Author Archive

Diabetes Control and Treatment

Wednesday, March 10th, 2010

Diabetes ControlHow do people know you are controlling your diabetes well?

If you have diabetes, your doctor or professional team that is treating your illness will tell you what should be your blood sugar level. At this level the designated “target”. If you have diabetes, you must keep the blood sugar level as close as possible to this goal. As you grow, your goal may change.

Medical Program
The only way you know what your blood sugar level is checking several times a day with a glucose meter. The group of physicians and professionals caring for your diabetes will determine when and how often you should monitor your blood sugar level. Regular monitoring of blood sugar levels and recording the test results are important to help you and the professionals who care for your health to make changes in the plan of treatment for diabetes.

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Successful Control of Diabetes

Monday, March 8th, 2010

Control of Diabetes
What is diabetes?
When you hear doctors and other health professionals talk about “diabetes” generally refers to maintain-sugar levels or blood glucose within healthy parameters. Having too much or too little blood sugar can make you feel sick now and that future health problems arise.

The successful control of diabetes focuses on balancing three factors: The medications you take (insulin or pills), the food you eat and how much exercise you do. All three must work in sync. Diabetes can get out of a person who suffers if:

* Not taking medications for diabetes when to
* Does not follow the meal plan (eat too much or too little without adjust the dose of medication for diabetes)
* Do not exercise regularly or for more or less exercise than usual without changing the diabetes plan
* Has an illness or too much stress
* Does not check their blood sugar levels enough

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Private Health Insurance in Times of Crisis

Friday, March 5th, 2010

Medical Project Management

Caring for the Health of It during the crisis.

We continue in times of crisis, and possibly many people decide to do without health insurance to pay the mortgage, which may lead to greater saturation (if not already on) public health. It is just a possibility.

Moreover, in times of crisis care can prevent many health concerns, not kid ourselves, people get sick with or without crisis. And if necessary, to have medical insurance can give her a break and a boon to those who need quality health care.

What are the health care coverage that provides health insurance, what criteria should be taken into account when choosing a good health insurance, or what are the modalities or types of insurance plans for families, women, young or old, are some the issues before us in reviewing our comparative insurance plans.

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Insurance Project Management

Wednesday, March 3rd, 2010

Private Health InsurancesPrivate Health Insurance
One type of plan is a standard indemnity policy, which gives people freedom to visit a health care provider of their choice and make a pocket to cover the treatment. The insurance plan reimburses part of the cost to members. Another common scheme is the managed care plan. By this method, it provides necessary medical care for more economically than is available. Plan members must visit the health care providers selected by the managed care plan. In general, a co-payment charged to the patient, but sometimes all health care providers who are included in the plan coverage.

Grievances

All insurance companies have internal procedures for complaints and grievances. If you have a complaint, follow the procedures of the company. All states have a commissioner of state health insurance. Contact your state government to meet external procedures for complaints and claims in your state.

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Sport Medicine Center Program

Monday, March 1st, 2010

Fundamental basis for a healthy child is a healthy and balanced with exercise. Physical activity is key to instilling healthy habits to last for the life of the smaller adult. Is desirable that our children make physical activity 60 minutes seven days a week.

Sports Medicine Center, which now has worked for three years to promote healthy lifestyles in children of our community, evidence of the program is sports and health “Vívelo Vive10. This program has reached to 280 HEIs in the Madrid Community and the total of 15,000 students and can be downloaded in full from the publication of the Center for Sports Medicine.

We are also working on the project EHYS, EU projects in which to evaluate the prevalence and predictors of risk of cardiovascular disease in children. Currently we are at the stage of data collection and summer of next year we can have a breakthrough.

Regular practice of physical activityplay a role in the prevention and treatment of various metabolic and cardiovascular diseases are the most common chronic (hypertension, obesity, diabetes type 2, …), osteoporosis, depression and certain cancers.

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The Internal Medicine Project Management

Wednesday, February 24th, 2010

Medical Project ManagementInternal Medicine (IM) is the medical specialty hospital character preferably longer tradition. Internists are formed under the principle that any disease or clinical problem in adults is outside his purview and responsibility. This attitude promotes active participation in most of the challenges of care: clinical care and management, creation and development of several medical specialties and health care to new areas.

The internist as a guarantor of comprehensive care in the hospital environment is pivotal to health care focused on the overall needs of the person and is able to keep as a reference to specific diseases or new . In clinical practice there are various factors conditioning the variability in clinical practice, the growing expectations of citizens, the vast technological innovation and economic framework of public services, management and control which justifies the necessary existence of the management of intellectual resources human, technological and organizational best care for the sick .

Existing resources to cover health expenditures are limited and can not grow indiscriminately and also the demands of the citizens will continue to grow with an aging population and the development of new technologies . Acknowledging the imbalance between demand and available public resources which can lead to medicine is economically and politically unsustainable, the answer to these problems should not only focus on trying to improve the efficiency of organizational measures and productivity management-simple means-but in the end, the aims of medicine beyond the usual beat any illness and prevent death with the use of resources and appropriate technology, which is a bias toward healing the detriment of care. (more…)

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Tips on Treating Children

Monday, February 22nd, 2010

ChildrenTreating children with vaso-occlusive crisis
A. GENERAL
• Hydration: On average applies 2000cc/m2/24horas of intravenous fluids more electrolyte-free intake by mouth.
• Analgesics
- Acetaminophen: 20 mg / kg / dose every 4-6 hours per hour VO
- Tramal: 1-2 mg / kg / dose IV every 6 hours for hours, alone in crisis
unrelieved painful to acetaminophen or ibuprofen
- Ibuprofen: 5-10 mg / kg / dose every 6 hours VO
• transfusion:
Sequestration crisis
Aplastic crisis
Cor anemic
A.C.V. ischemic
Pneumonia + Hypoxia
vaso-occlusive crises not responding to treatment
Prior to any surgical procedure
Prevention A.C.V. ischemic
Chronic lung or heart failure
Prolonged hematuria
Recurrent Priapism
Pregnancy complicated

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Sickle Cell Anemia

Friday, February 19th, 2010

Sickle Cell Anemia
1. DEFINITIONS:
• Sickle cell disease: an inherited blood disorder characterized from an abnormality of hemoglobin that is altered structural b-globin chain due to the substitution of a single amino acid (glutamic acid to valine) resulting in hemoglobin S
(HbS).
• facilforme Feature: The child is carrying the defective gene, HbS, but also has some normal hemoglobin, HbA. This is called HBAs. Children who have sickle cell trait usually have no symptoms at of the disease.
• Sickle cell anemia: Most or all of the normal hemoglobin (HbA) the child is changed by sickle hemoglobin (HbS). This is
referred to as HbSS. It is the most common and more severe varieties cell anemia.
2. PATHOPHYSIOLOGY
The pathophysiology of sickle cell anemia lies in changing the characteristics of hemoglobin when Hb soluble monomers are transformed gelled polymer to environmental variations in pH, temperature and ion concentrations. The result is the production of rigid red cells, which together to abnormal interactions established with the vascular endothelium determines the sickling phenomenon and vascular occlusion. Among the factors that determine the tendency to form polymer shows values of HbF.
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Vaccines for Children

Wednesday, February 17th, 2010

VaccinesSide effects, precautions and contraindications

The effectiveness and safety of modern vaccines has been demonstrated in different clinical scenarios, however, have reported some adverse effects including allergic reactions (urticaria, anaphylaxis), local inflammation, fever and / or clinical symptoms of the disease . As to the general precautions should be taken into account before the application of vaccines include the history of hypersensitivity reactions against any kind of immunization, the diseases of moderate to severe intensity with or without fever, pregnancy and nutritional deficiencies or general disturbance that may compromise the immune system.

Special-use vaccines

Other vaccines approved by FDA for use in specific clinical conditions (increased risk of disease, location in specific geographical areas, immune system deficiencies, tourism, among others) include inactivated preparations against Bacillus anthracis (anthrax), Bordetella pertussis (whooping cough), Borrelia Burgdorfer (Lyme disease), (more…)

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Children Immunization

Monday, February 15th, 2010

Children ImmunizationThe recommended schedule for implementation of the vaccine against Hepatitis B (Hep B) includes three doses that may be applied from the moment of birth to eighteen months. All children should receive the first dose in the shortest period of time from the moment of birth, preferably before hospital discharge, in cases where the mother has a negative surface antigen (HBsAg) this term can be extended to the two months old. The second dose should be administered between four and sixteen weeks after the first and third among eight weeks after the second and a year and a half.

The product newborn infants of HBsAg-positive mothers should receive the first dose of Hep B and 0.5 ml of Hepatitis B Immune Globulin (HBIG) in the first twelve hours of life in two separate areas, in this case we recommend the implementation of second dose between the first and second month of life, and the last dose before twenty-four weeks. This group of patients should be monitored with specific antibodies to HBsAg and HBsAg between nine and fifteen months.

In newborns of mothers who do not know the outcome of HBsAg should apply the first dose of a series of Hep B and try to establish, as soon as possible, the state of HBsAg to supplement that immunization with one dose of HBIG in cases arising positivos.

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