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Revisión Reduciendo Su Riesgo Hablando con Su Médico Guía de Fuentes Adicionales

Las siguientes acciones podrían ayudarle a reducir su riesgo de sinusitis:

Deje de Fumar y Evite el Humo de Segunda Mano y la Contaminación del Aire

Fumar cigarros o puros interfiere con las defensas normales en su tracto respiratorio que protegen contra infecciones. Si usted deja de fumar, su tracto respiratorio sanará lentamente por sí solo. Contacte a su médico y averigüe acerca de programas y sistemas de reemplazo de nicotina que le puedan ayudar a dejar de fumar.

Además, la exposición a humo de segunda mano y a la contaminación del aire puede hacerlo más propenso a tener sinusitis. Evite ambos tipos de exposiciones para mejorar su salud respiratoria.

Evite Infecciones

Aunque no hay evidencia de que usted pueda evitar contraer infecciones sinusales, éstos son algunos pasos básicos que podrían ayudarle a evitar infecciones en general:

Asegúrese que el Aire en Su Casa Esté Filtrado y Humidificado Adecuadamente

Mantener su aire humidificado podría ayudar a evitar que sus senos nasales y tracto respiratorio se sequen demasiado. Esto podría ayudar a reducir su probabilidad de desarrollar sinusitis. Además, usted podría usar un purificador de aire para mantener el aire que respira en su casa lo más limpio posible. Estas medidas podrían mejorar su salud respiratoria.

Trate Sus Alergias

Si usted sospecha que tiene alergias, examínese y hable con su médico acerca del tratamiento adecuado (p.e., desensibilización). Mantener los síntomas de sus alergias al mínimo puede ayudar a reducir su susceptibilidad a infecciones del tracto respiratorio, incluyendo sinusitis.

Discuta la Cirugía Sinusal Con Su Médico

La cirugía correctiva para un tabique desviado o la extirpación quirúrgica de la obstrucción en sus senos nasales prevendrá episodios futuros de sinusitis crónica o recurrente.

Considere Usar un Descongestionante Nasal en Aerosol Antes de Volar en Avión

Si usted ha tenido dificultad con la sinusitis después de volar en avión, hable con su médico acerca de usar un descongestionante nasal en aerosol 15 minutos aproximadamente, antes de despegar y aterrizar.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Table 4. antigens selected by the ANTIGENome technology.

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Of the 23 candidates selected by the ANTIGENome technology, we evaluated 8 well conserved (see Outlet Classic Sneakers 60338 leather black Santoni Free Shipping Cheap Quality Sale Store CbzRs
) and readily recombinant expressed antigens that had shown some promise in a preliminary mouse study in more detail for their potential to elicit protective immune response in vivo ( Figure 1 ). The rate of M. catarrhalis clearance from mouse lungs in response to immunization with recombinant antigens was assessed using a mouse pulmonary clearance model ( Figure 2 ). Mice were immunized intranasally 3 times at 3 week intervals and challenged intranasally with 40 µL of approximately 5×10 6 live M. catarrhalis RH4 (actual CFU varied between 3.8×10 6 to 5.9×10 6 ) 3 weeks after the last boost. Bacterial CFU were determined in lungs 6 hours post infection and systemic antibody titers after vaccination of mice were determined by ELISA ( Figure 2 ).

Figure 1. Structural features of 8 potential vaccine candidates.

MCR_0076, TonB-dependent receptor; MCR_0196, MltB; lytic murein transglycosylase; MCR_0686, peptide methionine sulfoxide reductase MsrA/MsrB; MCR_0996, hypothetical protein; MCR_1003, LysM domain protein; MCR_1010, D-alanyl-D-alanine carboxypeptidase; MCR_1303, oligopeptide ABC transport system substrate binding protein; MCR_1416, cytochrome c class II, Msp22. SP, signal peptide; LP, signal peptide for lipidation; Plug, an independent folding subunit blocking the pore until the channel is bound by a ligand; PGBD1, peptidoglycan binding-like; MsrA, methionine sulfoxide reductase A; SelR, seleno protein R; LysM, lysine motif; SBP bac 5, bacterial extracellular solute-binding protein family 5. Light grey bars represent the recombinant protein (fragments). Thin black bars delineate epitope containing regions covered by clones selected by the ANTIGENome technology with human IgGs.

https://doi.org/10.1371/journal.pone.0064422.g001

Figure 2. Pulmonary clearance of RH4 after intranasal challenge following intranasal immunization with 8 selected antigens.

Pulmonary clearance 6 hours after intranasal challenge with ∼5×10 6 CFU M. catarrhalis , in mice immunized with purified, IC31 ® adjuvanted recombinant proteins, IC31 ® adjuvant without proteins in PBS, or PBS without adjuvant. The mean values of the combined, normalized results from 2 to 6 independent experiments are shown. Error bars represent the standard error of the mean. (A) Bacterial CFU recovered from all experiments; (B) bacterial CFU recovered from experiments after exclusion of sterile lung cultures. Black bars: negative and positive controls (data from 6 experiments), grey bars: data from 2 to 3 independent experiments in which different antigens were tested. (C) ELISA measuring IgG levels to the respective recombinant proteins in serum from mice immunized intranasally with purified recombinant proteins as noted below the x-axis. For the controls (IC31 ® alone or PBS), IgG levels were determined using a mix of all recombinant proteins. Endpoint titers were expressed as the last dilution that gave an absorbance of at least 0.1 at 405 nm. Median values with the interquartile range from 2 to 6 independent experiments using 10 sera (10 mice per group) per experiment are shown. **, statistically highly significant (P<0.01), *, statistically significant (P<0.05).

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, or , represents a group of bacteria that may cause different types of infections in infants and children. most commonly causes ear, eye, or sinus infections, and pneumonia. A more serious strain of the bacteria called type b has been nearly abolished in the United States due to the development of an effective vaccine, which has been available since 1988. The more serious strain was responsible for causing many cases of meningitis (infection of the membranes that surround the brain) and a life-threatening infection called epiglottitis (infection of the area of the throat that covers and protects the voice box and trachea during swallowing). Both meningitis and epiglottitis can be caused by other bacteria, however.In rare cases, children may still develop type b infections. This can occur in a childwho has not completed his or her series of immunizations or in older children who did not receive the vaccine as an infant.

The bacteria live in the upper respiratory tract and are usually transmitted by close contact with an infected individual. Droplets in the air from a sneeze or coughcan be inhaled and may also cause infection.

The following are the most common symptoms ofinfections. However, each child may experience symptoms differently. Symptoms may include:

The symptoms of infection may resemble other medical conditions. Always consult your child's doctor for a diagnosis.

Otitis media (middle ear infection).May develop after a child has a common cold caused by a virus. Symptoms may include:

Unusual irritability

Difficulty sleeping or staying asleep

Tugging or pulling at one or both ears

Fluid draining from ear(s)

Loss of balance

Hearing difficulties

Ear pain

Nausea and vomiting

Decreased appetite

Nasal congestion

Conjunctivitis. An inflammation of the conjunctiva of the eye. The conjunctiva is the membrane that lines the inside of the eyelid and also a thin membrane that covers the actual eye. Symptoms may include:

Redness

Swelling

Drainage from one eye or both eyes

Burning of the eyes

Photophobia (eyes sensitive to light)

Sinusitis. Infection in the sinuses. Symptoms may include:

Younger children:

Runny nose that lasts longerthan 10 days. The discharge is usually thick green or yellow, but it can be clear.

Nighttime cough

Occasional daytime cough

Swelling around the eyes

Usually do not complain of headaches if less than 5 years of age

Older children:

Runny nose or cold symptoms that last longer than 10 days

Post nasal drip (nasal drainage that travels down the back of the throat)

iPhones are great unobtrusive tools for shooting video. But they’re not easy to hold steady.A case or clamp would be the first accessory I’d buy.

I’ve tested three alternatives: the Cheap Sale Eastbay Slim tie Orange and navy blue stripes Notch HYVENS ORANGE Notch Cheap Sale Shop 5axrsi
for iPhone 6/6S (they also make casesfor other iPhones, iPads and GoPros); the Ztylus Pistol Grip Kit , which I’ve been using for a while; and the Outlet Find Great Niki boots Green Saint Laurent Newest For Sale Huge Surprise Online Discount Authentic Online n7ZZW
S1 clamp and H1 handle. (This has now been replaced by the S2, which includes the wooden handle and an improved strap).

All three are easier to handhold than a bare iPhone, andhave tripod sockets.

iOgrapher for iPhone 6/6S

The iOgrapheriPhone caseis a big improvement on their Single strap sandals Prada Purchase For Sale ptZ9599
which I reviewed a while ago:it’s more rigid,the phone is wellprotected buteasier to remove, and the controls and sockets are easier to access.

Two cold shoes on top let you fit microphones, lights or other accessories.There’s a threaded 37mm brass mount for accessory lenses and filters : you could use iOgrapher’s own wide/macro and telephoto lenses (see below), a Moondog Labs anamorphic converter for shooting widescreen, or any adapter lens with a 37mm thread. You need to be carefulto avoid cross-threading the lenses when you first fit them. I’m using the mountto fit a circular polarising filter , which is great for deepening blue skies and cutting down reflections.

iOgrapher sent me theirwide and telephoto lens to test. The front element of the wide lens screws off to make a useful macro lens. They’re relatively inexpensive for adapter lenses and centre sharpness is OK, but they do suffer from edge softness and distortion. Unlike my Olloclip and Ztylusadapter lenses, they have a filter thread.

(Option-click on the images belowto view full-sized versions.)

In the USA, I’d buy from the iOgrapher online store ; in Europe it’s easier with Amazon .

Shoulderpod

The European-made Shoulderpod S1 is a solidly designed clamp with rubber jaws. It comes with a small bottom handle and a leather and webbing wriststrap for extra security. It’lltake most smartphones, with or without a slim case. It looks elegant and professional.

You put the phone between the jaws of the clamp, push them together, then turn a knurled screw to hold the clampin place. You have to be careful not to overtighten the screw.

It’s well engineered. The tripod socket is a brass insert. The standard handle is solid machined metal, butit’s rather short: I swapped it with the longer H1 handle (around $20 more) which felt more secure. It looks good, too: it’s made from turned sapele wood with black rubber end caps. Ithas a brass tripod socket on thebase. (Update: the S1 has now been replaced by the S2 which includes the wooden handle.)

The Shoulderpod system is modular. You can buy more elaborate kits with two handles, or extension bars to addother accessories such a lights or microphones.

The S1 is available on Amazon , but to get theother accessories and kits you’ll need to visit their site .

Ztylus Pistol Grip Kit

The Ztylus Pistol Grip Kit combines their Smartphone Rig clamp witha PCmoulded plastic grip . The clamp size and shape is very similar to the ShoulderPod (who told me it’s copied from theirs). But thetightening mechanism is different: you push the jaws together against your phone, then tighten a knurled screw on the front to hold the top half of the clamp in place. It doesn’t look as neat as the Shoulderpod, but it’s quicker to fit and remove the phone. (quick to remove: the jaws spring open when you undo the knob, and I nearly dropped my phone on the floor a couple of times.). There’s a metal tripod socket on the base, and auseful single cold shoe on top, for fitting a microphone or lights.

The PCPistol Grip is big and easy to hold(I’ve used it with my DLSR),with moulded finger grips. It’s quick to fit and remove. But theremovable D-ring on the base isn’t much use (it rattles), and the tripod socket wasrecessed too deeply for one of my tripods.

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. I’ve also reviewed their Z-Prime telephoto and wide-angle lenses.

Verdict

All these options have their pros and cons. Personally, I use a Shoulderpod for most of my phone filming. I use the iOgrapher when I want to add accessories like a standard polarising filter, a lens hood or a shoe-mounted microphone.

Alternatives

The little Buy Cheap Ebay classic lowtop sneakers White Silvano Sassetti Free Shipping Discounts Sale Sast Discount Footlocker Cheap Authentic Outlet wtLWPfLJ
is very affordable, and small enough to carry anywhere. It has an elasticated clamp combined with flexible tripod legs which you can straighten out to use as a handle.

Electronic gimbal stabilisers will let you hold your phone much more steadily, and move it more smoothly, than a clamp or case.

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The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.© 2018 MedPage Today, LLC. All rights reserved.

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