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Course Title: Global Right to health
( Training course for health volunteers in Africa)

Course Director : Dr A. Giamperoli
Director and Chief Corporate Planning and Control AUSL Cesena

Request for CME accreditation :
 employees of the Hospital of Cesena
 nurses
 doctors ( general practitioners , specialists in gastroenterology , gynecology and anesthesia ) .

Number of participants: 30 people

Date of Course:
 Friday, 11 October 2013 ( 14.00-19.00 )
 Saturday, October 12, 2013 ( 09:30 to 19:15 hours )

Course Venue : Museum of the Marine . Via Armellini , 18 Cesenatico (FC)

For information and registration :
 CRI Cesenatico , Tel: 0547 673334 (Mrs. Marika , 09-14 hours )
 Dr. Francis Sietchping Nzepa ( Mobile 3935392111 , e- mail: dr.francissiet @ yahoo.it )

Promoter of the course: Red Cross Cesenatico

realized
 in collaboration with Diabetic Association of Cesenatico
Co  the international partnership of the Red Cross Njombé – Penja in Cameroon
 with the support and patronage of the Municipality of Cesenatico , Municipality of Cesena and AUSL Cesena.

 

 

 

 

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meeting lectures

meeting lectures

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eurodisney 037Rome, June 27 (Reuters) – Eight out of ten foreign prisoners do not know, basically, their rights to health in prison. But the Italians have some difficulty, considering that the entire prison population has information on the reform of prison health only in 60% of cases. While less than a third of the operators of the prison knows the content of the news on the subject of health care in prison. Are some findings, presented this morning in Rome, the project ‘Health without barriers’, made by the National Institute for Health and Migration Poverty and the Ministry of Health on a proposal from the Ministry of Interior. Own initiative created to promote awareness among foreign prisoners of the right to protection of health and the knowledge of the functioning of health services in prison.

The project – started May 30, 2012 and closing June 29 – involved 12 Italian prisons in North, Central and South and also involved health professionals and social health, the prison officers and the leadership with different types of intervention: from information seminars for courses distance learning to a search. “The project – told Adnkronos Salute Gianfranco Costanzo NIHMP, project coordinator – has allowed us to check the status of implementation of health care reform the prisons and give information to the prisoners, training of health workers and involve the directors of prisons and the commanders of the prison. E ‘was also possible to carry out a research on the perception of the reform on the part of the various components of prison life. ”

The results showed “a low perception of their rights on the part of foreign prisoners,” says Costanzo. “I emerged the need to better coordinate the health care world that is in charge of the health of prisoners (and which today is in ASL, in the implementation of the reform which transferred responsibility from the Dap NHS) with the needs that are specific to the system detention, and therefore the security of society and people. serves to match together with the safety requirement of the protection of health, a goal to which we are not yet arrived. “

maputo

The burden of stroke is increasing in developing countries that struggle to manage it efficiently. A gorup od Portuguese doctors  identified determinants of early case-fatality among stroke patients in Maputo, Mozambique, to assess the impact of in-hospital complications. Paper published on Int J of Stroke official journal of the WSO. On the same issue a paper on low cost lysis perspective with streptokinase.

In June, the group of Dr Nzepa gave an interview to the journalists of Rete Sole (central Italy tv/radio broadcasting). In 50minutes was reported the activity undertaken in Djombe Penja together with personnel of Perugia Hospital (doctors and nurses). Dr Vittorio Giuliano during the interview reported the patnership with Developing Medicine to pubblicize the screening activity on the population (600 subjects on hyperetension and diabetes with 1800 measurements). Soon available the mp4 full video.

Malaria is the most diffused human parasitic disease, with 300-500 million infected in the world and about 2 million deaths per year. This disease is endemic in tropical and subtropical areas of Africa, Asia, and Central and South America. The disease can be seen almost anywhere, however, as a result of international travel. Malaria is transmitted by mosquitos.

Cerebral malaria is a true medical emergency. In critically ill patients, treatment includes chloroquine, usually given by intramuscular injection, and quinine (or quinidine) given intravenously. In less severe cases, chloroquine alone can be used. If infection occurs in an endemic area of chloroquine-resistant falciparum malaria
(now most areas of the world except parts of Central America, Mexico, the Caribbean, and the Middle East), quinine plus pyrimethamine-sulfadoxine (Fansidar), doxycycline, or clindamycin should be used. In Southeast Asia, where multiple drug resistance occurs, various regimens include quinine plus tetracycline, artesunate (or artemether) plus mefloquine, and mefloquine plus doxycycline. Anticonvulsants should be given to control seizures. Transfusions of whole blood or plasma may be required. Other supportive measures include reduction of fever, fluid and glucose replacement, and respiratory support. Sedation may be necessary in excited or delirious patients. The use of dexamethasone is deleterious in the treatment of cerebral malaria. Mannitol should be used for life-threatening cerebral edema. An infrequent possibly corticosteroid-responsive postmalarial encephalopathy has been described.

Brain injury due to malaria+dengue in a 42y old man leading to permanent comatose state.

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