Densidad ósea elevada y salud ósea

Sedó Sarkis, Karin; de Medeiros Pinheiro, Marcelo; Lúcia Szejnfeld, Vera; Araújo Martini, Lígia

Publicado en Endocrinol Nutr. 2012;59:207-14. - vol.59 núm 03

El texto completo de este artículo sólo está disponible en: English

Descargar PDF en: English

Resumen

El objetivo de este artículo es revisar los aspectos principales relacionados con la Densidad Ósea Elevada (DOE) y analizar los mecanismos fisiológicos implicados en la salud ósea. No existen aún criterios bien definidos que sirvan para identificar a los individuos con DOE, y los estudios sobre el tema son escasos. La mayoría de los estudios demuestran que el exceso de peso, el sexo masculino, la raza negra, la actividad física, la ingesta de calcio y flúor y el uso de medicamentos como las estatinas y los diuréticos tiazídicos desempeñan un papel relevante y positivo en la Densidad Mineral Ósea (DMO). Además, se ha observado que los individuos con enfermedades tales como obesidad, diabetes, cáncer de mama positivo para receptores de estrógenos o cáncer del endometrio tienen mayor DMO que los individuos sanos; del mimo modo, se observa una mayor DMO en atletas frente a los que no lo son, sin que ello necesariamente sea sinónimo de salud ósea. Un mejor entendimiento de los factores de riesgo y de protección podría ayudar a mejorar el tratamiento de los pacientes con fragilidad ósea e incidir en la prevención de la osteoporosis, especialmente en los factores de riesgo no modificables.

Palabras clave Hueso y huesos. Dieta. Densidad ósea

 

Atte.

Dr.Máximo Cuadros Chávez

Ensayo no aleatorizado del tratamiento con acupuntura de la cefalea resistente a terapias convencionales

Collazo, E.

Publicado en Rev Soc Esp Dolor. 2010;17:359-65. - vol.17 núm 08

Leer en: English

Descargar PDF en: Español

Resumen

Objetivos

Valorar la efectividad global de la acupuntura como terapia complementaria en la reducción del dolor crónico en las cefaleas resistentes a terapias habituales en grupos apareados de pacientes en condiciones de práctica clínica real. Conocer en qué proporción disminuye el consumo de analgésicos en estos pacientes tras un ciclo de acupuntura. Determinar las reacciones adversas debidas a la acupuntura.

Material y métodos

Estudio cuasi-experimental en 56 pacientes ambulatorios con cefalea refractaria a tratamiento farmacológico convencional. Medición con una escala múltiple de valoración del dolor antes de iniciar el ciclo de tratamiento con acupuntura, después de realizar diagnóstico según la medicina tradicional china, y al terminar.

Resultados

Se ha obtenido un nivel de significación p<0,001 para el valor total de la escala de dolor y para cada una de sus variables (intensidad, frecuencia, consumo de analgésicos, discapacidad y sueño) antes y después del tratamiento con acupuntura. Tras la aplicación de un ciclo de acupuntura, el total de la escala de dolor disminuyó en un 50,8%; la intensidad, en un 48,3%; la frecuencia, en un 45%; el consumo de analgésicos, en un 48,5%; la discapacidad, en un 47%; el sueño mejoró en un 66,8%. No se observaron efectos adversos de la acupuntura. El 56% de las cefaleas fueron migrañas. El 14% de los sujetos presentaba intolerancia a fármacos.

Conclusiones

La acupuntura es un procedimiento que consume escasos recursos y es altamente efectiva en el tratamiento complementario de la cefalea crónica refractaria a tratamiento. La reducción en la ingesta de fármacos en pacientes con dolor se traduce en un incremento de la calidad de vida, disminución de efectos secundarios, reducción del coste para el sistema sanitario y aumento de la satisfacción del usuario en pacientes con cefalea crónica refractaria.

Palabras clave Acupuntura. Cefalea intratable. Terapia combinada. Resultados del tratamiento

 

Atte.

Dr.Máximo Cuadros Chávez

THE EVOLUTION OF EMAIL ( INFOGRAPHIC )

THE EVOLUTION OF EMAIL ( INFOGRAPHIC )

5:37 PMinforgraphic0 commentsMed kharbach

Emails are probably number one means of communication in a world that is digitally focused. Can you still remember your first email address and how you were excited to read your first email? We have grown up to nurture such a loving relationship to emails for they are part and parcel of our life. Be it for professional purpoese or personal ones, emails are always there to do the job.

Email has constantly evolved since the first email that was sent over ARPANET in 1971. No longer are internet users limited only to Microsoft offers. There is now a wide variety of email services and most of them are free like Gmail, Yahoo, AOL, MSN, and many more. In this regard, I am sharing with you the infographic below that will let you trace the evolution of Email. You can share it with your students and let them have an idea of what emails can do for us.


Click on the image below to be directed to the Infographic page then click again to enlarge it.

Tags: inforgraphic

Payaso

payaso Uno de los personajes tradicionales de la commedia italiana era una especie de bufón, vestido con ropas estrafalarias confeccionadas con la misma tela burda que se usaba para recubrir los colchones de paja. Por esa razón, se le llamó pagliaccio, palabra formada a partir del italiano paglia 'paja', derivado del latín paleae, palearum. En francés, en la segunda mitad del siglo XVIII, se llamaba a este personajepaillasse, una antigua palabra que desde hacía cinco siglos significaba "bolsa de paja". En castellano, la palabra payaso aparece registrada en 1884, en un poema de Manuel Breton de los Herreros: Otro con importunas contorsiones Cual payaso en grotesca pantomima Piensa mover del pueblo las pasiones. Pero ya figuraba en el Diccionario de la Academia en su edición de 1817, como «el que en los volatines y fiestas semejantes hace el papel de gracioso, con ademanes, trages y gestos ridículos».

El uso de un sistema de puntuación para guiar la tromboprofilaxis en una población de embarazadas de alto riesgo

El uso de un sistema de puntuación para guiar la tromboprofilaxis en una población de embarazadas de alto riesgo The use of a scoring system to guide thromboprophylaxis in a high-risk pregnant population. Schoenbeck D, Nicolle A, Newbegin K, Hanley J, Loughney AD. Department of Women's Services and Royal Victoria Infirmary, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UK. Thrombosis.2011;2011:652796. Epub 2011 Sep 8. Abstract Guidelines for thromboprophylaxis in pregnancy are usually based upon clinical observations and expert opinion. For optimal impact, their use must be attended by consistency in the advice given to women. In this observational study, we evaluated the performance of a scoring system, used as a guide for clinicians administering dalteparin to pregnant women at increased risk of venous thromboembolism. The work included 47 women treated with dalteparin prior to adoption of the scoring system and 58 women treated with dalteparin after its adoption. The indication for thromboprophylaxis was recorded in each case together with details of the regimen employed, obstetric, and haematological outcomes. The main outcome measure was to determine whether consistency improved after adoption of the scoring system. We also recorded the occurrence of any new venous thromboembolism, haemorrhage, the use of regional anaesthesiaduring labour, evidence of allergy, and thrombocytopenia. We found that use of the scoring system improved the consistency of advice and increased the mean duration of thromboprophylaxis. None of the subjects suffered venous thromboembolism after assessment using the scoring system. There was no increase in obstetric or anaesthetic morbidity when dalteparin was given antenatally period and no evidence of heparin-induced thrombocytopenia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200277/pdf/THROMB2011-652796.pdf

Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

March 30, 2012 Books Update

On the Cover of Sunday's Book Review 'City of Bohane' By KEVIN BARRY Reviewed by PETE HAMILL This sprawling first novel is set in a gang-infested Ireland about 40 years from now, when two tough men battle for the love of one woman. Also in the Book Review The Second Shelf By MEG WOLITZER Are there different rules for men and women in the world of literary fiction? 'Wild: From Lost to Found on the Pacific Crest Trail' By CHERYL STRAYED Reviewed by DANI SHAPIRO The story of a life-transforming wilderness hike. 'An American Spy' By OLEN STEINHAUER Reviewed by BEN MACINTYRE His C.I.A. unit in tatters, Olen Steinhauer's hero fights back.  Up Front: Ben Macintyre 'The Sugar Frosted Nutsack' By MARK LEYNER Reviewed by BEN MARCUS In Mark Leyner's antic novel, the universe begins when a gang of deities pulls up in a van.  Mark Leyner, World-Champion Satirist, Returns to Reclaim His Crown 'Abundance: The Future Is Better Than You Think' By PETER H. DIAMANDIS and STEVEN KOTLER Reviewed by JON GERTNER Pointing to technology, Peter H. Diamandis and Steven Kotler offer an optimistic take on the future. 'The Undead' By DICK TERESI Reviewed by ELIZABETH ROYTE Dick Teresi explores the issues of death determination and organ donation. 'Enemies: A History of the FBI' By TIM WEINER Reviewed by KEVIN BAKER Tim Weiner describes the F.B.I.'s history of spectacular intelligence failures. 'Mudwoman' By JOYCE CAROL OATES Reviewed by MARIA RUSSO Repression comes at a high price for a beleaguered university president in Joyce Carol Oates's psychological thriller. 'Birds of a Lesser Paradise' By MEGAN MAYHEW BERGMAN Reviewed by POLLY ROSENWAIKE The people in these stories draw strength from their relationships with birds and other animals. 'Charlotte au Chocolat' By CHARLOTTE SILVER Reviewed by LIGAYA MISHAN How a girl grew up in her mother's glamorous restaurant. 'Autumn in the Heavenly Kingdom' By STEPHEN R. PLATT Reviewed by GORDON G. CHANG The 19th-century Taiping rebellion hobbled a dynasty and shaped the fate of modern China. 'Stalking Nabokov: Selected Essays' By BRIAN BOYD Reviewed by LELAND de la DURANTAYE Nabokov's biographer looks at his own career.

BEST SELLERS Combined Print & E-Book Fiction Combined Print & E-Book Nonfiction Hardcover Fiction Hardcover Nonfiction Paperback Trade Fiction Paperback Mass-Market Fiction Paperback Nonfiction All the Lists Back Page SKETCHBOOK | GRANT SNIDER GRAPHIC: The Book of the Future When it comes time to redesign our reading devices, we may end up looking to the past. TBR Inside the List By GREGORY COWLES Anne Lamott, whose new book enters the hardcover nonfiction list at No. 9, is dispensing her daffy, neurotic, inspirational punch lines on Twitter. Editors' Choice Recently reviewed books of particular interest. Paperback Row By IHSAN TAYLOR Paperback books of particular interest. Book Review Podcast This week, Mark Leyner discusses his new novel, "The Sugar Frosted Nutsack"; Julie Bosman has notes from the field; Meg Wolitzer on the cultural reception of fiction written by women; Tim Weiner talks about his new history of the F.B.I.; and Gregory Cowles has best-seller news. Sam Tanenhaus is the host. Reading Crews, a Novelist as Swaggering as His Characters Harry Crews, a Darkly Comic Novelist, Dies at 76 Calling All Artists REVIEWS BY THE TIMES'S CRITICS 'Draw It With Your Eyes Closed' 'Drift: The Unmooring of American Military Power' by Rachel Maddow 'Wild' by Cheryl Strayed 'The New Republic' by Lionel Shriver 'The Master Blaster' by P. F. Kluge ARCHIVE Crime Columns Children's Books The New York Times Book Review: Back Issues 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