sábado, 26 de enero de 2013

Las personas mayores deben “darse prisa y morir”



Hasta en los paises desarrolados los politicos muestran su falta de sensibilidad, en fin quiero ver que él se de prisa para morir


EL PAÍS Madrid 22 ENE 2013 - 16:00 CET408


Taro Aso en una rueda de prensa en 2008. / EFE

Taro Aso, ministro japonés de Finanzas, no se anda con medias tintas. El pasado lunes declaró que las personas mayores deben “darse prisa y morir” para aliviar los gastos del Estado en su atención médica. Declaraciones especialmente alarmantes en una sociedad en la que el 25% de la población tiene más de 60 años. El propio Aso tiene 72 años.

El ministro arremetió en una reunión del Consejo Nacional de Seguridad Social contra las tácticas de reanimación y los tratamientos para prolongar de vida, según publica hoyThe Guardian. “Se ven obligados a vivir cuando quieren morir. Yo me despertaría sintiéndome mal si sé que el tratamiento está pagado por el Gobierno". El ministro nipón no se quedó ahí. Se refirió a los ancianos que ya no pueden alimentarse a sí mismos como "gente de tubo".

A los pocos días tuvo que rectificar. Reconoció que sus declaraciones habían sido "inadecuadas" en un foro público e insistió en que estaba hablando solo de su preferencia personal. "Es importante que la gente pueda pasar los últimos días de su vida en paz", sentenció.

No es la primera vez que las declaraciones de este ministro tienen que ser matizadas. Aso, uno de los políticos japoneses más ricos y veteranos, ha cuestionado otras veces el papel del Estado con los mayores. En 2008, cuando era primer ministro, calificó de "chochos" a los pensionistas. En otra ocasión, en una reunión de economistas afirmó: "Veo a gente de 67 años o 68 constantemente ir al médico. ¿Por qué tengo que pagar por las personas que sólo comen y beben y no hacen ningún esfuerzo?".


En 50 años un 40% de la población japonesa será mayor de 60 años

Un cuarto de los 128 millones de habitantes de Japón tienen más de 60 años. Es el país más envejecido del mundo y en 50 años este sector de población supondrá el 40% de la población. Esto implica importantes gastos sociales en pensiones y sanidad, que han llevado al Gobierno conservador a aumentar un 10% los impuestos sobre el consumo a pesar de que recortará en los próximos presupuestos, que entran en vigor en abril, esta aportación.

El 40% de los hogares japoneses que reciben asistencia social tiene algún miembro mayor de 65 años, según un informe publicado esta semana. Aumenta el número de mayores que viven solos. En 2010, 4,6 millones de personas mayores vivían solas, y el número de los que murieron en el hogar aumentó un 61% entre 2003 y 2010, según la oficina de bienestar social y de salud pública en Tokio.

viernes, 25 de enero de 2013

Nuevos hábitos de lectura, los niños ya son lectores digitales


http://www.madrimasd.org/informacionidi/noticias/noticia.asp?id=55596&origen=notiweb&dia_suplemento=viernes

Nuevos hábitos de lectura, los niños ya son lectores digitales


Casi la mitad de los niños norteamericanos lee e-books en Estados Unidos, según el sondeo realizado por Scholastic Inc. Esta cifra supone una gran noticia para el sector digital, ya que implica que el número de lectores infantiles de formatos electrónicos se ha duplicado respecto a 2010, año en que solo alcanzaba el 25%.
FUENTE | media-tics

Coma y dolor/Coma and pain evaluation

Investigaciones electrofisiológicas de la función del cerebro en coma, en pacientes en estado vegetativo y con mínima conciencia.


Electrophysiological investigations of brain function in coma, vegetative and minimally conscious patients.
Lehembre R, Gosseries O, Lugo Z, Jedidi Z, Chatelle C, Sadzot B, Laureys S, Noirhomme Q.
Coma Science Group, Cyclotron Research Centre, University of Liège, Belgium. Email: remy.lehembre@ulg.ac.be.
Arch Ital Biol. 2012 Jun;150(2-3):122-39. doi: 10.4449/aib.v150i2.1374.
Abstract
Electroencephalographic activity in the context of disorders of consciousness is a swiss knife like tool that can evaluate different aspects of cognitive residual function, detect consciousness and provide a mean to communicate with the outside world without using muscular channels. Standard recordings in the neurological department offer a first global view of the electrogenesis of a patient and can spot abnormal epileptiform activity and therefore guide treatment. Although visual patterns have a prognosis value, they are not sufficient to provide a diagnosis between vegetative state/unresponsive wakefulness syndrome (VS/UWS) and minimally conscious state (MCS) patients. Quantitative electroencephalography (qEEG) processes the data and retrieves features, not visible on the raw traces, which can then be classified. Current results using qEEG show that MCS can be differentiated from VS/UWS patients at the group level. Event Related Potentials (ERP) are triggered by varying stimuli and reflect the time course of information processing related to the stimuli from low-level peripheral receptive structures to high-order associative cortices. It is hence possible to assess auditory, visual, or emotive pathways. Different stimuli elicit positive or negative components with different time signatures. The presence of these components when observed in passive paradigms is usually a sign of good prognosis but it cannot differentiate VS/UWS and MCS patients. Recently, researchers have developed active paradigms showing that the amplitude of the component is modulated when the subject's attention is focused on a task during stimulus presentation. Hence significant differences between ERPs of a patient in a passive compared to an active paradigm can be a proof of consciousness. An EEG-based brain-computer interface (BCI) can then be tested to provide the patient with a communication tool. BCIs have considerably improved the past two decades. However they are not easily adaptable to comatose patients as they can have visual or auditory impairments or different lesions affecting their EEG signal. Future progress will require large databases of resting state-EEG and ERPs experiment of patients of different etiologies. This will allow the identification of specific patterns related to the diagnostic of consciousness. Standardized procedures in the use of BCIs will also be needed to find the most suited technique for each individual patient.
http://www.architalbiol.org/aib/article/view/150122/23165873


Fiabilidad y validez de la herramienta del comportamiento facial, piernas, actividad, y llanto en la en la evaluación del dolor agudo en pacientes en estado crítico


Reliability and validity of the face, legs, activity, cry, consolability behavioral tool in assessing acute pain in critically ill patients.
Voepel-Lewis T, Zanotti J, Dammeyer JA, Merkel S.
University of Michigan Health System, Ann Arbor, USA. terriv@umich.edu
Am J Crit Care. 2010 Jan;19(1):55-61; quiz 62. doi: 10.4037/ajcc2010624.
Abstract
BACKGROUND: Few investigators have evaluated pain assessment tools in the critical care setting. OBJECTIVE: To evaluate the reliability and validity of the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale in assessing pain in critically ill adults and children unable to self-report pain. METHODS: Three nurses simultaneously, but independently, observed and scored pain behaviors twice in 29 critically ill adults and 8 children: before administration of an analgesic or during a painful procedure, and 15 to 30 minutes after the administration or procedure. Two nurses used the FLACC scale, the third used either the Checklist of Nonverbal Pain Indicators (for adults) or the COMFORT scale (for children). RESULTS: For 73 observations, FLACC scores correlated highly with the other 2 scores (rho = 0.963 and 0.849, respectively), supporting criterion validity. Significant decreases in FLACC scores after analgesia (or at rest) supported construct validity of the tool (mean, 5.27; SD, 2.3 vs mean, 0.52; SD, 1.1; P < .001). Exact agreement and kappa statistics, as well as intraclass correlation coefficients (0.67-0.95), support excellent interrater reliability of the tool. Internal consistency was excellent; the Cronbach alpha was 0.882 when all items were included.CONCLUSIONS: Although similar in content to other behavioral pain scales, the FLACC can be used across populations of patients and settings, and the scores are comparable to those of the commonly used 0-to-10 number rating scale.


http://ajcc.aacnjournals.org/content/19/1/55.full.pdf




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

Bibliotecas. Alerta

De las bibliotecas y los bibliófilos en ''Vida entre libros''
Informador.com.mx
Corina Armella presentó esta noche ''Vida entre libros'', publicación que retrata lasbibliotecas de 43 reconocidos personajes en la Ciudad de México y la relación que estos tienen para con los libros. El acto llevado a cabo en el auditorio del Archivo ...
Ver todos los artículos sobre este tema »
Informador.com.mx

Dopaje en las bibliotecas | InVito
según Francisco J. Sáenz de Valluerca López
En la Manly Library de Sydney (Australia), ha aparecido recientemente este aviso de que todos los libros de Lance Armstrong se pasarán a la sección de literatura de ficción. Según Wendy Ford, la bibliotecaria de relación con la comunidad ...
InVito


El Centro de Documentación Europea se integra en la red Europe ...
según Bibliotecas
El astronauta - Bibliotecas USAL ... El nuevo centro compartirá instalaciones con el Centro de Documentación Europea, dirigido por Luis Norberto González Alonso y situado en la BibliotecaFrancisco de Vitoria del Campus Unamuno.
El astronauta - Bibliotecas USAL

Gangnam Style en las bibliotecas | InVito
Parece que el Gangnam Style ha tenido éxito también en las bibliotecas, y hay unas cuantas que ...
diarium.usal.es/vito/2013/.../gangnam-style-en-las-bibliotecas/

Books Update NYT

http://www.nytimes.com/indexes/2013/01/25/books/booksupdate/index.html


January 25, 2013
Books Update



On the Cover of Sunday's Book Review

'The Insurgents'
By FRED KAPLAN
Reviewed by THANASSIS CAMBANIS


"The Insurgents," by Fred Kaplan, tells the story of David H. Petraeus and the small fraternity of strategists that changed the way America conceived of, and actually fought, war.




Also in the Book Review

'Invisible Armies'
By MAX BOOT
Reviewed by MARK MAZOWER


Max Boot's "Invisible Armies" covers much of the globe to recount the history of guerrilla warfare.

Alain de Botton: By the Book


The author of "How to Think More About Sex" was impressed as a young man by Kierkegaard's claim to read only "writings by men who have been executed."
By the Book: Archive

APPLIED READING
The Heat of Battle
By J. D. BIERSDORFER


Apps that explore the events of the Civil War and World Wars I and II.

'Kind of Kin'
By RILLA ASKEW
Reviewed by JONATHAN EVISON


A fraught issue - illegal immigration - divides an Oklahoma family and their town in Rilla Askew's novel.

'The Inventor and the Tycoon'
By EDWARD BALL
Reviewed by CANDICE MILLARD


Edward Ball explains how Eadweard Muybridge's work for a railroad magnate led to the movies.
Up Front: Candice Millard

'Rage Is Back'
By ADAM MANSBACH
Reviewed by KEVIN BAKER


In this novel, a graffiti crew reunites after 18 years to avenge one of its members.

'On Extinction: How We Became Estranged From Nature'
By MELANIE CHALLENGER
Reviewed by PAUL GREENBERG


Melanie Challenger travels in search of the species, cultures and industries touched by extinction.

Poetry Chronicle
By ERIC McHENRY


New poetry collections by Michael Robbins, Rowan Ricardo Phillips, Paula Bohince and Natalie Diaz.

'The Marlowe Papers'
By ROS BARBER
Reviewed by CHARLES NICHOLL


In Ros Barber's verse-novel, Christopher Marlowe fakes his own death in order to keep writing.

'Venice: A New History'
By THOMAS F. MADDEN
Reviewed by ADAM BEGLEY


A history of Venice, from the city's origins as a lagoon refuge to its apex as a maritime empire to its rebirth as a modern tourist hub.

'One for the Books'
By JOE QUEENAN
Reviewed by LIGAYA MISHAN


Joe Queenan considers his relationship with the printed word.
ArtsBeat Q. & A.: Joe Queenan

'Soundings'
By HALI FELT
Reviewed by MICHAEL WASHBURN


Marie Tharp mapped the seafloor and hit the glass ceiling.


jueves, 24 de enero de 2013

Perdida ósea humeral. Caso clínico.

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



Dr Benjamin Joel Torres Fernanez

Tumores de Columna. Generalidades



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



Dr Rogelio Solano Pérez

XIV Congreso Nacional 2013 AMCICO. México. Mérida. 2013











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





Evaluación de Riesgos y Restauración Ambiental

http://www.smo.edu.mx





Evaluación de Riesgos y Restauración Ambiental
Carlos E. Peña
Dean E. Carter
Felix Ayala-Fierro

RECONOCIMIENTO
Este trabajo se realizó gracias al apoyo del Instituto Nacional de Ciencias de la Salud Ambiental del Gobierno de los Estados Unidos de América dentro del Proyecto de Investigación Básica para el Superfund otorgado a la Universidad de Arizona (Grant P42 ESO 4940).

DESCRIPCIÓN GENERAL
1. INTRODUCCIÓN
2. TOXICOLOGIA AMBIENTAL
3. EVALUACIÓN DE RIESGOS AMBIENTALES
4. RESTAURACIÓN AMBIENTAL
5. PREVENCIÓN DE LA CONTAMINACIÓN
6. ANEXO
7. ÍNDICE DE FIGURAS Y TABLAS


Atte.
Dr.Máximo Cuadros Chávez

miércoles, 23 de enero de 2013

Bibliotecas. Alerta


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



Una biblioteca de Sydney cambia libros de Armstrong a la zona de ...
CNN México.com
(EFE) — Una biblioteca de Sydney trasladó todos los libros sobre Lance Armstrong a la sección de ficción, después de que el eciclista estadounidense confesara que consumió sustancias dopantes, informaron este lunes medios locales. "Todos los libros de ...
Ver todos los artículos sobre este tema »
CNN México.com

Biblioteca Nacional de España cumple 300 años
CanalNTN24
... video to your playlist. Sign in. Transcript Statistics Report. Published on Jan 20, 2013. La BibliotecaNacional de España festeja a lo grande su tercer centenario con una exposición que recoge las huellas del jazz, su historia y recorrido por el ...
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Biblioteca de Sídney cambia libros de Lance Armstrong a la sección ...
Una biblioteca de Sídney trasladó todos los libros sobre el exciclista estadounidense Lance Armstrong a la sección de ficción, después de que éste confesara ...
entretenimiento.terra.com/.../biblioteca-de-sidney-cambia-libro...



Biblioteca Nacional amplía su horario este 2013
Desde el siete de enero, la Biblioteca Nacional funciona bajo un nuevo horario, este va de las ...
www.culturacr.net/.../Biblioteca_Nacional_amplia_su_horario...



¿alguna biblioteca virtual que sirva de mucho apoyo por favor ...
Encuentra las respuestas de la pregunta ¿alguna biblioteca virtual que sirva de mucho apoyo por favor?, Libros y Autores en Yahoo! Respuestas. Descubre ...
espanol.answers.yahoo.com/question/index?qid...


Biblioteca de Sídney cambia libros de Lance Armstrong a la sección ...
Biblioteca de Sídney cambia libros de Lance Armstrong a la sección de ficción ♢ Una biblioteca de Sídney trasladó todos los libros sobre el exciclista ...
www.paginanoticias.com/.../Biblioteca-de-Sídney-cambia-libro...

Analgesia obstétrica/Obstetric analgesia

Dosis analgésica única intratecal para control del dolor del parto: ¿Una útil alternativa analgésica al bloqueo 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.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949078/pdf/0530437.pdf


Bloqueo del plano abdominal transverso para analgesia post cesárea. Revisión sistemática y meta-análisis


Transversus abdominis plane block for analgesia after Cesarean delivery: a systematic review and meta-analysis.
Mishriky BM, George RB, Habib AS.
Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 27710, USA.
Can J Anaesth. 2012 Aug;59(8):766-78. doi: 10.1007/s12630-012-9729-1. Epub 2012 May 24.
Abstract
PURPOSE: To assess the efficacy of transversus abdominis plane (TAP) block in improving analgesia following Cesarean delivery (CD). SOURCE: We searched MEDLINE, CENTRAL, EMBASE, and CINAHL for randomized controlled trials that assessed the efficacy of TAP block following CD and reported on postoperative pain scores and/or opioid consumption. Studies were combined according to the use or non-use of intrathecal morphine (ITM). Another analysis was performed for studies comparing TAP block with ITM. PRINCIPAL FINDINGS: Nine studies were included. Transversus abdominis plane block significantly reduced opioid consumption (mg morphine equivalents) after Cesarean delivery at six hours (mean difference [MD] -10.18; 95% confidence interval [CI] -13.03 to -7.34), at 12 hr (MD -13.83; 95% CI -22.77 to -4.89), and at 24 hr (MD -20.23; 95% CI -33.69 to -6.77). The TAP block also reduced pain scores for up to 12 hr and nausea in patients who did not receive ITM. When added to ITM, TAP block produced a small reduction in pain scores on movement in the first six hours (MD -0.82, 95% CI -1.52 to -0.11). When compared with ITM, pain scores on movement and opioid consumption at 24 hr were lower (MD 0.98; 95% CI 0.06 to 1.91 and MD 8.42 mg; 95% CI 1.74 to 15.10, respectively), and time to first rescue analgesic was longer with ITM (8 hr vs 4 hr), although opioid-related side effects were more common. CONCLUSION: Transversus abdominis plane block significantly improved postoperative analgesia in women undergoing CD who did not receive ITM but showed no improvement in those who received ITM. Intrathecal morphine was associated with improved analgesia compared with TAP block alone at the expense of an increased incidence of side effects.


http://link.springer.com/content/pdf/10.1007%2Fs12630-012-9729-1




Analgesia combinada epidural espinal versus analgesia peridural en trabajo de parto. ¿La analgesia espinal inicial reduce las concentraciones subsecuentes mínimas de bupivacaína peridural?
Combined spinal epidural vs epidural labour analgesia: does initial intrathecal analgesia reduce the subsequent minimum local analgesic concentration of epidural bupivacaine?
Patel NP, Armstrong SL, Fernando R, Columb MO, Bray JK, Sodhi V, Lyons GR.
Research Fellow in Obstetric Anaesthesia, University College London Hospitals NHS Trust, London, UK.
Anaesthesia. 2012 Jun;67(6):584-93.
Abstract
Labour analgesia initiated using a combined spinal-epidural (CSE) technique may reduce subsequent epidural bupivacaine requirements compared with an epidural-only technique. We compared the minimum local analgesic concentrations (MLAC) of epidural bupivacaine following initial intrathecal or epidural injection. In a prospective, double-blind study, 115 women requesting epidural analgesia were randomly assigned to receive either an epidural with bupivacaine 20 mg and fentanyl 40 μg or a CSE with intrathecal bupivacaine 2.5 mg and fentanyl 5 μg. Analgesia was assessed using a visual analogue pain score. When further analgesia was requested, bupivacaine 20 ml was given, and the concentration was determined using the technique of up-down sequential allocation. The MLAC of bupivacaine in the epidural group was 0.032% wt/vol (95% CI 0.020-0.044) compared with 0.047% wt/vol (95% CI 0.042-0.052) in the CSE group. Bupivacaine requirements for the second injection were increased following intrathecal analgesia by a factor of 1.45 (p = 0.026) compared with epidural analgesia.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2011.07045.x/pdf





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

e-books. Alerta



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



'E-book' de Spasmo Teatro abre las actividades culturales en las ...
20minutos.es
La programación de las Bibliotecas Municipales de Salamanca prevista para este primer trimestre del año se estrena este sábado, 26 de enero, con la puesta en escena de la obra de teatro infantil 'E-book', a cargo de la compañía Spasmo Teatro.
Ver todos los artículos sobre este tema »



La Comunidad apuesta por racionalizar el horario nocturno de las ...
Qué.es
La Comunidad de Madrid ha recordado este martes que 12 bibliotecas abren hasta la 1 horas hasta el 14 de febrero para facilitar la preparación de los exámenes y ha indicado que hace dos años la caída de usuarios del servicio a partir de esta hora fue ...
Ver todos los artículos sobre este tema »
Qué.es

Dispondrán bibliotecas formas para los impuestos
Bajo el Sol
Personal de la biblioteca estará encantado de ayudar con las búsquedas en Internet para los formularios e instrucciones, sin embargo, tenga en cuenta que el personal de la biblioteca no está capacitado en materia fiscal, y por lo tanto no puede ...
Ver todos los artículos sobre este tema »

Informe Horizon 2012 & bibliotecas | BiblogTecarios
El Informe Horizon de 2012, tradicional iniciativa del New Media Consortium, fija, mediante tres periodos, las tendencias y tecnologías que parece que ...
www.biblogtecarios.es/juanjoseprieto/horizon-2012-bibliotecas




Abuelitos formaron su propio club en bibliotecas de Bogotá ...
Del proyecto nació el libro Andariego, que cuenta con recetas y consejos caseros escritos por ellos mismos.Video para usuarios registrados: NoEmision: ...
www.noticiascaracol.com/.../video-284674-abuelitos-formaro...


Abuelitos formaron su propio club en bibliotecas de Bogotá - 21 de ...
Del proyecto nació el libro Andariego, que cuenta con recetas y consejos caseros escritos por ellos mismos. - 21 de enero de 2013 Visita: http://www. noticias...
www.youtube.com/watch?v=KOfeZXjCv9o&amp;list...

Bibliotecas. Alerta

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




Un tiroteo en la biblioteca de una universidad de EEUU dejó 3 heridos
Diario Uno
Testigos informaron que un hombre fue llevado fuera de la biblioteca esposado a una camilla, añadió el canal, que indicó también que decenas de policías corrían a través del campus en busca de un segundo sospechoso que habría escapado.
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La Biblioteca “José Manuel Estrada” abrió sus puertas en un nuevo ...
Tiempo de San Juan
Se llevó a cabo el acto de reinauguración de la Biblioteca Popular que pasó a funcionar en las instalaciones de CIC de Médano de Oro. Durante el evento el Intendente Gioja donó 39 libros de diversos géneros literarios.
Ver todos los artículos sobre este tema »
Tiempo de San Juan



Importante reconocimiento para la biblioteca popular de Seguí.
nuevazona
A través de una nota enviada al presidente de la Biblioteca Popular “Teresita Yugdar”, José Gabriel Cabrera, la CONABIP, por Disposición N° 044 reconoció a dicha entidad de Seguí como BibliotecaPopular Nacional, habiendo sido incorporada al registro ...
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La Biblioteca del Congreso de los EEUU archivará mensajes de ...
iprofesional.com (Comunicado de prensa)
400 millones de "tuits" diarios archivará la Biblioteca del Congreso de EE.UU., bajo el criterio de que son una pequeña pero muy importante parte de la narrativa estadounidense. "Una parte de nuestra misión en la Biblioteca del Congreso es recoger la ...
Ver todos los artículos sobre este tema »
iprofesional.com (Comunicado de prensa)


Biblioteca clasifica libros de Armstrong en la sección de ficción
Diario Metro de Puerto Rico
Una biblioteca de Sidney, Australia, anunció el lunes que los libros que tienen sobre el exciclista estadounidense Lance Armstrong iban a estar clasificados dentro de la sección de ficción, informó la prensa del país. Esta decisión vino tras las ...
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Diario Metro de Puerto Rico


La Biblioteca Nacional Francesa puja por el libro más escandaloso ...
Qué.es
La Biblioteca Nacional de Francia (BNF) está dispuesta a pagar unos 5 millones de dólares para poseer el manuscrito original de «Las 120 jornadas de Sodoma y Gomorra», el legendario relato escrito por el Marqués de Sade en la prisión de la Bastilla ...
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Qué.es


San Fernando: Polémica. Intendente le habría cortado subsidios a ...
Impulso Baires
San Fernando - A casi 140 años de su creación, la Biblioteca y Museo Popular “Juan N. Madero” de San Fernando, faro de cultura de una comunidad que la defendió siempre con orgullo y por donde pasaron figuras de la historia argentina, y con más de ...
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Impulso Baires


Video: Biblioteca Nicanor Parra / Mathias Klotz por Pablo Casals ...
según Katerina Gordon
Les presentamos este interesante video realizado por Pablo Casals-Aguirre de la esta obra del arquitecto chileno Mathias Klotz. Se trata de la Biblioteca Nicanor Parra, la nueva biblioteca central de la Universidad Diego Portales ubicada en ...
Plataforma Arquitectura

La Biblioteca del Congreso de los EE.UU. archivará mensajes de ...
400 millones de "tuits" diarios archivará la Biblioteca del Congreso de EE.UU., bajo el criterio de que son una pequeña pero muy importante parte de la ...
ar.noticias.yahoo.com/biblioteca-congreso-eeuu-archivará-me...

Secret Ingredient for Success



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


Fuente: http://www.nytimes.com/2013/01/20/opinion/sunday/secret-ingredient-for-success.html?src=me&ref=general

OPINION

Secret Ingredient for Success
By CAMILLE SWEENEY and JOSH GOSFIELD
Published: January 19, 2013


WHAT does self-awareness have to do with a restaurant empire? A tennis championship? Or a rock star’s dream?
Enlarge This Image
Marion Fayolle




David Chang’s experience is instructive.

Mr. Chang is an internationally renowned, award-winning Korean-American chef, restaurateur and owner of the Momofuku restaurant group with eight restaurants from Toronto to Sydney, and other thriving enterprises, including bakeries and bars, a PBS TV show, guest spots on HBO’s “Treme” and a foodie magazine, Lucky Peach. He says he worked himself to the bone to realize his dream — to own a humble noodle bar.

He spent years cooking in some of New York City’s best restaurants, apprenticed in different noodle shops in Japan and then, finally, worked 18-hour days in his tiny restaurant, Momofuku Noodle Bar.

Mr. Chang could barely pay himself a salary. He had trouble keeping staff. And he was miserably stressed.

He recalls a low moment when he went with his staff on a night off to eat burgers at a restaurant that was everything his wasn’t — packed, critically acclaimed and financially successful. He could cook better than they did, he thought, so why was his restaurant failing? “I couldn’t figure out what the hell we were doing wrong,” he told us.

Mr. Chang could have blamed someone else for his troubles, or worked harder (though available evidence suggests that might not have been possible) or he could have made minor tweaks to the menu. Instead he looked inward and subjected himself to brutal self-assessment.

Was the humble noodle bar of his dreams economically viable? Sure, a traditional noodle dish had its charm but wouldn’t work as the mainstay of a restaurant if he hoped to pay his bills.

Mr. Chang changed course. Rather than worry about what a noodle bar should serve, he and his cooks stalked the produce at the greenmarket for inspiration. Then they went back to the kitchen and cooked as if it was their last meal, crowding the menu with wild combinations of dishes they’d want to eat — tripe and sweetbreads, headcheese and flavor-packed culinary mashups like a Korean-style burrito. What happened next Mr. Chang still considers “kind of ridiculous” — the crowds came, rave reviews piled up, awards followed and unimaginable opportunities presented themselves.

During the 1970s, Chris Argyris, a business theorist at Harvard Business School (and now, at 89, a professor emeritus) began to research what happens to organizations and people, like Mr. Chang, when they find obstacles in their paths.

Professor Argyris called the most common response single loop learning — an insular mental process in which we consider possible external or technical reasons for obstacles.

LESS common but vastly more effective is the cognitive approach that Professor Argyris called double-loop learning. In this mode we — like Mr. Chang — question every aspect of our approach, including our methodology, biases and deeply held assumptions. This more psychologically nuanced self-examination requires that we honestly challenge our beliefs and summon the courage to act on that information, which may lead to fresh ways of thinking about our lives and our goals.

In interviews we did with high achievers for a book, we expected to hear that talent, persistence, dedication and luck played crucial roles in their success. Surprisingly, however, self-awareness played an equally strong role.

The successful people we spoke with — in business, entertainment, sports and the arts — all had similar responses when faced with obstacles: they subjected themselves to fairly merciless self-examination that prompted reinvention of their goals and the methods by which they endeavored to achieve them.

The tennis champion Martina Navratilova, for example, told us that after a galling loss to Chris Evert in 1981, she questioned her assumption that she could get by on talent and instinct alone. She began a long exploration of every aspect of her game. She adopted a rigorous cross-training practice (common today but essentially unheard of at the time), revamped her diet and her mental and tactical game and ultimately transformed herself into the most successful women’s tennis player of her era.

The indie rock band OK Go described how it once operated under the business model of the 20th-century rock band. But when industry record sales collapsed and the band members found themselves creatively hamstrung by their recording company, they questioned their tactics. Rather than depend on their label, they made wildly unconventional music videos, which went viral, and collaborative art projects with companies like Google, State Farm and Range Rover, which financed future creative endeavors. The band now releases albums on its own label.

No one’s idea of a good time is to take a brutal assessment of their animating assumptions and to acknowledge that those may have contributed to their failure. It’s easy to find pat ways to explain why the world has not adequately rewarded our efforts. But what we learned from conversation with high achievers is that challenging our assumptions, objectives, at times even our goals, may sometimes push us further than we thought possible. Ask David Chang, who never imagined that sweetbreads and duck sausage rice cakes with kohlrabi and mint would find their way beside his humble noodle dishes — and make him a star.


Camille Sweeney and Josh Gosfield are the authors of the forthcoming book “The Art of Doing: How Superachievers Do What They Do and How They Do It So Well.”


A version of this op-ed appeared in print on January 20, 2013, on page SR4 of the New York edition with the headline: Secret Ingredient For Success.

You Are Going to Die



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


http://opinionator.blogs.nytimes.com/2013/01/20/you-are-going-to-die/?src=me&ref=general



ANXIETY January 20, 2013, 9:00 pm560 Comments
You Are Going to DieBy TIM KREIDER


Anxiety: We worry. A gallery of contributors count the ways.

TAGS:

AGING, DEATH AND DYING,ELDERLY, LONGEVITY,RETIREMENT COMMUNITIES AND ASSISTED LIVING





My sister and I recently toured the retirement community where my mother has announced she’ll be moving. I have been in some bleak clinical facilities for the elderly where not one person was compos mentis and I had to politely suppress the urge to flee, but this was nothing like that. It was a very cushy modern complex housed in what used to be a seminary, with individual condominiums with big kitchens and sun rooms, equipped with fancy restaurants, grills and snack bars, a fitness center, a concert hall, a library, an art room, a couple of beauty salons, a bank and an ornate chapel of Italian marble. You could walk from any building in the complex to another without ever going outside, through underground corridors and glass-enclosed walkways through the woods. Mom described it as “like a college dorm, except the boys aren’t as good-looking.” Nonetheless I spent much of my day trying not to cry.

You are older at this moment than you’ve ever been before, and it’s the youngest you’re ever going to get.



At all times of major life crisis, friends and family will crowd around and press upon you the false emotions appropriate to the occasion. “That’s so great!” everyone said of my mother’s decision to move to an assisted-living facility. “It’s really impressive that she decided to do that herself.” They cited their own stories of 90-year-old parents grimly clinging to drafty dilapidated houses, refusing to move until forced out by strokes or broken hips. “You should be really relieved and grateful.” “She’ll be much happier there.” The overbearing unanimity of this chorus suggests to me that its real purpose is less to reassure than to suppress, to deny the most obvious and natural emotion that attends this occasion, which is sadness.

My sadness is purely selfish, I know. My friends are right; this was all Mom’s idea, she’s looking forward to it, and she really will be happier there. But it also means losing the farm my father bought in 1976, where my sister and I grew up, where Dad died in 1991. We’re losing our old phone number, the one we’ve had since the Ford administration, a number I know as well as my own middle name. However infrequently I go there, it is the place on earth that feels like home to me, the place I’ll always have to go back to in case adulthood falls through. I hadn’t realized, until I was forcibly divested of it, that I’d been harboring the idea that someday, when this whole crazy adventure was over, I would at some point be nine again, sitting around the dinner table with Mom and Dad and my sister. And beneath it all, even at age 45, there is the irrational, little-kid fear: Who’s going to take care of me? I remember my mother telling me that when her own mother died, when Mom was in her 40s, her first thought was: I’m an orphan.
Daehyun Kim

Plenty of people before me have lamented the way that we in industrialized countries regard our elderly as unproductive workers or obsolete products, and lock them away in institutions instead of taking them into our own homes out of devotion and duty. Most of these critiques are directed at the indifference and cruelty thus displayed to the elderly; what I wonder about is what it’s doing to the rest of us.

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Read previous contributions to this series.

Segregating the old and the sick enables a fantasy, as baseless as the fantasy of capitalism’s endless expansion, of youth and health as eternal, in which old age can seem to be an inexplicably bad lifestyle choice, like eating junk food or buying a minivan, that you can avoid if you’re well-educated or hip enough. So that when through absolutely no fault of your own your eyesight begins to blur and you can no longer eat whatever you want without consequence and the hangovers start lasting for days, you feel somehow ripped off, lied to. Aging feels grotesquely unfair. As if there ought to be someone to sue.

We don’t see old or infirm people much in movies or on TV. We love explosive gory death onscreen, but we’re not so enamored of the creeping, gray, incontinent kind. Aging and death are embarrassing medical conditions, like hemorrhoids or eczema, best kept out of sight. Survivors of serious illness or injuries have written that, once they were sick or disabled, they found themselves confined to a different world, a world of sick people, invisible to the rest of us. Denis Johnson writes in his novel “Jesus’ Son”: “You and I don’t know about these diseases until we get them, in which case we also will be put out of sight.”

My own father died at home, in what was once my childhood bedroom. He was, in this respect at least, a lucky man. Almost everyone dies in a hospital now, even though absolutely nobody wants to, because by the time we’re dying all the decisions have been taken out of our hands by the well, and the well are without mercy. Of course we hospitalize the sick and the old for some good reasons (better care, pain relief), but I think we also segregate the elderly from the rest of society because we’re afraid of them, as if age might be contagious. Which, it turns out, it is.

Because of all the stories we’ve absorbed, we vaguely imagine that our lives will take the shape of a narrative — the classic Aristotelian ramp diagram of gradual rising action (struggle and setbacks), climax (happy marriage, professional success), and a brief, cozy denoument (kicking back with family and friends, remembering the good times on a porch someplace pretty). But life is not shaped like a story; it’s an elongate and flattened bell curve, with an attenuated, anticlimactic decline as long as its beginning. Friends have described seeing their parents lose their faculties one by one, in more or less the reverse order that their young children are acquiring them.

Another illusion we can’t seem to relinquish, partly because large and moneyed industries thrive on sustaining it, is that with enough money and information we’ll be able to control how we age and die. But one of the main aspects of aging is the loss of control. Even people with the money to arrange to age in comfort can die in agony and indignity, gabbling like infants, forgetting their own children, sans everything. Death is a lot like birth (which people also gird themselves for with books and courses and experts) — everyone’s is different, some are relatively quick and painless and some are prolonged and traumatic, but they’re all pretty messy and unpleasant and there’s not a lot you can do to prepare yourself.

I’m not trying to romanticize the beauty of osteoporosis, the wisdom of Alzheimer’s or the dignity of incontinence. More than one old person has ordered me, “Do not get old.” They did not appear to be kidding. I’m not talking about Learning from the Invaluable Life Experience of Our Elders, or even suggesting we need to accept the inevitable with grace. I am all for raging against the dying of the light, and if they ever develop DNA rejuvenation or some other longevity technique I will personally claw, throttle and gouge my way through Warren Buffett, Rupert Murdoch and any number of other decrepit billionaires in order to be first in line.

But we don’t have a choice. You are older at this moment than you’ve ever been before, and it’s the youngest you’re ever going to get. The mortality rate is holding at a scandalous 100 percent. Pretending death can be indefinitely evaded with hot yoga or a gluten-free diet or antioxidants or just by refusing to look is craven denial. “Facing it, always facing it, that’s the way to get through,” Conrad wrote in “Typhoon.” “Face it.” He was talking about more than storms. The sheltered prince Siddartha Gautama was supposedly set on the path to becoming the Buddha when he was out riding and happened to see an old man, a sick man and a dead man. Today he’d be spared the discomfiture, and the enlightenment, unless he were riding mass transit.

Just yesterday my mother sent me a poem she first read in college — Langston Hughes’s “Mother to Son.” She said she could still remember where she was, in her dorm room at Goshen College, when she came across it in her American Lit book. The title notwithstanding, it does not make for Hallmark-card copy. Life for me ain’t been no crystal stair. It tells us that this life is not a story or an adventure or a journey of spiritual self-discovery; it’s a slog. And it orders us to keep going, don’t you dare give up, no matter what. Because I’m your mother, that’s why.

(Anxiety welcomes submissions at anxiety@nytimes.com. Unfortunately, we can only notify writers whose articles have been accepted for publication.)


Tim Kreider is the author of “We Learn Nothing,” a collection of essays and cartoons. His cartoon, “The Pain — When Will It End?” has been collected in three books by Fantagraphics.

This post has been revised to reflect the following correction:

Correction: January 21, 2013

An earlier version of this article misspelled Warren Buffett's surname.