Page 1 of 2  |
| The halitosis generally causes shame in the one who suffers it |
| What is the Syndrome of Kawasaki? |
Writing / agency
Washington Hispanic
|
|
| The ideal thing is that the doctor begins the treatment as soon as possible, preferably when the child still has fever. |
The death of the son of John Travolta, in the beginning tied to the Syndrome of Kawasaki, has set to this illness in the focus. Although the autopsy thought that the cause of the death of Jett Travolta convulsions provoked by a condition were still not announced, the fact of having been diagnosed by this illness at the age of two years has increased the interest to know of what this syndrome talks each other.
The Syndrome of Kawasaki is a condition that causes inflammation in the walls of small and medium arteries in the body, including the coronary ones.
This illness affects for the most part children between the two and five years.
This condition was identified by a Japanese doctor, Tomisaku Kawasaki, in 1967. This illness also fond the lymphatic nodules, the skin and the mucous membranes in the mouth, the gullet and the nose.
The Syndrome of Kawasaki is more common in children than in girls, especially in minors with Japanese or Korean ancestry, although any child can have it.
It can cause serious complications to the heart either the blood glasses. Even, some of these complications can be mortal.
Although the condition is not prevenible, if it is possible to treat in most cases and the recovery is feasible.
Symptoms
The signs of this illness appear in phases. The first one begins with fever that can come to 104th F (40th C) then to disappear, what can last up to two weeks. His doctor can say to him that he suspects that it is Kawasaki, if the fever lasts more than five days and his son has red eyes (conjunctivitis) without a thick mucus in the eyes, reddening of the skin in the part of the breast or in the genital area, broken and extremely red lips, language and puffed up hands, sore throat and inflamed lymphatic ganglions of neck.
In the second phase it can appear descamación of the skin, especially in the top of the fingers of the hands and the feet, pain of joints, diarrhea, vomiting and abdominal pain.
Finally, the third stage the symptoms begin to disappear gradually, unless complications appear.
Causes
Nobody knows the causes of the illness and the theories mention bacteria, virus or chemists in the environment. Nevertheless, it was not possible to have verified that is not hereditary either.
Most of the children with Kawasaki recover without problems. Nevertheless, this illness can cause serious cardiac problems. To treat this condition in ten days from his appearance reduces the probabilities of incurring a high loss. It is important to contact the doctor of his son if this one presents signs of the illness.
Complications
The illness of Kawasaki is the principal cause of cardiac illnesses acquired in children. Close to one every five minors with this illness it develops cardiac problems, but less than half of them will have permanent damage.
The complications to the heart include inflammation of the cardiac muscle, growth of the heart, abnormal cardiac rhythm and inflammation of blood glasses, especially the coronary arteries.
Any of these complications can cause that the heart of the child has problems to work. The inflammation of the coronary ones can cause aneurismas, that are a weakness of the walls of the arteries, what in turn can provoke clots that block the route of the blood, what can cause in turn a heart attack or a mortal internal hemorrhage.
For a small percentage of minors who develop coronary problems, the illness of Kawasaki can be mortal.
Treatment
The ideal thing is that the doctor begins the treatment as soon as possible, preferably when the child still has fever. The initial target is to lower the fever and the inflammation and to prepare the cardiac damage. To achieve this, the specialist can recommend a dose of aspirin, which would reduce the high temperature and would calm the annoyance, the inflammation of the joints and the pain, in addition to preparing the formation of blood clots.
Also, the doctor can prescribe an infusion of scale globulin, an immune protein that can help to reduce the abnormalities risk in the coronary arteries.
It is a necessary knowledge that, given the risk of complications of this illness, the initial treatment for the Syndrome of Kawasaki does to itself in the hospital.
| Most of the cases are for consuming incidentally common medicines |
| Medicines for the Alzheimer's disease duplicate death risk for elders |
| |
| The Alzheimer's disease evil is the most common cause of dementia and it provokes symptoms as aggression, false illusions and hallucinations. |
Writing / agency
Washington Hispanic
Antipsychotic medicines used to treat the Alzheimer's disease evil might duplicate the risk of death of a patient in little years, he suggested a study that increases the doubts that exist already about this type of medication.
“ For the majority of patients of Alzheimer's disease, to take these medicines is probably a risk that it is not worth while running”, pointed out Clive Ballard, of the Center Wolfson for Illnesses Related to the Age of King's College of London and author of the study.
“Would I take one medicine that reduces a little my aggression but that duplicates my risk of dying? I do not believe it”, added Ballard.
The Alzheimer's disease evil is the most common cause of dementia and it provokes symptoms as aggression, false illusions and hallucinations.
Previous studies have demonstrated that the antipsychotic medicines, which can help to control the aggression and the hallucinations, increase the death risk in major patients with dementia.
Also, there exist other side effects, like respiratory problems and brain haemorrhages.
Ballard and his team studied the evolution of 165 patients between 67 and 100 years with Alzheimer's disease moderated to severe from 2001 until 2004 in Great Britain. The half kept on taking his antipsychotic medicines, which Risperdal, Thorazine and Stelazine included.
Another half took placebos.
Of the 83 that took the medicines, 39 died one year later. Of the 82 that took the false pills, 27 died at the age of twelve months. Most of deaths in both groups were caused by pneumonia.
Two years later, 46 % of the patients of Alzheimer's disease who took the antipsychotic ones was still living, compared with 71 % of the patients who did not take them. Three years later, only 30 % of the patients who took the medicines was still alive opposite to 59 % that did not take them.
In Great Britain and the United States it is recommended to the doctors to prescribe medicines with precaution. Nevertheless, up to 60 % of the patients with dementia they take the medicines for one or two years in many retirement homes of Europe and the USA.
“ The medicines diet for any person with Alzheimer's disease has to be personalized”, thought William Thies, of the Association Alzheimer's disease of the United States.
“ In some given moment, there will be the people who will be better without taking the medication”, he added.
One believes that the antipsychotic ones can harm the brain and his sedative effects do that the patients do not do exercise.
| To do it to him before the programmed can have risks |
| They recommend Cesarean sections almost at the end of the pregnancy |
|
|
| Today, the Cesarean sections valuation in the United States is in his highest level of the history, shaping approximately 31 % of the childbearings. |
For Stephanie Nano
AP
The babies enjoy better health after a Cesarean section if this one is realized in seven days before to the date programmed originally so that they are born, according to study on births in the United States.
Those who were extracted of the counterfoil earlier across this procedure had more complications, between them respiratory problems, although they had already fulfilled the suitable term of pregnancy, say investigators of New England Journal of Medicine. Even a few days represent a difference, they said.
The discoveries offer an important handlebar for the increasing number of women to whom Cesarean sections are programmed, and the study sustains the recommendation of realizing the operations after 39 weeks unless the examinations demonstrate that the lungs of the baby are mature. The births are fixed for 40 weeks and the babies are already completely formed to the 37.
“ Take his date of childbearing and reduce him seven days, and any of these days is well”, said one of the investigators, the doctor John Thorp, of the University of North Carolina in the faculty of Medicine of Chapel Hill.
The doctor brought to the world a healthy baby after convincing his mother for whom he was waiting a few days more for his Cesarean section, although the previous week should be more suitable for the specialist and the mom.
“ We controlled ourselves and did the things in the correct moment”, said Thorp.
Porqué there are more Cesarean sections
In the most recent study, the investigators headed by the doctor Alan Tita of the University of Alabama of Birmingham, checked the informations of Cesarean sections of 19 medical centers to see how many of the realized operations happened before the recommended date of 39 weeks and if the date in which they were realized influences the complications declaration.
The Cesarean sections valuation in the United States is in his highest level of the history, shaping approximately 31 % of the childbearings. There are many reasons for it: mothers of major age, the multiple childbearings, the threat of demands for medical negligence, the preference of doctors and moms and the risks of having natural childbearing after a Cesarean section.
In 2006, a panel of the government exhorted the women not to surrender to a Cesarean section of there was no medical weight reason for it, since the surgery presents risks and the babies born like that have major possibilities of facing respiratory problems.
What to do?
A Cesarean section is a surgical intervention for the birth of a baby. The baby is extracted across an incision in the abdomen of the mother. In the USA, approximately one of the four women gives birth this way. Most of the Cesarean sections are realized when unexpected situations happen during the childbearing like problems of health of the mother, position of the baby, lacking in space so that the baby goes out across the vaginal channel and signs of suffering in the baby.
| There interviews the cardiologist of the Washington Hospital Center, Augusto Pichard |
| “The angioplastía is less invasive, simpler and she has less risk” |
|
|
| Augusto Pichard, cardiologist of the Washington Hospital Center. |
For Felipe Lagos
Washington Hispanic
The breast angioplastías begun to be done at the end of the 70s, and Dr. Augusto Pichard, Chilean cardiologist of the Washington Hospital Center, was one of the pioneers in the skill, so much so today it gives conferences about the world on the best practices of this procedure.
The angioplastías treat the cholesterol accumulation in the arteries, which provokes that these close and obstruct the necessary blood flow. “I was one of the first ones in practising this type of procedures. We begin the year 78, and in the last twenty years there have been big technological developments that have allowed us to do angioplastías with 99 % of success and very under risk”, says Pichard.
— Of what do the angioplastías consist?
“ We worry about opening arteries that have become closer with cholesterol. In general, the cholesterol in the arteries can provoke three stages. The first one, the patient presents this tightness but he never finds out and there does not happen anything, that is the least common thing. The second one is that this tightness is severe and provokes a heart attack also known as infarction to the myocardium. The third one is that the tightness does not allow to spend sufficiently blood, but at the same time it is not so serious as for to provoke an infarction, what provokes an angina pectoris, or pain when someone travels or raises a stairs. When the patient is in this situation, it comes to our laboratory and if there is a tightness we treat it”.
— When is a case so complicated that it is not possible to do angioplastía?
“ When there is a very severe tightness and there are so many blockades that to apply an angioplastía is too risky, there is necessary an operation of bypass, which consists of extracting a vein of a leg or an artery of the breast and connecting the aorta with the sick artery beyond the tightness to re-establish the blood flow in this part of the heart. Of the patients that we do diagnosis of coronary blockade and they need procedures, two thirds are done angioplastía, a third talks each other with medicines, and 10 % needs cardiac surgery”.
— What are the benefits of the angioplastías?
“ The angioplastía needs only one day of hospitalization and the patient is ready to return to the normal activity to the second day of the operation. With cardiac surgery, the patient is in the hospital one week and has a period of convalescence of one month. The angioplastía has the same benefit of the cardiac surgery on having re-established the blood supplying to the heart, but it is less invasive, simpler and it has less risk”.
— What must the persons do to avoid to need angioplastías?
“ The name of the illness that produces tightness is arterosclerosis. Although there is many investigation, nobody knows porqué happens. I call it the plague of our century. Without knowing what the cause is we cannot do an absolute prevention. Anyway, there are five factors that they make possible that one has this illness. One is the obesity. Two high pressure. Third high cholesterol, the fourth nicotinism and I conscript diabetes. That's why we insist very much the people who should prepare all these factors. The persons who continue these measured carefully have better opportunity not to have tightness of the arteries of the heart”.
|
