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Dark

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  1. Game Informations : Developer: Joseph Barron Platforms PC, X360 Initial release date: October 28, 2013 at 9:32AM PDT The FIA World Rally Championship is entering a new era with a new champion for the first time in 10 years, but the official game continues to feel like more of the same off-road action. Milestone has made some intelligent changes from last year's game, but many of its more flaky mechanics remain untouched, and some good elements, including classic cars, have been removed entirely. The thrill of the perfect hairpin powerslide is still present, but WRC's core content sorely lags behind its competitors. Like previous WRC games, and indeed the majority of racing games based on an official series, WRC 4 places you in the shoes of an up-and-coming driver seeking to reach the pinnacle of his chosen discipline. You begin the game by naming your driver and co-driver and selecting a manager to guide you through your career. You shouldn't spend too long choosing your manager, though, because you're simply choosing from a selection of photos rather than making a decision that has any real influence on your career progress. No Caption Provided If you've played previous WRC games, starting yet another Career mode from the bottom of the ladder in the slow, understeering Junior WRC cars seems like a waste of time initially. Thankfully, Milestone has recognised this problem, making the initial seasons shorter to speed up your progress towards the actual World Rally Championship. Junior WRC has only two events, but the seasons become slightly longer as you progress through each support class, eventually reaching a full complement of 13 rallies in the WRC proper. If you'd rather race full seasons in all of the car classes, you can do so via the Rally mode outside of Career mode. The rest of Career mode feels old-fashioned, with slow first-person 3D menus and the usual setup of choosing team contracts and reading emails from your manager. WRC leans more heavily towards simulation than Dirt, but it's still accessible thanks to the typical suite of optional assists, such as braking. Once you're out in the mud and gravel, the handling feels very similar to last year's game. It's exactly what you'd expect from a rally game, with a heavy emphasis on maintaining momentum by sliding the car through tight corners. WRC leans more heavily towards simulation than Dirt, but it's still accessible thanks to the typical suite of optional assists, such as braking. The biggest control differences from last year are noticeable only if you have a steering wheel. WRC 4's wheel support is a significant improvement over wheel support in the previous installments, with full support for 900-degree wheels and H-pattern shifters, offering a much more authentic experience if you're equipped to take advantage of it. If you're a steering wheel user, this is a game that you absolutely should check out. Other areas of the driving experience have not been updated in any meaningful way. The co-driver voice is exactly the same monotonous one that has been featured throughout the series, and the cars still don't feel noticeably different in snow or rain. There's definitely a little more oversteer in adverse weather conditions, but it's nowhere near as much of a challenge as in some other racing games. Most of Milestone's efforts have gone into improving the stages that host the rallies. All of the countries and special stages have undergone an extensive graphical overhaul. Every single object and surface has been retextured and altered to bring the series' graphics up to date. There are more fans and trackside objects, creating a much better atmosphere and sense of place. The presentation still doesn't match up to the high standards of other racing games, but it's not quite as dated as before. No Caption Provided In particular, the lighting has improved dramatically, with different times of day looking significantly different, creating a variety of visibility challenges. The game also features cutscenes that use footage of the real WRC, while some spectacularly over-the-top orchestral music gives each event the feeling of a big occasion and does a surprisingly good job of pumping you up before the start of a stage. As well as completely reworking the graphics for returning stages, Milestone has thrown out some of the less enjoyable road layouts from previous WRC games and replaced them with completely new configurations. These new routes are much narrower than before, creating a more authentic feeling of the danger faced by real rally drivers and the bravery and skill needed to overcome it. They are also much more challenging than before, but most of the new rallies are constantly winding one way and then the other, giving you very little opportunity to enjoy these powerful cars at high speed. There are plenty of routes where you never need to go above fourth gear in your six-speed gearbox. Thankfully, Rally Finland and other courses with a reputation for speed in real life are not quite so slow, so there is some respite to be had from the constant hairpins that dominate the rest of the game. When you're done competing against the clock in single-player (WRC 4 still doesn't have AI cars on the stages at the same time as you), you can take your off-road antics online. WRC's multiplayer offering has always been basic, and that continues here, with a simple lobby system for ranked and unranked matches, which can be single stages, a full rally, or a longer championship. Players race on the same stage, at the same time, without staggered starts, so you see ghosts on the course rather than having the opportunity to catch and pass cars which left the gate a few moments before you. The offline multiplayer is similarly basic and only features the returning hot-seat gameplay where you take it in turns to set times on a stage. WRC 4 continues Milestone's trend of satisfying but unremarkable rally games. Some key areas have clearly been worked on, but the core experience still lags behind Dirt when it comes to capturing the pure excitement of off-road racing, and Career mode is nothing that we haven't seen dozens of times in other racing games. There simply isn't enough originality. If you own a steering wheel, the handling has enough depth to provide some great entertainment, but the tweaked courses aren't enough of a step forward for the franchise. System Requirements OS: Windows®XP™ SP2, Windows®Vista™ or Windows®7. Processor: Intel™ 2.4 GHz or similar. Memory: 1 GB RAM. Graphics: NVIDIA® Geforce 8800 GT or AMD® Radeon™ HD 3870 or above (has to run Pixel Shader 3.0) with at least 512 MB video memory. DirectX: Version 9.0c. Storage: 4100 MB available space.
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  2. During the celebrations for the Day of the Creole Song or Halloween, the head of the Lima Police Region, General Jorge Luis Cayas, reported that about 22,000 policemen will be deployed in different parts of Lima to verify that citizens respect the rules established in the emergency framework to contain the advance of COVID-19. In dialogue with América Noticias, the police chief warned that the organizers and attendees of parties or meetings that take place this Saturday, October 31 for the Day of the Creole Song or Halloween, will be intervened and sanctioned with a fine of up to 300 soles. "The National Police are going to increase intensive patrolling, intelligence work to identify the so-called COVID-19 parties, which are promoted by social networks. For this we are mobilizing 22,000 troops, in shifts, which will allow the implementation of the National Emergency COVID-19 and Monitoring for Health plans, ”said Cayas, after reiterating that this type of social activities are prohibited. He also said that the entrance to cemeteries this weekend will be totally prohibited, as well as on November 1 and 2, when All Saints and Dead days are commemorated. On October 28, President Martín Vizcarra specified that the COVID-19 figures are decreasing, which is why he urged citizens to continue respecting the established measures and provisions. Along these lines, he referred to the celebration of Halloween and asked parents to avoid taking their children out to the streets to ask for sweets. “We have the day of the Creole song, we have the celebration of Halloween, a custom that is not ours, but that many people celebrate. Please, madam or man, do not expose your children to go out as they did last year, to walk the block, "said the head of state at a press conference. They ask to avoid meetings and visits to cemeteries For her part, the Minister of Health, Pilar Mazzetti, asked all parents to be responsible and not go out with their children regarding the Halloween celebration this Saturday, October 31. Likewise, she urged not to hold meetings between youth and adults for the Creole Song Day on the same date. “Our children can eventually celebrate at home, share with children at home, there can be meetings through digital media, they can exchange cards. [..] On the street our children touch things, hang out with other people and may be at risk, "he said at a press conference headed by President Martín Vizcarra. “The Day of the Creole Song is also celebrated. We can celebrate responsibly from home. Large gatherings are not allowed. Being many people together significantly increases the risk of being able to contract COVID-19, "he said. Finally, in the case of the Day of the Dead, on November 2, but which is celebrated the day before, on November 1 because it is a holiday, with the visit to cemeteries, the minister asked to remember our loved ones at home , through photography, exchanging experience, or cooking your favorite dish in life. "I am sure that all those who have left, the last thing they would want is for us to have a disease as tremendous as COVID-19," he said.
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  3.  

    Do you want an avatar/signature? do a request here: https://csblackdevil.com/forums/forum/88-requests/

  4. v1, text and blur
  5.  

    If you have a Halloween song, you can comment and I'll listen to it >.<  

  6. DH1, nice music!
  7. Please do not spam the Respawn section - RESPAWN, if you receive a warning from the server founders, you will be permanently banned from the forum.

     

    thanks for u time.

  8. v1, image sexy and text
  9. Gianluca and Davide, both forwards, competed for who scored the most goals. For Gianfranco Lapadula, that competition between little brothers was the least of it. What mattered to him was that his two children help in the family business of selling flowers and, in turn, perform in school. Soccer could wait. "Gianlu", two years younger than Davide, did not think the same. He, Italian by birth, but of a Peruvian mother, could not get the ball out of his head. I did not think if with the "Azurri" or with the white and red. He thought only of the arches in the gardens of via Nizza in Turin, where, until after midnight, he played with his neighborhood friends. Neither the scolding for poor grades at school, nor the post-pichangas war wounds detracted him a bit. “Please don't tell my dad” was more or less what he said to Stefano Serami, his coach at Collegno Paradiso, every time he arrived with an injury from night games. Collegno Paradiso was the school that wanted him when Juventus said no. After years in the minors of 'Juve', he had to change of scene. Don Lapadula was not very convinced, and he made it known to Sergio Fantino, who arrived with the intention of asking him for the respective permission to have him. “We knew his talent and we knew that an experience with our coaches would improve him. The father seemed indecisive, but everything went well ”, told the talent scout, years later, to the Italian media La Stampa. Beyond having a strong character, he distinguished himself by being a very disciplined young man. While some colleagues used their free time to have fun trying alcoholic beverages, he preferred to practice dribbling in the Lingotto building, a former car factory. He also took great care of his diet. But it was his great technique and ability to evade opponents in attack that allowed him to be quickly sold to Treviso. At less than 15 years old, ‘Lapa’ was an interesting prospect. However, the club's poor economy prevented him from paying for room and board, so he was sold to Pro Vercelli. Thanks to his good performance, a year later, for the 2008-09 season, he was signed by Calcio Ivrea, a team from the Italian fourth division. Already in August 2009, he made the great leap after signing a contract with Parma, but he continued his career in up to six different clubs (Atlético Roma, Ravenna Calcio, Cesena, Frosinone Calcio, Gorica and Teramo Calcio), to which he arrived as of loan. After the bankruptcy of Parma, in mid-2015, he arrived free at Pescara, of the Second Division of Italy. Although he already knew about his Peruvian roots, he knew little beyond the ceviche, covered rice and arroz chaufa that his mother - from Lima, who at the age of 20, started a new life in Italy - prepared for him. Ten goals in 17 games earned him the attention of Serie A clubs and abroad. His name even aroused the interest of Ricardo Gareca, who, with less than a year in command of the Peruvian National Team, traveled to Europe to propose that he wear the strip on his chest at the Copa América Centenario. While his name was chanted by the Pescara fans, the center forward published on his social networks the covers that the Peruvian newspapers dedicated to him and the bicolor shield that he had become fond of thanks to everything Mom told him. He was grateful, of course, but the insecurity - moralisms aside - typical of someone who dreams of defending his team, and also of someone who yearns to get promoted to First, made him rule out the possibility. “How much love can a country donate to me… Thank you Peru, thank you Peruvians!”, He wrote first, on February 16, 2016. Eight days later, however, he gave more clues: “I made the decision to wait until June to focus on the Serie B championship here in Italy. Last June I had said that I was going to give my soul and my heart for Pescara and I want to do it. I want to focus on what I had already decided before. (…) I want to continue giving 100% to Pescara. You, the Peruvian people, have filled my heart with immense love and I am sure (that) so much strength that I now have in the field is thanks to you. One coast I can say: the call of the Peruvian National Team is the most important opportunity that I have had in my life so far ”.
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  10. Google has launched the Android TV Data Saver 'app' in its Play Store, which allows users to save mobile data on their smart TVs. The company introduced a new Andriod TV data saving mode in India in September 2019, which allows platform users with limited data connections to use mobile data with lower consumption. Google stated that with this saving mode, users can see up to three times more content using the same amount of data as the standard version. The company introduced a new Andriod TV data saving mode in India in September 2019, which allows platform users with limited data connections to use mobile data with lower consumption. Now, the company has launched the Android TV data-saving application on Google in its Play Store, as reported by the XDA Developers portal. The app works in a similar way to Google Chrome's basic mode, as media players are instructed to stream at lower bit rates or resolutions to save as much data as possible. Also, the application can display notifications to warn users of the use of data, as indicated by the portal. At this time, the Android TV Data Saver app is not available in all regions.
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  11. The war between Intel and AMD is going to get interesting in early 2021 with the launch of the eleventh generation of Intel Core with which Intel intends to face the Ryzen 5000 in the interest of the most enthusiastic and seeking PC users. maximum performance. But what does Intel's next generation of Rocket Lake-S-based CPUs look like? A few hours after Intel has revealed information about the processors, which will be launched on the market during the first quarter of 2021, the results of the first performance tests have been leaked, which allow us to get a rough idea of the new family of CPUs . Rocket Lake-S, the next generation of Intel Core Intel Rocket Lake Rocket The CPU with which they have done the tests could be a Core i9-11900K or a Core i9-11700K, so we are talking about one of the top-of-the-range CPUs of the eleventh generation of Intel Core processors, which will use Cypress Cove cores in its architecture. Intel has used cores based on the Skylake architecture in the last 5 generations of their Intel Core, but with the eleventh they have decided to jump to a new core, which gives it a significant improvement in performance with a single thread of execution compared to with the 10th gen CPUs, but until now we had nothing to hold onto except Intel's own statements. The next generation of Intel Core will not only have representatives in the high ranges with the i9 and i7 but we will also see versions of this architecture in the form of i5 and i3 processors. Rocket Lake-S versus 10th Gen Intel Rocket Lake Reverso The CPU with which the test has been done has a base speed of 3.4 GHz and 4.2 GHz in Boost, which is lower than expected,> 5 GHz, but we must not forget that the Rocket Lake-S will appear on the market during the first quarter of 2021, so the benchmarks may have been performed on a pre-release version of the CPU and the final version may have been somewhat better. The results have been obtained in the UserBenchmark using a PC with the following specifications: MSI Z590-A PRO-12VO motherboard 32 GB DDR4-2667, considering that according to Intel this new CPU supports DDR4-3200 memory, it is surprising that they use a slower memory for the performance test. As you can see, the Core i7-10700K has an advantage in the clock speed, since it operates at 5.1 GHz compared to the 4.2 GHz of the Rocket Lake-S on which the test has been done. It not only surpasses the i7-10700K but also the i9-10900K which is 18% higher despite the 5.3 GHz clock speed of the 10th generation processor. This means that Intel has taken the threat from AMD with its Ryzen processors very seriously, especially with the recently introduced Zen 3, so we are going to see a fierce war between the two major players in the PC CPU market. At the same time it makes us wonder ... What would have happened if Intel's 10nm node hadn't been a fiasco?
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  12. Game Informations : Developer: Jason Venter Platforms PC, X360 Initial release date: November 12, 2013 at 4:05PM PST Sometimes, it's fun to whale on the slimy, disgusting legions of darkness while ignoring thoughts about more-productive things to do with your time. Final Exam, a brawler that tells the story of a high school reunion gone horribly wrong, lets you do precisely that. Over the course of your nocturnal adventure, you and your friends ride an out-of-control subway, navigate creepy tunnels, and get to the root of the monster problem that has made your night so very interesting. It's an old-school ride, a mix of dozens of retro games you've probably played many times before, and mostly it works out fine. Just don't expect a crash course in innovation. At its heart, Final Exam is a basic brawler. You choose one of the four heroes--each with differing stats and an individual skill tree--and then you start running and jumping through a series of indistinct environs that include the sort of fare you'd expect to see in a low-budget horror flick. Inevitably, you find yourself beset upon by small groups of nasty humanoids, at which point you need to respond with wrenches, pipes, chainsaws, and such, or else eat a slimy knuckle sandwich. The fighting is somewhat interesting, thanks mostly to combos. You can take turns exchanging punches with the slobbering hordes, or you can dash or cartwheel around to remain a moving target. As you knock everyone else about without taking hits--assisted, perhaps, by air juggles and the like--you build up a higher combo count, and that in turn produces a higher score. You gain stat points if you beat benchmarks for each zone, which makes you more lethal still, so it definitely pays to master the skills that take you from a featherweight to a heavyweight. Basic melee abilities you have access to from the very start are complemented by projectile weapons and explosives, which you use more effectively once you assign stat points. You can expand your inventory of melee weapons, guns, and explosives by finding crates secreted throughout the various locales. Items are plentiful, since every other humanoid slimeball you eradicate seems to leave behind a box of shells, a Molotov cocktail, or a health-restoring value meal. Fights aren't interesting if you're just mashing buttons, but when you get into the spirit of things, it's a fun challenge to keep combos going and scores rising as you mix together a collection of melee attacks, bursts of gunfire, and well-timed blasts. As your character improves, you also find yourself making frequent stops at the skill tree between levels. What you can unlock depends on what you've already accessed, and also on the percentage of the game you have cleared. It's possible for the jock to throw up shields so that he can withstand a few hits without taking damage, for instance, but only after learning more basic skills that lead up to that point. Early on, it's difficult to decide what you want the most (there are only so many points to go around), so building the ultimate warrior out of your washed-up quarterback, or nerd, or cheerleader (Hello, stereotypes!) is an involving exercise. Final Exam doesn't limit itself to the brawling, though, which is where it runs into trouble. Stages routinely require you to complete basic chores, and those get old quickly. In the first proper stage, you're required to find fuel canisters so you can coax a generator to life. Later, you need to collect the members of a scattered elementary class that is inexplicably late returning to the school bus from a visit to the ghoulish theme park. Sometimes, you have to escort a fat mechanic or a scientist, while whaling on beasts that accost you. These segments are all more or less the same, and don't work as much of a diversion because they force you to plod along lengthy corridors that are mostly unremarkable except for nicely drawn backdrops. You can look for hidden items along the way, but that's only interesting the first time you tackle a stage. Visiting again later, when the area is stripped to its bare bones, is downright tedious. Final Exam often feels a bit too much like homework for its own good. Fortunately, you can play cooperatively with friends, either locally or online. This is the best way to enjoy the game, because it introduces potential for conflict that doesn't exist if you're going alone. Everyone can work on separate objectives at once, competing to gather the most goodies, and performances are ranked at the end of each stage (as well as on leaderboards that taunt you even when you're doing things alone). Scoring adds an additional incentive to play well, and joining other players makes dealing with some of the bosses--particularly the perilous final foe--a great deal more manageable. If one player loses his last life, he isn't out of the action: another player can revive him. Less-skilled players can also make nice targets to distract a brute so that you can deal him a load of pain. From beginning to end, Final Exam's campaign lasts three to four hours, and you can play through it again with each of the four separate characters. There are additional difficulty settings, as well, but any interest you might have in clearing everything is tempered by the monotony that serves as filler between the occasional highlights. The game looks good and has a sweet rocking soundtrack accompanying the action, it could have benefited from a greater variety where its core components are concerned. More-distinct objectives and enemies would have gone a long way. Final Exam often feels too much like homework for its own good, but it still proves enjoyable in between the monotonous fetching and the too-long corridors with nothing to see, particularly when played with a friend or three. If you're looking for a competent but unremarkable trip down a familiar path, you should find enough to be a happy student for at least a few hours. System Requirements OS: WINDOWS XP SP3/WINDOWS VISTA SP2/WINDOWS 7/WINDOWS 8. Processor: AMD/INTEL DUAL-CORE 2.3 GHZ COMPATIBLE SSE2. Memory: 2048 MB RAM. Graphics: 256 MB 100% DIRECTX 9 AND SHADERS 3.0 COMPATIBLE ATI RADEON 2600XT/NVIDIA GEFORCE 8600 GT/INTEL HD 3000 OR HIGHER.
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  13. #PRO Good effects on photos and texts. You need to improve your activity in the avatar request section
  14. Ok “amigo”.

  15. Mi Líder de diseño ❤️ 

    1. Adriana

      Adriana

      Ya puedo removerte si quiero, que divertido verdad? 🙂

    2. Dark

      Dark

      Ñoooo bebe a tu macho no 🥺🔥

  16. As I said in the other requests, you have good effects for the avatar, but you lack a lot of the text and focus on the photos to improve. I see in the requests and it's not bad, keep it up and you can improve and if you want I can help you with some texts and effects. I advise you to see tutorials to continue improving:https://csblackdevil.com/forums/forum/86-tutorials/ #CONTRA.
  17. I don't see your work recently, I don't see your comments on avatar requests, you have little activity in that section. If you are showing your old works from 2019, you will be a long way from joining the design project. You can improve in the tutorials of our forum or youtube: https://csblackdevil.com/forums/forum/86-tutorials/ #CONTRA
  18. You have a long way to go to be a designer and join the project, your designs in your gallery and avatars are simple, you need more effects and improve the texts. You can see more tutorials on youtube or in our forum: https://csblackdevil.com/forums/forum/86-tutorials/ You need to improve many things. GL
  19. Welcome!
  20. Random reboots, blue screen flashes (BSOD), and system crashes can all be symptoms of computer RAM problems. Before launching yourself to replace your RAM memory or look in other ways to see what the problem is, below we are going to show you how you can identify if you actually have problems in your computer's RAM directly using the tools that Windows 10 provides as standard, without need to install additional software. To check if your computer's RAM memory is failing you have several possibilities, from testing the memory on another computer to using third-party tools. But today we are going to show you the simplest way, since Windows 10 has an integrated tool that will allow you to identify and diagnose if your RAM is not working as it should in a simple way. How Windows Memory Diagnostic Tool Works Many of the troubleshooting tools in Windows 10 run automatically while you use your PC, with practically no awareness. However, the tool that we are going to use to check for RAM problems needs to restart the computer and run before startup, because that is the only way to ensure that all possible RAM can be checked. G.Skill RAM memory By default, the program runs in standard mode, which makes two "passes" to the entire computer's RAM memory; then the computer starts normally and you can check the results. You can also run an advanced test if you want, being able to select cache options and increase the number of passes, although this is only in case you want to be truly sure that the RAM is working well. Keep in mind that this mode will make the test take much longer. How to run the diagnostic tool As we have said, this tool must be run before the system starts and therefore its execution must be scheduled. From Windows 10, click on the start button and type "memory"; The Windows Memory Diagnostic tool will appear, and you must select the option "Run as administrator". Windows RAM diagnostic In the window that opens, you must select if you want the PC to restart and run at this time or if you want it to be done the next time you start the computer. Of course you can also cancel if you don't want it to run in either of the two cases. When the computer restarts you will be able to select if you want it to do the basic or advanced test as explained above. Simply select the option you want and wait for it to finish (when it does, the PC will start up normally). Memory Diagnostic Tool Diagnose RAM problems Once the diagnostic tool finishes and the computer restarts, you will find the results in a log file on your desktop, but sometimes this is not the case. If this is your case, you can always check it by accessing the Windows event viewer; To do this, click on the start button and type "Event Viewer" to access. Events viewer In the window that opens, navigate in the left menu to Windows Registries -> System. Right-click on System and click on Search ... Search events In the window that opens, write "MemoryDiagnostics-Results" (without the quotes) and click on Next; the events related to the diagnosis we just executed will be displayed. If the displayed results do not show any error or warning events (information only), then you probably have no problem with your computer's RAM memory and your problems come from another hardware component. However, if errors do appear then you should check their description and see where they come from, but possibly you do have hardware-related problems and you will be forced to change the computer's RAM (however it is common to have errors in the RAM due to Overclock to CPU, so check that too).
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  21. The Ministry of Health confirmed the appearance of diphtheria, after 20 years of not detecting a case of the bacteria, in a 5-year-old girl in Lima. The same one that is under observation at the Hospital 2 de Mayo. Given this, the Minsa has raised its alert for the presence of this epidemic, already present in some countries of the region, which has a mortality incidence of 10% on the cases presented. It should be noted that the Vice Minister of Health, Luis Suárez, detailed that 40% of the population would be protected by vaccines, when it should be 70%. In Peru, diphtheria is included in the vaccination plan for children under 1 year of age Given this, the World Health Organization (WHO) responds to six inquiries about this disease. What is diphtheria? Diphtheria is an infection caused by the bacteria Corynebacterium Diphtheriae. Its signs and symptoms, which usually appear 2 to 5 days after exposure, can range from mild to severe. Symptoms often come on gradually, starting with a sore throat and fever. In severe cases, the bacteria generate a toxic product (toxin) that gives rise to a thick gray or white plaque in the back of the throat, plaque that sometimes, by blocking the airways, makes breathing or swallowing difficult and it can also cause a dry cough. Hypertrophy of the lymph nodes can cause swelling of part of the neck. Sometimes the toxin passes into the bloodstream and causes complications such as myocardial inflammation and injury, inflammation of the nerves, kidney problems, or bleeding disorders due to a drop in platelets. Injuries to the myocardium can cause heart rhythm disturbances and inflammation of the nerves, sometimes leading to paralysis. How is diphtheria spread? Diphtheria is easily transmitted from one person to another, either by direct contact or by air, through respiratory droplets emitted for example by coughing or sneezing. It can also be spread through contaminated fabrics or objects. How is diphtheria diagnosed? In general, the clinical diagnosis of diphtheria is based on the presence of a grayish membrane lining the throat. Although a laboratory study is recommended to confirm suspected cases, treatment should begin immediately. How is diphtheria treated? Diphtheria antitoxin solution is given by intravenous or intramuscular injection to treat this infection. Antibiotics are also given to kill the bacteria, stop toxin production, and prevent it from spreading to others. Is vaccination against diphtheria recommended? Every child in the world should be immunized against diphtheria. A basic round of 3 doses, administered within the first year of life, lays the foundation for acquiring lifelong immunity. Immunization schedules should ensure that later, during childhood or adolescence, each person receives 3 more booster doses of a vaccine containing diphtheria toxoid. At any age, anyone who is not vaccinated against diphtheria, or who is only partially vaccinated, should receive the doses necessary to complete the vaccination. The recent diphtheria outbreaks in several countries bear witness to insufficient vaccination coverage and have demonstrated the importance of maintaining high levels of coverage in childhood immunization programs. Whatever the external circumstances, any unimmunized person is at risk. It is estimated that 86% of the world's children receive the 3 recommended doses of diphtheria vaccine during breastfeeding, which means that 14% are not covered or partially covered. Should health personnel take extra precautions? In endemic settings and in outbreak situations, healthcare personnel may be at greater risk of contracting diphtheria than the general population. Therefore, given the possibility of being exposed to Corynebacterium Diphtheriae in the performance of their work, special attention must be paid to the immunization of health personnel.
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