Barely there are alternatives, so the indications we receive teach us the way, i.e., we must concentrate on our daily chores and how to be a few good players, without thinking that there may be that disturbing element that leads to reflection or search for the truth, as a rule, that element should be left without coverage or translate it at minimum levels. One can think of as fun as eating, how to win at the game of sovereign independence, but arrived at this point and that is the important thing, he should stop thinking. If also in Catalonia, it must be done in catalan. But as all game, there is always an end and perhaps this end does not like certain regions independent sovereigns, and won’t take long to see, how are they rushing (without delay) to terminate the game to the first victory to get, therefore won’t find (if they continue playing and were kept the same game rules), with the breakup of their region to arise them a multitude of gnomes that also require their sovereign independence. If! This is the game, i.e. If is continuous playing, will come out small independent sovereigns that also want to win and get a title as the President of the independent and sovereign region of starting by implanting that another autonomy in our small, loved and never forgotten regions that supposedly suffer and suffer from regional centrality and then that will?. More secure, is that they will say that the game has been completed, i.e. already not you can keep playing to be sovereign and independent, is not correct that the regions begin to raise the search of their sovereignty and independence but perhaps, as a simple matter of survival, they begin another game that would be to go by annexing other neighbouring regions.

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Grey Turner

In 20% of patients it presents a great distension of the upper part of the abdomen due to the paralysis of the stomach (gastric ileus) or a pancreatic inflammatory large mass displacing the stomach forward. Sudden abdominal tenderness, usually very painful abdominal pain in the upper part of the abdomen (epigastrium) occasions so intense that is checked is beyond rigidity of muscles by pain to what is called, abdomen in table. Acute pancreatitis should take as a box of deferencial diagnosis to all box of sudden abdominal pain among which we have: drilling of a gastric ulcer or duodenal, a heart attack mesenterico, intestinal obstruction with strangulation, biliary ruptured aneurysm desiccant, colic, ectopic pregnancy, appendicitis and diverticulitis. Complementary tests: amylase and lipase that is allan increased in the 1st day and normalized in the next 7 days. Leukocytes soar between 12,000 to 20,000/ul, the hematocrit is there in the 50 to 55% as a consequence of the great loss of inflammatory fluid to the third space.

Figures for calcium low 1st day for the loss of albumin in the inflammatory liquid or chemical burn. The simple abdomen radiography shows presence of gallstones in the interior of the pancreatic duct or gallbladder as bowel ileus in the upper left quadrant, in the chest X-ray revealed atelectasis or pleural effusion. Pancreatitis with necrosis and hemorrhage has a mortality of 10 50% and there is a progressive decrease in hematocrit, presence of liquid hemorrhagic ascites, decreased calcium in serum and the most striking, the appearance of the sign of Grey Turner (extravazacion towards the flanks) or Cullen (extravazacion towards the navel). The criteria of Ranson which gives us the pattern for the treatment and prognosis of severe pancreatitis are available: 1.-age of 55 years 2. serum glucose greater than 200 mg/dl 3.-serum LDH greater than 350 IU/L 4.-AST formerly called SGOT increased to 200 IU/L 5.-more than 16,000 leukocytes uL remaining signs are completing at 48 h following the patient admission: 6.-descent of the greater than 10% Hto 7.-increase of greater than 5 mg/dl 8 BUN-serum calcium higher than 8 mg/dl 9.-PO2 manor of the 60 mmHg 10.-basis deficit greater than 4 mEq/L 11-kidnapping estimated more than 6 litres of liquids. When there is a mild pancreatitis on CT images shows a slight swelling of the pancreas, his proostico is excellent, but if very temefacto, the prognosis is severe with a slow recovery and risk becoming chronic pancratitis. Suede box is very serious hospitalization is convenient to the patient with a box of sharp abdominal pain that it be completed with laboratory tests and start aggressive treatment in replacement of liquids by the great extravazacion inflammatory or hemorrhagic and avoid serious complications, so I repeat, do not try to automedicar or ambulatory resolution.

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New Auditorium

The expected enlargement of the Palacio de Exposiciones y Congresos in Seville (Fibes) will be on September 4, as have confirmed the municipal heads of the same.September 4, opens the new Auditorium Fibes will be with the forecast of five large congresses that predictably will have an economic impact on the capital of 17 million euros. These five large congresses multitudinous belong to the Census sector, which will generate an estimated 46,500 overnight stays in hotels in Seville. These Conference events will take place September: – thirty-seventh European Congress of the Federation of European biochemical societies (FEBS) and the twenty-second Congress International of the International Union of Biochemistry and Molecular Biology (IUBMB) – Convention of the Colegio Latin Ibero American Dermatology and the 19th Congress Ibero Latin-American Dermatology (Cilad 2012) October:-XXVI Congress of the Spanish society of outpatient pediatrics and primary care (Sepeap)which includes Hispano-the III Congress International Luso of outpatient pediatrics – cardiovascular disease November Congress:-9th National Symposium on chronic wounds and pressure ulcers


Europe Term

We have two types of refinancing possible for individuals, namely: on the one hand, the refinancing of debt could be modification of the payment obligations of the debtor through extension of its period of maturity or the establishment of other obligations in lieu of those, what entails in practice the possibility of negotiating with creditors, periods of lack even the extension of the maturities of obligations, which would entail a higher interest payment, but a monthly amortization lower. By another, the refinancing, reunification or debt consolidation, could lead to the hiring of a loan of greater amount with collateral, which become short-term cash obligations obligations of term to long term, with increased economic spending in interest and other costs of formalization, but with monthly repayments more affordable. The need of refinancing, debt consolidation, or reunification is derived from a sudden, current insolvency situation, when the debtor fails to comply with his payment obligations or when insolvency is imminent, i.e., expected in the short term, it will start to renege on their payment obligations. It is possible to even that to produce the insolvency, the situation worsens with the inclusion of the debtor in the files of delinquent, situation that will make more difficult the refinancing of debt. So it is that the profile of the mediator must be very professional, with capacity for negotiation, communication skills, adaptability and ability to design an appropriate plan for the needs of consumers and be fair with the interests of financial institutions, i.e. need negotiate seeking the reconciliation of interests. Therefore, the first conclusion we extract is that refinancing, debt consolidation, or reunifiacion is a financial, bad operation from technical and economic point of view, the costs that supposed to cancel the foregoing obligations and constitute the new. However, this may be the only option when there is a breach of credit obligations or breach thereof is expected in the short term. From our point of view, the refinancing, reunification or debt consolidation, should be undertaken not only with enlargement of capital or fresh money, should be pursued, so that it is profitable, with a negotiation with all creditors involved, which includes the procedural representation, if applicable, (allowing pose a legal tactic) in order to achieve a fair settlement for parties that do not in the medium term a situation of insolvency.

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