Vol 2, No 4 (2019): ( APRIL )

SUMMARY

Nintedanib is an approved antifibrotic agent for the treatment of idiopathic pulmonary fibrosis. (FPI) as monotherapy. To date, the evidence supports its effectiveness in this type of patients. We present a case of a Mexican patient of 69 years with Idiopathic Pulmonary Fibrosis (IPF) treated with nintedanib for 6 months as monotherapy in a university hospital. Before the 52 week period. There was a clear decrease in the patient's forced vital capacity (FVC) from 70% (2.14L) to 60% (1.83L). The treatment with nintedanib was started for a period of 12 months at a dose of 150 mg VO every 12 hrs. Lung function stabilized increasing from 60% (1.83L) to 70% (2.14L), the treatment was well tolerated. Only with presence of mild adverse effects without repercussions.

 CONCLUSION

We describe the successful case of a patient with Idiopathic Pulmonary Fibrosis after 52 weeks of treatment with Nintedanib, well tolerated and with improved lung function, until now the antifibrotic therapy represents a safe and therapeutically option as monotherapy.

In article the natural technology of improvement of qualities, normalization of a state and increase in activity of the person is considered. The spectral analysis of biofield, correction of biofield by method of a tomography and a healthy lifestyle are fundamentals of natural technology. According to the spectral analysis of biofield the card of step-by-step correction is formed. According to the card of step-by-step correction stage-by-stage impact of the tomograph on biofield is programmed. Process of correction of biofield is carried out under control of the expert in real time by means of a spectroscope. Process of correction comes to an end with normalization of biofield. After normalization of biofield, people passes to healthy activity.

Traumatic knee dislocation is an uncommon but serious and potentially limb threatening injury because  neurovascular injuries are commonly associated with these injuries.31 years old footballer presented with twisting injury while playing football and sustained dislocation of the Right knee joint. Closed reduction was done followed by POP immobilization. Vascular damage was ruled out by color Doppler studies. Knee dislocations may often reduce spontaneously, so a high degree of suspicion is of prime importance . Few injuries challenge both the athlete and the surgeon as much as knee dislocations and multiple ligament knee injuries, often raising the question of whether the athlete will ever be able to return to play. The treatment of knee dislocations has evolved from non-operative treatment to operative repair and reconstruction.

Blood oxygen level of person indicates that how body distributes oxygen from the lungs to every cells in our body. Because oxygen is necessary for the proper function of cell in our body. Maintaing the balance of oxygen saturated blood in body is important to health. People that have chronic health should monitor their blood oxygen level. An arterial blood gas test measured blood oxygen level. This test is very accurate and measured the level of other gases in the blood. Pulse oximeter is also used to measured the level of oxygen in the blood. Normal level of oxygen in the blood is between 80 to 100 mm Hg. If this value decreased below 70 this condition is called hypoxemia if this value increased above 120 mm Hg this condition is called hyperxemia. Falooda ice due to its cooling properties is very popular in every countries especially during summer. It has many beneficial properties like give us energy, makes the bones strong due to vitamins and minerals in it.