. In Italy the infected are 101,739 equal to 0.1682% of the population, and are destined to grow! The contagion relationship between Italy and China is embarrassing: out of 100 infected in Italy, in China just over 3 were infected! Because? Another important fact is the mortality rate calculated on the infected. To date, 3,309 people have died in China for and from Corona Virus, equal to 3.86% of the total infected. In Italy, for and by Corona Virus, 11,591 people died, equal to 11.39% of the total infected, three times higher than the Chinese figure. The difference is abysmal ... but the virus is the same! What are the reasons for this difference? Maybe one day we will discover that Eastern peoples (see also data from Koreans, Japanese, etc) have an enzyme that protects them? I do not exclude this hypothesis, but I fear that the truth is different, and now I need to have an answer, however much it can be useful and for how much, if it exists, it can make habits change for those who are worse off. When I took the course of Naturopathy, a few years ago, I had Professor Ottavio Iommelli as teacher, Manager since 1992 of the Center of Integrated Medicine (Acupuncture and Phytotherapy) San Paolo Hospital in Naples. Master II level teacher in M.T.C. at Vanvitelli and Federico II University, President of A.I.F.F. (Italian Association of Phytotherapy and Phytopharmacology) Prof. University of Traditional Chinese Medicine of Henan R.P.C. Professor accredited at the Collaborating Center of the World Health Organization Milan ... and much more! His connection with the Chinese academic medical body has always been very close. During the lessons he often told us about his travels to the universities of Beijing and about many experiences with Chinese colleagues, both in China and in Italy ... who better than he can help me understand? His answer was simple! First of all, we must recognize that the Eastern mentality, in general, tends to be much more disciplined and respectful of the rules (Comfucian vision) to which they must submit, for any circumstance and for any reason. The second aspect is that in the Eastern cultural tradition, prevention is not a taboo, as in the West, but is a rule of life! In fact, I remember that in the past, for a Chinese doctor, having a sick person or even worse, seeing his own patient, dying from any disease, was a great dishonor, something very bad to absolutely avoid! In the West if you don't have sick patients ... you risk not feeling like a doctor! These two factors already make a big difference, but the Chinese, on their side, have a third factor which turns out to be more than fundamental in the fight against the Corona Virus: their ultra-thousand-year-old medical culture, known by the name of TCM (Medicine Traditional Chinese). And what do we have? Something that somehow can adequately answer could be our ancient academic phytotherapeutic culture, but while in China TCM is used alongside Allopathic Medicine (what we consider the normal western medicine that cures the symptom), in any hospital and outpatient clinic. the whole territory, the Phytotherapy, here with us, seems to play an almost "allegorical" role. The differences in the real data, between the two countries, are abysmal, we cannot remain indifferent to what we are experiencing ... I think all this must teach us to look to the "east" with very different eyes and, with our heads bowed, to study and learn something that allows us to live better and, in some circumstances, save our lives. Faced with the impending disease, the Chinese have made use of invigorating herbal teas, made with herbs of their phytotherapy tradition, hot meals accompanied by hot drinks, relaxing gymnastics (Qi Gong), have resorted to acupuncture, which for the usual skeptics, be specific recognized by the World Health Organization and widely used also in some Italian hospitals (I mean hospitals of public health, because private ones would not make text) ... Professor Ottavio Iommelli, member of the AIFF (Italian Association of Phytotherapy and Phytopharmacology), whom I warmly thank for the always cordial availability, has sent me other material that I will share with you on this page in the next few days.

D.M.

#coronavirus #china #memes #rpm #preppertalk #bronchitis #bacterialvaginosis #aids #dallas #repost #urbansurvival #beready #preppernation #virus #doomsdaypreppers #candidiasis #pandemic #preparedness #virologia #paragrafando #studygram #med #biomedicas #brucellosis #chikungunya #chickenpox #flu #hepb #hepatitise #bhfyp

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