A rare presentation of herpes zoster induced osteonecrosis of jaw in an immunocompetent individual

Herpes Zoster (HZ) or Shingles presents as a cutaneous vesicular eruption in the area innervated by the affected sensory nerve, usually associated with severe pain. Oral manifestations of HZ appear when the mandibular or maxillary divisions of the trigeminal nerve are affected. Osteonecrosis of Jaw Bones (ONJ) is one of the rare complications associated with it. This paper will discuss about a case of HZ with subsequent osteonecrosis of maxillary bone as one of the complication.

Preferences and Expectations of the Older Adult Care

The WHO defines the care services such as the provision of health services by formal or informal caregivers, at home, with the aim of promoting to restore or maintain the highest degree of comfort, functionality and health, including efforts to dignify death.
To comply with such a definition is of the utmost importance to know the real needs and problems in the elderly, as well as their real preferences and expectations and feelings about health care in general and before the death, so as to be able to adapt our interventions to meet these expectations, providing quality health care and a dignified death.

A cross-sectional study was conducted in adults older than 60 years who live in the community, municipality of Santa Catarina, Nuevo León, Mexico. During the months from January to May of 2017. Demographic data were collected and a survey was conducted of the preferences and expectations of the older adult about your medical care, which was applied directly by students of Community Medicine in the homes; the survey is made up of a total of 20 items, being 12 items relating to medical care in general and 8 items to medical care prior to death. The data were analyzed with the statistical program SPSS 20.0 (SPSS Inc.).

Evolution of uncontrolled severe asthma under Omalizumab and specialized care unit treatment

Bronchial asthma is one of the most frequent respiratory disorders, affecting 5% of the adult Spanish population, although its prevalence appears to be levelling off among adolescents. The management of asthmatic patients is widespread among general practitioners, allergists and pneumologists, although the most severe forms prove challenging for professionals due to the associated disability, reduced quality of life and treatment Costs. The prevalence of severe uncontrolled asthma is not negligible; a recent study that recorded information from 164 hospital units in Spain over 6 months, showed that 666 (65.9%) patients among 36,649 adult asthmatics, met criteria for uncontrolled severe chronic asthma according to GINA criteria. For this and other reasons, the creation of specific asthma units has led to improved assistance, a rational use of medical resources and the use of specific biologic therapies for this disease.