sábado, 1 de septiembre de 2012

From India, the $1 Doctor’s ‘Visit’


http://india.blogs.nytimes.com/2012/01/10/from-india-the-1-doctors-visit/



January 10, 2012, 8:02 AM 14 Comments
From India, the $1 Doctor’s ‘Visit’By HEATHER TIMMONS
Healthnet GlobalA patient at the Chennai Telemedicine center consults a doctor via video conferencing.

A private hospital, a for-profit microfinance company and an information technology company have joined forces to attempt what state and local governments have struggled to do for decades – bring quality, affordable medical treatment to India’s hundreds of millions of poor people.

Apollo Hospitals, Equitas and HealthNet Global are setting up “telemedicine centers” in Equitas’s 300 offices, mostly in urban slums, which will be staffed by nurses and stocked with medical testing equipment and a laptop with video conferencing.

Women who take loans through Equitas and their families (about 8 million people, the companies estimate) can schedule a doctor’s “visit” at the center, and consult with an Apollo doctor by video about symptoms and care. The nurse will measure vital signs like blood pressure and heartbeat, through equipment that transmits readings directly to the doctor and into a patient’s computerized medical file.

Total cost to the patient: 50 rupees, or about 96 U.S. cents.

The project started in December, and so far there are just three telemedicine centers set up in Equitas offices. The companies involved don’t make a profit. But Rahul Thapan, global head of sales and marketing at HealthNet, said the companies hope to expand the project far beyond Equitas customers in the future.

“We are looking at different types of audiences here, at elderly people who may not be able to afford health care, for example, and there is a huge potential to go into semi-urban and rural areas, as well,” Mr. Thapan said.

Separately, Apollo and HealthNet have started a for-profit virtual doctors’ visit business with telecommunication companies Aircel and Idea Cellular. Some customers of these telecom providers can schedule a virtual doctor’s appointment, in which a paramedics with a laptop and medical testing equipment come to their home. The patient is connected via video conferencing to the doctor. The cost of these visits varies according to the tests done, but starts at about 300 rupees ($5.74).

Group Planning Centers to Treat Combat Trauma

http://www.nytimes.com/2012/06/13/us/private-group-to-build-trauma-centers-for-military.html?pagewanted=all
Group Planning Centers to Treat Combat Trauma
By JAMES DAO
Published: June 12, 2012


Pledging to overhaul the way the military handles the least visible wounds of war, a private foundation will unveil a $100 million plan on Wednesday to construct state-of-the-art treatment centers for brain injuries and psychological disorders at nine of the largest bases in the country.
Enlarge This Image
Eric Gay/Associated Press

Arnold Fisher and Master Sgt. Daniel Robles after the sergeant received the Purple Heart in 2007 at Fort Sam Houston in Texas.

The foundation, the Intrepid Fallen Heroes Fund, has already raised $25 million and will begin construction this month on the first two centers, at Fort Belvoir, an Army base in Virginia near Washington, and the Marines’ Camp Lejeune in North Carolina.

“The signature wounds of these wars are traumatic brain injury and post-traumatic stress,” said Arnold Fisher, honorary chairman of the fund and patriarch of the New York development family that started it. “And to this day, we are not treating these people well.”

The centers will allow the Pentagon to expand and modernize treatment of traumatic brain injuries, post-traumatic stress disorder and other mental health problems to a degree not currently possible at most Army and Navy hospitals, experts said.

By some estimates, about one in five service members return from deployments with traumatic brain injuries or post-traumatic stress disorder.

When completed, fund officials said, the network will also represent the largest privately financed construction project ever done for the Pentagon, which often resists assistance from outside groups. The Intrepid fund is unique, however, in having built large military medical centers in Bethesda, Md., and San Antonio.

Mr. Fisher, whose organization has collected more than $150 million for previous military health programs, said the fund would have little trouble raising the remaining $75 million to complete the other seven centers. The military will staff and operate all the facilities once they are finished.

But with the armed services slashing budgets, the war in Iraq over and American troops leaving Afghanistan in two years, Mr. Fisher raised concerns about whether the government would finance grants to hire the specialized personnel needed to make the centers world class.

Blunt and well known for being demanding, Mr. Fisher, 79, estimated those grants would cost $25 million to $50 million over the next three years.

“I don’t want anything else from the government,” except that it take care of its responsibility, he said in an interview. “These guys go out and get hurt and all you give them is pills? Not in my America.”

In a statement, Defense Secretary Leon E. Panetta said that he was “deeply grateful” to the Intrepid Fallen Heroes Fund and that the new centers “will help leading doctors and scientists expand care and research new ways to treat these injuries.”

Gen. Lloyd J. Austin III, the vice chief of staff of the Army, said in a statement that the Army was “committed to staffing” the centers, saying they will allow “a patient-centered approach to the many possible stressors affecting soldiers’ lives.”

Gen. Joseph F. Dunford, Jr., the assistant commandant of the Marine Corps, said that the Marines were also committed to augmenting the medical staff with specially trained personnel. “If we don’t have the right numbers at Lejeune, we’ll adjust,” he said. “This is at the top of my in-box.”

Having focused a great deal of attention and resources on amputation and burn treatment earlier in the wars, the military acknowledges that it has been slow to understand the depth, breadth and complexity of brain injuries and psychiatric problems related to combat.

In the last decade, the military says that more than 230,000 service members have suffered traumatic brain injuries, about 10 percent of the more than 2.3 million people who have deployed. The Department of Veterans Affairs says it has treated about an equal number of Iraq and Afghanistan veterans for post-traumatic stress disorder, though experts say many more cases have not been diagnosed yet.

Military medical officials said the new centers would function like satellite clinics for the military’s flagship center for brain injuries, the National Intrepid Center of Excellence in Bethesda, which was also built by the Intrepid fund, for about $70 million.

With its large staff, small caseload, modern equipment and an openness to alternative therapies, including yoga and acupuncture, the national center is thought by many military officials to provide the most effective care for traumatic brain injuries in the country.

But the Bethesda center handles only about 250 patients a year, said Dr. James Kelly, the director. He said he planned to disseminate innovative therapies and diagnostic practices to the satellite centers through telemedicine and training programs. Those satellite centers are supposed to handle as many as 1,000 patients a year, he said.

“We have the freedom to do things that others don’t,” Dr. Kelly said. “It’s not magic. It requires that systems change and people buy in. I’m confident it can be done at these bases.”

In addition to Fort Belvoir and Camp Lejeune, the military has approved centers at six Army posts: Fort Campbell in Kentucky, Fort Bragg in North Carolina, Forts Hood and Bliss in Texas, Joint Base Lewis-McChord in Washington and Fort Carson in Colorado. The fund is working with the Pentagon to add one more site.

Each center will be about 25,000 square feet, have a gym, private examination rooms and therapy areas, and be almost fully equipped when turned over to the military, Mr. Fisher said. He said he intended to complete construction on all nine within two years.

Unlike the drab, barracks-like medical buildings at most bases, the new centers will be designed with “curvature and softness,” Mr. Fisher said. “When these men and women walk in, they will know it is built for them.”

Mr. Fisher’s uncle, Zachary, founded the Intrepid Museum Foundation, which saved theWorld War II carrier and brought it to New York. The family then created the fallen heroes fund, which in its early years paid grants to survivors of troops who died on duty. In 2007, the fund opened a $65 million rehabilitation center for severely burned troops and amputees at Brooke Army Medical Center in Texas, known as the Center for the Intrepid. Its next major project, the National Intrepid Center of Excellence in Bethesda, opened in 2010.

The family is also responsible for the Fisher House program, which provides free temporary housing for families visiting severely wounded troops at military medical centers. The foundation has built nearly 60 houses, with more planned.

Martin Edelman, an original board member of the Intrepid fund, said that over the years the foundation had learned that building things for the military could force its balky bureaucracy to act.

“All we do is build,” he said. “And the reason is, it serves as a catalyst for attention. So we build the building, we equip it and say, ‘Here it is.’ They then have to staff it. It’s embarrassing if they don’t. And they are forced to do something with it.”




A version of this article appeared in print on June 13, 2012, on page A15 of the New York edition with the headline: Group Planning Centers To Treat Combat Trauma.

anestesia móvil; preparados, listos, empacar y salir

Este resumen no está disponible. Haz clic en este enlace para ver la entrada.

CMO. SESIÓN REGLAMENTARIA 08/2012. CIRUGÍA MÍNIMA INVASIVA Y PRESENTACIÓN LIBRO “DOLOR VERTEBRAL”




SESIÓN REGLAMENTARIA 08/2012


El Consejo Directivo del Colegio Mexicano de Ortopedia y Traumatología A.C., atentamente le invita y convoca a su octava Sesión Reglamentaria, que tendrá verificativo el miércoles 5 de septiembre de 2012 a las 20:30 horas, en el auditorio de nuestra sede, ubicado en el WTC México, Montecito No. 38, piso 25, Oficinas 23 a 27, Col. Nápoles, 03810 México, D.F., bajo la siguiente:

ORDEN DEL DÍA

1. Palabras de bienvenida del Presidente del Colegio.
2. Lectura del acta de la sesión anterior, celebrada el 1 de agosto de 2012.
3. Comunicaciones de la Presidencia.
4. Asuntos generales.
5. Panel Foro:

CIRUGÍA MÍNIMA INVASIVA Y PRESENTACIÓN LIBRO “DOLOR VERTEBRAL”
Coordinador: Dr. Ricardo Andaluz Rivas y Dr. Braulio Hernández Carbajal
Titular del Capítulo de Especialización en Columna,
Moderador Dr. Víctor Paúl Miramontes Martínez


a) Introducción y presentación libro.
Dr. Braulio Hernández Carbajal
Autor del libro ................. 5’
b) Viajando en el disco.
Dr. Jorge Luis Olivares Camacho
Cirujano de Columna del IMSS. ................. 5’
c) ¿Qué es y uso de radiofrecuencia en la CMI?
Dr. Raymundo Quintana Torres
Vicepresidente SOMEEC, Cirujano de Columna, Celaya, Gto. ................. 5’
d) Discectomía cervical con radiofrecuencia
Dr. Roberto Acosta
Expresidente de SOMEEC, Cirujano de Columna
de la Clínica Santa Teresa, Zacatecas, Zac. ................. 5’
e) Discectomía endoscópica toráxica.
Dr. John C. Chiu, MD
California Spine Institute Medical Center, Inc ............... 15’
f) Discectomía lumbar endoscópica.
Dr. Oscar Suárez Requena
Presidente de SOMEEC y Jefe de Servicio del Hospital Civil de Villahermosa, Tab. ................. 5’
g) Espaciadores percutáneos interespinosos.
Dr. Roberto Cantú Leal
Cirujano de Columna, Monterrey, N.L. ................. 5’
h) Tratamiento con cajas percutáneas y tornillos facetarios.
Dr. Carlos Montes García,
Cirujano de Columna del Hospital Ángeles de Ciudad Juárez, Chih. ................. 5’
i) Cirugía de disco con mínima invasión.
Dr. Peter Salgado
Cirujano de Columna, Sevilla, España ............... 15’
j) Preguntas y respuestas ................. 5’

6. Adjudicación beca al 49° Congreso Nacional 2012 de la SECOT en Málaga, España del 3 al 5 de octubre.

7. Convivio ofrecido por Biomédica Orthotools.

Atentamente



Dr. Salvador O. Rivero Boschert
Presidente                                       


Dr. Arturo Gutiérrez Meneses
I Secretario Propietario


Si está interesado en presenciar las sesiones del CMO, brindamos dos alternativas para
consultar la información: el día y hora establecido puede ingresar a la Transmisión en vivo, o bien posteriormente consultar las ponencias a través de nuestra Videoteca.

Cursos en el servicio médico forense de la ciudad de México


Cursos de práctica quirúrgica en espécimen biológico


Temas Selectos en Cirugía de Cadera Primaria y de Revisión


Temas Selectos en Cirugía de Cadera Primaria y de Revisión: Vástagos cortos, metal altamente poroso y nuevas generaciones de polietilenode enlaces cruzados.





Manejando las lesiones ortopédicas en el paciente hemofilico adulto


Manejando las lesiones ortopédicas en el paciente hemofilico adulto

Victor Ravens
Hemofilia XXI A.C. les transmite la invitación que nos hace el Dr. Armando Hernandez Salgado a la conferencia sobre el manejando las lesiones ortopédicas en el paciente hemofilico adulto por el próximo miércoles 5 de septiembre. La tele conferencia se transmitirá a través de Facebook en el Grupo Ortopedia Mixta y muy posiblemente por nuestro grupo de Hemofilia XXI A.C.
La transmisión será a las 18:30 horas en el Horario del Centro de México, saludos.
http://www.facebook.com/groups/156670141102728/

  • Servicio de Ortopedia Mixta, ubicado en el segundo piso del Hospital de Ortopedia Dr. Victorio de la Fuente Narváez IMSS Ciudad de México, Distrito Federal AVISO: El contenido de las presentaciones in...

viernes, 31 de agosto de 2012

Servicio social.

Si alguien lo reconoce y sabe donde localizar a su familia por favor avísenles... Se cree que estaba de visita en el lugar y/o posiblemente, tuvo algún accidente en otra ciudad y lo llevaron a este hospital.

VAMOS AYUDARLO CIRCULA EL CORREO POR FAVOR; PASALO A QUIEN PUEDAS



HOY POR TI MAÑANA POR MÍ


Beatriz Trejo Beltrán
beatriz.trejo@imss.gob.mx
UMAE Hospital de Especialidades
Centro Médico Nacional Siglo XXI
Conm. 56 27 69 00 ext. 21772,21773
Dir. 55 19 75 09

Sesion de residentes del CMO. 30/VIII/2012 .Preguntas


Sesion de residentes del CMO. 30/VIII/2012 .Preguntas

Después de las exposiciones, vinieron las preguntas...

http://livestre.am/46Vgq



Watch live streaming video from bibliomanazteca_platicas_medicas at livestream.com


y las fotografías de nuestros ponentes



The Once and Future Way to Run


The Once and Future Way to Run


Jorg Badura for The New York Times

The Lost Secret of Running: Christopher McDougall demonstrates a lost running technique from the 1800s called the 100-Up.
By CHRISTOPHER McDOUGALL
Published: November 2, 2011
When you’re stalking barefoot runners, camouflage helps. “Some of them get kind of prancy when they notice you filming,” Peter Larson says. “They put on this notion of what they think barefoot running should be. It looks weird.” Larson, an evolutionary biologist at Saint Anselm College in New Hampshire who has been on the barefoot beat for two years now, is also a stickler about his timing. “You don’t want to catch them too early in a run, when they’re cold, or too late, when they’re tired.”



Multimedia
Graphic


How to Run, One Stride at a Time




If everything comes together just right, you’ll be exactly where Larson was one Sunday morning in September: peeking out from behind a tree on Governors Island in New York Harbor, his digital video camera nearly invisible on an ankle-high tripod, as the Second Annual New York City Barefoot Run got under way about a quarter-mile up the road. Hundreds of runners — men and women, young and old, athletic and not so much so, natives from 11 different countries — came pattering down the asphalt straight toward his viewfinder.

About half of them were actually barefoot. The rest woreVibram FiveFingers — a rubber foot glove with no heel cushion or arch support — or Spartacus-style sandals, or other superlight “minimalist” running shoes. Larson surreptitiously recorded them all, wondering how many (if any) had what he was looking for: the lost secret of perfect running.

It’s what Alberto Salazar, for a while the world’s dominant marathoner and now the coach of some of America’s top distance runners, describes in mythical-questing terms as the “one best way” — not the fastest, necessarily, but thebest: an injury-proof, evolution-tested way to place one foot on the ground and pick it up before the other comes down. Left, right, repeat; that’s all running really is, a movement so natural that babies learn it the first time they rise to their feet. Yet sometime between childhood and adulthood — and between the dawn of our species and today — most of us lose the knack.

We were once the greatest endurance runners on earth. We didn’t have fangs, claws, strength or speed, but the springiness of our legs and our unrivaled ability to cool our bodies by sweating rather than panting enabled humans to chase prey until it dropped from heat exhaustion. Some speculate that collaboration on such hunts led to language, then shared technology. Running arguably made us the masters of the world.

So how did one of our greatest strengths become such a liability? “The data suggests up to 79 percent of all runners are injured every year,” says Stephen Messier, the director of the J. B. Snow Biomechanics Laboratory at Wake Forest University. “What’s more, those figures have been consistent since the 1970s.” Messier is currently 11 months into a study for the U.S. Army and estimates that 40 percent of his 200 subjects will be hurt within a year. “It’s become a serious public health crisis.”

Nothing seems able to check it: not cross-training, not stretching, not $400 custom-molded orthotics, not even softer surfaces. And those special running shoes everyone thinks he needs? In 40 years, no study has ever shown that they do anything to reduce injuries. On the contrary, the U.S. Army’s Public Health Command concluded in a report in 2010, drawing on three large-scale studies of thousands of military personnel, that using shoes tailored to individual foot shapes had “little influence on injuries.”

Two years ago, in my book, “Born to Run,” I suggested we don’t need smarter shoes; we need smarter feet. I’d gone into Mexico’s Copper Canyon to learn from the Tarahumara Indians, who tackle 100-mile races well into their geriatric years. I was a broken-down, middle-aged, ex-runner when I arrived. Nine months later, I was transformed. After getting rid of my cushioned shoes and adopting the Tarahumaras’ whisper-soft stride, I was able to join them for a 50-mile race through the canyons. I haven’t lost a day of running to injury since.

“Barefoot-style” shoes are now a $1.7 billion industry. But simply putting something different on your feet doesn’t make you a gliding Tarahumara. The “one best way” isn’t about footwear. It’s about form. Learn to run gently, and you can wear anything. Fail to do so, and no shoe — or lack of shoe — will make a difference.

That’s what Peter Larson discovered when he reviewed his footage after the New York City Barefoot Run. “It amazed me how many people in FiveFingers were still landing on their heels,” he says. They wanted to land lightly on their forefeet, or they wouldn’t be in FiveFingers, but there was a disconnect between their intentions and their actual movements. “Once we develop motor patterns, they’re very difficult to unlearn,” Larson explains. “Especially if you’re not sure what it’s supposed to feel like.”

The only way to halt the running-injury epidemic, it seems, is to find a simple, foolproof method to relearn what the Tarahumara never forgot. A one best way to the one best way.

Earlier this year, I may have found it. I was leafing through the back of an out-of-print book, a collection of runners’ biographies called “The Five Kings of Distance,” when I came across a three-page essay from 1908 titled “W. G. George’s Own Account From the 100-Up Exercise.” According to legend, this single drill turned a 16-year-old with almost no running experience into the foremost racer of his day.

I read George’s words: “By its constant practice and regular use alone, I have myself established many records on the running path and won more amateur track-championships than any other individual.” And it was safe, George said: the 100-Up is “incapable of harm when practiced discreetly.”

Could it be that simple? That day, I began experimenting on myself.

When I called Mark Cucuzzella to tell him about my find, he cut me off midsentence. “When can you get down here?” he demanded.

“Here” is Two Rivers Treads, a “natural” shoe store sandwiched between Maria’s Taqueria and German Street Coffee & Candlery in Shepherdstown, W.Va., which, against all odds, Cucuzzella has turned into possibly the country’s top learning center for the reinvention of running.

“What if people found out running can be totally fun no matter what kind of injuries they’ve had?” Cucuzzella said when I visited him last summer. “What if they could see — ” he jerked a thumb back toward his chest — “Exhibit A?”

Cucuzzella is a physician, a professor at West Virginia University’s Department of Family Medicine and an Air Force Reserve flight surgeon. Despite the demands of family life and multiple jobs, he still managed enough early-morning miles in his early 30s to routinely run marathons at a 5:30-per-mile pace. But he constantly battled injuries; at age 34, severe degenerative arthritis led to foot surgery. If he continued to run, his surgeon warned, the arthritis and pain would return.

Cucuzzella was despondent, until he began to wonder if there was some kind of furtive, Ninja way to run, as if you were sneaking up on someone. Cucuzzella threw himself into research and came across the work of, among others, Nicholas Romanov, a sports scientist in the former Soviet Union who developed a running technique he called the Pose Method. Romanov essentially had three rules: no cushioned shoes, no pushing off from the toes and, most of all, no landing on the heel.

Once Cucuzzella got used to this new style, it felt suspiciously easy, more like playful bouncing than serious running. As a test, he entered the Marine Corps Marathon. Six months after being told he should never run again, he finished in 2:28, just four minutes off his personal best.

“It was the beginning of a new life,” Cucuzzella told me. “I couldn’t believe that after a medical education and 20 years of running, so much of what I’d been taught about the body was being turned on its head.” Two weeks before turning 40, he won the Air Force Marathon and has since completed five other marathons under 2:35. Shortly before his 45th birthday this past September, he beat men half his age to win the Air Force Marathon again. He was running more on less training than 10 years before, but “felt fantastic.”

When he tried to spread the word, however, he encountered resistance. At a Runner’s World forum I attended before the Boston Marathon in April 2010, he told the story of how he bounced back from a lifetime of injuries by learning to run barefoot and relying on his legs’ natural shock absorption. Martyn Shorten, the former director of the Nike Sports Research Lab who now conducts tests on shoes up for review in Runner’s World, followed him to the microphone. “A physician talking about biomechanics — I guess I should talk about how to perform an appendectomy,” Shorten said. He then challenged Cucuzzella’s belief that cushioned shoes do more harm than good.

No matter. Cucuzzella went home and began hosting his own conferences. Peter Larson traveled from New Hampshire for Cucuzzella’s first gathering on a snowy weekend this past January. “I was a bit curious about how many people might show up to such an event in rural West Virginia,” Larson says. “Were the panelists going to outnumber the audience?” In fact, more than 150 attendees crowded right up to the dais.

Since then, West Virginia has become a destination for a growing number of those who are serious about the grass-roots reinvention of running. Galahad Clark, a seventh-generation shoemaker who created the Vivobarefoot line, flew in from London with the British running coach Lee Saxby for a one-day meeting with Cucuzzella. International researchers like Craig Richards, from Australia, and Hiro Tanaka, chairman of Exercise Physiology at the University of Fukuoka, have also visited, as well as scientists from a dozen different American states.

“He has turned a small town in an obese state into a running-crazed bastion of health,” Larson says. “Mark’s effort in transforming Shepherdstown is a testament to what a single person can accomplish.”

Not that he has everything figured out. I was at one of Cucuzzella’s free barefoot running clinics in May when he confronted his big problem: how do you actually teach this stuff? He had about 60 of us practicing drills on a grassy playground. “Now to run,” he said, “just bend forward from the ankles.” We all looked down at our ankles.

“No, no,” Cucuzzella said. “Posture, remember? Keep your heads up.”

We lifted our heads, and most of us then forgot to lean from the ankles. At that moment, a young girl flashed past us on her way to the monkey bars. Her back was straight, her head was high and her bare feet skittered along right under her hips.

“You mean like — ” someone said, pointing after the girl.

“Right,” Cucuzzella said. “Just watch her.”

So what ruined running for the rest of us who aren’t Tarahumara or 10 years old?

Back in the ’60s, Americans “ran way more and way faster in the thinnest little shoes, and we never got hurt,” Amby Burfoot, a longtime Runner’s World editor and former Boston Marathon champion, said during a talk before the Lehigh Valley Half-Marathon I attended last year. “I never even remember talking about injuries back then,” Burfoot said. “So you’ve got to wonder what’s changed.”

Bob Anderson knows at least one thing changed, because he watched it happen. As a high-school senior in 1966, he started Distance Running News, a twice-yearly magazine whose growth was so great that Anderson dropped out of college four years later to publish it full time as Runner’s World. Around then, another fledgling operation called Blue Ribbon Sports was pioneering cushioned running shoes; it became Nike. Together, the magazine and its biggest advertiser rode the running boom — until Anderson decided to see whether the shoes really worked.

“Some consumer advocate needed to test this stuff,” Anderson told me. He hired Peter Cavanagh, of the Penn State University biomechanics lab, to stress-test new products mechanically. “We tore the shoes apart,” Anderson says. He then graded shoes on a scale from zero to five stars and listed them from worst to first.

When a few of Nike’s shoes didn’t fare so well in the 1981 reviews, the company pulled its $1 million advertising contract with Runner’s World. Nike already had started its own magazine, Running, which would publish shoe reviews and commission star writers like Ken Kesey and Hunter S. Thompson.

“Nike would never advertise with me again,” Anderson says. “That hurt us bad.” In 1985, Anderson sold Runner’s World to Rodale, which, he says, promptly abolished his grading system. Today, every shoe in Runner’s World is effectively “recommended” for one kind of runner or another. David Willey, the magazine’s current editor, says that it only tests shoes that “are worth our while.” After Nike closed its magazine, it took its advertising back to Runner’s World. (Megan Saalfeld, a Nike spokeswoman, says she was unable to find someone to comment about this episode.)

“It’s a grading system where you can only get an A,” says Anderson, who went on to become the founder and chief executive of Ujena Swimwear.

Just as the shoe reviews were changing, so were the shoes: fear, the greatest of marketing tools, entered the game. Instead of being sold as performance accessories, running shoes were rebranded as safety items, like bike helmets and smoke alarms. Consumers were told they’d get hurt, perhaps for life, if they didn’t buy the “right” shoes. It was an audacious move that flew in the face of several biological truths: humans had thrived as running animals for two million years without corrective shoes, and asphalt was no harder than the traditional hunting terrains of the African savanna.

In 1985, Benno Nigg, founder and currently co-director of the University of Calgary’s Human Performance Lab, floated the notion that impact and rear-foot motion (called pronation) were dangerous. His work helped spur an arms race of experimental technology to counter those risks with plush heels and wedged shoes. Running magazines spread the new gospel. To this day, Runner’s World tells beginners that their first workout should be opening their wallets: “Go to a specialty running store . . . you’ll leave with a comfortable pair of shoes that will have you running pain- and injury-free.”

Nigg now believes mistakes were made. “Initial results were often overinterpreted and were partly responsible for a few ‘blunders’ in sport-shoe construction,” he said in a speech to the International Society of Biomechanics in 2005. The belief in the need for cushioning and pronation control, he told me, was, in retrospect, “completely wrong thinking.” His stance was seconded in June 2010, when The British Journal of Sports Medicine reported that a study of 105 women enrolled in a 13-week half-marathon training program found that every single runner who was given motion-control shoes to control excess foot pronation was injured. “You don’t need any protection at all except for cold and, like, gravel,” Nigg now says.

Of course, the only way to know what shoes have done to runners would be to travel back to a time when no one ever wore them. So that’s what one anthropologist has effectively done. In 2009, Daniel Lieberman, chairman of Harvard’s human evolutionary biology department, located a school in Kenya where no one wore shoes. Lieberman noticed something unusual: while most runners in shoes come down hard on their heels, these barefoot Kenyans tended to land softly on the balls of their feet.

Back at the lab, Lieberman found that barefoot runners land with almost zero initial impact shock. Heel-strikers, by comparison, collide with the ground with a force equal to as much as three times their body weight. “Most people today think barefoot running is dangerous and hurts, but actually you can run barefoot on the world’s hardest surfaces without the slightest discomfort and pain.”

Lieberman, who is 47 and a six-time marathoner, was so impressed by the results of his research that he began running barefoot himself. So has Irene Davis, director of Harvard Medical School’s Spaulding National Running Center. “I didn’t run myself for 30 years because of injuries,” Davis says. “I used to prescribe orthotics. Now, honest to God, I run 20 miles a week, and I haven’t had an injury since I started going barefoot.”

Last fall, at the end of a local 10-mile trail race, I surprised myself by finishing five minutes faster than I had four years ago, when I was in much better shape. I figured the result was a fluke — until it happened again. No special prep, awful travel schedule and yet a personal best in a six-mile race.

“I don’t get it,” I told Cucuzzella this past June when we went for a run together through the Shepherd University campus in Shepherdstown. “I’m four years older. I’m pretty sure I’m heavier. I’m not doing real workouts, just whatever I feel like each day. The only difference is I’ve been 100-Upping.”

It was five months since I discovered W.S. George’s “100-Up,” and I’d been doing the exercise regularly. In George’s essay, he says he invented the 100-Up in 1874, when he was an 16-year-old chemist’s apprentice in England and could train only during his lunch hour. By Year 2 of his experiment, the overworked lab assistant was the fastest amateur miler in England. By Year 5, he held world records in everything from the half-mile to 10 miles.

So is it possible that a 19th-century teenager succeeded where 21st-century technology has failed?

“Absolutely, yes,” says Steve Magness, a sports scientist who works with top Olympic prospects at Nike’s elite “Oregon Project.” He was hired by Alberto Salazar to create, essentially, a squad of anti-Salazars. Despite his domination of the marathon in the ’80s, Salazar was plagued with knee and hamstring problems. He was also a heel-striker, which he has described as “having a tire with a nail in it.” Magness’s brief is to find ways to teach Nike runners to run barefoot-style and puncture-proof their legs.

“From what you’re telling me, it sounds promising,” Magness told me. “I’d love to see it in action.”

Mark Cucuzzella was just as eager. “All right,” he said in the middle of our run. “Let’s get a look at this.” I snapped a twig and dropped the halves on the ground about eight inches apart to form targets for my landings. The 100-Up consists of two parts. For the “Minor,” you stand with both feet on the targets and your arms cocked in running position. “Now raise one knee to the height of the hip,” George writes, “bring the foot back and down again to its original position, touching the line lightly with the ball of the foot, and repeat with the other leg.”

That’s all there is to it. But it’s not so easy to hit your marks 100 times in a row while maintaining balance and proper knee height. Once you can, it’s on to the Major: “The body must be balanced on the ball of the foot, the heels being clear of the ground and the head and body being tilted very slightly forward. . . . Now, spring from the toe, bringing the knee to the level of the hip. . . . Repeat with the other leg and continue raising and lowering the legs alternately. This action is exactly that of running.”

Cucuzzella didn’t like it as a teaching method — he loved it. “It makes so much physiological and anatomical sense,” he said. “The key to injury-free running is balance, elasticity, stability in midstance and cadence. You’ve got all four right there.”

Cucuzzella began trying it himself. As I watched, I recalled another lone inventor, a Czechoslovakian soldier who dreamed up a similar drill: he’d throw dirty clothes in the bathtub with soap and water, then jog on top. You can’t heel strike or overstride on slippery laundry. There’s only one way to run in a tub: the one best way.

At the 1952 Olympics, Emil Zatopek became the only runner ever to win gold medals in all three distance events: 5,000 meters, 10,000 meters and the marathon, the first he ever ran. Granted, “the Human Locomotive” wasn’t a pretty sight. During his final push to the finish line, his head would loll and his arms would grab at the air “as if he’d just been stabbed through the heart,” as one sportswriter put it.

But from the waist down, Zatopek was always quick, light and springy, like a kid swooping across a playground — or like this once-arthritic physician in front of me, laughing with excitement as he hopped up and down in his bare feet in a parking lot.




Christopher McDougall is the author of "Born to Run: A Hidden Tribe, Super Athletes and the Greatest Race the World Has Never Seen."

Editor: Dean Robinson

Share your thoughts on this article on Well.


This article has been revised to reflect the following correction:

Correction: November 20, 2011



A chart on Nov. 6 with an article about the correct way to run misstated the proper position of the elbow in relation to the opposite knee as it moves forward. The elbow should also move forward, not backward
.



A version of this article appeared in print on November 6, 2011, on page MM38 of the Sunday Magazine with the headline: The Once and Future Way to Run.

Catedrales de Inglaterra





Utilizaremos para hacer una visita a las catedrales inglesas más renombradas, la obra en 3 tomos Winkles's architectural and picturesque illustrations of the cathedral churches of England and Wales (Ilustraciones arquitectónicas y pintorescas Winkler, de catedrales de Inglaterra y Gales), escritos por Bejamin Winkles en una edición de 1836.

“Con la telemedicina, los diabéticos tendrán mayor calidad de vida”

http://www.rcysostenibilidad.telefonica.com/blogs/2012/08/31/josu-feijoo-con-la-telemedicina-los-diabeticos-tendran-mayor-calidad-de-vida/?utm_source=rss&utm_medium=rss&utm_campaign=josu-feijoo-con-la-telemedicina-los-diabeticos-tendran-mayor-calidad-de-vida
Josu Feijoo: “Con la telemedicina, los diabéticos tendrán mayor calidad de vida”

31. AGO, 2012 0 COMENTARIOS (27 VIEWS) POR REDACCIÓN © Blog RCySost Telefónica S.A.

“A los 24 años, en una revisión médica rutinaria que me hicieron en la empresa, me dijeron que era diabético y que nunca podría cumplir mi sueño: subir al Everest”, explica el alpinista Josu Feijoo.

Feijoo, que por entonces no sabía lo que era la insulina, no se rindió: este ingeniero vasco es el primer diabético del mundo en llegar sin ayuda al Polo Norte, al Polo Sur, a la cima del Everest y a las siete cumbres más altas del mundo, The Seven Summits. Además, está empeñado en contagiar su espíritu de superación a otros enfermos crónicos, en ayudarles a tener una vida normal. “Quiero que mi sobrina diabética pueda ir de excursión con el cole, algo hoy imposible porque los profesores no se responsabiliza por si le pasa algo”.

De ahí que Josu lleve años buscando en la tecnología una herramienta para facilitarles la vida. “Por fin es una realidad. El servicio de telemonitorización de Telefónica es un regalo porque nos va a permitir llevar siempre al médico en el bolsillo, en el móvil o en el tablet, y esto va a mejorar mucho el día a día de los diabéticos”.

Y para abrir camino Josu ha montado una expedición al campamento base del Everest con cuatro jóvenes diabéticos que irán equipados con este servicio. Gracias a él, estarán monitorizados por sus médicos desde España, con quienes se podrán comunicar en caso de necesitarlo.

Bibliotecas. Alerta



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33 municipios tendrán kioscos y bibliotecas digitales
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Books Update




August 31, 2012
Books Update

On the Cover of Sunday's Book Review

'Mortality'
By CHRISTOPHER HITCHENS
Reviewed by CHRISTOPHER BUCKLEY


This slender volume collects the essays written by Christopher Hitchens after he was stricken with esophageal cancer.

'Diaries'
By GEORGE ORWELL
Reviewed by BARRY GEWEN


George Orwell's diaries covered everything from his strong feelings about World War II to his careful counting of eggs laid by Moroccan hens.
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Also in the Book Review

Junot Díaz: By the Book


As a child, the author of the new story collection "This Is How You Lose Her" loved the unabashedly smart Encyclopedia Brown. "Smart was not cool where I grew up."
By the Book: Archive

'When We Argued All Night'
By ALICE MATTISON
Reviewed by MARIA RUSSO


Alice Mattison's novel follows the friendship of two men through the greater part of a century.

'The Garden of Evening Mists'
By TAN TWAN ENG
Reviewed by DOMINIQUE BROWNING


A war-scarred heroine finds solace in Japanese artistic traditions.

'Dublinesque'
By ENRIQUE VILA-MATAS. Translated by ANNE McLEAN and ROSALIND HARVEY.
Reviewed by RACHEL NOLAN


Enrique Vila-Matas's publisher-hero is on a mission.

'Summer Lies'
By BERNHARD SCHLINK. Translated by CAROL BROWN JANEWAY.
Reviewed by LISA ZEIDNER


In Bernhard Schlink's stories, diffident men grapple with the small delusions and half-truths of the everyday.

'Double Cross'
By BEN MACINTYRE
Reviewed by ALEXANDER ROSE


Ben Macintyre tells the story of five extraordinary spies at the center of a ruse to fool the Germans about D-Day.
Q. & A.: Ben Macintyre Talks About 'Double Cross'

'Crusoe'
By KATHERINE FRANK
Reviewed by RANDY BOYAGODA


Was the forgotten British seafarer Robert Knox the inspiration for "Robinson Crusoe"?

'The Age of Desire'
By JENNIE FIELDS
Reviewed by JUDITH MARTIN


Jennie Fields reimagines Edith Wharton's Gilded Age world, and the love affair that threatened her closest friendship.

'A Foreign Country'
By CHARLES CUMMING
Reviewed by JOHN SCHWARTZ


Charles Cumming's spy thriller links the past and the present.

'In the Kingdom of Men'
By KIM BARNES
Reviewed by JULIET LAPIDOS


A young American woman's experience in 1960s Saudi Arabia.

CRIME
Bad Neighborhood
By MARILYN STASIO


In Ruth Rendell's novel "The St. Zita Society," characters are undone by their own obsessions.
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The Shock of the New
By MARTIN AMIS


On their 50th anniversary, "A Clockwork Orange" and its sociopathic antihero still have the power to disturb.

Inside the List
By GREGORY COWLES


The mystery writer William Kent Krueger, whose novel "Trickster's Point" is at No. 12 on the hardcover list, once tried to emulate Ernest Hemingway by going without underwear.

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By IHSAN TAYLOR


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Book Review Podcast


This week, Christopher Buckley talks about Christopher Hitchens's "Mortality"; Julie Bosman has notes from the field; Barry Gewen discusses George Orwell's diaries; and Gregory Cowles has best-seller news. Sam Tanenhaus is the host.




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Editor's Note

Thanks for taking the time to read this e-mail. Feel free to send feedback; I enjoy hearing your opinions and will do my best to respond.

John Williams
Books Producer
The New York Times on the Web