Belela ll Ital alia Bella Italia

from EDITION 264

by WXPG.com

THE SPANISH ECONOMY

Italian cuisine by a professional Italian chef

1. 2. 3. 4.

RECIPE

Grilled Halibut

Fish for Good Friday?

INGREDIENTS FOR THE HALIBUT (serves 4)

INGREDIENTS FOR THE HALIBUT

• 4 (150 gr. aprox) halibut steaks

• 2 tbsp. extra-virgin olive oil

•

Sea Salt

•

• • •

1 mango, diced

1 red pepper, finely chopped

1/2 red onion, diced

1 jalapeno, minced

1 tbsp. freshly chopped cilantro

Juice of 1 lime

Sea salt

Freshly ground black pepper

Preheat grill to medium-high and brush halibut with oil on both sides then season with salt and pepper.

Grill halibut until cooked through, about 5 minutes per side.

Make salsa: Mix together all ingredients in a medium bowl and season with salt and pepper.

Serve salsa over halibut

HC Marbella International Hospital incorporates Artificial Intelligence in its radio diagnosis processes. Favouring sensitivity in bone and lung diagnoses with GLEAMER. HC always implementing tools that seek excellence and innovation, for the benefit of its patients and medical teams.

The application of these solutions to radiological studies increases diagnostic accuracy, reading comfort and saves time, which translates into better patient care. "Its use does not replace the work of the radiologist, who always reviews the software opinion, but it does speed up diagnoses and help detect doubtful or subtle lesions, which translates into greater speed and efficiency for the patient," he points out. Jorge González, radio diagnostic technician at HC.

How does it work? Artificial intelligence (AI) shows if there is an abnormality and pinpoints where it is located on the X-ray. The radiologist reviews it and confirms or not the presence of said anomaly. In this way, a double verification and a greater certainty in the diagnosis would be obtained.

BoneView detects bone fractures, spills, dislocations and injuries. Increases sensitivity by 16%, reaching 30% in the case of multiple fractures. Undetected fractures are also reduced by 30%, which indicates the enormous utility in diagnosis.

ChestView identifies pneumothorax, pleural effusions, nodules, mediastinal masses (tumors, cysts, or other pathology in the organs between the lungs), and pulmonary consolidations (pathologic areas of the lung filled with fluid, pus, etc.). We gain greater sensitivity compared to normal radiological studies that can go up to more than 36 points for pneumothoraxes.

Acceptance by the radio diagnostic team has been very good. “The software is very fast and highly usable. Especially good for studies of the thorax and bones, very useful for fractures”, says Dr. Javier de Castro, radiologist at HC.

“These AI solutions allow for quick checks of radiological studies, which gives other specialists a lot of flexibility, especially traumatologists,” says José A. Romero, radio diagnostic technician at the unit. "Consultations with the radiologist by other specialists are more targeted, doubts are more specific," adds Dr. de Castro, optimizing the coordination and teamwork of the different units of the hospital.

The radio diagnosis centre of HC Marbella International Hospital is one of the most technologically equipped private centres in Andalusia, it has state-of-the-art PET-CT, 3Tesla Magnetic Resonance, CT scan of 64 slices expandable up to 128, Mammography by Tomosynthesis, 4D ultrasound, etc. This increases the quality of care for our patients, since all the tests can be done in one place, surrounded by trusted people, promoting the single act and benefiting from comprehensive programs for early detection, diagnosis and treatment.

GLEAMER is one of the most consolidated AI companies applied to radio diagnosis worldwide, its software is considered one of the most stable and robust within the AI market, and its main objective is to combine the best of people and technology to serve to patients from all over the world. HC Marbella is the first center in Andalusia to subscribe to its software.

Dunas de Barbate Resort

For many women, their abdomen does not return to normal after childbirth. Expansion during and after pregnancy can cause a separation of the abdominal walls known as diastasis recti.

Diastasis is not just an aesthetic problem. Weakening of the abdominal wall brings with it other associated problems which can affect the quality of life of anyone suffering from it.

Diastasis recti is the separation of the rectus abdominis muscles in the anterior abdominal wall. Under normal circumstances these stay together in the midline, otherwise known as the linea alba. This is not be confused with an abdominal hernia. For comparison, the abdominal wall is similar to a wall which separates one room from another, a hernia would be a small hole in this wall while diastasis would be a bulge in the wall.

Often diastasis is accompanied by an abdominal hernia as when there is a weakness in the abdominal wall, on exertion this thinner wall allows a hernia to develop more easily.

What causes diastasis?

This occurs most commonly after pregnancy, due to tension and distension of the abdominal wall. Other factors that encourage diastasis are obesity, the continuous use of corsets or muscle tears.

Following pregnancy, the abdomen usually regains its shape naturally or with the help of exercise. In the cases when diastasis persists, treatment is advisable. The abdominal wall has an important support function, helping us to stand upright; a weakness there can cause lower back pain, incontinence (due to weakening of the pelvic floor), or problems of the digestive system, such as constipation.

What treatments are available for diastasis?

The first treatment used to try and resolve this separation is exercise. It is extremely important that exercises are prescribed and supervised by a specialist physiotherapist, as performing them incorrectly can create an abdominal hernia.

When, despite the exercises, the muscles do not close, a surgical solution may be proposed. Currently a minimally invasive and more aesthetic technique, the REPA technique, is available. A procedure performed laparoscopically, using three small incisions to access the space containing the rectus abdominis muscles. The muscles are approximated to the midline using a continuous suture, recovering their anatomy, strength and original tension. Sometimes, a mesh is placed inside the plication to give added strength to the union.

This procedure is much less painful than open surgery, with a lower risk of infection and a shorter recovery time. The patient is discharged within 24 to 48 hours following surgery. The abdomen recovers its strength and elasticity, improving the symptoms associated with weakness of the muscles and improving physical appearance by removing any sagging of the abdomen. When diastasis is associated with obesity, the REPA technique alone is not sufficient as it does not resolve the problem of the excess fat and skin. In these cases an abdominoplasty is also required.

At HC Marbella we work together with general and aesthetic surgeons, assessing each case individually, to perform the surgery that best suits the patient’s problem and requirements.

In the case of diastasis, the following are all assessed: the need or not for abdominoplasty; whether or not there is an associated wall hernia; the use/type of mesh etc. so that everything is resolved in a single operation.

Sometimes abdominoplasty is not required, but on other occasions laparoscopic diastasis surgery benefits from liposculpture or liposuction, so that in addition to clinical improvement the best possible aesthetic result is also obtained.

HC Marbella recommends consulting a specialist if you think that you have diastasis recti, as dealing with what may appear to only be an aesthetic issue could also help you to improve your quality of life and prevent associated complications.

Recover your abdominal musculature after delivery