The arrival of the wash in the ocean does not guarantee that it will only follow that channel from now on. The natural thing is that it falls down the same slope, but it could take other paths after cooling down or covering the topography
Community prevention.
Thursday, September 30, 2021
Wednesday, September 29, 2021
Tuesday, September 28, 2021
Monday, September 27, 2021
Saturday, September 25, 2021
Vulnerability study of the Cuban platform due to coastal flooding.Etude de vulnérabilité de la plate-forme cubaine due aux inondations côtières. Estudio de vulnerabilidad de la plataforma de Cuba por inundacion costera.
CLICK TO ENLARGE:
Esta obra constituye una compilación de los resultados de los estudios del Macroproyecto: "Escenarios de peligro y vulnerabilidades de la zona costera cubana asociados al ascenso del nivel medio del mar para los años 2050 y 2100", ejecutado durante los últimos cinco años por más de 150 autores que representan numerosas instituciones nacionales y mu...
Current platform of Cuba.
By Gualterio Nunez Estrada, Sarasota, Florida.
(To be continued, later...)
Friday, September 24, 2021
Baiden's 240 restrictions against Cuba are directed against the Public Health System. Las 240 restricciones de Baiden contra Cuba van dirigidas contra el Sistema de Salud Publica.
By Gualterio Nunez Estrada, Sarasota, Florida.
Baiden is besieging Cuba with 240 restrictions plus US Embargo that are aimed at destroying the island's health system in the midst of a pandemic, a medieval policy of besieging castles and catapult the corpses of plagued people, a policy that is in violation of the ethics of the American medical clinics and the CDC, which are a main references in Cuba for all medical schools.
Due to the restrictions that Baiden maintains, in addition to the US Embargo, the Ministry of Public Health cannot obtain credits, nor do operations to purchase hospital and pharmacy supplies in international banks, nor can it obtain oil for hospitals and clinics that have generators that own as a source of energy, this problem forces physicians to work in red areas without air conditioning and with high temperatures since only energy and pharmacy can be reserved for children and pregnant women at this time, only by international donations.
The situation is so acute that no hospital room has guaranteed medical protocols.
No American doctor can agree, by ethics, with this situation, nor do we Cuban Americans agree whom respect the ethical and moral principles on which the United States of America was founded. This policy must be denounced in all instances of Congress.
Wednesday, September 22, 2021
there are large differences between meat and a plant-based meat alternative.Existen grandes diferencias entre la carne y una alternativa a la carne de origen vegetal
By Gualterio Nunez Estrada, Sarasota, Florida.
It turns out that the sale of hamburgers made with vegetables has become very fashionable in our supermarkets, which when cooked taste the same as meat or almost the same flavor. I was the first to have breakfast with these hamburgers due to my diabetes, at the age of 75, always thinking that what the manufacturer said on the box was true that it was equivalent to meat. A short time later I found it better flavor and I felt that my digestion was better with turkey burgers without additives, completely natural, nothing elaborate.
Now I learn from an investigation by The Duke Molecular Physiology Institute's metabolomics core lab👀👀 that nothing that is said on the box is completely true but that a plant-based hamburger with a meat flavor, due to its additives, is less digestive and less nutritious than a real, be it from a cow, a pig or a turkey, in other words, no one is yet capable of replacing a farmer and his animals with a robot that takes pork ribs from oil or a hamburger made with honeysuckle flowers. No yet we are going to feed by pills as Big Pharma love to may do.😄💀
It's the same thing that happens when we replace an Everglades wetland with neighborhood developments and roads that destroy habitats for the species of insects, birds, and butterflies that you rarely see flitting around Sarasota anymore.😕
That is the problem for which doctors are against processed food, the additives that the box that contains it never tells the consumer, rather they hide it and you actually have no idea what you are eating , except that in supermarket produce you buy your vegetables and process them because, for example, mushrooms and other similar mushrooms are equivalent to meat, in addition to the fact that their frequent consumption lowers the cancer rates, which is alleged because the cancer rates of Europeans , avid mushroom eaters, are much smaller than those of us in America.
Lab analysis finds near-meat and meat not nutritionally equivalent
Neither is good or bad, they are just not the same, authors say
- July 6, 2021
- Duke University
- A research team's deeper examination of the nutritional content of plant-based meat alternatives, using metabolomics, shows they're as different as plants and animals. Beef contained 22 metabolites that the plant substitute did not. The plant-based substitute contained 31 metabolites that meat did not. The greatest distinctions occurred in amino acids, dipeptides, vitamins, phenols, and types of saturated and unsaturated fatty acids found in these products.
Plant-based meat substitutes taste and chew remarkably similar to real beef, and the 13 items listed on their nutrition labels -- vitamins, fats and protein -- make them seem essentially equivalent.
But a Duke University research team's deeper examination of the nutritional content of plant-based meat alternatives, using a sophisticated tool of the science known as 'metabolomics,' shows they're as different as plants and animals.🎃
Meat-substitute manufacturers have gone to great lengths to make the plant-based product as meaty as possible, including adding leghemoglobin, an iron-carrying molecule from soy, and red beet, berries and carrot extracts to simulate bloodiness. The texture of near-meat is thickened by adding indigestible fibers like methyl cellulose.🍕👀 And to bring the plant-based meat alternatives up to the protein levels of meat, they use isolated plant proteins from soy, peas, and other plant sources. Some meat-substitutes also add vitamin B12 and zinc to further replicate meat's nutrition.
However, many other components of nutrition do not appear on the labels, and that's where the products differ widely from meat, according to the study, which appears this week in Scientific Reports.
The metabolites that the scientists measured are building blocks of the body's biochemistry, crucial to the conversion of energy, signaling between cells, building structures and tearing them down, and a host of other functions. There are expected to be more than 100,000 of these molecules in biology and about half of the metabolites circulating in human blood are estimated to be derived from our diets.
"To consumers reading nutritional labels, they may appear nutritionally interchangeable," said Stephan van Vliet, a postdoctoral researcher at the Duke Molecular Physiology Institute who led the research. "But if you peek behind the curtain using metabolomics and look at expanded nutritional profiles, we found that there are large differences between meat and a plant-based meat alternative."👿
The Duke Molecular Physiology Institute's metabolomics core lab compared 18 samples of a popular plant-based meat alternative to 18 grass-fed ground beef samples from a ranch in Idaho. The analysis of 36 carefully cooked patties found that 171 out of the 190 metabolites they measured varied between beef and the plant-based meat substitute.
The beef contained 22 metabolites that the plant substitute did not. The plant-based substitute contained 31 metabolites that meat did not. The greatest distinctions occurred in amino acids, dipeptides, vitamins, phenols, and types of saturated and unsaturated fatty acids found in these products.
Several metabolites known to be important to human health were found either exclusively or in greater quantities in beef, including creatine, spermine, anserine, cysteamine, glucosamine, squalene, and the omega-3 fatty acid DHA. "These nutrients have potentially important physiological, anti-inflammatory, and or immunomodulatory roles," the authors said in the paper.
"These nutrients are important for our brain and other organs including our muscles" van Vliet said. "But some people on vegan diets (no animal products), can live healthy lives -- that's very clear." Besides, the plant-based meat alternative contained several beneficial metabolites not found in beef such as phytosterols and phenols.
"It is important for consumers to understand that these products should not be viewed as nutritionally interchangeable, but that's not to say that one is better than the other," said van Vliet, a self-described omnivore who enjoys a plant-heavy diet but also eats meat. "Plant and animal foods can be complementary, because they provide different nutrients."💀
He said more research is needed to determine whether there are short-term or long-term effects of the presence or absence of particular metabolites in meat and plant-based meat alternatives.😬
Story Source:
Materials provided by Duke University. Original written by Karl Leif Bates. Note: Content may be edited for style and length.
Journal Reference:
- Stephan van Vliet, James R. Bain, Michael J. Muehlbauer, Frederick D. Provenza, Scott L. Kronberg, Carl F. Pieper, Kim M. Huffman. A metabolomics comparison of plant-based meat and grass-fed meat indicates large nutritional differences despite comparable Nutrition Facts panels. Scientific Reports, 2021; 11 (1) DOI: 10.1038/s41598-021-93100-3
Monday, September 20, 2021
Vaccination of children from two to eleven years old in Cuba.Vaccination des enfants de deux à onze ans à Cuba.Vacunacion de ninos de dos a once anos en Cuba.
Cuba y Vietnam suscriben acuerdo para el uso de emergencia de vacuna Abdala - YouTube
Spanish in full article:
CAMAGÜEY.- After several months without leaving home, this Saturday it was common to find children on the street, almost all happy, but there was no lack of tears of some for the puncture, a puncture of which, due to their innocence, they cannot understand how important it can be, although there are those who give you an explanation about vaccines that seem large, with just 4 or 5 years, and they even tell you that they want to be scientists to create vaccines.
That was the atmosphere that was breathed in the municipalities of Camagüey and Florida where the vaccination with Soberana was extended this Saturday for children from two to eleven years old, after yesterday began Vertientes and ten educational centers of the provincial capital.
Fary Rubio García and Milena Pérez Curbelo are four years old and five years old respectively, and although their Circle is The Golden Age, today they arrived in Valodia to receive the first dose of Soberana 02 and start the road to immunization against SARS-CoV 2. "I didn't hurt anything, nor did blood come out, I won't get sick from the bad coronavirus anymore," the boy said. While Milena was happy because soon she will play with her little friends.
The remaining municipalities will do so from Sunday onwards. The start in each locality requires the certification of all the spaces to be used, which will generally be primary schools and kindergartens, as well as the arrival to them of the necessary doses of Soberana and a series of transport, refrigeration, personnel assurances, among others.
With the incorporation of the last age group, all Camagüey people over two years of age and included in the AntiCovid-19 vaccination will have received at least one dose, and in this way Camagüey continues to move towards the total immunization of its population. The Minister of the branch recently called, on a visit to the province, not to waste time especially with pediatric groups. (To be continue later...)
Sunday, September 19, 2021
Saturday, September 18, 2021
Bioethical problems of the pandemic in Cuba. Problèmes bioéthiques de la pandémie à Cuba. Problemas bioeticos de la pandemia en Cuba.
By Gualterio Nunez Estrada, Sarasota, Florida.
Marcelo, a patient from Santiago de Cuba suspected of prostate cancer was given a prescription of antibiotics to prepare it before his admission, he never found the antibiotic in the pharmacy, after several days he was finally admitted for a cystoscopy and a few hours later he was indicated to leave the room due to an increase in coronavirus cases. Weeks later, today he is scheduled for a cystoscopy. We hope he is lucky because he is the husband of a niece of my wife. The report that we present today will illustrate the situation in a province.
Marcelo, un patient de Santiago de Cuba suspecté de cancer de la prostate a reçu une prescription d'antibiotiques pour le préparer avant son admission, il n'a jamais trouvé l'antibiotique en pharmacie, après plusieurs jours il a finalement été admis pour une cystoscopie et quelques heures plus tard il a été indiqué de quitter la salle en raison d'une augmentation des cas de coronavirus. Des semaines plus tard, aujourd'hui, il doit subir une cystoscopie. Nous espérons qu'il aura de la chance car il est le mari d'une nièce de ma femme. Le rapport que nous présentons aujourd'hui illustrera la situation dans une province.
Periódico Invasor - Diario online de Ciego de Ávila - Parir o no parir, la cuestión de la pandemia
Giving birth or not giving birth, the question of the pandemic
On the day of World Sexual Health, Invasor approaches the impact of the pandemic on family planning in Ciego de Ávila.
It is a curious paradox to monitor searches for pregnancy tests in Ciego de Ávila just on Sexual Health Day. It was the fourth of the current month, and scrutinizing the sales groups on Facebook was necessary for this comment for two reasons. The first is that, in order to estimate pandemic fertility, the United Nations Population Fund (UNFPA) takes these searches into account. The second, because if contraceptive methods and similar products are quoted so high in the informal market, it must be a symptom of the blow that the pandemic has given to family planning in the country.
The National Council of Scientific Societies is no stranger to the subject. A few days ago he pointed out that "sexual health and rights are an important public health problem that require specific attention in times of pandemic."
Some time ago, UNFPA itself warned that almost 12 million women in 115 countries had lost access to family planning services because of the pandemic, even in countries like Cuba, with a public system that has not stopped working in the midst of a suffocating panorama with daily reports of thousands of cases. Regarding access to modern contraceptive methods, the number exceeded 13 million.
In January of this year, a donation of 20,000 bulbs of injectable contraceptives and 22,500 emergency contraceptive tablets, among other supplies, arrived in the country and had to be distributed among hospitals and Family Planning consultations in all provinces.
The note published at the time explained: "In this context, when production and distribution chains around the world have suffered significant disruptions, UNFPA has redoubled its efforts at the global, regional and local levels to ensure that modern contraceptives, as well as health supplies for pregnant women, mothers and newborns, are available."
The donation responded to the shortage of these prophylactics in the country, which with a monthly average of 120 medicines in short supply must prioritize the protocol of attention to COVID-19, hemodialysis, care for the serious and those controlled by card.
That is why, while a girl who does not pass 30 years old publishes on Facebook that she urgently needs a pregnancy test, and generates laughter or gossipy opinions, in a Moronense pharmacy a clerk responds to me: "Condoms have been about one and a half a month, but pills have not entered for a long time. I think almost a year."
Dr. Reinerio Rubio Rojas, deputy director of the Maternal and Child Program at the Roberto Rodríguez Provincial Hospital, explains that right now PAMI services are focused on caring for suspicious or confirmed children and mothers. "The Curettage Department is closed. That for now is attended at the Provincial Hospital Doctor Antonio Luaces Iraola, until we can return to normal. Family Planning consultations are maintained in the health areas."
Medical care has not stopped at any point in the pandemic, and it is tested by surgical interventions to remove ectopic pregnancies, procedures that are life and death. But put in practical terms, we must think about this: if a woman from Chambas decides to end her pregnancy, she would have to overcome restrictions on movement, remoteness and transport problems to reach the consultation of the capital of Avila to face a more than delicate procedure.
This is how a reader thought before the restitution of the consultations to Roberto Rodríguez in May 2020.
Friday, September 17, 2021
Even with vaccines, the coronavirus and its unknown variants are an uncertain path. Aun con vacunas, el coronavirus y sus variantes desconocidas son un camino incierto.
Por Gualterio Nunez Estrada, Sarasota, Florida.
Dear friends from Sarasota, Florida fans of this humble blog because I know how interested you are about the public health situation in Cuba. Currently the situation on the island, according to what they communicate to us by messenger from Santiago de Cuba and Guantanamo, my wife's relatives, is very difficult, every time a pregnant woman dies of coronavirus and in my opinion this is due to the impossibility of obtain credit and make purchases of hospital and pharmacy supplies, the Ministry of Public Health is depending on donations from countries like China that every time send a plane with medicines. It is a very difficult situation because they are only guaranteeing medicines for thousands of infected children.
Pregnant women, be wary (+Video)
CAMAGÜEY.- The increase in cases of pregnant women suspected or positive for COVID-19 impels the health system in the province. The diagnosis of 154 pregnant women in the month of August increased tensions in the Red Zone, and points out as an urgency to transform the complex situation with the best therapeutic weapon that continues to be prevention.
Photos: Alejandro Rodríguez Leiva/ Adelante
From the window of his room on the second floor, he scolds him for lowering his nasobuco when speaking. He is upset because they don't want to receive the jaba before 11:00 a.m. At his side, a gentleman stokes wood to the fire: "How is the food?" She responds with her hands in the form of a narrow circle.
That man put the car from the municipality. It is known by the key with which it "cleans" its teeth. He has just had a snack and suggested cookies for the young woman from the timbiriche opposite.
The scene happens on 1st Street, a few steps from the metal door. There you can access the Centennial Hospital. Since June 17, it has been operating as an isolation center for pregnant women suspected and positive for COVID-19. Patients spend a few days. Health personnel endure the three months.
IN RED ZONE
If the man with the key in his mouth and the future father tried to imagine the stories of those who care for his sick girl, maybe we would come across a different scene. They would appreciate the joy of having Dr. Eduardo Arsenio Rojas Pérez.
Every day, in the "Centenary" the visit pass is made by Obstetrics and Internal Medicine. The individualized treatment of the 49 patients located in four rooms depends on the comprehensive evaluation. The clinician Saadi Al-Azzawi Abreu participates in this team. In the photo we see Dr. Eduardo Arsenio Rojas Pérez; next door, Thais Aimee Dip Triana, resident in Obstetrics; and in front, Zeida Alfonso Maza, graduated in Nursing.
"They say that he is expert, therefore, he must take care of himself. How healthy is the work in the Red Zone for you?
"It's true, I've been on the fence since 2018. Working so many hours standing caused me a deep vein thrombosis, which led to surgical treatment. It limited me to only eight hours of work. Even so, I have always given my disposition. At first it was with patients suspected of COVID-19, before these three months in the same Centennial Hospital.
Dr. Eduardo graduated as a doctor 27 years ago. Four years later he became a specialist in Gynecology. Then he added the Master's Degree in Comprehensive Care for Women, the category of Assistant Professor and is an aspiring Researcher.
"Residents, nurses and service personnel work 24 for 72 hours. I am as a specialist from Monday to Saturday for eight hours, and on Sundays I go from home to organize the work on Monday," he adds before ensuring rigor in protecting himself. Every 14
days they are PCR.
—Since COVID-19, what changes and what remains in the care of pregnant women?
—Protocols for obstetric follow-up are maintained, with changes in the management of patients, both pregnant and puerperal positive for COVID-19. With the positive antigen kit, the "Centennial" is entered for medical treatment and confirm the diagnosis by PCR.
"From what you have dealt with, what do you attribute the increase in cases to?
—To the non-protection of them or of the members of the family. And I think it may be related to asymptomatic cases, especially those with more than 21 days after the third dose of the vaccine. That is why I advise leaving home only for a scheduled medical consultation, with all the means of protection. Inside the home, the nasobuco should be used and distancing from pregnant women, puerperal women and newborns should be maintained.
HOSPITAL MANAGEMENT
From my head does not come the gesture of the hands to suggest little food. "They receive the diet they need, but they say they are not filled," says Tatiana Hernández Hernández, deputy director of Medical Assurance at the Ana Betancourt maternal hospital. She is also the mother of an eight-year-old boy.
"We had to limit the number of beds of the 'Materno' to create an isolation center in the 'Centenario'. At first they
were transferred to the Amalia Simoni hospital. Then the Cardiocentro of the Manuel Ascunce provincial hospital was established, as a therapy for clinical evolution or obstetric situation, "he says.
The increase in cases during August, mainly from Florida and Vertientes, motivated the fear of being left without enough beds. Hence the agility in foresight and the search for solutions.
"The 'Centenary' functions as a center dependent on the 'Materno'. We started with 41 beds, expanded to 49, but it has been necessary to create other places. In the School of Nurses we started with 34 capacities, and we must reach 60. For the most complex we have 28 beds in the Cardiocentro, where we guarantee gynecobstetras, neonatologists, intensivists and residents, together with the specialists of the 'Provincial' who work on ventilated and critical cases, "explains Dr. Tatiana.
In the most complex enter the emergencies, the criticisms, the pneumonias by COVID-19 and the births of positive patients or still affected by its sequelae.
"Re-entry has not been characteristic. Yes, many of the patients with torpid evolution of the disease, who have been in the Cardiocenter or in the therapy of the Provincial Hospital, present a pneumonic picture due to sequelae. When they are better
they move here, but it has not been typical," he says.
Dr. Tatiana is a 32-year-old tunera. He became a specialist in Pharmacology in Camagüey, and here he stayed. Since December she has served as deputy director, and dreams, when possible, to devote herself to teaching. Meanwhile he suffers from the evils of indolence, also pandemic.
"We have had positive ladies with a two-year-old baby, and they are pregnant, mothers with newborns in their arms. The deceased with COVID-19 and post-COVID-19 hurt us. I'm talking about puerperated people who leave their children, or who don't get to know them. It's hard for people who are giving it our all every day. The losses for the family nucleus are often never overcome," he concludes.
LIFE IN NUMBERS
According to their accounts, during the last trimester, 35 babies were released in the Cardiocentro, of them, 32 by cesarean section. At that time, 366 pregnant women entered the "Centenary", and 328 graduated.
At the point of a pencil they carry a lot of data in the
Department of Medical Records of the "Materno", where Dr. Ta- tiana can be found when she does not meet or supervise the "Centennial".
In that office works Odalys Plaza Luaces, voice very expected by his parts of births through Radio Cadena Agramonte.
"Yes, we have felt fear but we have to give the
information," explains the second of the department where outpatient consultation is controlled, births, hospital infections, blood bank, transfusions, coding (how the clinical history is treated), hospital movement (admission and discharge) and vaccination, among other matters.
"There has been an increase in COVID-19 in births and pregnant women in these three months. Let's think that later, because of vaccines, there are fewer patients with diseases. This is the time of rise of births, of a lifetime, "says the graduate in Statistics, with papers in hand, from where she gets the record of about 970 newborns, born from June to the end of August.
The average per year is around 5,000 babies.
COMMUNITY IMMERSION
We lacked an edge to address the issue in question, which is neither in the hands of the "Materno" nor the "Centenario", nor the Cardiocentro. It's about the beginning of the problem, there in the community. Where are the prevention actions going? In this regard, says
obstetrician Jesús Sayú Romero, from the Maternal and Child Department of the Provincial Health Directorate in Camagüey.
"Pregnancy is a thrombotic state per se, and in addition, to accept it, women of childbearing age are immunosuppressed. COVID-19 takes advantage of that, according to recent studies in placental cells. On the other hand, it hits hard the
social indiscipline, the non-perception of the risk of the families of the pregnant women".
—In meetings it was said that they would give Nasalferon to all and enter homes that could not keep their distance at home, was it applied?
—There was a survey of the total number of pregnant women to offer Nasalferon to all in the third trimester, and to contacts of positive, suspicious cases. They will not be entered into the home under any circumstances. Institutional admission under the supervision of health personnel is protocolized.
—What is the protocol with pregnant women in the community?
—It is aimed at prevention through emerging measures. It implies the admission of pregnant contacts of positive cases, that of all from 26 weeks with comorbidities such as hypertension, diabetes mellitus, bronchial asthma, obese, extreme ages. In addition, the vaccination schedule with Abdala was fulfilled. Treatment is performed with antiplatelet agents such as Aspirin 81 mg, Clopridrogrel 75 mg, Fraxiheparin and bandages and elastic stockings.
"During 2020 there were not even serious or critical maternals for COVID-19. This year we have had an increase in severe forms of the disease since mid-June. Teams were created for the care of critical maternal care for COVID-19. Many times the result was not satisfactory, so families have lost a loved one in this long-awaited state of life. We call for alert to the population of childbearing age, pregnant women and mothers with infants. They must take extreme protective measures."
The recommendation of Dr. Jesus brings back to mind the scene of the girl leaning out the window, and the recklessness of the two men annoyed from the street. They, at no time, applied hypochlorite or alcohol solution to the hands with which they lowered and raised the nasobuco to rezongar or take to the mouth the key of the car.
Moral: to incredulous relatives, pregnant women more suspicious of all. Be suspicious.
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