#s: cardia

[vacantgodling]

technically i could have teardrops take place in the same universe as paramour/alizath just on the western coastline of that southern country that hya & amon settle in after leaving galeré. i know that they settle more inland so they’d be p much unaffected by what happens in teardrops on the western coast. and tbh teardrops pushes more towards the mid atlantic in the search for seaglass and all that jazz

[ultralowoxygen]

"flying through" (ii) by hugo poon Via Flickr: Fujifilm Cardia mini Tiara, Kodak Portra 400 Hill Road, Shek Tong Tsui, Hong Kong

[loosesodamarble]

Erika you’re so brave for that salty ask game! Let’s hear 5, 6, 9 and 27 please?

Alright, time for me to give some salt back (in a loving manner of course)~!

5) Has fandom ever ruined a pairing for you?

The MHA fandom largely ruined shipping in general for that series. Like, the one triangle I mentioned before is something I really don't get emotionally. But overall, I've become meh about shipping for that series. Fandoms are truly a force to be reckoned with (derogatory).

6) Has fandom ever made you enjoy a pairing you previously hated?

I've said it before and I'll say it again but I've never had the experience of a fandom getting me to enjoy a pairing I once hated.

However, so I don't bore you with the same answer twice, I'll share an example of how the source material of a series made me enjoy a ship. Impey x Cardia from Code Realize was pretty meh for me in the original game. It took me months to bring myself to finish Impey's route and I forgot how the romance developed there. But then in the fan discs! Ooooh! Cardia and Impey are just so cute together. Cardia supports Impey and he lovingly teases her and they work together. AND THEIR WEDDING! GAH! I'm gonna replay CR eventually and hopefully I'll better appreciate Impey's route and his romance with Cardia this time.

9) Most disliked character(s)? Why?

I already said the Zogratis family and Alecdora... Lemme pull from my other fandoms~!

Hero Aca: Tomura Shigaraki. His full time hater status has gotten on my last nerve. I've given up on MHA successfully redeeming him even though I'm pretty sure that's where it'll end up. I only really keep up with MHA to know how it ends.

Demon Slayer: Just imagine me stabbing a bag of milk, if you would. Also Muzan and his victim complex. Cringe, dude, so glad you're gone.

Fairy Tail: All the demons of the Tartaros Guild for being unsufferable, sadistic bastards. Now I know that's the point as demons with no humanity made for the purpose of killing Zeref (and they couldn't even manage that). Brain/Zero and the talking stick from the Oracion Seis also get my seal of disapproval for 1) preying on some traumatized children (that's Brain) and 2) being incredibly annoying (the stick).

Shadows House: Mia. That kid needs to stop being a menace for a freaking minute and give Sara some time to think some independent thoughts. And Edward, I'm not going to forgive him for the shit he pulled against Maryrose/Rosemary and Barbara.

Dishonorable mentions: Yuri Briar from SxF. Gretel from Taisho x Alice (I freaking wish he burned to death in that house). I also generally have a disdain for locked, "true route" dudes in dating sims (except Misyr, he's hot and funny and cool and a monster hubby after my own heart) but Adolphe from Virche Evermore has multiple other offenses against him so he is the worst of the annoyances.

27) Least shippable character?

I dunno what it is but Dorothy has a "single and thriving" vibe. So it's not out of dislike or disinterest that I don't ship Dorothy. It's just her energy is so independent and free that I have trouble picturing her with a romantic partner.

[giggly-squiggily]

TickleTober Day 21: New Discovery (Code:Realize)

“Ready?”

“Ready.”

“LUPIN!” Impey sang, running out just as the mentioned gentleman rounded the corner. “How are you this fine evening?”

“I’m well…yourself?” The brunette looked utterly confused, brow raised as he listened to Impey blab about his latest inventions. Cardia took her chance, slowly creeping out from her hiding place and approaching.

“And that’s how I made it so we can bake our toast more evenly! Isn’t that grand? Think of all the meals we can have now!” Impey was beaming, unfazed at the glazed look passing over his friend’s eyes. “Oh, and there’s more-”

“Impey.” Lupin cut him off, raising a hand. “I adore you, and I adore the work you create. It’s truly amazing; but today’s patrol was particularly long and my dogs are barking. Could we perhaps have this discussion over dinner?”

The window of opportunity was slipping! Cardia needed to move faster. Using the skills Van Helsing taught her, she quickened herself until she was directly behind Lupin. Raising her hands, she waited for the signal.

“Oh, I suppose we could.” Impey made a show of pouting, slumping forward like a slacked marionette. “I figured you’d be just as tickled as I was about this discovery.”

The signal! Cardia struck.

“I suppose s-Ohoohohohohohoho!” Lupin all but startled at the feeling of fingers in his ribs, practically jumping out of his skin. His shock quickly morphed into laughter as he doubled over, weakly batting at the culprit’s hands. “Ahehahahahhaha! Whahahhat is thhihihihihihiihs!”

“Get him, Miss Cardia! You’re good at this!” Impey giggled, utterly delighted by the sight. Cardia felt herself swell with pride.

“Cahhahahahhardia? Oh nohoohohohohoho! Wahhahahahit, plehahahahhase I’m tohohohohohoo tihihihihihicklish!” Lupin begged, taking a knee as he tried curling into himself. His ears were particularly red now- darkening upon hearing his culprit’s identity. “Spahhahahare mehehehhehehe!”

“Okay.” She did just that, releasing him from his tickles. Impey looked alarmed.

“Miss Cardia, it was a trick!” He cried, paling further when Lupin rose from the dead.

“Miss Cardia….Impey…” Those gold eyes held only one thing; vengeance.

“RUN!” Impey wasted no time grabbing Cardia and tossing her over his shoulder. Within seconds he was running for their lives, Lupin flying after them with a gleeful cackle.

That was the day Cardia discovered that tickle fights could be fun. Really fun.

[cardia-c]

im cardia-c, 20’s, and not very talkative

[illeferrum]

⊛ ⸻ 𝐠𝐞𝐧𝐞𝐫𝐚𝐥

name:  maximilian veers

title(s): general.

gender: cis  -  male.

age: early 50′s (depending on verse).

birthday: 48  BBY.

place of birth:  denon.

spoken & understood language(s):  galactic  basic,  denonian slurs.

sexual preference:  bisexual.

occupation(s):  general of the army division of the executor.

⊛ ⸻ 𝐚𝐩𝐩𝐞𝐚𝐫𝐚𝐧𝐜𝐞

eye color:  hazel green.

hair color:  blond.

height: 194 cm  ~  6'4.

major scars: a lot of lacerations, blaster burns and what not. has two prosthetic legs due to them being crushed during the battle of hoth.

⊛ ⸻ 𝐟𝐚𝐯𝐨𝐫𝐢𝐭𝐞

color:  black, army green, gunpowder blue.

song:  gentle strings such as harps.

food: has not favourite.

drink: ale, wine, herbal tea, water.

⊛ ⸻ 𝐡𝐚𝐯𝐞  𝐭𝐡𝐞𝐲…

passed university:  graduated academy of cardia at the top of his classes.

had sex: yes.

had sex in public:  no.

gotten pregnant/someone else pregnant: has a son named zevulon.

kissed a boy: yes.

kissed a girl: yes.

gotten tattoos: no.

gotten piercings:  no.

stayed up for more than 24 hours: required many times.

⊛ ⸻ 𝐚𝐫𝐞  𝐭𝐡𝐞𝐲...

a virgin:  no.

a cuddler: extremely selectively.

a kisser:  yes.

scared easily:  no.

jealous easily: sometimes.

trustworthy: yes.

dominant:  yes.

submissive:  sometimes... only in private.

in love:  verse dependent.

single:  verse  dependent.

⊛ ⸻ 𝐫𝐚𝐧𝐝𝐨𝐦  𝐪𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬

have they harmed themselves: out of necessity.

thought of suicide: yes.

attempted suicide:  no.

wanted to kill someone:  yes.

have/had a job: yes.

have any fears: he would never admit having any. failing is one of them.

⊛ ⸻ 𝐟𝐚𝐦𝐢𝐥𝐲

sibling(s):  no.

parent(s):  deceased.

children:  zevulon.

significant other:  verse  dependent

pet(s):  none.

TAGGED BY  :: @alootus​ thank you love ♡ 

[thewild--flower]

[Translation] Code: Realize Future Blessings Short Story - Victor Frankenstein

Source: Code:Realize Future Blessings Stella Set Exclusive Booklet

Scan credit: Kou

Summary: Victor falls asleep after spending all night researching only to make a startling discovery.

Page 09     Victor Frankenstein

Midnight.

'Now then, today I think I'd like to do a bit more research on anesthetics. After all, if I can utilize them effectively, we can completely render our enemies powerless…..'

2am.

'Hm….. as expected, it really is too strong….. At the very least, I have to adjust the concentration so that there are no after-effects…..'

4am.

'Huaaah…..uff….. Guess we can't be using something this volatile in actual combat, huh. Which means, I need to think about whether to change the method of application or investigate other uses…..

6am.

'.....Ugh…..so…..sleepy…..! B-but….. just a little longer, I feel like I'm almost onto some…..thing…..'

Fighting against the wave of drowsiness that hit me, I took off my glasses and massaged my eyes. Taking a quick glance at my watch, I realized it was already around the time when it wouldn't be unusual for the others to be up and about. I, Victor Frankenstein, who had been sitting down working since the night before, collapsed forward onto my desk with a thud and breathed a deep sigh.

'Oh no….. Even though I know I shouldn't, I've pulled another all-nighter…..'

Completely forgetting about the time when concentrating on research was a bad habit of mine ever since my Royal Society days. With a light sigh, I pressed my cheek closer against the desk and closed my eyes.

'Ahh….. it's so….. nice and cool…..'

I knew that I really should just go to bed, but unfortunately, right now I just couldn't quite work up the energy….. s-since it had come to this, there was no helping it. A moment. Just for a moment—.

I'll take a quick nap here at my desk.

5 minutes. No, 10 minutes. Once I'd taken a quick nap for just 10 minutes….I'd get changed…..

And then………… get….. into….. bed…..

…..

…………

———————.

' ——————Huh!?'

Waking up in a panic, I thrust aside the blanket that had been covering me.

The sun was high up in the sky.

That alone told me that my plan to nap 'just for a moment' was completely in tatters.

'Aaaah…..! I really am…..! Sigh….. 

I've really done it now….. And it was only meant to be 5 minutes…..'

Completely exhausted, I got out of bed and put my hand to the buttons on my pyjamas.

….. At that moment, a feeling of uneasiness I couldn't quite shake brought me to a standstill.

'Huh? Come to think of it, when did I change into my pyjamas…..?'

And now that I was at it, I didn't have any memory of getting into bed either.

Still puzzled, I stretched out my hand to put on my glasses.

On the table, together with my familiar looking glasses….. a note written on a single piece of paper had been left, wedged in between them.

The contents of the note read:

'To Victor. When you go to sleep, make sure it's in a proper bed.'

'.....Um….'

Little by little my brain was starting to return to its normal operating capacity. 

At the same time, memories that I was probably happier not recalling, gradually began to trickle into my mind.

'Victor. Wake up, Victor.'

'.....Mnnn…..just…. five more minutes…. '

'If you're really tired, it's OK to sleep. But you gotta get changed and get into bed first.'

'..........Mnn~.....'

'Come on, Victor. Can you get changed?'

'.....Uuh…..I can't…..'

In other words.

After I had fallen asleep face-down at my desk, Cardia had—

'PS. I've put the clothes you were wearing out for washing. —Cardia.'

'?!'

In a total panic, I changed out of my pyjamas and threw on my coat.

And then, just like that, I dashed out of my room at top-speed.

The hallway. Not there.

The parlour. Not there.

Her room. Not there…..!

'C-Cardia!?'

Out of breath, I finally found her in the dining room. 

There she was, gathering the dishes from the table. At the sound of my voice she slowly turned around.

'Ah….. Victor.'

'U-Um, that is…..About what occurred last night…..?'

'Sorry Victor. When I'm done here, I've got to go do the laundry with Saint-Germain.'

Her eyes had been completely turned away from me.

Beginning to walk off as if to avoid me, who had started speaking formally for some reason, Cardia spoke quietly.

'.............But, I just think it's wrong to ask a girl to "Take them off for me?"'

'Wh-whaaaaat!? What exactly did I say when I was half-asleep!? No, what exactly did I do—!?'

I desperately chased after Cardia, as she rapidly walked away at a brisk pace.

[organchordsandlightning]

for the ask game... 9??

from the fanfic writer ask game

9. What’s your favorite line(s) or scene(s) that you have written?

it's funny, I was trying to think of what constituted 'favorites' and I thought of two different categories.

There's technical aspects I'm fond of: I try to include a lot of humor in my writing, and what I like best in the whole wide blue world is to make something funny while being a little bit sad. (from Catacomb Killer, Disco Elysium: here, Harry is in a half-dream, half-memory with his ex-fiance, Dora, while chasing down a potential child serial killer. A big point of this scene is that Dream!Dora does not want to be forgotten, only because Real Life Harry does not want to forget her. Ultimately, he chooses in this scene to leave his dream ex-fiance and rejoin his new partner, with the understanding that he won't ever forget Dora, not really.)

YOU – “Well, knowing me… I’ll drop by your metaphorical grave and bring flowers, from time to time. I’m not perfect.” DORA INGERLUND – “That’s fine. Sweet of you, even. Do you know what a memory’s favorite flowers are?” LOGIC [Hard: Failure] – You do not. DORA INGERLUND – She grins. “Forget-me-nots.”

(from i'm afraid to come home in the dark, MASH, WIP: post-suicide attempt, Captain Hawkeye Pierce is kept in a psychiatric institution [with all the fantastic, forward thinking care you can expect from the 1950s state hospitals]. Hawkeye Pierce is a surgeon and a terrible patient, with a penchant for cracking wise when he really shouldn't and insisting that he is absolutely fine.

this passage I'm particularly fond of because (a) it highlights Hawkeye's repetition when he gets stressed and the tape player in his mind starts to bunch up ['you know'], (b) Hawkeye gets to use a medical term *and* get a dig at the Army, and (c) in what other scenario do I get to make a medical-foot-tapping-pulse-rate pun?

“Do you gotta count how many times I tap my foot?” Hawkeye asked quizzically. The doc had been quiet for the better part of five minutes. This conversation was going long, as visits went. “Because you know, I gotta keep track of that sort of thing. For pulse, you know. You count for fifteen seconds and multiply by four to get their heart rate. It’s a beautiful marvel of efficiency. I wonder who invented it. Probably the Army.” If there was anything he really hated about this place, it was that it made him feel crazy. What doctor didn’t talk when they were spoken to? This man, with his stuffy hair and glasses, was barely looking up from his paperwork. “Am I looking low, doc? High? A little tappy-cardia on this fine evening? You know,” he said, tilting back in his chair.

secondly, looking back on things, I'm always really fond of scenes that are just particularly vivid in my head. Whether it's something I've planned the whole scene around or just popped up as I was writing, I'm always able to exactly remember how I intend the scene to look/feel.

(from third time's the charm, Malevolent, WIP: Arthur and Parker are in hospital, Arthur is on his very first detective case. For Undisclosed Plot Reasons, Parker has told Arthur to go home, misguidedly thinking that things have gotten too intense for him and he doesn't want to put Arthur in any more danger. Arthur disagrees.)

Parker’s lips twisted again. He reached up to press a few strands of his hair back into place. Almost immediately, they fell forward across his forehead. His eyes studied Arthur, and he couldn’t shake the feeling that Parker could see straight through his body to his stuttering heart. “Something happened to you, Mr. Lester,” Parker said. To his stuttering heart, indeed.  Parker gave a turn on his heel, continued his walk down the hallway. His words echoed. “Something bad.”

[alexglitches]

Recently fell back into my code: realize faze (ie the profile change) And I bring you the idea of Cardia Yuu! A girl with little to no social skills, no clue on how the world works, has little to no self value (in the start), melts every that comes into contact with her skin, and has a brother with daddy issues! (Now that I think about it her and Hyuu would probably get along)

hajshjshsjdhjs had to look that up but y e s

Cardia!Mc is so shy and awkward and the longer they’re in TWST the more confident they become because everyone gives them confidence boosts and stuff

jansjsjjxjskdbsjbdksnskdbkdjd

[tremendouspersonarbiter]

Achalasia-Cardia Treatment in Hyderabad

Difficulties in swallowing food or water? Then it may be that you’re suffering from Achalasia, which is a rare esophageal motility complaint represented by the incapability of the lower esophageal sphincter. Dr. N. S. Babu is the best achalasia-cardia surgeon in Hyderabad with his 15+ experience in performing 10,000+ surgeries with advanced laparoscopic surgeries and minimal access surgery, he’s observed as the best surgical gastroenterologist in Hyderabad.

Dr. N. S. Babu completed his MBBS in 2008 from Gandhi Medical College, followed by MS from Kakatiya Medical College and MGM Hospital, Warangal, and a DNB from GEM Hospital & Surgical Centre, Coimbatore. Presently Dr. N. S. Babu is working as a Consultant Surgical Gastroenterologist and Advanced Laparoscopic Surgeon at EVOKE Clinics, Secunderabad, and Apollo Hospital, Hyderabad where he gives the best achalasia cardia treatment in Hyderabad.

Here he explains everything about Achalasia cardia, so let’s explore,

What is achalasia-cardia?

Achalasia cardia, as often as possible connected with achalasia, is an interesting objection that influences the throat, the line that conveys food from the mouth to the stomach. In achalasia, the muscles of the throat and the lower esophageal sphincter( LES) don’t unwind fittingly, prompting trouble in gulping food and fluids.

According to  best colorectal surgeon in Hyderabad, Dr. N. S. Babu, the specific reason for achalasia is not known, yet it’s trusted to be due to of harm to the nerves in the throat. Side effects of achalasia can convey trouble gulping, disgorging of food, chest torment, weight reduction, and indigestion.

Who can get achalasia-cardia?

Achalasia cardia can occur in people of any age, including children, but it’s most generally diagnosed in grown-ups between the ages of 25 and 60. Both men and women are inversely affected by achalasia. While the exact cause of achalasia is unknown, certain factors may increase the threat of developing the condition, as suggested by Dr. N. S. Babu the threat factors include:

Autoimmune conditions: There may be an association between achalasia and autoimmune diseases like type 1 diabetes or thyroid diseases.

Genetics: There may be an inheritable predilection to achalasia, as it can occasionally run in families.

Infections: Some infections, analogous to those caused by certain viruses, have been indicated as implicit triggers for achalasia, but this is not yet well-established.

Nerve damage: Damage to the nerves in the esophagus may contribute to the evolution of achalasia, but the cause of this nerve damage is not continually clear.

Other factors: Some inquiries have alluded that certain environmental procurators or exposures may boost the trouble of achalasia, but further disquisition is needed to confirm these cooperations.

Overall, achalasia is a rare disorder, and while certain factors may increase the risk, it can occur in anyone.

What are the symptoms of achalasia-cardia?

The main symptoms of achalasia cardia include

Difficulty swallowing( dysphagia), especially with solid foods.

Regurgitation of food or liquids.

Chest pain or discomfort, constantly behind the breastbone.

Weight loss, frequently due to difficulty eating.

Heartburn or acid influx.

Dr. N. S. Babu says that  these symptoms can vary in inflexibility and may worsen over time if left undressed.

How to diagnose Achalasia-Cardia?

As per the best Laparoscopic surgeon in Hyderabad Dr. N. S. Babu diagnosing achalasia cardia generally involves a combination of medical history assessment, physical examination, and individual tests. Here is a figure of the common individual techniques used

Medical History and Physical Examination: The doctor will start by asking about your symptoms, such as difficulty swallowing, regurgitation of food, chest pain, and weight loss. They will also guide a physical examination to check for any signals of complications or footing conditions.

Barium Swallow Study( Esophagogram): This is a primary imaging test exercised to diagnose achalasia. During this test, you will swallow a liquid containing barium, which fleeces the within of your esophagus. X-rays are also taken while you swallow, allowing the doctor to observe the movement of the barium through your esophagus. In achalasia, the classic finding is a ballooned esophagus with a narrowed lower esophageal sphincter( LES) and a” bird’s beak” appearance.

Esophageal Manometry: This is the most accurate test for diagnosing achalasia. It measures the pressure and collaboration of muscle condensation in the esophagus. During the procedure, a slim, adjustable pipe with sensors is passed through your nose or mouth and into your esophagus. The sensors discover the pressure applied by the muscles of the esophagus as you swallow. In achalasia, there’s generally reduced or absent peristalsis( muscle condensation) in the esophagus and increased resting pressure of the LES.

CT Scan or MRI: These imaging tests may be used to estimate the esophagus and girding structures, particularly if there are concerns about complications or if other tests are inconclusive.

Treatment of Achalasia:

Achalasia is a disorder that affects the ability of the esophagus to move food toward the stomach. The main treatment options for achalasia include:

Balloon Dilation (Pneumatic Dilatation): In this system, an inflatable is embedded into the throat and expanded to extend the tight LES muscles, permitting food and fluids to pass all the more without any problem. It can give transitory alleviation of side effects yet may be rehashed over the long run.

Botulinum Toxin (Botox) Injection: Botulinum poison can be infused straightforwardly into the LES muscles to briefly incapacitate them, considering simpler gulping. This treatment is commonly held for patients who are bad contenders for different methods or who have bombed different medicines.

Surgical Myotomy: In a careful myotomy, the muscles of the LES are sliced to diminish their snugness and improve gulping. This should be possible by means of open medical procedure or laparoscopically (negligibly intrusive). It is viewed as the best long-haul treatment for achalasia however conveys gambles related to a medical procedure.

It’s important for patients to discuss their symptoms and preferences with best achalasia- cardia surgeon in Hyderabad, Dr. N Subrahmaneswara Babu to determine the most appropriate treatment plan for their individual needs.

Why Choose Dr. N. S. Babu for Achalasia-Cardia Treatment in Hyderabad?

Vast Experience: Dr. N.S. Babu is highly educated in the field of Surgical Gastroenterology and general and laparoscopic Surgery, including the treatment of Achalasia- Cardia. He has successfully performed over 10,000 surgeries including piles, fistula ,gallstone surgery ,  rectal prolapse and fissure treatment, demonstrating his expertise and skill.

Educational Achievements: Dr. N. S. Babu has a strong educational background, including a Master of Surgery, FMAS( Fellowship in Minimal Access Surgery), and DNB Surgical Gastroenterology. His commitment to staying modernized with the latest medical advancements is apparent through his fellowships in HPB Surgery, featuring his dedication to delivering the best possible care.

Affiliation with Renowned Institutions: Dr. N. S. Babu is presently associated with EVOKE Clinics, Secunderabad, and Apollo Hospitals Hospital, Hyderabad, two recognized medical institutions known for their high-quality healthcare services. This cooperation ensures that patients receive top-notch treatment and care.

Membership in Professional Associations: Dr. N. S. Babu is a full-time member of the Association of Surgeons of India( ASI) and the Association of Minimal Access Surgeons of India( AMASI). His active involvement in these professional communities demonstrates his commitment to advancing surgical practices and staying streamlined with the latest developments in the field.

Consult With the Best Colorectal Surgeon in Hyderabad:

Are you in search of the best achalasia- cardia treatment in Hyderabad? Look no further – Dr. N. Subrahmaneswara Babu is one of the best achalasia- cardia surgeon in Hyderabad . For any information and appointment call us on 094908 08080 or simply fill out the form Book your appointment

[lamilanomagazine]

Messina: presentate le iniziative promosse dall'Amministrazione comunale per la V edizione della "Settimana nazionale della Protezione Civile".

Messina: presentate le iniziative promosse dall'Amministrazione comunale per la V edizione della "Settimana nazionale della Protezione Civile". La Settimana nazionale della Protezione Civile si svolge dal 9 Ottobre sino al 15 Ottobre. Il comune di Messina ha aderito anche quest'anno alla V edizione della Settimana nazionale della Protezione civile con un programma di eventi illustrato ieri a palazzo Zanca, alla presenza del vicesindaco Salvatore Mondello e dell'assessore alla Protezione Civile Massimiliano Minutoli, nel corso di una conferenza stampa, cui hanno partecipato, tra gli altri, i dirigenti, del Servizio regionale di Protezione Civile Bruno Manfrè, e del comune Antonio Cardia. "Gli eventi calamitosi non sono prevedibili – ha dichiarato il vicesindaco Mondello – ma la prevenzione è un elemento fondamentale per non farsi trovare impreparati e affrontarli per quanto possibile nel miglior modo. Si tratta quindi di attività fondamentali in un territorio cittadino e provinciale come il nostro che si espone a varie criticità. Conoscere le problematiche esistenti e creare a priori le condizioni di prevenzione è indispensabile in quanto, dopo un evento, purtroppo si possono classificare soltanto i danni. L'attivazione delle sirene, prevista dal programma, significa avvertimento e quindi rientra nella prevenzione". L'assessore Minutoli, nel corso del suo intervento, ha spiegato gli aspetti tecnici, evidenziando che "All'interno della Settimana nazionale della Protezione Civile, il comune ha previsto due eventi: domani un convegno al Palacultura sugli incendi boschivi e sul dissesto idrogeologico; e giovedì 12, prove di attivazione di sirene in diciotto siti comunali. Dal 16 al 21 ottobre si svolgerà la tradizionale Settimana della Sicurezza, giunta alla 12sima edizione, con un programma variegato; ringrazio gli uffici comunali che hanno predisposto il documento di impianto e le associazioni di volontariato, il cui contributo è fondamentale per una buona riuscita delle esercitazioni". L'ing. Manfrè ha sottolineato "l'importanza dell'iniziativa presentata in quanto l'esercitazione permette di capire se la popolazione segue e comprende le procedure da mettere in atto". All'incontro con la stampa hanno preso parte gli esperti comunali del settore, rispettivamente l'ing. Antonio Rizzo, intervenuto in merito a "Il sistema di allerta con sirene e segnaletica di avviso per rischio idrogeologico"; il geologo Sebastiano Monaco su "Le attivazioni dei Presidi territoriali con i geologi in sei macroaree"; e il meteorologo Daniele Ingemi che ha trattato "Lo scenario di evento atteso simulato". Gli eventi in programma, organizzati dall'Amministrazione comunale, per la Settimana nazionale della Protezione Civile prevedono oggi, martedì 10, al Palacultura, a partire dalle ore 9.30 sino alle 13.30, un convegno dal tema "Incendi boschivi e dissesto idrogeologico", eventi e drammatica attualità della prevenzione per una concreta lotta agli incendi boschivi. Dopo i saluti istituzionali del sindaco Federico Basile, del prefetto di Messina Cosima Di Stani, del dirigente generale del dipartimento di Protezione Civile Regione Siciliana Salvatore Cocina e dell'assessore Massimiliano Minutoli, seguiranno gli interventi programmati del dirigente Ispettorato Ripartimentale delle Foreste di Messina Giovanni Cavallaro, su "Anno 2023 - Analisi degli incendi nell'area dei Peloritani e dei Nebrodi"; del comandante Provinciale VV.FF. di Messina Felice Iracà, su "Attività preventive di difesa delle aree antropizzate"; dell'ing. Bruno Manfrè, dirigente Servizio S.12 Servizio regionale di Protezione Civile provincia di Messina, su "Interventi del dipartimento Regionale Protezione Civile"; del docente di Idraulica presso Università degli Studi di Messina Giuseppe Aronica, su "Le interferenze degli incendi boschivi con le aree a rischio idrogeologico"; del geologo esperto Rischio Idrogeologico città di Messina Sebastiano Monaco, su "Casi di studio di situazioni critiche nel messinese"; dell'agronomo e dottore in Scienze Forestali, esperto nel contrasto degli incendi di vegetazione Antonino Paladino, su "L'evoluzione degli incendi di vegetazione e gli incendi di interfaccia"; del presidente dell'ordine Dottori Agronomi e Forestali provincia di Messina Salvatore Messina, su "La gestione agrocolturale per la prevenzione degli incendi"; e dell'assessore alla Difesa del Suolo Francesco Caminiti, su "Interventi di messa in sicurezza del territorio del territorio comunale". Previste anche delle proposte. All'evento, patrocinato dall'ordine dei Dottori Agronomi e Forestali della provincia di Messina, parteciperanno rappresentanti e studenti degli istituti tecnico-agrario "P. Cuppari" San Placido Calonerò e tecnico-agrario "G. Minutoli" Fondo Fucile Gazzi. Modera l'esperto per le attività di Protezione Civile Antonio Rizzo. Giovedì 12, invece, dalle 12 alle 14, avvisi meteo e rischio idrogeologico, sistema alert system, sistema di allerta con sirene per informazione alla popolazione. Le prove di attivazione delle sirene si realizzeranno in diciotto siti comunali: Altolia, Briga Superiore, Giampilieri Marina, Giampilieri Superiore, Giampilieri scuola, Molino, Pezzolo, Ponte Schiavo, Mili San Pietro, Mili San Marco, Galati Santa Lucia, Bordonaro, Zafferia Monalla, Zafferia chiesa, Zafferia, Larderia, Faro Superiore e torrente Santo Stefano.... #notizie #news #breakingnews #cronaca #politica #eventi #sport #moda Read the full article

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Cirugía General

Nubia Torres, 60 años

Antecedentes personales: Patológicos: hipertesión pulmonar, hipotiroidismo Farmacológicos: riociguat 2. 5 miligramos cada 8 horas, macitentan 10 miligramos cada 24 horas, esomeprazol 20 miligramos cada 24 horas, levotiroxina 75 miligramos cada 24 horas, furosemida 40 miligramos cada 24 horas, rivaroxaban 20 miligramos cada 24 horas. Quirúrgicos: niega Alérgicos: niega Toxicológicos: tabaquismo pasivo

MC y Enfermedad actual. Paciente de 60, con antecdente de hipertensión pulmonar e hipotiroidismo, quien recientemente le diagnóstican un adenocarcinoma papilar de mucosa gástrica con sospecha de compromiso hepático, óseo (columna dorso lumbar) y pulmonar. el día de hoy consulta por un cuadro de 5 días de evolución de dolor abdominal localizado en epigastrio, de caracteristicas difusas, asociado a nauseas sin emesis.

Analgesia actual: Morfina 3 mg cada 6 horas + rescate Dipirona 1 gramo intravenoso cada 8 horas Hioscina 20 miligramos cada 8 horas

Paraclinicos: 18/08/2023 ALT 5 AST 16 BT 0. 52 BD 0. 28 Cr 0. 74 BUN 7. 5 PCR 5. 39 Hb 9. 6 Hto 29. 1 VCM 85. 5 CHCM 33. 1 Leucocitos 7900 plaquetas 298000 N 69. 1% L 18. 8% E 1. 3% TP 12 INR 1. 08 TPT 47. 5

Imagénes: ** 26/07/23 EDS: gran masa ulcerada y de aspecto sucio, con severos cambios de su patron glandular, que ocupa desde el cardias hasta el cuerpo sobre curvatura mayor **24/07/23 TAC abdomen: multiples lesiones hepaticas sugestivas de metastasis, signos de hepatopatia cronica, lesiones liticas en columna dorsolumbar, altamente sospechosas de ser secundarias, nodulos pulmonares izquierdos **24/07/23 TAC torax: masa en fondo gastrico que sugiere lesion primaria, adenopatias periastricas s ligamento gastrohepatico y hiliar hepatico y en el retroperitoneo para aortico, secundarias. **04/07/23 EcocardioTT: VI tamaño normal, contractibilidad miocardica global y segentaria, FEVI 67% valvula mitral, aortica normal, TAPSE 27 mm, tricuspide con insuficiencia leve, valvula pulmonar con insuficiencia moderada.

Examen fisico Aceptables condiciones generales, consciente y orientada en las 3 esferas, sin signos de dificultad respiratoria Cabeza normal, pupilas isocoricas normoreactivas, mucosas humedas y rosadas, escleras anictericas Torax normal, expansion simetrica, murmullo vesicular conservado Abdomen blando, depresible, doloroso a la palpacion en hemiabdomen superior, sin irritacion peritoneal, murphy negativo. Extremidades sin edemas, pulsos conservados, sin lesiones.

Paciente de 60, con antecdente de hipertensión pulmonar e hipotiroidismo, quien recientemente le diagnóstican un adenocarcinoma papilar de mucosa gástrica con sospecha de compromiso hepático, óseo (columna dorso lumbar) y pulmonar. El día de hoy consulta por un cuadro de 5 días de evolución de dolor abdominal localizado en epigastrio, de caracteristicas difusas, asociado a nauseas sin emesis. En el momento se encuentra estable hemodinamciamente, afebril, alerta, orientada, con dolor parcialmente modulado, sin signos de irritacion peritoneal. Paraclinicos no evidencian una elevación marcada de rectantes, sin otras alteraciones. Considero que el dolor presentado por la paciente es secundario a su reciente diagnóstico y a su esqema de analgesicos ambulatorio. Ya fue valorado por dolor y cuidados paliativos quien optimiza manejo, en el momento sin indicación quirurgica o imagenologica adicional. se explica al paciente quien entiende y acepta.