Service returns hearing the baby with profound deafness and back to enter his name in the history of Portuguese medicine
It is a pioneering intervention in Portugal: the team of Otorhinolaryngology (ORL) of the Coimbra Hospital Centre (CHC, EPE) held this week the first cochlear implant in a child under the age of one year.
The intervention, which will return the hearing to a 11-month baby with profound deafness, so back to register the name CHC service, EPE in the history of Portuguese medicine.
“Cochlear implantation in children under one year of age is an important milestone. The sooner the child is deployed, the sooner your hearing and your neurons are stimulated, and therefore be better able to develop language skills, “advances the director of HCC of the ENT Service, EPE, Carlos Ribeiro.
Moreover, the same expert explains, “If the deployment is not early enough, the child may never fully recover their ability to understand and use language.”
Deploy a child under one year is, however, a process “very complex”, underlines Carlos Ribeiro. “Surgery is only part of a much longer process from the screening, through early diagnosis, for the clarification of the parents and the definition of the implant is in fact the best option for the child, and not a prosthesis hearing, for example. Now able to meet all these phases of the protocol in such a short space of time and with such a small child, is only possible with a technically evolved multidisciplinary team, “he stresses.
This is the first time in Portugal that a child under one year of age receive a cochlear implant. Until then, the youngest child within, the Hospital Centre of Coimbra, this procedure had already 16 months old.
“The realization of this surgery is the corollary of the efforts of a large number of professionals from very different fields: ENT , Anesthesia, Audiology, Speech Therapy, Pediatrics, Neuroradiology and genetics among others.
Moreover, the surgical procedure itself has complexity increased, because it is a child of age and reduced weight, which is a challenge from the technical point of view but also from a medical point of view and with regard to anesthesia “said Carlos Ribeiro.
The ORL Service of the CHC, EPE, back well to make history in Portuguese medicine, after having been a pioneer, with the double surgeons Manuel Filipe Rodrigues and Fernando Rodrigues, in cochlear implantation in Portugal of adults (1985) and children (1992). To date, it has performed 352 cochlear implants in children.
It is further recalled that the service, already under the direction of Carlos Ribeiro, was also responsible for carrying out the first hybrid cochlear implant in the country in 2009, an intervention that made the Portuguese medicine was for the first time, able to respond regardless of the level of a patient deafness.
Three years after the regulation of the voluntary interruption of pregnancy Act (IVG), some women still resort to clandestine abortion embarrassed to go to health services or because they missed the legal deadline.
However, “that the answer to the National Health Service (NHS) has made it possible to resolve practically the problem of illegal abortion, which is a health gain quite large and in dignity,” he told Lusa the Executive Director the Association for Family Planning (APF). “But we know that there are still illegal abortion practices” in Portugal, said Duarte Vilar, who was speaking to Lusa the purpose of the third year of the publication of the rules of the law of IVG, marked today. Some women even resort to illegal abortions do so because they exceeded the legal period for termination of pregnancy (ten weeks), explained Duarte Vilar, who considers “short” this time in relation to other European legislation ranging up to 12 or 14 weeks. Although most of the applications they fit within ten weeks, argues that “it would be to consider extending the period of the law up to 12 weeks.” Duarte Vilar also said that there are women who resort to unsafe abortion by “lack of health culture and lack the appeal of health services. “” There are women who prefer to use self abortion methods such as drugs, than go to health services, “often out of shame. However, he said,” most Women who want to terminate a pregnancy has had an adequate response by the health service. “
Pancreatic cancer is one of the cancers that has increased since 2002. Ana Castro, medical expert in oncology, warning that it takes more investment in prevention.
At a time are known to data released by Eurostat of the 28 countries of the European Union, concerning cancer mortality, it is urgent to create and effective implementation of health policies, to enable primary care to the appropriate screenings, base population, and identify risk groups in which to strengthen surveillance for certain type of oncological pathologies, which would otherwise only be diagnosed late.
These new data highlight that come pancreatic cancer, as has already been reported by Globocan, is one of the cancers that has increased since 2002 and is expected to maintain this trend in the coming years. To this contribute a less healthy lifestyle with excessive consumption of fat and alcohol, smoking, diabetes and increasing life expectancy (the most common cancer in people 65 years and older).
Fourth most deadly cancer
Eurostat highlights the mortality of pancreatic cancer, compared with other types of cancer and is indicated as the fourth most deadly cancer – is 78 000 of all deaths associated with cancer. The Statistics Office also points out that Portugal remains a growing trend with regard to mortality from colon cancer, which unlike breast cancer, reflects a population-based screening policy still insufficient.
Based on the latest recommendations of the Health General Directorate on the Cancer Diseases should work to greater investment in conducting population-based surveys and that this should be made a priority.
One way to minimize the increasing pancreatic cancer, as there is no way to scientifically proven screening, may pass through the identification of risk groups and promotion of a monitoring plan for primary health care, in the sense that we can act on early diagnosis and decrease the number of patients with metastatic disease at diagnosis, where it is harder we can intervene successfully.
Although the exact causes are unknown pancreatic cancer, investigations have revealed that individuals with certain risk factors are more likely to develop this cancer. Given these investigations, the factors that can help identify and monitor more closely the risk groups are for example: smoking, high-fat diet, pancreatitis (hereditary or not), diabetes, excessive alcohol consumption.
The General Directorate of Health states that should be developed a set of comprehensive measures in different areas such as smoking cessation and dietary behaviors, which are still undervalued but that in the future may contribute to stabilizing the structural fabric of the health system.
Tobacco and cancer
In this same report is made to the reference impact of smoking on the development of pancreatic cancer, as referred to 30,8% of cases of pancreatic cancer in men is due to smoking.
Given the difficulty of early diagnosis and lack of screening tools, prevention is essential, and can be reinforced by health education and the risk of people monitoring in primary care, with a properly established plan.
In pancreatic cancer if early diagnosis is essential and makes all the difference in the therapeutic plan and purpose of each patient.
We put to the test some beliefs that many people still have to be true. Check out already withstood the scientific knowledge
Your safety is guaranteed 24 hours a day, an extremely intelligent army. It called immune system and defends the body from virus attacks, bacteria and fungi. Comprised by blood and lymphatic system, is welded listed as phagocytes, T cells and antibodies, proteins and cells that circulate in the body fluids. And rather than blindly attack, able to distinguish foreign organisms of friends cells. Its effectiveness depends mainly on the genetic inheritance, but can be influenced by lifestyle. You know what to do to help?
1. We must stimulate the immune system?
No, it’s a myth! Stimulate the immune system too much is as bad as not encouraging at all, both situations can lead to disease. For example, subjecting a child to recurrent infections can lead to disease, but protect it too prevents the immune system to learn how to defend itself against threats. The aim is to regulate and not stimulate the immune system. Contact with nature and have a varied diet, not sterile, early on, help you find that balance.
Stimulate the immune system too much is as bad as not encouraging at all, both situations can lead to disease. For example, subjecting a child to recurrent infections can lead to disease, but protect it too prevents the immune system to learn how to defend itself against threats. The aim is to regulate and not stimulate the immune system.Contact with nature and have a varied diet, not sterile, early on, help you find that balance.
2. Good nutrition helps fend off disease?
Yes it’s true! A varied diet, rich in fresh produce and non-sterile outweighs any dietary supplement, since foods contain many nutrients that work together to promote health. For example, fruit and vegetables are rich in antioxidant nutrients like vitamins C and E, beta carotene, zinc and selenium. Avoid periods of fasting, and drinking alcohol and foods high in sugar and fat.
3. The more I exercise, I am more protected?
No at all! Besides promoting the release of endorphins, hormones associated with well-being, regular physical exercise increases the level of leukocytes, a blood cell that fights infections. However, prolonged strenuous exercise and depresses the immune system. Walking three or more times a week may be sufficient.
4. Can I get a flu or a cold floor for the cold?
This is another myth! It is natural to make membership in the cold, as it is during the winter that usually arise flu outbreaks and that the decrease in body temperature affect the immune response. In fact, flu and colds are caused by viruses, which survive longer when the temperature and ultraviolet radiation are low, but the spread occurs through contact with air or contaminated surfaces. For example, to go places with poor air circulation and touch the face after giving a handshake. To protect yourself, take the flu vaccine, avoid enclosed spaces and wash your hands regularly.
5. If walking stressed or tired, get sick more easily?
Is true! Hormones such as cortisol and adrenaline, released when we are under stress, modify the immune system.During deep sleep, the body releases substances that strengthen, so it is important to sleep well. Heart and hypertension problems are associated with chronic stress and in the long term, the deficit of sleep is associated with increased risk of diabetes and obesity.
6. Outdoor Walking strengthens my defenses?
Yes, it stresses. Take therefore the outdoors. People exposed to natural light (sun) are less vulnerable to infections than those who live and work with artificial light. Laugh and have a stimulating social network is also beneficial.