Front-line personnel in the health and social health field

They are two pharmacological treatments designed to help quit tobacco and that complement the cessation programs carried out in primary care centers.

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What does it consist on?

– Varenicline is a partial agonist of the nicotinic acetylcholine receptor, in other words, it reduces the pleasant effects that nicotine produces in the brain.

Because nicotine, the main component of tobacco, is a very small molecule that reaches the brain in just 7 seconds. There, it stimulates the release of substances related to the perception of reward and satisfaction.

– Bupropion is an antidepressant, which stimulates nerve transmission and reduces the withdrawal syndrome caused by quitting tobacco, which is commonly known as «mono».

The prescription of these drugs will be made to patients included in individual or group support programs to stop smoking, who smoke more than 10 cigarettes a day and have a high level of dependence.

For bupropion, treatment consists of choosing a quit date after a week or two after you start taking the drug. The full treatment lasts between 7 and 9 weeks.

The way to administer varenicline is very similar. It begins one or two weeks before quitting smoking and the dose to be taken is increased until it is concluded at 12 weeks.

Which is better?

Actually both are effective, but it will be the doctor who will decide which is the best treatment in each case.

In addition to these withdrawal options that must be prescribed by a professional, we have products that contain nicotine in the pharmacy, in the form of patches, gum and lozenges to suck. These drugs provide nicotine, which makes you less need to smoke.

The recommendations for using nicotine patches is to place them right after getting up in an area of ​​the body where there is no hair, and each day in a different place. It is possible to shower with them and if they fall they can be replaced by another.

The tablets that are sucked are usually taken one every hour to two hours. It is convenient to keep it in the mouth close to the cheek so that it lasts about 30 minutes, and it should not be eaten or drunk while we have it in the mouth, nor 15 minutes before taking the tablet.

In the case of gum, the maximum amount that can be taken is 25 gum a day if it is 2 mg, or 15 gum a day if it is 4 mg. You have to take it when you feel like smoking.

As with the tablets, the gum must remain in the mouth for 30 minutes and cannot be eaten or drunk 15 minutes before taking it and during chewing.

And one important thing: we should not smoke if we resort to tablets, patches or gum.

A little less than a month ago, the long-awaited vaccination campaign against Covid-19 began in our country. It has taken days to pick up the pace and just when it seemed that the process had sped up, problems have started to arise because of not having the necessary syringes to make the most of the doses of the precious vaccine.

Jan 21, 2021 at 12:58 CET

Despite this, the Public Health Commission has approved the second update of the vaccination strategy that includes several important novelties.

The first stage began with the vaccination of four groups:

– Residents and health and social health personnel who work in homes for the elderly and care for large dependents.

– Front-line personnel in the health and social health field.

– Other health and social health personnel, such as those belonging to primary care, even if they are not in that first line of action against Covid-19.

– People considered large dependents who are not currently admitted to any institution.

And it is considered that the particularities of these groups make them have a greater risk of exposure to the SARS-CoV-2 virus and of transmitting it to others.

Unfortunately, in many communities the vaccine has not been administered to all these groups, so the update of the strategy continues to insist on the priority of ending the immunization of this group.

One of the novelties that the new document adds is that it is also a priority to vaccinate personnel dedicated to Dentistry, dental hygiene and any health personnel who treat patients without a mask for more than 15 minutes.

In addition, it indicates that health and social health personnel that are not included in stage 1 may be vaccinated in stage 2 as a priority, within the categories «essential first-line personnel» or «other essential personnel».

What the health authorities have decided to maintain is the vaccination schedule. That is, the administration of two doses is maintained in the populations that are being vaccinated, administering the second dose as soon as possible from 21 days in the case of Pfizer and from 28 days in the case of the Moderna vaccine.

The second dose will be administered with the same brand, Pfizer or Moderna, that was used in the first dose.

Once the vaccination of these sectors has been carried out, the long-awaited moment will come to immunize those over 80 years of age. They are the most vulnerable and those who have suffered the most from the onslaught of the virus, with very high death rates.

According to data from the National Institute of Statistics for January 2020, in Spain there are 2,851,054 people over 80 years of age, representing 6% of the Spanish population. Of these 1,056,207 are men and 1,794,846 women.

It should not be forgotten that some of the people in this age group may have been vaccinated in the groups considered previously (groups 1 and 4), so the number of people to be vaccinated will be less than that shown in the previous paragraph.

What the Ministry of Health still does not know or is able to determine is the approximate date on which the elderly who do not live in residences may be vaccinated. Everything will depend on the availability of vaccines.

The selected order obeys criteria of necessity, equity and reciprocity, which advise vaccinating people who are most exposed to the virus, such as first-line health and social-health care, as well as the people who are hospitalized the most and die.

The Ministry also speaks of a solidarity criterion to prioritize people who may see their health most affected or are more exposed to the virus.

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Jan 19, 2021 at 13:13 CET

These are difficult times to perform certain activities. Although all establishments dedicated to providing sports-related services have adopted the necessary preventive measures against Covid-19, the reduction in capacity and the fear of going to this type of closed establishments has meant that many have stopped physical activity. sideways.

But despite the difficulties, all health experts agree on the need to continue doing physical exercise on a regular basis. And as in a pandemic, the most advisable thing is to opt for outdoor activities, walking or running are the two great alternatives that are presented to us.

But which one is better?

The Spanish Foundation of Cardiology (FEC) points out the differences between both activities based on energy performance, the impact on the joints, the risk of injury and the need for prior preparation.

If we choose to walk, it is clear that our energy expenditure (muscular, caloric) will be lower. But the impact that this exercise will have on our joints will also be smaller, especially in people with injuries or with excess weight.

Therefore, and according to the experts, if we walk we can have between 1 and 5% risk of injury, while running the percentage increases to 35%.

And as for how to face each exercise, the reality is that going for a walk does not require stretching or special conditions, which does not happen with running.

Of course, considering these statements, the first question we could ask ourselves is very basic.

Is walking really a physical activity?

Well, experts in cardiology affirm that walking is a form of physical activity that, performed regularly and with a specific intensity, meets the requirements of healthy physical activity.

Among the advantages of this activity, the FEC first points out the reduction of blood pressure in the short and long term. If we talk about kilos, walking helps maintain an adequate weight and can avoid gaining a few kilos that can lead to overweight or obesity.

If we already have too many kilos and we want to lose them, it is best to combine walks with a balanced diet. The Mediterranean, the best.

Another benefit of walking is the reduction of the risks associated with type 2 diabetes. According to the Spanish Cardiology Foundation, walking with moderate intensity between 150 and 300 minutes per week can prevent the development of diabetes by up to 35%.

And finally, the impact on another important battlefield for cardiologists, cholesterol. The combination of triglyceride reduction and HDL increase induced by walking represents a significant improvement in the levels of this marker.

When and how to walk?

According to a report published by the European Heart Network (EHN), an entity of which the Spanish Heart Foundation (FEC) is a part, 25% of women and 22% of men in Europe do not engage in any physical activity.

If this data is bad, in Spain it is even worse: between 20 and 29.9% of Spanish men do not engage in physical activity, while between 30 and 39.9% of women are physically inactive.

It is scientifically proven that a sedentary lifestyle increases the risk of cardiovascular diseases such as hypertension or type 2 diabetes, and also mortality.