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      "author": "neybel",
      "body": "## **<p>Hola mis queridos amigo.</p>**\n<div class=\"text-justify\">\n<p>Hoy quiero que me acompañen en mi viaje de \"polizonta\" desde el estado Monagas hasta el estado Sucre en Venezuela.\nDesde hace mucho tiempo quería realizar este viaje porque me trae recuerdo de niñez, pero por razones laborales no había podido, hasta que le hice caso a las invitaciones de mi hermano que es conductor de vehículos pesados.</p></div>\n\n<center>**Y así inició nuestro  viaje, con el amanecer en la autopista \"Vinotinto\".**</center>\n<p><center>https://i.ibb.co/SdGn2GZ/53514169-2009864989135821-1777024400684482560-n.jpg</center></p>\n\n<center>**El recibimiento del Nazareno en la Población de Caripito - Estado Monagas.**</center>\n<p><center>https://i.ibb.co/Wgfz4Yh/53270777-290083475006432-7613699821383188480-n.jpg</center></p>\n\n<center>**Hicimos una parada por provisiones... Ummmmm...**</center><center>https://i.ibb.co/LJMyMxY/CHOCOLATERA.png</center>\n\n<center>**El estado Monagas es bendecido con dos grandes ríos Amana y Guarapiche, podemos ver ramificaciones a medida que vamos recorriendo cada poblado.**</center>\n<p><center>https://i.ibb.co/WGjdgJw/53293092-250239005883593-3659289999930556416-n.jpg.</center></p>\n\n<center>**Ya en las fronteras del estado Sucre me llamó la atención muchos araguaneyes floreados. !Que hermoso, los cerros colmados de nuestro árbol nacional! Nunca había visto tantos juntos. Yo me quejaba y decía: ¿Por qué el mango no es nuestro árbol nacional, si que hay más que Araguaney? Pero sin duda Sucre tiene la cuota que le tocaba a Monagas.**</center>\n<center>https://i.ibb.co/WnD6hvj/53183071-330998030871494-444522432166887424-n.jpg</center>\n<center>Lástima que no pude obtener la mejor vista, porque el clima y los arboles no me permitieron capturarla.</center>\n\n<center>**Llegamos hasta nuestro destino final, Carúpano estado Sucre. Nos faltó sol para darnos un chapuzón.**</center>\n<p><center>https://i.ibb.co/7gV1ZB8/53330445-644637755992978-1986846949097078784-n.jpg</center></p>\n \n## **Espero que haya sido de su agrado.**\n\n#### <center>Hasta la próxima...</center>\n<center><p>https://i.ibb.co/dWXMhHr/53548640-1997726970533780-2883836811438718976-n.jpg</center></p>\n### Ⓛⓐ Ⓟⓞⓛⓘⓩⓞⓝⓣⓐ.\n\nLas fotos son de mi autoría.",
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      "body": "## **Good night friends.**\n### **Has the skin ever spoken to you? Do you know what it says?**\n<div class=\"text-justify\">\n<p>I imagine that he tells them that he is cold or scared, because he bristles. Has it happened to you? Well, mine does it in a very peculiar way, it can be said that in an artistic way sometimes and not precisely because it has tattoos. Have you heard of Dermographism? I show you.\n\n <center>https://i.ibb.co/54yf1WX/53903808-409340362974156-2405456168529952768-n.jpg</center>\nI can write on my skin with a pencil without ink, without doing much pressure and there is no pain. \nIt is not always induced, I can not hit, scratch or squeeze slightly because my skin experiences a slight inflammation and redness that lasts a few minutes to disappear and intensifies when it is cold; This appeared after having suffered a food poisoning, the doctor told me that it was caused by an immune response and that it is controlled with medication but has no cure. \nI have to explain my condition daily because it calls the attention of strangers, that's why today I write about my dermographies, and it can also serve other people who do not know the name of their \"allergy\".</p></div>\n\n<center>𝓣𝓱𝓪𝓷𝓴 𝔂𝓸𝓾 𝓻𝓮𝓪𝓭 𝓶𝔂 𝓹𝓸𝓼𝓽.</center>\n\n<center>https://i.ibb.co/2PvQSgd/53386718-350297332493338-2760426659969499136-n-1.jpg</center>",
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      "body": "## **Feliz Noche Amigos.**\n\n### **¿Alguna vez la piel les ha hablado? ¿Saben qué dice?**\n\n\n<div class=\"text-justify\">\n<p>Me imagino que les dice que tiene frío o que está asustado, porque se eriza. ¿Les ha pasado?\nPues la mia lo hace de una forma muy peculiar, se puede decir que de forma artística en ocasiones\ny no precisamente porque tenga tatuajes. ¿Han escuchado del Dermografismo? Les muestro.\n\n<center>https://i.ibb.co/54yf1WX/53903808-409340362974156-2405456168529952768-n.jpg</center>\n\nPuedo escribir sobre mi piel con un lápiz sin tinta, sin hacer mucha presión y no hay dolor.\nNo siempre es inducido, no me puedo golpear, rasguñar o apretar levemente porque mi piel experimenta una leve inflamación y enrojecimiento que dura unos minutos en desaparecer y se intensifica cuando hace frío; esto apareció después de haber sufrido una intoxicación alimentaria, el médico me dijo que era causado por una respuesta inmunológica y que se controla con medicamentos pero no tiene cura.\nTengo que explicar mi condición a diario porque llama la atención de desconocidos, por eso hoy escribo sobre mi dermografismos, además puede servir a otras personas que no conocen el nombre de su \"alergia\".</p></div>\n\n### <center>𝓖𝓻𝓪𝓬𝓲𝓪𝓼 𝓹𝓸𝓻 𝓽𝓸𝓶𝓪𝓻𝓽𝓮 𝓮𝓵 𝓽𝓲𝓮𝓶𝓹𝓸 𝓭𝓮 𝓵𝓮𝓮𝓻 𝓶𝓲 𝓹𝓸𝓼𝓽.</center>\n<center>https://i.ibb.co/2PvQSgd/53386718-350297332493338-2760426659969499136-n-1.jpg</center>",
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      "body": "## **Hola nuevamente amigos de Steemit...**\n<div class=\"text-justify\">\n<p>El post de hoy está motivado por la incidencia de casos de Malaria en Venezuela, ojala pueda servir para orientar a muchos y sobretodo llegue a todos los profesionales del medio de la salud que laboran en el área pública, porque hay muchas dudas y a veces no sabemos a dónde acudir, espero que sea un granito más para ayudar a eliminar la malaria en nuestro país.</p></div>\n\n<div class=\"pull-right\"> \n<center>https://ssl.adam.com/graphics/images/es/17248.jpg<br><a href=\"https://ssl.adam.com/content.aspx?productId=118&pid=6&gid=17248&site=adeslas.adam.com&login=ADES1378\">Fuente</a></center></div></div>\n\n\nLa primera herramienta  que tenemos para prevenir todo tipo de enfermedad es la **educación,** por lo que debemos saber primeramente qué es la Malaria; enfermedad causada por un parásito intracelular del género ***Plasmodium***, se transmite a través la picada de la mosquita hembra infectada del género ***Anhopheles,*** coloquialmente llamados \"puyones\". También se puede transmitir de la madre al feto , transfusiones de sangre, compartir jeringas y otras.\n\n<div class=\"text-justify\"> \n\n **El Periodo de incubación:**  6 a 14 días, este periodo inicia desde que la mosquita infectada pica a la persona hasta que aparecen los primeros síntomas. \n\n**Los signos y síntomas son:** Fiebres interdidarias(pueden ser cada 24, 48 o 72 horas dependiendo de la especie), escalofríos intensos, sudoración, dolor de cabeza, vómito, diarrea, ictericia, debilidad, falta de apetito, cambios en el color de la orina, hepatomegalia y esplenomegalia. En algunas ocasiones los síntomas tiende a  parecerse a otras enfermedades  por lo que es importante interrogar al paciente sobre si ha realizado algún viaje reciente para determinar si ha visitado algún lugar con transmisión malarica o si ha estado en contacto con algún paciente de paludismo, aunque si se presume que es malaria inmediatamente se debe indicar una prueba para descartar.\n\nEl **diagnóstico** se realiza por un examen microscópico llamado **gota gruesa** que consiste en tomar una muestra de sangre generalmente del lóbulo de la oreja, obteniendo un frótis y extendido para detectar la especie parasitaria.\nEn Venezuela se encuentran 3 especies de ***Plasmodium*** infectantes para el hombre: ***P. vivax*** (con mayor predominio), ***P. falciparum*** y ***P. malariae.*** En un organismos pueden coexistir las diferentes las especies parasitarias resultando en infecciones mixtas.\n\n </center>https://steemitimages.com/640x0/https://steemitimages.com/DQmYGANjo3aUBwiNCVDQZkxhbcuCcYX1TuPzGiXucWCGpvA/image.png</a></center>\n <center>[Fuente](https://steemit.com/stem-espanol/@eleonardo/diagnostico-de-la-malaria-paludismo-examen-de-la-gota-gruesa)</center>\n**En nuestro país el área malarica está representada por 3 focos:**\n1 Meridional (Estados Bolívar, Amazonas, Parte Oriental de apure y sur de Delta Amacuro).\n2.Occidental (Estados Táchira, Barinas, Zulia, Trujillo, parte occidental de Apure, Portuguesa y Mérida).\n3.Oriental (Estados Sucre, Anzoátegui, Monagas y norte de Delta Amacuro).\n\n\n# **Medidas para Prevenir, Controlar y Eliminar la Malaria** \n\n**Medidas que deben tomar en cuenta una persona en casa.**\n<ol>\n\nUsar repelente de mosquitos.\nUsar Mosquiteros.\nUsar ropa adecuada para evitar la picada del moquito (camisa manga larga y pantalon de colores claros).\nMantener limpio y libre de maleza los alredesores de las viviendas por lo menos 100 mts.\nEliminar criaderos, secar charco u otros criaderos cercanos a la comunidad ya que al este mosquito no le importa colocar sus huevos en aguas turbias.\nColocar mallas metálicas en puertas y ventanas para inpedir el ingreso de los mosquitos a la vivienda.\nDe conocer de algún caso de malaria orientarlo a que acuda al médico para que tenga un diagnóstico rápido.\n\n <center>http://www.bo.undp.org/content/dam/bolivia/img/noticias/undp-bo-malaria-mosquitero.jpg</a></center>  <center>[Fuente](http://www.bo.undp.org/content/bolivia/es/home/presscenter/articles/2015/12/03/-somos-m-s-fuertes-que-la-malaria-.html)</center>\n\n\n</ol>\n<div class=\"text-justify\">\n<p>En Venezuela en cada estado existen las Direcciones de Salud Ambiental, que se encargan básicamente de prevenir y controlar los casos de malaria implementando medidas orientadas al control vectorial, diagnóstico precoz de los casos y la educación sanitaria. Dichas actividades son realizadas por un equipo multidisciplinario integrado por médicos, bioanalistas, microscopistas, inspectores de salud pública, promotores de salud, enfermeras y otros profesionales.</p></div>\n\n**Control Vectorial**\n\n<ol>\n\nEliminación de criaderos. (Para  que no haya anopheles en su fase de larva por ende no habría  mosquito en su fase adulta que transmita la enfermedad).\nRociamiento residual en las viviendas y nebulizaciones espaciales con equipo liviano o pesado. (Elimina la población adulta de anopheles que puede transmitir la enfermedad ).\nEstudios entomológicos de vector (estudio de los anopheles: la especie presente, sus hábitos, sensibilidad a los diferentes insecticidas ).\nCon el fin de eliminar el vector transmisor de la enfermedad.\n <center>https://cdn.steemitimages.com/DQmTvfhoN3ADSedX4QJAVtnBs8EuahZAMNwYHcHz7pNYvPc/image.png</a></center><center>[Fuente](https://www.aporrea.org/actualidad/n223543.html)</center>\n\n</ol>\n\n**Diagnóstico precoz de los casos y administración oportuno.**\n\n<ol>\n\nEsto se lleva a cabo realizando **búsqueda activa de casos**, donde el  personal calificado se traslada hasta las comunidades afectadas para tomar muestras de sangre a personas que presentan fiebre, obteniendo  diagnóstico rápido para que se inicie el tratamiento de acuerdo a la especie parasitaria detectada. En algunas zonas endémicas ya están establecidos puestos de diagnóstico para que las personas acudan a éste al tener sospecha de la enfermedad denominado **búsqueda pasiva**. \nCada caso diagnosticado se le debe realizar una encuesta epidemiológica, esto nos permite obtener indicadores malariométricos, saber si las medidas que se están aplicando son efectivas y orientar los planes de trabajo para controlar la enfermedad.\n <center>https://batallon51amazonas.files.wordpress.com/2013/04/155999_1740479791476_3500013_n.jpg?w=640&h=480</a></center><center>[Fuente](https://batallon51amazonas.wordpress.com/alto-orinoco/)</center>\n\n</ol>\n\n**Educación Sanitaria**\n\n<ol>\nTiene el objetivo de educar a las personas (comunidad, personal de salud, educadores, etc) sobre las nociones básicas sobre la enfermedad,  medidas preventivas que estén a su alcance, como actuar si presentan los síntomas de malaria, indicar donde están ubicados los puestos de diagnósticos para que acudan al más cercano e iniciar tratamiento rápido, con el fin de que se conviertan en multiplicadores de información, sepan accionar de manera adecuada y a tiempo ante un brote y se conviertan en una herramienta más para la eliminación de la Malaria. \n\n\n <center>https://pbs.twimg.com/media/DA_tig4W0AAm2NH.jpg</a></center><center>[Fuente](https://twitter.com/epiambiental1/status/869174492773396481)</center>\n</ol>\n<div class=\"text-justify\">\n<p>La OPS y la OMS en sesión de comité  regional de la OMS para las Américas,  mediante resolución propuso poner en marcha el plan para la eliminación de la malaria en un periodo de 2016-2020, y establece como meta reducir en al menos un 90% la tasa de mortalidad por malaria para el 2030, y eliminar la incidencia de la malaria en el mundo, eliminar la enfermedad por lo menos en otros 35 países e impedir su restablecimiento en aquellos países considerados libres de malaria en el 2015.</p></div>\n\n\nAl personal médico les recomiendo leer las [pautas de tratamiento](https://www.paho.org/ven/index.php?option=com_docman&view=download&alias=105-pautas-de-tratamiento-de-casos-de-malaria&category_slug=malaria-materiales-tecnicos&Itemid=466/) en casos de Malaria usada en Venezuela, para que haya un mejor manejo de los pacientes con malaria complicada lo que ayudará disminuir las tasas de mortalidad en el país. \n# <p><center>\"Ya tienes la información no te quedes con ella, compartela y forma parte del ejército que se necesita para eliminar la malaria.\"</center></p> #\n\nFuentes\n[Malaria, ciclo de transmisión, focos malaricos en venezuela, medidas preventivas.](https://issuu.com/yadirum/docs/folleto_malaria_o_paludismo)\n[OMS-OPS. 55.o CONSEJO DIRECTIVO, RESOLUCIÓN DEL PLAN DE ACCIÓN PARA LA ELIMINACIÓN DE LA MALARIA 2016-2020](http://iris.paho.org/xmlui/bitstream/handle/123456789/31413/CD55-R7-s.pdf?sequence=4&isAllowed=y)",
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