CURSO “PEDI@TÍPS ORTOPÉDICOS”

CURSO “PEDI@TÍPS ORTOPÉDICOS”

CURSO 
“PEDI@TÍPS ORTOPÉDICOS”

COORDINADOR GENERAL:
DR. JOSÉ CORTÉS GÓMEZ

FECHA: 26, 27 Y 28 DE JUNIO 2013

HORARIO: 8:00 A 14:00 HRS.

SEDE: SALA “B” UNIDAD DE CONGRESOS
INSTITUTO NACIONAL DE PEDIATRIA

DIRIGIDO A:
RESIDENTES DE PEDIATRÍA Y ORTOPEDIA,
ORTOPEDISTAS, MEDICOS GENERALES,
TRABAJADORAS SOCIALES.

INFORMES:
drjosecortes@me.com
ortopediatra@me.com
www.ortopedistapediatra.com

INSURGENTES SUR No. 3700-C
COL. INSURGENTES-CUICUILCO
C.P. 04530
MÉXICO, D.F.
TEL. 10-84-09-00 EXT. 1317

SESIÓN DE ORTOPEDIA / ONDAS DE CHOQUE / Ortopedia Hospital Angeles Pedregal

SESIÓN DE ORTOPEDIA / ONDAS DE CHOQUE / Ortopedia Hospital Angeles Pedregal

Ortopedia Hospital Ángeles Pedregal

ESTIMADOS COMPAÑEROS:

LES RECUERDO QUE EL DIA 28 DE FEBRERO DEL 2013 SE LEVARA A CABO LA SESIÓN DE ORTOPEDIA
CON EL TEMA :

ONDAS DE CHOQUE

CON EL DR.EDSON ANTONIO SERRANO CARPIO QUE VIENE DE PERÚ 

LES RECUERDO QUE ES EN E CLUB MEDICO A LAS 20 HRS.

COORDINACIÓN DE ORTOPEDIA — en Hospital Ángeles del Pedregal

Hospital · Evento · Médico

Dirección Camino Santa Teresa 10700 Mexico City, Mexico Teléfono 5449 5500 Sitio web http://www.hospitalangelespedregal.com.mx/

Más de miocardiopatía periparto/More on peripartum cardiomyopathy

Cardiomiopatía periparto: una revisión  Peripartum cardiomyopathy: a review. Capriola M. Thomasville Medical Center, Department of Emergency Medicine, Thomasville Medical Center, Thomasville, NC, USA. Int J Womens Health. 2013;5:1-8. doi: 10.2147/IJWH.S37137. Epub 2012 Dec 28. Abstract Peripartum cardiomyopathy (PPCM) is a form of dilated cardiomyopathy of unclear etiology affecting women without preexisting heart disease during the last month of pregnancy or during the first 5 months postpartum. Its incidence shows marked geographic and ethnic variation, being most common in Africa and among women of African descent. Most women present in the first month postpartum with typical heart failure symptoms such as dyspnea, lower extremity edema, and fatigue. These symptoms are often initially erroneously diagnosed as part of the normal puerperal process. Diagnosis can be aided by the finding of a significantly elevated serum brain natriuretic peptide. The etiology of PPCM is unclear; however, recent research suggests abnormal prolactin metabolism is seminal in its development, and prolactin antagonism with bromocriptine shows promise as a novel treatment for PPCM. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536353/pdf/ijwh-5-001.pdf     Curso clínico variable de la cardiomiopatía periparto  The variable clinical course of peripartum cardiomyopathy. Krejci J, Hude P, Spinarova L, Zampachova V, Sirotkova A, Freiberger T, Nemcova E, Vitovec J. International Clinical Research Center - 1st Internal Cardio-Angiological Clinic, St. Anne's University Hospital Brno, Czech Republic. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2012 Oct 31. doi: 10.5507/bp.2012.080. Abstract BACKGROUND: In Europe, peripartum cardiomyopathy (PPCM) is a rare disorder, often difficult to diagnose and it has a variable clinical course. The aim of this report was to describe and discuss the individual variability of this disorder and its management. PATIENTS AND METHODS: Three cases of PPCM manifesting as severe heart failure are compared. Common was the presence of myocardial inflammation detected by endomyocardial biopsy. Different were treatment methods and clinical course. Modern therapeutic concepts such as immunosuppressive therapy and bromocriptin administration are discussed, as well as non-pharmacological approaches. CONCLUSION: In the differential diagnostics of dyspnea associated with pregnancy and childbirth, PPCM should be considered. The potentially severe course of the disease requires hospitalization with the possibility of comprehensive heart failure treatment, including non-pharmacological approaches such as device therapy and heart transplantation. http://biomed.papers.upol.cz/getrevsrc.php?identification=public&mag=bio&raid=413&type=fin&ver=2     Una emergencia obstétrica llamada cardiomiopatía periparto  An obstetric emergency called peripartum cardiomyopathy! Shaikh N. Department of Anesthesia/ICU and Pain Management, Hamad Medical Corporation, Doha-Qatar. J Emerg Trauma Shock. 2010 Jan;3(1):39-42. doi: 10.4103/0974-2700.58664. Abstract Peripartum cardiomyopathy (PPCM) is a rare obstetric emergency affecting women in late pregnancy or up to five months of postpartum period. The etiology of PPCM is still not known. It has potentially devastating effects on mother and fetus if not treated early. The signs, symptoms and treatment of PPCM are similar to that of heart failure. Early diagnosis and proper management is the corner stone for better outcome of these patients. The only way to prevent PPCM is to avoid further pregnancies. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823141/  Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

“In Ixtli in Yollotl”

Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 27 de Febrero 2013 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “In Ixtli in Yollotl” por el “Dr. Guillermo Gutiérrez Calleros.” Pediatra- Neonatólogo de la Cd. de Phoenix Az. La sesión inicia puntualmente las 21 hrs.
Para entrar a la Sala de Conferencia:
1.- hacer click en la siguiente liga, o cópiala y escríbela en tu buscador

http://connectpro60196372.adobeconnect.com/in_ixtli_in_yollotl/

2.- “Entra como Invitado” Escribes tu nombre y apellido en el espacio en blanco
3.- Hacer click en el espacio que dice “Entrar en la Sala”
5.- A disfrutar la conferencia 6.- Recomendamos que dejes tu Nombre Completo, Correo electrónico y que participes.

Henrys


Dr. Enrique Mendoza López
Webmaster: CONAPEME
Coordinador Nacional: Seminario Ciberpeds-Conapeme
Av La clinica 2520-310
Colonia Sertoma ,Mty N.L. México
CP 64710
Tel-Fax 52 81 83482940 y 52 81 81146053
Celular 8183094806
www.conapeme.org
www.pediatramendoza.com
enrique@pediatramendoza.com
emendozal@yahoo.com.mx

Cardiomiopatía periparto y anestesia/Anesthesia and peripartum cardiomyopathy

                http://www.smo.edu.mx/anuncio_residentes6.htm

Cardiomiopatía periparto y anestesia/Anesthesia and peripartum cardiomyopathy

Anestesia epidural combinada y bloqueo de nervios periféricos guiado con ultrasonido para revisión de la herida en una paciente con cardiomiopatía periparto  Combined epidural anesthesia and ultrasound guided peripheral nerve block for wound revision in a patient with peripartum cardiomyopathy -A case report-. Gong TK, Kim SS. Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea. Korean J Anesthesiol. 2010 Nov;59(5):353-8. doi: 10.4097/kjae.2010.59.5.353. Epub 2010 Nov 25. Abstract Peripartum cardiomyopathy (PPCM) is a rare complication that occurs between the late stage of pregnancy and six months after delivery. PPCM presents as symptoms of left ventricular dysfunction and it can be fatal unless treated promptly. Furthermore, anesthesia and surgery in such patients is a large challenge to anesthesiologists. First and foremost, the maintenance of stable hemodynamics is a major concern. We report a case of combined lumbar epidural anesthesia and both ilioinguinal and iliohypogastric nerve block under ultrasound guided for a wound revision in a 37-year-old woman diagnosed with PPCM after an emergency cesarean section. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2998658/pdf/kjae-59-353.pdf     Informe de caso y mini revisión de literatura: manejo anestésico de cardiomiopatía periparto complicada con pre-eclampsia usando sufentanil en anestesia combinada peridural-espinal  Case report and mini literature review: anesthetic management for severe peripartum cardiomyopathy complicated with preeclampsia using sufetanil in combined spinal epidural anesthesia. Bhakta P, Mishra P, Bakshi A, Langer V. Department of Anesthesiology, Sultan Quaboos University Hospital, Muscat, Sultanate of Oman. Yonsei Med J. 2011 Jan;52(1):1-12. doi: 10.3349/ymj.2011.52.1.1. Abstract Peripartum cardiomyopathy (PPCM) is a rare entity, and anesthetic management for cesarean section of a patient with this condition can be challenging. We hereby present the anesthetic management of a patient with PPCM complicated with preeclampsia scheduled for cesarean section, along with a mini review of literature. A 24 year-old primigravida with twin gestation was admitted to our hospital with severe PPCM and preeclampsia for peripartum care, which finally required a cesarean section. Preoperative optimization was done according to the goal of managing left ventricular failure. Combined spinal epidural (CSE) anaesthesia with bupivacaine and sufentanil was used for cesarean section under optimal monitoring. The surgery was completed without event or complication. Postoperative pain relief was adequate and patient required only one epidural top up with sufentanil 6 hours after operation. To the best of our knowledge there is no report in literature of the use of sufentanil as a neuraxial opioid in the anesthetic management of cesarean section in a patient with PPCM. CSE with sufentanil may be a safer and more effective alternative in such cases. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017683/pdf/ymj-52-1.pdf     Dosis baja de anestesia espinal en cardiomiopatía periparto Low dose spinal anesthesia for peripartum cardiomyopathy. Gupta K, Gupta SP, Jose S, Balachander H. Department of Anesthesia and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. J Anaesthesiol Clin Pharmacol. 2011 Oct;27(4):567-8. doi: 10.4103/0970-9185.86615. Peripartum cardiomyopathy is a dilated cardiomyopathy associated with cardiac failure in the last month of pregnancy or within five months of delivery. There is no identifiable cause of cardiac failure, no heart disease prior to the last month of pregnancy, and left ventricular systolic dysfunction. It has an incidence of one per 3500 live births and is associated with a high mortality rate (30-60%). Patients present with breathlessness, chest pain, pedal edema, cardiomegaly, and elevated jugular venous pressure (JVP). Complications like atrial/ventricular arrhythmias, congestive heart failure, pulmonary emboli, and even sudden death can occur. There is a strong association with gestational hypertension and twin pregnancies. The rate of Cesarean delivery increases. Many patients with left ventricular dysfunction become normal after delivery. There is a potential detrimental effect of subsequent pregnancy on the outcome of these patients. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214576/   Miocardiopatía periparto y edema agudo pulmonar  Luis Razzeto-Ríos,  Luis Diego Razzeto-Rubio Rev Per Ginecol Obstet. 2009;55:211-214. Resumen Una mujer de 31 años, en la semana 34 de su segunda gestación, ingresó por dolor abdominal difuso de instauración brusca. En la exploración se objetivó una dilatación del cuello uterino de 7 cm, presentación transversa del feto, por lo que se indicó cesárea urgente, que se realizó bajo anestesia subaracnoidea, sin incidencias. Al segundo día del postoperatorio, la paciente inició un cuadro compatible con edema agudo del pulmón. Se le realizó una ecocardiografía, que mostró una disfunción sistólica global del ventrículo izquierdo, con fracción de eyección de 32%, y se diagnosticó miocardiopatía periparto, con insuficiencia respiratoria aguda por insuficiencia cardíaca. Se trató con furosemida y captopril y la evolución fue favorable. Al alta hospitalaria, la ecocardiografía mostró un ventrículo izquierdo de tamaño y espesor normal y fracción de eyección de 50%. La miocardiopatía periparto es una forma de insuficiencia cardíaca que se produce en el último trimestre de embarazo o durante los seis primeros meses del puerperio, en ausencia de una causa demostrable de disfunción ventricular y de enfermedad cardíaca previa. De acuerdo con la presentación clínica y con los hallazgos ecocardiográficos encontrados en esta paciente, consideramos que la miocardiopatía periparto fue la causa del edema agudo de pulmón. Se comunica el primer caso en el Perú. Palabras clave: Miocardiopatía periparto, edema agudo pulmonar http://sisbib.unmsm.edu.pe/bvrevistas/ginecologia/vol55_n3/pdf/A12V55N3 .pdf  Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

¿A qué se llama libertad de pensar?

http://www.smo.edu.mx/colegiados/congreso-virtual.php


La libertad no se concibe
ni se ejerce cabalmente
si la responsabilidad no
la acompaña como la
sombra al cuerpo que
la proyecta.
• • •
El derecho de pensar con
libertad es tan necesario al
hombre como el derecho
de vivir, pues esto último
es la consecuencia de lo
primero.
• • •
La libertad más sagrada
es la libertad de pensar.

No nos referimos a la libertad de emitir opiniones, consagrada por nuestras leyes, sino a la libertad de pensar, en su íntimo sentido: la posibilidad de reflexionar y obrar, en todo momento, con independencia de prejuicios, de ideas ajenas, del qué dirán, etc., y asimismo, no hacer, pensar, ni decir lo que no debemos.
En este sentido, ¿quién se supone ampliamente libre?
En diversas oportunidades hicimos notar que casi todos creemos obrar conforme a nuestra voluntad y ser dueños de nuestra mente, sin advertir que tercian en tal circunstancia factores que son ajenos a nuestro propósito —algunos de ellos del más dudoso origen—, cuales serían los muchos pensamientos que suelen
adueñarse de la mente y obran burlando el control del hombre.
Observe el lector a esas personas cuya vida es el reflejo del torbellino psicológico que reina en su mente.
Cambian sin cesar de dirección, de ruta, de propósito; jamás se sienten seguras de nada; aquí y allá, tratan de adquirir, prestada, la convicción o la certeza que nunca pueden lograr por sí mismas.
Hoy le piden a un libro, mañana a un conferencista, después a una ideología, a una religión, a un partido, etc.
¿Tienen estas personas libertad de pensamiento? ¿Piensan, obran de acuerdo a su voluntad? Fácil es la
respuesta: la voluntad se encuentra en ellas dominada por conciliábulos de pensamientos ajenos que, a cierta altura de la vida, llegan a serles tan necesarios como el alcaloide al toxicómano. «No puedo darle mi opinión sobre este punto; todavía no he leído los diarios...».
Esta sutileza de Bernard Shaw encierra, desgraciadamente, una verdad común. Y obsérvese también el caso de aquellos que están absorbidos por un pensamiento, en forma que llega casi a constituir su obsesión. En circunstancias como ésta, el individuo termina muchas veces por adquirir las características del pensamiento que lo embarga, y hasta su nombre; se dice: «fulano es un bebedor», «es un maniático», «es un amargado».
En el primero de los ejemplos que hemos expuesto, es decir, cuando los pensamientos se suceden sin orden
ni concierto en la mente, hablar de la libertad que se tiene para satisfacer los deseos, es un contrasentido. Estas personas no hacen lo que «quieren» sino lo que «pueden»; lo poco que pueden alcanzar entre los vaivenes y los tumbos que les produce la heterogénea mezcla de pensamientos que llevan en su interior. En el segundo ejemplo, es bien claro que no es la voluntad de la persona la que actúa, sino el pensamiento que la obsesiona. El gobierno del individuo está ejercido —dictatorialmente— por uno o varios pensamientos que forman un deseo, el cual instiga a los instintos hasta obligarlos a satisfacer las exigencias de los mismos.
Mientras el ser viva ajeno por completo a cuanto ocurre en su región mental y no conozca la clave mediante la cual pueda obtener un severo control sobre ella, no podrá jamás alegar que es dueño de sí mismo y, por tanto, no podrá pensar libremente.

Fuente: http://www.logosofia.org.ar/institucional/que-es-logosofia.php

Enfermedades graves y embarazo/Pregnacy and critical illness

http://www.smo.edu.mx/jornada2013/

Enfermedades graves y embarazo/Pregnacy and critical illness

Revisión clínica. Población especial - enfermedades graves y embarazo


Clinical review: Special populations--critical illness and pregnancy.
Neligan PJ, Laffey JG.
Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Newcastle Road, Galway, Co, Galway, Ireland.patrick.neligan@hse.ie
Crit Care. 2011 Aug 12;15(4):227. doi: 10.1186/cc10256.
Abstract
Critical illness is an uncommon but potentially devastating complication of pregnancy. The majority of pregnancy-related critical care admissions occur postpartum. Antenatally, the pregnant patient is more likely to be admitted with diseases non-specific to pregnancy, such as pneumonia. Pregnancy-specific diseases resulting in ICU admission include obstetric hemorrhage, pre-eclampsia/eclampsia, HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome, amniotic fluid embolus syndrome, acute fatty liver of pregnancy, and peripartum cardiomyopathy. Alternatively, critical illness may result from pregnancy-induced worsening of pre-existing diseases (for example, valvular heart disease, myasthenia gravis, and kidney disease). Pregnancy can also predispose women to diseases seen in the non-pregnant population, such as acute respiratory distress syndrome (for example, pneumonia and aspiration), sepsis (for example, chorioamnionitis and pyelonephritis) or pulmonary embolism. The pregnant patient may also develop conditions co-incidental to pregnancy such as trauma or appendicitis. Hemorrhage, particularly postpartum, and hypertensive disorders of pregnancy remain the most frequent indications for ICU admission. This review focuses on pregnancy-specific causes of critical illness. Management of the critically ill mother poses special challenges. The physiologic changes in pregnancy and the presence of a second, dependent, patient may necessitate adjustments to therapeutic and supportive strategies. The fetus is generally robust despite maternal illness, and therapeutically what is good for the mother is generally good for the fetus. For pregnancy-induced critical illnesses, delivery of the fetus helps resolve the disease process. Prognosis following pregnancy-related critical illness is generally better than for age-matched non-pregnant critically ill patients.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387584/pdf/cc10256.pdf



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

Historia y algo más/History and more

http://www.smo.edu.mx/

Este mes en la historia de la anestesiología: Febrero This Month in Anesthesia History: February 1723 February 25: Christopher Wren died in London. Around 1660 the English architect and astronomer began to experiment with the transfusion of blood between animals and intravenous injections into animals. An account of his work was published in the Philosophical Transactions of the Royal Society of London in 1665.  [see Bergman NA. Early intravenous anesthesia: an eyewitness account. Anesthesiology 72:185-186, 1990] Recent biographies of Wren include Lisa Jardine's On a Grander Scale: The Outstanding Life of Christopher Wren and Adrian Tinniswood's His Invention So Fertile: A Life of Christopher Wren. http://ahahq.org/Calendar/February.php     Un informe de la conferencia James Watson en la Universidad de Yale A report of the James Watson lecture at Yale University. Smith-Vikos T. Department of Molecular, Cellular, and Developmental Biology, Yale University, New Haven, CT 06520, USA. thalyana.smith-vikos@yale.edu Yale J Biol Med. 2012 Sep;85(3):417-9. Epub 2012 Sep 25. Abstract In March 2012, Nobel Prize winner James Watson gave a seminar at Yale University entitled "Driven by Ideas." In his lecture, Watson discussed his personal vision for the future of science, specifically addressing how the scientific community should approach developing anticancer agents. He discussed the use of glycolytic inhibitors as anticancer agents due to the Warburg effect, as well as the benefits of metformin and anti-inflammatory drugs to help prevent cancer. He also compared drugs that target cell proliferation instead of targeting cell growth. Additionally, Watson commented on the mechanisms for how research should be conducted in the laboratory. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3447206/pdf/yjbm_85_3_417.pdf    Una conversación con Robert Lefkowitz, Joseph Goldstein y Michael Brown A conversation with Robert Lefkowitz, Joseph Goldstein, and Michael Brown Ushma S. Neill and Howard A. Rockman J Clin Invest. 2012 May 1; 122(5): 1586-1587. Published online 2012 May 1. doi: 10.1172/JCI64244 Today we shift the format of our Conversations with Giants in Medicine and allow three of our most charismatic giants (Robert Lefkowitz, Joseph Goldstein, and Michael Brown) to interview each other. Lefkowitz (Duke University) is known for his seminal discoveries in understanding G protein-coupled receptor function. The legendary partnership between Brown and Goldstein (University of Texas Southwestern Medical Center) has spanned four decades. Together they were awarded the 1985 Nobel Prize in Physiology or Medicine acknowledging their discovery of the LDL cholesterol receptor and its role in the regulation of cholesterol metabolism. The full interview can be seen on the JCI website, http://www.jci.org/kiosk/cgm. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337006/

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

Más de miocardiopatía periparto/More on peripartum cardiomyopathy

                                             http://www.smo.edu.mx/

Cardiomiopatía periparto: una revisión  Peripartum cardiomyopathy: a review. Capriola M. Thomasville Medical Center, Department of Emergency Medicine, Thomasville Medical Center, Thomasville, NC, USA. Int J Womens Health. 2013;5:1-8. doi: 10.2147/IJWH.S37137. Epub 2012 Dec 28. Abstract Peripartum cardiomyopathy (PPCM) is a form of dilated cardiomyopathy of unclear etiology affecting women without preexisting heart disease during the last month of pregnancy or during the first 5 months postpartum. Its incidence shows marked geographic and ethnic variation, being most common in Africa and among women of African descent. Most women present in the first month postpartum with typical heart failure symptoms such as dyspnea, lower extremity edema, and fatigue. These symptoms are often initially erroneously diagnosed as part of the normal puerperal process. Diagnosis can be aided by the finding of a significantly elevated serum brain natriuretic peptide. The etiology of PPCM is unclear; however, recent research suggests abnormal prolactin metabolism is seminal in its development, and prolactin antagonism with bromocriptine shows promise as a novel treatment for PPCM. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536353/pdf/ijwh-5-001.pdf     Curso clínico variable de la cardiomiopatía periparto  The variable clinical course of peripartum cardiomyopathy. Krejci J, Hude P, Spinarova L, Zampachova V, Sirotkova A, Freiberger T, Nemcova E, Vitovec J. International Clinical Research Center - 1st Internal Cardio-Angiological Clinic, St. Anne's University Hospital Brno, Czech Republic. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2012 Oct 31. doi: 10.5507/bp.2012.080. Abstract BACKGROUND: In Europe, peripartum cardiomyopathy (PPCM) is a rare disorder, often difficult to diagnose and it has a variable clinical course. The aim of this report was to describe and discuss the individual variability of this disorder and its management. PATIENTS AND METHODS: Three cases of PPCM manifesting as severe heart failure are compared. Common was the presence of myocardial inflammation detected by endomyocardial biopsy. Different were treatment methods and clinical course. Modern therapeutic concepts such as immunosuppressive therapy and bromocriptin administration are discussed, as well as non-pharmacological approaches. CONCLUSION: In the differential diagnostics of dyspnea associated with pregnancy and childbirth, PPCM should be considered. The potentially severe course of the disease requires hospitalization with the possibility of comprehensive heart failure treatment, including non-pharmacological approaches such as device therapy and heart transplantation. http://biomed.papers.upol.cz/getrevsrc.php?identification=public&mag=bio&raid=413&type=fin&ver=2     Una emergencia obstétrica llamada cardiomiopatía periparto  An obstetric emergency called peripartum cardiomyopathy! Shaikh N. Department of Anesthesia/ICU and Pain Management, Hamad Medical Corporation, Doha-Qatar. J Emerg Trauma Shock. 2010 Jan;3(1):39-42. doi: 10.4103/0974-2700.58664. Abstract Peripartum cardiomyopathy (PPCM) is a rare obstetric emergency affecting women in late pregnancy or up to five months of postpartum period. The etiology of PPCM is still not known. It has potentially devastating effects on mother and fetus if not treated early. The signs, symptoms and treatment of PPCM are similar to that of heart failure. Early diagnosis and proper management is the corner stone for better outcome of these patients. The only way to prevent PPCM is to avoid further pregnancies. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823141/  entamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

LOS EFECTOS DE UN MENU DE COMIDA BASURA EN EL ORGANISMO

http://www.smo.edu.mx/





LOS EFECTOS DE UN MENU DE COMIDA BASURA EN EL ORGANISMO nutricionyantiaging.blogspot.com.es

De sobra es conocido por todos que la ingesta frecuente de comida basura es perjudicial, pero ¿te has parado a pensar cuáles son los efectos de una sola ingesta?. Los investigadores de la Canadian Cardiovascular Society se...

Miocardiopatía periparto/Peripartum cardiomyopathy

                                                      http://www.smo.edu.mx/

Miocardiopatía periparto Miocardiopatía periparto Diego Felipe Polanía Ardila, Solón Navarrete Hurtado, Edgar Mariano Acuña Osorio, Rafael Alberto Álvarez Rosero. Rev Insuf Cardíaca 2009; (Vol 4) 4:177-183  La miocardiopatía periparto no es una patología frecuente; sin embargo, presenta una alta tasa de mortalidad, elevándose aún más cuando el diagnóstico y el tratamiento no se realizan en forma temprana1,2. Las primeras descripciones de la entidad se realizaron alrededor de la década de 1870, cuando Virchow y Porack describieron un proceso de degeneración miocárdica en pacientes quienes fallecieron en el período postparto. Sin embargo, no fue sino hasta el año 1973 cuando se describe que la causa de la falla cardíaca en las pacientes con estas características se debía a una cardiopatía dilatada, diferente de la cardiopatía generada por el estrés del embarazo. Desde ese momento, se reconoce a la miocardiopatía periparto como una entidad distinta del resto de las cardiomiopatías. El propósito de esta revisión es principalmente realizar una descripción de los mecanismos involucrados en la fisiopatología, las manifestaciones clínicas, el diagnóstico y el tratamiento de la enfermedad. http://www.scielo.org.ar/pdf/ic/v4n4/v4n4a06.pdf   Cardiomiopatía periparto: experiencia en un centro terciario Asiático  Peripartum cardiomyopathy: experience in an Asian tertiary centre. Lim CP, Sim KL. National Heart Centre Singapore, 17 Third Hospital Avenue, Singapore 168752. lim.choon.pin@nhcs.com.sg. Singapore Med J. 2013 Jan;54(1):24-7. Abstract Introduction: Peripartum cardiomyopathy (PPCM) is a rare but life-threatening condition. We report 11 patients admitted to the National Heart Centre Singapore with a diagnosis of PPCM over a period of 14 months. Methods: Baseline demographics, pregnancy history, haematology, serum biochemistry and echocardiographic findings of women admitted with a diagnosis of PPCM were analysed. Results: The incidence of PPCM was 0.89 per 1,000 live births in our cohort. 63.6% of the patients were Malay and 27.3% were Chinese. 45.5% of the patients were smokers and 45.5% had a history of pregnancy-induced hypertension or preeclampsia. There was no maternal mortality. Mean left ventricular ejection fractions at diagnosis and at six months were 26.9% ± 9.1% and 51.9% ± 10.6%, respectively. Mean left ventricular internal diameters in end-diastole at diagnosis and at six months were 5.5 ± 0.5 cm and 5.1 ± 0.6 cm, respectively. All patients were treated successfully for the acute episode and all but one patient had returned to New York Heart Association functional class I status at six months. Conclusion: PPCM remains a rare condition and appears to occur more commonly in Malay patients. Smoking and pregnancy-induced hypertension appear to be significant risk factors. While short-term outcome remains excellent, collaborative studies with other tertiary centres will help enhance our understanding of the long-term management of and clinical outcomes in these patients. http://www.sma.org.sg/UploadedImg/files/SMJ/5401/5401a1.pdf      Evolución favorable despues de cardiomiopatía periparto: estudios de 10 años sobre miocardiopatía periparto en un hospital universitario  Favourable outcome after peripartum cardiomyopathy: a ten-year study on peripartum cardiomyopathy in a university hospital. Chee KH. Department of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia. cheekh@um.edu.my. Singapore Med J. 2013 Jan;54(1):28-31. Abstract Introduction: Peripartum cardiomyopathy (PPCM) is an uncommon form of congestive heart failure, affecting obstetric patients around the time of delivery. The epidemiology of PPCM is infrequently reported. This study was undertaken to define the prevalence, presentation and outcome of PPCM among women giving birth in a teaching hospital in Malaysia. Methods: A retrospective case record analysis was conducted on all patients admitted and diagnosed with PPCM at the University Malaya Medical Centre, Kuala Lumpur, Malaysia, from 1 January 2000 to 31 December 2009. All deliveries were undertaken in the same hospital. Results: A total of 12 patients were diagnosed with PPCM during the ten-year study period. The prevalence of PPCM was 2.48 in 100,000 (1 in 40,322) live births. Nine women were diagnosed with PPCM within five months of delivery. Three women had twin pregnancies. There was one death in the group (mortality rate 8.3%). The mean left ventricular ejection fraction at the time of diagnosis was 28.9% ± 8.5% (range 15%-40%). Following the index event, left ventricular function normalised in six of the nine patients (66.7%) who underwent subsequent echocardiography one year later. All patients were treated with standard heart failure therapy. Two patients with normalised left ventricular function had subsequent pregnancies - one pregnancy was terminated at seven weeks and the other patient delivered uneventfully at full term. Conclusion: PPCM is uncommon. The outcome in our series was favourable, with 66.7% of patients with PPCM recovering their left ventricular function. The mortality rate was 8.3%. http://www.sma.org.sg/UploadedImg/files/SMJ/5401/5401a2.pdf  Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

Books Update. NYT

http://www.nytimes.com/indexes/2013/02/22/books/booksupdate/index.html


February 22, 2013
Books Update

On the Cover of Sunday's Book Review

'The Love Song of Jonny Valentine'
By TEDDY WAYNE
Reviewed by JESS WALTER


The Bieberesque 11-year-old hero of Teddy Wayne's new novel is beginning to realize that he's a confection - manufactured, managed and manipulated by a corporate team of adults.
Up Front: Jess Walter

'Little Known Facts'
By CHRISTINE SNEED
Reviewed by CURTIS SITTENFELD


Christine Sneed's novel stars a 50-something movie star, an idol along the lines of Harrison Ford, and his family and colleagues.
Also in the Book Review

Jackie Collins: By the Book


The author of "Hollywood Wives" and, most recently, "The Power Trip," believes "The Great Gatsby" is the best love story ever. Fitzgerald, she says, had sexual chemistry down.
By the Book: Archive

'Give Me Everything You Have'
By JAMES LASDUN
Reviewed by SCOTT BRADFIELD


James Lasdun describes the experience of being stalked by a disturbed former student.

'See Now Then'
By JAMAICA KINCAID
Reviewed by FERNANDA EBERSTADT


In Jamaica Kincaid's novel, an ugly divorce ends the domestic idyll of a New England family.

'Detroit: An American Autopsy'
By CHARLIE LEDUFF
Reviewed by PAUL CLEMENS


A journalist and Detroit native searches for clues to the city's fate.

'Umbrella'
By WILL SELF
Reviewed by JUDITH SHULEVITZ


In Will Self's neo-modernist novel, a woman who has languished for decades in a mental hospital is briefly revived from oblivion.

'Unfinished Empire: The Global Expansion of Britain'
By JOHN DARWIN
Reviewed by ALEX VON TUNZELMANN


From ramshackle trading posts to the princely states of India, John Darwin examines 500 years of British expansion.

'City of Angels: Or, The Overcoat of Dr. Freud'
By CHRISTA WOLF. Translated by DAMION SEARLS.
Reviewed by JOSHUA HAMMER


In this autobiographical novel, Christa Wolf wrestles with her ambiguous cooperation with the Stasi.

'Life Among Giants'
By BILL ROORBACH
Reviewed by HALEY TANNER


This novel involves a dead rock star and an unsolved double homicide, nighttime trysts, affairs, embezzling and illicit recordings.

'Gods Like Us'
By TY BURR
Reviewed by CARYN JAMES


A cultural history of movie stardom examines our worship and resentment of screen icons.

'The Searchers: The Making of an American Legend'
By GLENN FRANKEL
Reviewed by J. HOBERMAN


Glenn Frankel sorts through the layers of history in a classic film.

Fiction Chronicle
By ALISON McCULLOCH


New books by Sarah Selecky, Whitney Otto, Lynne Sharon Schwartz, David Park and Christine Schutt.

CRIME
The Bank Job
By MARILYN STASIO


Roger Hobbs's "Ghostman" is named after the most elusive gang member - the guy who makes everything disappear.

Homenaje al dr Sergio Estrada Parra. ENCB-IPN. México 2013