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The Health Department of the Bank made a comprehensive approach to diabetic foot Protocol

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the Department of health the Bank prepares a comprehensive diabetic foot approach Protocol

three hundred people from the Department of health are diagnosed with this disease and many others could have unknowingly.

– it’s an infection, ulceration and destruction of deep tissue in the lower extremities, which affects patients with diabetes mellitus.

-80% of non-traumatic amputations in our country has as background ulcer diabetic.

-A program of early detection and proper treatment of this disease and patient self-careYou can reduce by 80% due to diabetic foot amputations.

Alzira, 2011-July The Health Department of the Bank has developed a protocol for comprehensive approach to the diabetic foot disease which affects 300 diagnosed people of the region, while many others could have unknowingly.

Diabetic foot is an infection, ulceration or destruction of the deep tissues associated with disorders of the nerves and varying degrees of damage to the blood vessels in the lower extremities, which affects patients with diabetes mellitus (type 1 and type 2). In the Health Department of the Bank there are about 20,000 diabetics older than 14 years, although it is estimated that you between 4-6% of the population have diabetes and don’t know.

Foot disorders are the main cause of hospitalization in people with diabetes. In fact, estimated that about 10-15 per cent of persons suffering from this disease have disorders of the foot, corresponding 10% to ulcers, while 2-5% result in amputations.

As highlighted healthcare Assistant Director of the Department of health of the Bank Dr. Antonio Fuertes, “ 80% of non-traumatic amputations carried out in Spain is antecedent to diabetic ulcer ”. In addition, the peri-operative mortality (i.e. before, during and after the operation) of the amputation is 6%, a percentage which rises up to 50% after 3 years of the intervention.

The Protocol’s comprehensive approach to diabetic foot drawn up by the Health Department of the Bank collects a series of actions aimed at health workers, which have been organized into three large groups: primary prevention, secondary prevention and tertiary prevention.

Dr. strong has pointed out that “ despite the fact that it is a health problem of important, frequently, no easy solution and seriously compromises the quality of life of patients, the conditions of the foot are probably one of the easiest to prevent diabetes complications ”.

In this sense, the Protocol of the Department of health of the Bank aims to reduce the incidence in the population of the diabetic foot and decrease the number of amputations carried out for this reason, as well as improve the quality of health care and the quality of life for these patients.

For this reason, this Protocol provides adequate and common action for health professionals in diabetic patients, enabling fix self-care and preventive measures to avoid the appearance of the diabetic foot in those susceptible people’s suffering, as well as early detection and proper and immediate treatment for these patients. As he has pointed out the strong Dr, “ the development of this type of action can reduce 80% due to diabetic foot amputations ”.

Levels of approach

Thus, according to the Protocol, and so refers to the primary prevention, staff medical and nursing of the Health Department of the Bank shall be responsible for carrying out physical examinations of patients with diabetes who have resigned, in order to establish the level of risk that presents the patient of diabetic foot. Within these primary prevention actions, the Protocol also includes training sessions in which nurses shall provide recommendations to patients with diabetes to prevent injuries, recognize the potential problems of the foot and immediately take appropriate measures.

Secondary prevention actions are taken when the patient has already in the foot a superficial ulcer or an ulcer that penetrates tissue without affecting the bone. In this case, the Protocol drawn up by the Health Department of the Bank establishes actions that medical personnel must be carried out aiming to make an early diagnosis and for address and control the infection, as well as guidelines to educate patients in self-management of their ulcers.

Finally, tertiary prevention is what makes reference to the actions to be carried out in order to avoid complications in ulcers when they present a more advanced stage, with the aim of not resulting in gangrene and amputation and the disability, and even, the death of the patient. In this connection, the Protocol establishes the cases in which the affected patient of diabetic foot should be derived to hospital care, the services of vascular surgery, dermatology, Traumatology and emergency, depending on the degree of complication to present.

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Monitoring and training for families and children with pediatric diabetic debut

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monitoring and training for families and children with pediatric diabetic debut

-The professionals responsible for delivering nursing care have developed an information package to family members and patients need to know before the high hospital

– care plan developed by the professionals of the torrevejense Center Premium clinical stability of the patient, his comfort, adaptation to the disease and supportinformation and training of the paediatric patient as their immediate environment.

Torrevieja, 2011-August Nurses from the Health Department, Torrevieja, managed by Bank health and Asisa and integrated in the public network of the Generalitat Valenciana, promote recovery, monitoring and education of pediatric patients diagnosed diabetes mellitus type 1.

Professionals responsible for delivering nursing care have developed a training package to family members and patients have to know prior to hospital discharge. Pediatric patients are trained in the importance of assimilate what his illness, what are its symptoms, how to deal with, what must be done in severe situations, as well as understanding and understand what the risks are, and how they cope with her new life living with the disease increased incidence of Pediatric Spain. endocrine

The care plan developed by the professionals of the torrevejense Center Premium clinical stability of the patient, his comfort, adaptation to disease and support, information and training both the paediatric patient as their immediate environment; fact that it is particularly important to the are faced with a disease that requires a special family follow-up.

Service of Pediatrics hospital and health centres that are members of the Department of health in Torrevieja are completely integrated and in constant communication. In this sense, when the child enters the emergency door and he is hospitalized, assigned automatically a specific plan of care to be followed from his income to discharge from hospital.

After discharge, the child leaves the hospital with your primary care appointment, where nurses of different health centres performed its monitoring and control, including it in a specific programme, continuing the educational work and ensuring the safety and well-being of the patient.

Nurses in the Department is organized through referring nurses in the care and control of the disease. Each of the primary health care centres has a nurse of reference which is in charge of ensuring continuity and the established care plan complies with rigour.

The nurses Olga Muriel and Natalia Méndez in the area of hospitalization and Raquel Bern in primary care claim to “ be aware of the importance of having a plan of care specific to this type of children, that, through a comprehensive medical package gets sick and family members to understand and face up to his illness in an environment of security comfort and ”.

The implementation of this specific plan of care for pediatric patients with type 1 diabetes mellitus would not be possible without the prior training of personnel responsible for this kind of sick. For this reason, nursing professionals involved in the process have been instructed in the treatment of the disease, as well as training and information and education diabetológica functions that have to transmit both the patient and their family members.

More about type 1 diabetes

In diabetes mellitus type 1 (DM-1) the pancreas does not produce insulin. When we have no insulin, glucose is not within the cell and is circulating in the blood, producing hyperglycemia, i.e. high blood glucose. Classically to the DM-1 has been called Junior by generally occur at these ages, but although this is more common, it can also occur in adulthood.

Symptoms that can make us suspicious of diabetes are an intense thirst, excessive desire to urinate, fatigue, increased appetite, and in spite of this loss of weight. These symptoms are not more than the consequence of high levels of glucose in the blood, so that may occur also when, once already-diagnosed diabetes, the control is bad and the glucose is high most of the time.

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“Sweeteners are a useful weapon for the sweet taste without increasing calories.”

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“ Sweeteners are a useful weapon for the sweet taste without increasing the calorie ”.

DRA. Pilar Riobo, specialist in Endocrinology and nutrition, and author of the opinion article published in news is *.

-the International Sweeteners Association (ISA) reiterates that there are no health risks arising from the consumption of food and drinks which contain sweeteners authorised

Madrid, 2011-August according to the DRA. Pilar Riobo, specialist in Endocrinology and nutrition, and Associate Chief of the service of Endocrinology and nutrition of the Hospital-Fundación Jiménez Díaz of Madrid, scientific research has shown that foods and drinks that contain low and no calorie sweeteners can help people manage their calorie intake. In this sense, the expert noted that various studies show that people who use low products and without calories tend to be healthier diets.

All authorised sweeteners have passed serious scientific studies to evaluate its safety, and thanks to its sweet taste and consumption does not increase the caloric intake, are a useful weapon in the fight against obesity. The expert in Endocrinology and nutrition, Pilar Riobo collaborated in the latest issue of the publication of Coca-Cola Spain, is news, however, pointed to combat obesity, it is necessary to carry out multidisciplinary treatment, in which sweeteners is always associated with a balanced dietand a change in the behavior of eating habits and increased physical activity. Also said that “ sweeteners are a useful weapon for the sweet taste without increasing calories ” and “ people who use low products and without calories tend to make diets healthier ”.

According to the DRA. Riobo, a scientific study conducted earlier showed that the participants in the same, consumed 15% less calories when sources of sugar were being replaced by aspartame (Porikos et to the.). Similarly, other research has shown that after a year of monitoring the use of low sweeteners and without calories associated with weight loss, increased physical activity and decreased the desire for sweet food (Kanders et to the.). In this regard, another study further found that people who used sweeteners maintained better weight lost after three years of assessment (Blackburn et to the.).

For more than 30 years, the food industry has developed different types of low sweeteners and without calories, with the main objective of replacing the sugar (sucrose) table. With regard to the different types of sweeteners can be found, the specialist has highlighted that saccharin, marketed since 1978, adds calories; Aspartame is between 180-200 times sweeter than sucrose, and only small amounts are needed to sweeten foods and beverages; potassium acesulfamo is 200 times sweeter than sugar; Sucralose is about 600 times sweeter and can not be absorbed, so it does not add calories; the neotamo is 10,000 times sweeter and the cyclamate is 30 times sweeter than sucrose. Of the latter, relatively small amounts are needed to sweeten foods and beverages, so their caloric intake in the diet is negligible.

Recent meeting in Brussels of experts

At the same time, the Conference of the International Sweeteners Association (International sweeteners Association), held recently in Brussels, highlighted that low sweeteners and calories consumed continuously, as substitutes of sugar in food and beverage, can play a significant role in weight loss when necessary, and in the maintenance of a healthy weight.

The Conference, which brought together eminent experts in nutrition, obesity and food safety to discuss the role and benefits of sweeteners and investigate some of the issues that surround them, concluded that they offer an effective solution to meet our natural desire for sweet food without contributing excessive calories consumption and weight gain.

In this regard, the expert participants in the meeting emphasized that current scientific data and the results of numerous experts and independent analysis shows constantly that there is no evidence of risk on the consumption of these substances on health, and argue otherwise can help promote that will “ abandon a valuable weapon in the fight against obesity ”.

The International Sweeteners Association (International sweeteners Association) is a non-profit recognized by the European Commission, national and international regulatory authorities and the World Health Organization (who) and is non-governmental observer status in the Codex Alimentarius Commissionthat sets food standards at the international level.

(*) Press release based on the articles contained in is news (No. 15), scientific publication published with the collaboration of Coke Spain.

References:

-Porikos KP, Hesser MF, Van Itallie TB. Caloric regulation in normal-weight men maintained on a palatable diet of conventional foods. Physiol Behav. 1982; 29: 293-300

-Kanders BS, Lavin PT, Kowalchuk M, Blackburn GL: Do aspartame (APM) – sweetened foods and beverages aid in long-term control of body weight? (Abstract) AmJ ClinNutr 1990; 51: 515

-Blackburn GL, Kanders BS, Lavin PT, Keller SD, Whatley J: The effect of aspartame as part of to multidisciplinary weight control program on short-and long-term control of body weight. AmJ ClinNutr 1997, 65:409±418.

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The Hospital of Getafe teaches diabetic children to control their disease in summer camps.

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The Hospital of Getafe taught to diabetic children to control their disease in summer camps

education is Basic for the control of this disease.

-hospital staff will be at 54 Madrid children and taught to perform daily control of the disease

-near 8,000 under with diabetes type 1 in the Madrid

Spain, August of 2011- the University Hospital of Getafe collaborates in the (Federation) FADCAM summer camps (of associations of people with diabetes in the community of Madrid) through the participation of the nursing staff, which is responsible for the training of children and the day-to-day control of the disease diabetológica.

On this occasion, 54 children will come to San Pablo de los Montes and Talayuelas camps with the aim of holiday activities of leisure and free time at the same time that improve learning about your disease. “ The bottom line is that they learn to control their disease independently, without the supervision and control of their parents; you lose their fear, who know your symptoms and how to handle them; In short, learn to live with diabetes, not for diabetes ”, explains the instructor in the University Hospital of Getafe, Pilar Carpenter diabetes.

Every day, children spend two hours of your time to receive training diabetológica, how to control their sugar levels and administer insulin, learn how to detect and prevent complications, know the importance of a correct diet to lead a normal life and everything, without neglecting the activities of a summer campsuch as sports and games. This encourages their self-esteem and autonomy, to normalize a situation they have to learn to live together.

Diabetes is a chronic condition characterized by a deficiency in the production of the hormone insulin secreted by the pancreas, which produces an inadequate use of glucose. The patient coexists with her thanks to the administration of drugs or the injection of insulin, but if you do not control adequately can be significant complications such as hypoglycaemia (lack of blood sugar) and hyperglycemia (excess glucose in the blood), which in the long term can lead to other diseases such as Neuropathiesretinopathy and cardiovascular effects. That is why it is vital that patient is formed, understand your situation and learn to deal with it as soon as possible.

At present it is estimated that nearly 1 ’ 5% of the Madrid children with Diabetes type 1, which means approximately 8,000 cases. Given the prevalence of this disease, its consequences and the need to learn to control it as quickly as possible, the Madrid hospitals have monitors of adults and children especially prepared to teach the patient to deal with it. Workshops, breakfasts and own consultation do for patients seeking to improve their quality of life substantially.

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Health, a matter of weight. Obesity, considered the epidemic of the 21st century

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health, a matter of weight. Obesity, considered the epidemic of the 21st century

-15% of the Spanish population suffers from obesity

-repeated and unsuccessful diets produce physical and psychological harm on the people who follow

-diet equation + balloon is more effective than only a diet

Madrid, 2011-August obesity is today one of the leading causes of mortality in developed countries and developing. Its high incidence in the population — without distinction of sex or age – has become a social problem and public health of the first magnitude.

According to a survey of the Spanish society of Endocrinology and nutrition, 15% of the Spanish population suffers from obesity. The appearance of being overweight increases with age, but its incidence is also notable in the childhood and adolescence.

Other studies corroborate that a high percentage of the Spanish population is not in “ your ideal weight ” and looks for ways to lose weight.

And it is not just a matter of image, has been shown that obesity increases the risk of certain diseases, such as infertility, cardiovascular, respiratory, digestive diseases, diabetes and other metabolic syndromes.

In addition to these health risks, the overweight carries obvious physical and psychological limitations.

The failure of diets

Lose weight and maintain an optimal weight is not easy. The diet is the method chosen by the most to lose weight.

But in the long run, repeated and unsuccessful diets produce physical and psychological harm on the people who follow. The time factor and perseverance are key and that we are looking for monitoring weight loss centers and diets with calendar and daily monitoring.

A system with guarantees for our health should be controlled by a doctor, adapted to our body and make us lose between 5% and 10% of the weight in a period of three to six months.

The success of a diet involves a multidisciplinary approach. If diet alone is not enough.

Innovations of science

Helping diets, there are several types of treatments: medical, pharmacological, food … well as interventionist and non-surgical treatments and in the case of severe obesity surgery.

Interventionist nonsurgical treatments, the balloon rises as an effective and safe method.

This demonstrated that the diet equation + ball is more effective than only a diet.

This system is suitable for between 15 and 30 pounds of weight loss, and is recommended for adolescents, adults and older, is also a recommended step for whom suffer from morbid obesity and need to lose weight to reduce the risks before undergoing an operation.

Intragastric implants on an outpatient basis through the endoscopic and without general anesthesia. The ball of silicone filled with saline, is lodged in the stomach, giving a feeling of satiety. After a maximum period of 6 months the ball is removed in the same way that was placed: through the esophagus and mouth.

His placement, maintenance and withdrawal have few side effects.

and then?

The follow-up continues. For best results, it must put all the mechanism of action of the art in movement. A team of specialists from the digestive tract, endrocrinos, nutritionists and psychologists has been overseeing the feared “ after ” so get achievements to lose weight to persist indefinitely.

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Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips

Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips