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With the mission of offering quality water and with sufficient health guarantees to the citizens of the Community of Madrid, the General Directorate of Public Health has drawn up the Sanitary surveillance program for water for human consumption 2021-2025.It is a five-year program, open and flexible, which will allow the incorporation of any updates that may arise during its 5-year term.

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A wide range of minimally invasive percutaneous treatments for lumbar disc herniation have been implemented in recent years: chemodiscolysis with chimopapain; Onik's automated percutaneous lumbar discectomy (APLD); percutaneous laser disc decompression (PLDD); intradiscal electrothermal therapy (IDET); percutaneous coblation nucleoplasty; Dekomp.

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There was no significant evidence for an overall difference in pain score between the two groups (analysis of variance, F = 3.24, df = 1, P = 0.084), except for the sixth and 12th months, when group B presented a statistically important difference compared with group A (Wilcoxon test).Group B appeared to be more effective, with a statistically significant difference, compared with group A.

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It is injected into the nucleus pulposus to reduce intradiscal pressure. The presence of cellulose, which is a gelling agent, limits the risk of epidural leaks that may occur with pure ethanol. The tungsten particles are used to control progression of the gel in the disc and through any annular fissures by fluroscopic control.

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Pardatscher K, Volpentesta G, Bombardieri C, Giaquinta A. Percuta- over, these techniques cannot be used when there is evi- neous treatment of lumbar intervertebral disc hernias with disco- gel. Neuroradiol J. 2011;24(4):627-35. doi: 10.1177/197140091102400420. dence of calcified herniation or free disc fragments.

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DISCOGEL® is an implantable medical device based on jellified ethanol in which an opaque agent in X-rays: the tungsten was added. The principle of the making of the implant in the presence of water was filmed. Click on the following picture to show it: DISCOGEL® allows treating herniated discs by decompression.

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For the RLP patients, the corresponding values dropped 48% (7.05 vs. 3.68) and 54% (6.77 vs. 3.13). There were no differences between the cohorts in COMI and VAS at the follow-up end. Six months into the study, 74% of DP and 81% of RLP patients did not use any analgesics. Ethanol gel therapy can be effective for many patients.

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The amount of DiscoGel ® injected into the disc depends on the amplitude of the disc space and the relative capacity of the disc to accommodate the gel, usually between 0.5-0.8 mL. The needle is left in place for 2 minutes after the application to prevent late leakage [ 11 , 13 ].

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