Although rare, cardiac implantable electronic device (CIED) infections may occur at any timepoint in the lifecycle. It is important to remain alert and recognise signs early. Traditionally, antibiotics alone are used to treat infection. But for CIED infections, when treated with antibiotics only, the relapse rate varies between 50 and 100 percent. But why is that? Dan Atar, Editor-in-Chief of the scientific journal ‘Cardiology’, and infectiologist Stefan Hagel, not only challenge the traditional point of view but tear down the decades of belief which surround it. Why are antibiotics not doing the job? What are the consequences? What is the solution? Why are infections sometimes overlooked and what is the action to change that in your practice?

This series is supported by Philips.

Why Do Antibiotics Fail With CIED Infection? - Dan Atar and Stefan Hagel

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Middle-ear infections are common in children, but they can also happen inadults. An ear infection in an adult may mean a more serious problem thanin a child. So you may need additional tests. If you have an ear infection,you should see your health care provider for treatment.
Sometimes fluid stays in the middle ear even after you take antibiotics andthe infection goes away. In this case, your health care provider maysuggest that a small tube be placed in your ear. The tube is put at theopening of the eardrum. The tube keeps fluid from building up and relievespressure in the middle ear. It can also help you hear better. This surgeryis called myringotomy. It is not often done in adults.
In an ear infection, narrow tubes that run from the middle ear to high in the back of the throat (eustachian tubes) can become swollen and blocked. This can lead to mucus build-up in the middle ear. This mucus can become infected and cause ear infection symptoms.
An ear infection (sometimes called acute otitis media) is an infection of the middle ear, the air-filled space behind the eardrum that contains the tiny vibrating bones of the ear. Children are more likely than adults to get ear infections.
Because ear infections often clear up on their own, treatment may begin with managing pain and monitoring the problem. Sometimes, antibiotics are used to clear the infection. Some people are prone to having multiple ear infections. This can cause hearing problems and other serious complications.
Because adenoids are near the opening of the eustachian tubes, swelling of the adenoids may block the tubes. This can lead to middle ear infection. Swelling and irritation of adenoids is more likely to play a role in ear infections in children because children have relatively larger adenoids compared to adults.
Most ear infections clear up without medical care or special medicines. So if you or your child gets an ear infection, the first step is usually to treat ear infection symptoms at home. Here are options to try:
Depending on your symptoms, your doctor may recommend you see an ear, nose and throat (ENT) doctor. The ENT doctor may recommend surgery to place small metal or plastic tubes in the ear canal to make it easier for the fluid to drain out. Your doctor may also recommend ear tube surgery for your child if they have recurrent ear infections.
Many ear infections will clear up without antibiotics. If your symptoms are mild or your healthcare provider suspects a virus, they may choose not to prescribe antibiotics but rather monitor the infection to see if it gets better on its own.
If you have recurring episodes of otitis externa that haven't responded to treatment, your GP may take a swab of the inside of your ear. This will be tested to help determine what type of infection you have, if any, so appropriate medication can be prescribed.
Certain situations and actions put some people more at risk for ear infections than others. However, several useful steps can help toward prevention and treatment. Learn more about them in this article.
The main treatments for outer ear infections are manual cleanings and ear drops. The type of ear drop will depend on what is causing the infection. In the case of malignant otitis externa, intravenous antibiotics are the primary treatment.
Although ear infections occur most commonly in children, adults may get them as well, and they may be more serious. People with diabetes or chronic skin conditions such as eczema or psoriasis may be more prone to them.
The symptoms of labyrinthitis usually pass within a few weeks, although medication to relieve the symptoms and treat the underlying infection may sometimes be prescribed. Read more about treating labyrinthitis.
Dr. Wang: An outer ear infection, or otitis externa, is the type we most frequently encounter in adults. These can strike anyo

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Whether a torrent is safe depends greatly on what you're downloading and from whom. That's not often easy to identify with torrents, which are designed to allow you to download from complete and total strangers.
I would advise not to use torrents at all. Most often, torrents are simply a source for illegal material, and you really don't want to trust people who are stealing music, movies and software. Would you take a pill given to you by a complete stranger in a bad part of town? No. Neither should you download something illegal from a complete stranger, as it may be dangerous.
If you insist on using torrents for legitimate purposes, you need to protect yourself. First, only use a torrent that supports checksums of downloaded content, which can be compared to a checksum of the original file to verify that it hasn't been tampered with. (As I don't use torrents, I can't recommend which ones do that.) You will also need to run good anti-virus software, such as Sophos.
Depends on what you mean by "taken care of." There are still a number of them floating around, though they're all pretty uncommon at this point. They're all taken care of by protection built into Mac OS X, but most torrent apps actually bypass those protections. Plus, this can change easily, and probably will again at some point. We had a major malware outbreak in 2011 (MacDefender) and another in 2012 (Flashback), and the gang behind both of those is still on the loose. I wouldn't be surprised if they have some grand plans for 2013.
If you download and use pirated commercial software, you can assume that you'll be infected with malware. The same goes for software that isn't necessarily pirated, such as "codecs," "players," or "archive extractors." No "anti-virus" software will protect you. At most, it will only delay the infection for a while.
I mean, I know .exe and other executable files can have viruses or can be malicious, but can the same be done using a .torrent file? Maybe writing some code in .torrent that causes its client software to work in unexpected ways. Just feeling paranoid ;)
Assuming that the application that handles your .torrent files is handling them correctly (i.e. check them for consistency, handle errors correctly, etc.) then the torrent file itself probably is not a thread for your machine. At least it's not the easiest way to infect your machine.
The .torrent itself is not typically a threat (though as Ignacio points out the possibility at least exists). However, the software that processes torrent files use them to trigger a download of what it typically a much larger payload. The contents of this payload are unverified and my understanding of bittorrent traffic is that it would not be difficult for anyone participating in a bittorrent swarm to inject malicious code into that payload.
When you download torrents (leeching), your torrent client also shares (seeds) content for others to download. You may be threatened with legal action or a fine if you are caught distributing copyrighted material, which is illegal in most countries.
Unofficial copies of uTorrent circulating online may include malware, viruses, or other unwanted software. If you want to download uTorrent safely, make sure to download the application from the official uTorrent website.
The torrent client supports encryption, but only at the same security level as uTorrent. However, because Transmission is open source, developers and security researchers can easily scrutinize its source code.
In terms of risk, uTorrent and BitTorrent are just as safe as each other. And just like uTorrent, BitTorrent also features ads. However, Bittorrent manages its ads better, resulting in faster download speeds.
A user wishing to download something obtains a configuration file with the .torrent extension from a tracker, opens the file in their torrent client, and downloads the content from the distributing

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In the pre-vaccination period between November 1 and December 13, 2020, there were 2,433 reported SARS-CoV-2 infections among LTC residents, and 991 among LTC HCWs. The COVID-19 vaccine rollout started in Ontario on December 14, 2020, with LTC homes in the public health units (PHUs) of Toronto, Peel, York, and Windsor-Essex prioritized for initial allocation of vaccine due to those regions having the highest SARS-CoV-2 infection rates.
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Infection of a cardiac electronic implantable device (CIED) is a rare, but serious complication. We now know that, because of the appearance of biofilm on implants, these infections cannot be treated by antibiotics alone. As such, Worldwide Cardiac Society guidelines recommend complete system removal of all hardware, including the leads, when an infection is present. Although the guidelines are clear, too many patients continue to not get the appropriate treatment. Why is that? Mauro Biffi and Carina Blomström-Lundqvist, both experts in the field of lead extraction, see a lot of patients fall through the cracks. They discuss why and what the consequences are of not extracting in time but also: what is the recommended care pathway to improve the outcomes.

This series is supported by Philips.

Lead Extraction is the Solution to Treat CIED Infection - Mauro Biffi & Carina Blomström-Lundqvist

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Computer viruses generally require a host program.[5] The virus writes its own code into the host program. When the program runs, the written virus program is executed first, causing infection and damage. A computer worm does not need a host program, as it is an independent program or code chunk. Therefore, it is not restricted by the host program, but can run independently and actively carry out attacks.[6][7]
The first academic work on the theory of self-replicating computer programs[12] was done in 1949 by John von Neumann who gave lectures at the University of Illinois about the "Theory and Organization of Complicated Automata". The work of von Neumann was later published as the "Theory of self-reproducing automata". In his essay von Neumann described how a computer program could be designed to reproduce itself.[13] Von Neumann's design for a self-reproducing computer program is considered the world's first computer virus, and he is considered to be the theoretical "father" of computer virology.[14] In 1972, Veith Risak directly building on von Neumann's work on self-replication, published his article "Selbstreproduzierende Automaten mit minimaler Informationsübertragung" (Self-reproducing automata with minimal information exchange).[15] The article describes a fully functional virus written in assembler programming language for a SIEMENS 4004/35 computer system. In 1980 Jürgen Kraus wrote his diplom thesis "Selbstreproduktion bei Programmen" (Self-reproduction of programs) at the University of Dortmund.[16] In his work Kraus postulated that computer programs can behave in a way similar to biological viruses.
A computer virus generally contains three parts: the infection mechanism, which finds and infects new files, the trigger, which determines when to activate the payload, and the payload, which is the malicious code to execute.[34]
Most modern antivirus programs try to find virus-patterns inside ordinary programs by scanning them for so-called virus signatures.[59] Different antivirus programs will employ different search methods when identifying viruses. If a virus scanner finds such a pattern in a file, it will perform other checks to make sure that it has found the virus, and not merely a coincidental sequence in an innocent file, before it notifies the user that the file is infected. The user can then delete, or (in some cases) "clean" or "heal" the infected file. Some viruses employ techniques that make detection by means of signatures difficult but probably not impossible. These viruses modify their code on each infection. That is, each infected file contains a different variant of the virus.[citation needed]
One method of evading signature detection is to use simple encryption to encipher (encode) the body of the virus, leaving only the encryption module and a static cryptographic key in cleartext which does not change from one infection to the next.[60] In this case, the virus consists of a small decrypting module and an encrypted copy of the virus code. If the virus is encrypted with a different key for each infected file, the only part of the virus that remains constant is the decrypting module, which would (for example) be appended to the end. In this case, a virus scanner cannot directly detect the virus using signatures, but it can still detect the decrypting module, which still makes indirect detection of the virus possible. Since these would be symmetric keys, stored on the infected host, it is entirely possible to decrypt the final virus, but this is probably not required, since self-modifying code is such a rarity that finding some may be reason enough for virus scanners to at least "flag" the file as suspicious.[citation needed] An old but compact way will be the use of arithmetic operation like addition or subtraction and the use of logical conditions such as XORing,[61] w

Essay On Computer Virus- A Deadly Infection

Infection of a cardiac electronic implantable device (CIED) is a rare, but serious, complication. When this happens, the removal of the entire system, generator and leads, is the only correct way to treat the infection. What happens during a procedure with lead extraction? Brigitte Osswald, an expert in the field who has performed more than 3,500 lead extraction procedures, talks to Nicola Montano, a physician in internal medicine, about the fundamentals of the procedure and explains why and how this is lifesaving for her patients.

This series is supported by Philips.

Procedure of Lead Extraction - Brigitte Osswald and Nicola Montano

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