Health

2023-11-19 07:07:51

Cardiology – The SEC warns of the “alarming” territorial imbalance

The SEC warns of the “alarming” territorial imbalance

35% of cardiologists practice in large centers and only 6% in small municipalities, but this distribution does not respond to the level of incidence of certain pathologies.

Two interventional cardiologists analyze an image in one of the Hemodynamics rooms of the Miguel Servet Hospital, in Zaragoza. (Photo: GOVERNMENT OF ARAGON).
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#large #city #doable #hospital #Reason #cardiology

2023-11-19 03:11:00

Jack Hughes scored a goal and had an assist in his return to action on Saturday, but his brilliance was not enough for the New Jersey Devils, who lost 5-3 to the New Jersey Rangers. York.

Artemi Panarin and Jimmy Vesey had doubles and Vincent Trocheck had three assists for the Rangers, who upset the Devils with three unanswered goals in the third to win their fourth straight game. They have not lost in regulation time in their last 11 games (10-0-1).

Hughes, who was the NHL’s leading scorer at the time of his injury, had missed the Devils’ last five games, who lost for the fifth time in seven games. Hughes was bothered by an upper body injury.

Panarin opened the scoring with his ninth goal of the season at 8:37 of the first period and Hughes responded with his sixth less than a minute later. Hughes simply headed a puck to the net and the puck slipped quietly between Igor Shesterkin’s pads.

The two teams exchanged two more goals before the end of the opening period as Vesey scored his second of the season and Ondrej Palat responded by finally scoring his first of the season.

Erik Haula gave the Devils a lead on a pass from Hughes 1:17 into the third.

That’s when the Rangers opened the machine. Panarin tied the game with his 10th midway through the period and Vesey did it once more with the goal that made the difference with 2:49 to play. Blake Wheeler completed the scoring in an empty net with his second of the season.

Shesterkin and opposite Vitek Vanecek both made 30 saves.

A memorable match for Lapierre

Hendrix Lapierre had the best game of his young career, scoring a goal in addition to obtaining two assists, paving the way to a 4-3 victory for the Washington Capitals over the Columbus Blue Jackets.

After a miserable start to the season, the Caps are playing excellent hockey these days, as evidenced by their four-game winning streak and their 9-4-2 record following 15 games.

Lapierre, 21, scored his second NHL goal, more than two years following he opened his account, in October 2021.

He came off the wing and his backhand shot slipped under the arm of Elvis Merzlikins before finishing in the top of the net.

In the case of the Jackets, it was a tenth loss in regulation time in their 18th game (4-10-4). Pascal Vincent’s squad has lost three matches in a row in regulation time, and has only won one in its last eleven outings.

Alex Ovechkin joined the party, as the Russian legend scored his fifth goal of the campaign, and 827th of his prolific career.

No. 8 Washington is now 67 goals short of joining Wayne Gretzky at the top of the hierarchy.

Sonny Milano and Aliaksei Protas also blackened the score sheet for Spencer Carbery’s squad.

Ivan Provorov scored his first of the season for Columbus, while Johnny Gaudreau added a second to his record.

Gaudreau, who is disappointing at the start of the calendar, was paired with Patrik Laine and Mathieu Olivier for this match.

Justin Danforth beat Charlie Lindgren at 15:48 of the final period. The Ohio team shot 36 times on the Caps cage.

On the other hand, Merzlikins gave up four times on 26 shots.

The Oilers lose for the first time in the Knoblauch era

Nikita Kucherov scored two goals and set up another, leading the Tampa Bay Lightning to a comeback and a 6-4 victory over the Edmonton Oilers on Saturday.

The Lightning (8-6-4) ignored a difficult start to the game, to say the least, during which it allowed two goals during the first 8:31 of the match.

With 13 goals and 14 assists for 27 points following 17 games, Kucherov temporarily joined a trio of Vancouver Canucks players – Quinn Hughes, Elias Pettersson and JT Miller – at the top of the team’s scoring column. NHL.

This is the first loss for the Oilers (5-10-1) under the leadership of head coach Kris Knoblauch, who took over from Jay Woodcroft last Sunday.

Edmonton had won its last three meetings, the last of which was a week ago, the one preceding the announcement of Woodcroft’s dismissal.

Even though he allowed four goals and 43 shots on Jonas Johansson’s cage, the Lightning was able to handcuff Connor McDavid and Leon Draisaitl, both of whom were kept off the scoresheet.

Stuart Skinner gave up five times on 22 shots. Johansson, for his part, recovered well following looking poorly in front of Derek Ryan, who scored outnumbered in the fourth minute of play.

Ryan scored a double, while James Hamblin scored his first goal in the Bettman circuit in his 16th game. and that defender Evan Bouchard added a fourth goal to his haul.

Kucherov and his compatriot Mikhail Sergachev, also author of a three-point performance, then helped Tampa get back into the game.

Bouchard hoped to have put the visitors in control for good when he beat Johansson’s vigilance in a four-on-four situation at 8:04 of the final period.

The response from Jon Cooper’s men came quickly, however, thanks to a superb exchange between Brayden Point and Kucherov leading to a perfect one-timer from captain Steven Stamkos, 1:24 following Bouchard’s goal.

The eventual game-winning goal came from a Lightning support worker, as Luke Glendening deflected a shot past Skinner 39 seconds following Stamkos’ tying goal.

Edmonton threatened in the final two minutes of play, but Sergachev ended the suspense by scoring into an empty net at 19:05.

The Stars take a 3-goal lead, then collapse

Dominated 3-0 following 22 minutes of play, the Colorado Avalanche completely overthrew the Dallas Stars to win 6-3.

The Denver team scored four goals in the third period without allowing a single one, ending the Stars’ four-game winning streak (11-4-1).

For its part, Colorado (11-5-0) has won three games in a row.

The team led by Jared Bednar had not overcome a three-goal deficit to win since February 2019, once morest the Edmonton Oilers.

Valeri Nichushkin, Mikko Rantanen and Ross Colton each contributed a goal and an assist, while Cale Makar provided three assists, including his 20th of the campaign.

Alexandar Georgiev made 25 saves to earn the victory.

What was expected to be a quiet evening of work changed drastically for Jake Oettinger from the second period onwards.

The Stars goalie ultimately conceded five goals on 37 shots.

Colton dropped the puck into an empty net at 7:30 p.m. to put the game officially out of the Texans’ reach.

It was the veterans who managed to give the Stars their three-goal lead, following the 4th and 5th of the season from Tyler Seguin, as well as the 7th from Joe Pavelski.

Vancouver beaten for the first time regularly at home

The Seattle Kraken scored twice early in the third period, before holding on to win 4-3 over the Vancouver Canucks.

After 13 points out of a possible 14 in front of their fans during their first seven local games, the Canucks (12-5-1) suffered a first setback in regulation time at Rogers Arena.

Yanni Gourde and Matty Beniers scored 2:19 apart to start the final period strong, and the two-goal lead held until Nils Hoglander scored at 19:49.

Surprisingly, the Canucks managed to give themselves one last, unexpected chance to tie the game when Hoglander was able to take one last good shot on Philipp Grubauer’s cage.

The Kraken (7-8-4) moved closer to the .500 mark with a second straight win.

In addition to Gourde and Beniers, Jamie Oleksiak and Jordan Eberle also scored at the expense of Thatcher Demko, who faced 26 shots.

JT Miller and Quinn Hughes scored Vancouver’s other two goals. The two teammates share first place in NHL scoring, at 28 points, one better than Nikita Kucherov.

Connor takes the lead in goals

Kyle Connor continues to have fun at the expense of opposing goalies as the Winnipeg Jets defeated the Arizona Coyotes 5-2.

The Jets forward scored his 14th goal of the season to make it 3-2 Winnipeg in the second period. At the time, he led the NHL in goals. He added an assist on Josh Morrissey’s net in the third period.

The defender also collected an assist in the victory to bring his total to 200 since the start of his career. Mark Scheifele, Vladislav Namestnikov and Mason Appleton were the other players to thwart Karel Vejmelka. The latter repelled 21 pucks.

The working evening of his opponent, Laurent Brossoit, was much less busy. The Jets goalie only faced 18 shots. Mattias Maccelli and Matt Dumba sparkled the red light for the Coyotes.

The Blues washed out by the Kings

Quinton Byfield and Blake Lizotte scored inside the first three minutes of the game, and the Los Angeles Kings were never worried by the St. Louis Blues, winning 5-1.

Adrian Kempe, on a breakaway during a numerical inferiority, and Pierre-Luc Dubois added their two cents to a first period of total domination, in turn thwarting Jordan Binnington to make the score 4 to 0 following 20 minutes of play.

At the end of the second period, Kevin Fiala provided an additional cushion for the Kings (10-3-3), who have a modest record of 3-3-3 at home, but 7-0-0 on the road.

Cam Talbot, author of 29 saves, came within minutes of signing the 30th shutout of his career, he who came to LA following a campaign spent in the uniform of the Ottawa Senators.

Jake Neighbors scored the visitors’ lone goal with 3:53 remaining in the third. Craig Berube’s team now has a record of 8-7-1.

End of Islanders’ slide

Oliver Wahlstrom scored in the fourth round of shootouts, and the New York Islanders snatched the second point from the Calgary Flames, winning 5-4.

The Isles blew leads of 3-1 and 4-3 before Wahlstrom gave them a long-awaited victory, following a seven-game winless streak (0-4-3) dating back to November 4.

Hudson Fasching, Kyle Palmieri, Mathew Barzal and Brock Nelson scored once morest Jacob Markstrom in regulation.

The response from the Flames, who shot 39 times on Ilya Sorokin’s cage, came from Martin Pospisil, Blake Coleman, MacKenzie Weegar and Yegor Sharangovich.

The New Yorkers will have a few days off following what was the last game of a trip to Western Canada, with a detour to Seattle.

They will return to action Wednesday at home, once morest the Philadelphia Flyers.

Conversely, Calgary (6-8-3) will play on opposing ice four times starting Monday.

The team led by Ryan Huska will face the Kraken, then head to Nashville, Dallas and Denver.

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#NHL #summary #matches #National #Hockey #League #Saturday

2023-11-19 06:28:05

Elfyn Evans (Toyota) won the Rally Japan, the final round of the World Rally Championship (WRC). The Briton dominated the race head and shoulders and won with more than a minute ahead of his teammates Sébastien Ogier and Kalle Rovanperä. The Toyota team achieves the treble at home.

Evans settled comfortably at the head of the Rally from the second special, taking advantage of the complicated weather conditions to directly open up significant gaps. Thierry Neuville (Hyundai) seemed to be the only driver able to worry Evans this weekend but the Belgian made a mistake at the start of the sixth special, causing him to lose all hope of victory.

Neuville still returned to the track on Saturday and scored several scratches on Sunday, notably on the Power Stage, to end this Rally and the championship on a positive note.

A WRC2, Gregory Munster (Ford) has long threatened the first place ofAndreas Mikkelsen (Skoda). But in the 18th special, the Belgian made a mistake, ruining all his chances. He was forced to retire on the 20th special and had to let the Norwegian slip away to victory.

Kalle Rovanperä (Toyota) was already world champion since the Central European Rally. The major issue of this Rally concerned the last two places on the championship podium. But the ranking was unchanged following the abandonment of Neuville and the poor performance ofOtt Tänak (Ford).

Elfyn Evans is therefore the vice-world champion. Thierry Neuville finished the championship in third place.

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#Elfyn #Evans #wins #Rally #Japan #Toyota #hattrick #home #Neuville #consoles #Power #Stage

2023-11-19 06:55:45

The new procedures are minimally invasive, generate less pain and recovery is faster.

By: Maria Camila Sanchez

November 19, 2023

Within the framework of the Annual Convention of the Puerto Rican Society of Interventional Cardiologyheld at the Royal Sonesta Hotel in Isla Verde, Medicine and Public Health Magazine spoke exclusively with Dr. Valentín del Río, Interventional Cardiologist at the Bayamón Heart & Lung Institute and president of the Puerto Rican Society of Interventional Cardiology regarding the topics presented at the event, as well as the difficulties currently faced by specialists in this area on the island.

Continuing education and professional development

As mentioned by the specialist, for 3 years, general cardiologists and other medical personnel who might facilitate and improve patient care began to be integrated into the conventions.

“We also included these clinical specialist technicians who are in the hospital with us, so that they would have a forum where they might have more education and not just depend on the education that they take in the hospital with us on a day-to-day basis, so we did a change in that sense.”

Likewise, he pointed out that the level of participation has increased, as well as the level of practice, thanks to new technologies that have allowed attendees to be part of some cases that are projected live.

“Most of the time at conventions, there are Powerpoint presentations. At our convention, for a few years now, we have been bringing live cases; This year we will broadcast eight cases live, six from the Bayamón Medical Center and two cases from Argentina. That interaction had never been seen in Puerto Rico.”

See the full program here.

Percutaneous interventions

The specialist explains that thanks to technological and scientific advances, several areas of interventional cardiology are growing exponentially, and are providing patients with important non-invasive procedures, with more favorable results.

“In the past, many, all valve therapies were surgical, everything was through open heart operations. Today many of these diseases can be treated by percutaneous means“With a small incision through the skin, one can have access through the femoral bone to be able to do a number of procedures that can treat these diseases, especially in elderly patients,” he explained.

Challenges in interventional cardiology

It is well known that the population of Puerto Rico is aging, that is, there is an increasing demand for the services of interventional cardiologists, but there are few specialists. However, Dr. del Río explained, to this is added a series of non-modifiable risk factors in the population, such as genetics.

“One of the limiting things in our country is the lack of doctors. There are few cardiologists, and there are fewer interventional cardiologists, which leads us to have too much work in a population that is growing every day. Our Latin heritage brings factors that involve diet, sedentary lifestyle, among others, that cause cardiovascular disease to be more prominent than in the United States.”

Likewise, he mentioned that the lack of access of patients to consultations with specialists delays the time of timely care, favoring the development of more complex pictures of the conditions in those who present them.

“There are many limitations, especially due to the lack of patient access. Many times we try to go the extra mile and try to serve as much as we can, but that is the main limitation of everything.”

The proposal of a preventive approach

High levels of cholesterol, blood pressure, blood sugar, as well as diets high in sodium, fats and others constitute the main risk factors for the development of cardiovascular diseases; all preventable.

“We have to go the extra mile, not only focusing on the cardiovascular part but also on the preventive part to prevent these risk factors, such as obesity and diabetes, from being more prevalent and therefore causing more cardiovascular disease, which “It is what causes myocardial infarctions.”

So it is necessary to promote campaigns that call for the prevention of all these elements.

“If we have a strong family history of cardiovascular disease, we can’t prevent that. But obesity, cigarette use, and a sedentary life can be changed. As well as sleep habits, stress, diabetes, cholesterol, pressure, among others,” he concluded.

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#Interventional #cardiology #percutaneous #means #valve #therapies #open #heart #surgery