viernes, 18 de marzo de 2011

El Víctor Ravens Diario


Viernes, Mar. 18, 2011
El Victor Ravens Diario
 compartido por Victor Ravens + 1152 usuarios seguidos en Twitter
agencia.conacyt.gob.mx -    Treinta ycuatro becarios conacyt se encuentran en Japón para realizar una especialidad.   Becarios Conacyt en Japón continúan sus actividades normales    Ciudad de México, 16 de marzo.- Los 38 e...

agenciaconacyt
health2news.com - Todd Park and Wil Yu of Health and Human Services and the Office of the National Coordinator for Health IT would like to invite San Diego-based health IT and m-health start-ups to an intimate mixer...

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latimes.com - With devastating images still coming from Japan following the earthquakes and tsunamis, earthquake safety and preparedness is on the top of Californians' minds. Although we may think we know what t...

LATimeshealth
huffingtonpost.com - A 25-year-old law student was sentenced to 120 hours of community service yesterday for repeatedly stomping an ibis to the point that it had to be euthanized after the bird apparently scared him wh...

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huffingtonpost.com - Shep Smith scolded Americans stocking up on potassium iodide pills due to fears of radiation poisoning coming from Japan, where a nuclear crisis is raging.Speaking to correspondent Trace Gallagher ...

MOVIE REVIEW


MOVIE REVIEW | 'LIMITLESS'

A Simple Prescription for Superior Powers

By A. O. SCOTT
An aspiring novelist finds a pharmaceutical cure for writer's block. But does he use this bounty to write more books?
Jodie Foster, far left, on the set of

When Art Imitates an Actor's Troubled Life

By MICHAEL CIEPLY
At the South by Southwest Festival, Jodie Foster discusses making "The Beaver" and her 
MOVIE REVIEW | 'PAUL'

Calm Down, People; He Comes in Peace

By MANOHLA DARGIS
An extraterrestrial and his human friends hit the road, seeing the best and worst America and its clich?s have to offer.
Paul Giamatti, left, with Alex Shaffer in
MOVIE REVIEW | 'WIN WIN'

Riding the Wave of Life's Indignities

By A. O. SCOTT
Paul Giamatti plays a struggling suburbanite facing the usual material and moral anxieties in "Win Win," Tom McCarthy's funny and warmhearted new film.
Marisa Tomei and Matthew McConaughey play ex-spouses in
MOVIE REVIEW | 'THE LINCOLN LAWYER'

Operating on the Margins of Pay-to-Play Justice

By MANOHLA DARGIS
Matthew McConaughey plays a Los Angeles shyster in "The Lincoln Lawyer," adapted from Michael Connelly's crime novel.
Bill Cunningham at work during a Fashion Week show in Chelsea, in Richard Press's documentary
MOVIE REVIEW | 'BILL CUNNINGHAM NEW YORK'

Capturing a 'Look at Me' Milieu With Impish Modesty

By CARINA CHOCANO
Richard Press's documentary "Bill Cunningham New York" follows that "On the Street" fashion photographer of The New York Times.
A scene from the documentary
MOVIE REVIEW | 'NOSTALGIA FOR THE LIGHT'

Chile's Past Is Present in the Desert

By STEPHEN HOLDEN
"Nostalgia for the Light" is the director Patricio Guzm?n's cinematic essay on the search for both our cosmic origins and disappeared political prisoners.
MOVIE REVIEW | 'THE GIFT TO STALIN'

Story of a Jewish Boy

By JEANNETTE CATSOULIS
"The Gift to Stalin," set in the Kazakh steppe in 1949, tells the story of a Jewish boy who escaped death in a purge and is taken in by an aging railway worker.
Eva Green as the coach, Miss G, in Jordan Scott's
MOVIE REVIEW | 'CRACKS'

At Desolate Girls' School, Diving Teacher Rules Roost

By STEPHEN HOLDEN
"Cracks," a gothically moody girls' school drama adapted from a Sheila Kohler novel, verges on a horror film.
Martijn Lakemeier as the son of the mayor in a Nazi-occupied village in
MOVIE REVIEW | 'WINTER IN WARTIME'

Teenager Encounters Adulthood and Nazis

By STEPHEN HOLDEN
Martin Koolhoven's "Winter in Wartime," set in a village in the Nazi-occupied Netherlands, is an adaptation of a semiautobiographical 1972 novel by Jan 

Dosis analgésica intratecal única para control del dolor de parto: ¿Es una alternativa útil de la analgesia epidural?


Dosis analgésica intratecal única para control del dolor de parto: ¿Es una alternativa útil de la analgesia epidural?
Single-dose intrathecal analgesia to control labour pain: is it a useful alternative to epidural analgesia?
Minty RG, Kelly L, Minty A, Hammett DC.
Northern Ontario School of Medicine, Sioux Lookout.rminty@gosiouxlookout.com
Can Fam Physician. 2007 Mar;53(3):437-42.
Abstract
OBJECTIVE: To examine the safety and efficacy of single-dose spinal analgesia (intrathecal narcotics [ITN]) during labour. QUALITY OF EVIDENCE: MEDLINE was searched and the references of 2 systematic reviews and a meta-analysis were reviewed to find articles on obstetric analgesia and pain measurement. The 33 articles selected included 14 studies, 1 meta-analysis, and 2 systematic reviews, all providing level I evidence. MAIN MESSAGE: The literature supports use of ITN as a safe and effective alternative to epidural anesthesia. The recent decrease in rates of episiotomies and use of forceps during deliveries means patients require less dense perineal anesthesia. The advantage of single-dose ITN is that fewer physicians and nurses are needed to administer it even though its safety and effectiveness are comparable with other analgesics. Use of ITN is associated with a shorter first stage of labour and more rapid cervical dilation. A combination of 2.5 mg of bupivacaine, 25 microg of fentanyl, and 250 microg of morphine intrathecally usually provides a 4-hour window of acceptable analgesia for patients without complications not anticipating protracted labour. The evolution in dosing of ITN warrants a re-examination of its usefulness in modern obstetric practice. CONCLUSION: Physicians practising modern obstetrics in rural and small urban centres might find single-dose ITN a useful alternative to parenteral or epidural analgesia for appropriately selected patients.
La morfina intratecal reduce el dolor incidental durante la analgesia epidural para el parto.
Intrathecal morphine reduces breakthrough pain during labour epidural analgesia.
Vasudevan A, Snowman CE, Sundar S, Sarge TW, Hess PE.
Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA.
Br J Anaesth. 2007 Feb;98(2):241-5. Epub 2007 Jan 8.
Abstract
BACKGROUND: When using the combined spinal-epidural (CSE) technique for labour analgesia, parturients often experience breakthrough pain after the spinal medication has receded. We tested the hypothesis that a small dose of intrathecal morphine would reduce breakthrough pain. METHODS: This was a randomized, double-blind, placebo-controlled trial. Subjects were randomized to receive either 100 microg of morphine (MS) or placebo (PLCB) with the spinal injection of bupivacaine and fentanyl. Assessments included need for supplementation during labour analgesia, use of pain medications for 24 h after delivery, and side-effects. The primary end-point was the rate of breakthrough pain. RESULTS: Sixty subjects were enrolled, 55 subjects completed the trial. The MS group had a significantly lower rate of breakthrough pain than the PLCB group [0.6 (0.6) vs 1.1 (0.8) episodes per patient; P < 0.01], and longer time to first episode of breakthrough pain (300 vs 180 min; P = 0.03). The MS group used 75% less opioid medications during the subsequent 24 h, but had a 17% incidence of nausea. CONCLUSIONS: The addition of small dose of morphine to the spinal component of the CSE technique improved the effectiveness of epidural labour analgesia and reduced the need for pain medications over 24 h, but resulted in a small increase in nausea.


Atentamente
Dr. Benito Cortes-Blanco 
Anestesiología y Medicina del Dolor

Art


Art

THEATER REVIEW | 'ARCADIA'

The 180-Year Itch, Metaphysically Speaking

By BEN BRANTLEY
"Arcadia," Tom Stoppard's tale of two centuries in pseudopastoral England, is propelled by genuine, panting passion.
Elton John was at Madison Square Garden on Wednesday, with the guests Leon Russell and Gregg Allman.
MUSIC REVIEW

What Lurks Under the Splashiness

By BEN RATLIFF
Elton John performed at Madison Square Garden on Wednesday night, only occasionally getting away from his default splashiness.
Tadej Brdnik, of the Martha Graham Dance Company, in Bulareyaung Pagarlava's
DANCE REVIEW

Bront?s and Medea, Bent Into New Forms

By ALASTAIR MACAULAY
The Martha Graham Dance Company performed two pieces from the Graham repertory and a new work by Bulareyaung Pagarlava on Wednesday at the