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But once they get closer to the coast, they become silent. They went through terrible ordeals. And their journey is far from over. A hospital for emergencies. In September, MSF organized the reopening of a hospital in GonaГves, in collaboration with the Ministry of Public Health and Population. It is the only health structure capable of handling emergencies and obstetric or pediatric care, in a region ravaged by the passage of cyclones and tropical storms. During the last three weeks, the hospital received 675 patients in the emergency room; more than 110 deliveries were carried out, as well as 52 surgeries. The authors found that the nicotine metabolite detected in serum and saliva is common among children treated for asthma and is associated with hospital readmission. This finding may alert us to the clinical care of children with a higher risk of asthmatic morbidity.

Otological vertigo, the so-called Menieres disease, is a fairly common pathology caused by an injury to the labyrinth and inner ear, which causes violent vertiginous episodes, tinnitus and progressive hearing loss. In patients who do not respond to medical treatment, it is always possible to control them with the surgical option, which gives excellent results. вIts 2013 and Im starting my fourth year with tuberculosis, when I should be in my fourth year at university,в says Phumeza Tisile, a 22-year-old woman treated by MSF in Khayelistsha, South Africa, for a extensively drug-resistant tuberculosis.

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