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KIT Royal Tropical Institute is an independent centre of expertise, education, intercultural cooperation and hospitality dedicated to sustainable development. Based on a national heritage site in Amsterdam, KIT focuses on key areas where it can make a difference: healthcare, gender and agriculture.

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Learn about the causes and complications of strep throat infections, rheumatic fever, rheumatic heart disease.

Information for people and family members recently diagnosed or living with RF or RHD

Information about preventing RHD through socioeconomic development, early diagnosis and novel research.

Information for health workers, clinicians and specialists caring for people with RF and RHD.

Information for Governments and policy makers can contribute to control of RF and RHD through programs and policy.

Meet the organisations, countries and country partners working together to end RHD

The major cause of death and disability from RHD is heart failure. Over time, scarred and damaged heart valves make it impossible for the heart to pump blood effectively. Without a well-functioning heart, fluid builds up in the lungs and body, causing symptoms like breathlessness, swelling and fatigue. These symptoms tend to become worse over time without treatment.

A ‘stroke’ occurs when a part of the brain does not receive adequate blood supply.

Strokes can be from clot which blocks a blood vessel (ischemic) or from a burst blood vessel (hemorrhagic). People with RHD are at risk of ischemic stroke because of blood clots which can form in the heart and subsequently block blood flow to parts of the brain.

Some people living with RHD need to take ‘blood thinning’ medication ( nike air max 1 black light bone/white/infrared 23/metallic gold fly 89 nike
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Atrial fibrillation (AF) is an abnormal heart rhythm. People with RHD are at risk of AF because heart valve damage changes the shape of the heart and increased the risk of AF. AF tends to make heart failure worse, increasing shortness of breath, and may cause palpitations. AF also significantly increases the risk of stroke.

Infective endocarditis (IE) is a bacterial infection on the valves of the heart. Valves that are already scarred or damaged by RHD are more likely to have IE than undamaged valves.

People with IE have fevers and the heart may be unable to pump blood effectively. It can be difficult to diagnose IE and, even when IE can be diagnosed, antibiotic treatment may be ineffective.

Minimising the risk of IE is an important part of managing RHD. The bacteria that cause IE tend to come from the mouth, so good dental hygiene is an important way to minimize risk. Giving prophylactic antibiotics before dental work and some other procedures is standard in many countries.

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Welcome to Strut Records' Bandcamp page. 'Label Of The Year' at Gilles Peterson's Worldwide Awards in 2015, Strut is one of ... the leading reissue labels specialising in soul, funk, world sounds, disco, post-punk and industrial music. We also release new albums by original legends and new world music artists including Mulatu Astatke, Orlando Julius and The Souljazz Orchestra. Dive in and enjoy! ... more more

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What’s za’atar? This spice mix is everything. Try it out with this sautéed tofu with spring vegetables recipe.

Mooove over, dairy — there are new milks on the block. Find out if plant-based milks are right for you.

This flavorful recipe shows off the season’s best, starring bold blood oranges, peppery shaved radish, and savory black olives.

Is bee pollen really a natural allergy reliever and energy booster? Our dietitians clear up what’s backed by science and what’s just buzz (pun intended).

“Squash” your hunger with this perfect winter salad full of hearty farro and fiber-loaded vegetables

Should you be concerned about the carrageenan in plant-based milks, yogurts, and coffee drinks? Find out what the science says about the controversial food additive.

Have you tried sardines yet? Don’t knock ‘em til you’ve tried this heart healthy and sustainable fish — avocado-toast style.

Sugar-free, gluten-free, soy-free, nut-free… are you feeling overwhelmed yet? Get the real story on whether you should be avoiding all these ingredients.

Let spaghetti squash, a nutrient-rich, lower-calorie, pasta-like vegetable, be the star of your plate, alongside melted leeks and black peppercorn

Do you care about whether your food was grown locally or raised humanely? Or are you more interested in protein vs. carbs?

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