Llorar como terapia

sábado 26 de febrero de 2011

Llorar como terapia

Hay ciertos nudos que nuestro corazón solo puede aliviar llorando.

En consulta lo comparto con mis pacientes. No existe pastilla que pueda aliviar cuando el corazón pena. Las lágrimas lo pueden hacer. Nos vuelven humanos,  nos vuelven vulnerables, nos liberan del peso.

Y en esas lágrimas nos encontramos todos, pacientes y terapeutas, enfermos y sanos. En esa agua salada, que nos recuerda que llevamos por dentro océanos de vida, imparable, infinita.

Permitámonos llorar esas penas que arrastramos por dentro, y liberar así al corazón de un lastre.

Forensic Science Service: hero or villain?

Forensic Science Service: hero or villain? - February 25, 2011

Britain’s plans to close its respected Forensic Science Service could devastate research in the field, a parliamentary inquiry has been told. But the FSS has also been criticised by those giving evidence for keeping its own research secret.

The UK’s coalition government announced plans last year to wind up the Forensic Science Service, which was turned into a commercial company in 2005. This triggered warnings that the move could be a body blow to UK researchers (see: Fears mount for forensic research).

Many of the leading lights in the field have reiterated those warnings in written evidence to a select committee inquiry on the closure.

“If the proposed closure of the Forensic Science Service (FSS) goes ahead it will severely damage the research and development of scientific methods for the successful investigation of crime and the logical evaluation and interpretation of evidence,” warns the Statistics and Law working group of the Royal Statistical Society in its evidence.

The emergence of new ideas in forensics will be “severely curtailed” by the loss of the FSS, say many of those giving evidence. The developer of DNA forensics, Alec Jeffreys, says that the loss of expertise from its closure and the loss of a focal point for UK forensic science could delay the uptake of new techniques from academia by front-line forensics. It is, he says, “potentially disastrous”.

Not everyone agrees on the eminent reputation of the FSS though.

Director of the Forensic Institute, Allan Jamieson, says, “In our experience, the recent much-lauded FSS Ltd research - for example, on Low Copy Number or LCN DNA profiling - has not been subject to proper scientific scrutiny. This scrutiny is made even more difficult by the resistance of the FSS Ltd to disclose data and, even when disclosure is forced by the Courts, the insistence that the data cannot be disclosed to the scientific community.”

Data disclosure could be a fraught issue in future. In his evidence – and in conversation with the BBC - Peter Gill of the University of Oslo says that courts have and will reject evidence if companies try to keep their proprietary methods secret.

He notes a recent case where the judge criticized the FSS for using a commercially confidential database that was not available for peer review or to other scientists. A retrial was ordered in that case.

“Commercialisation does not promote exchange of data, collaboration and convergence,” he writes. “Neither does it promote openness.”

Exhibits 1 through 3: inquiry evidence in quotes

“Research and development cost money, and not all techniques and processes that are looked into will yield financially viable products for a private firm. Without any established research, there is unlikely to be any future development of forensic science, except for any that has currently been completed by the Forensic Science Service but is not yet available to any of the privately owned providers.”
Current FSS scientist Colin Osmond.

“If the FSS is wound down, it is not clear who will fill the R&D vacuum. R&D, which is an extremely expensive long-term function, cannot be allowed to stagnate. Whilst other companies clearly have a R&D role, the impact of the loss of the FSS research function should not be underestimated.”
The Criminal Cases Review Commission, established by the government to investigate alleged miscarriages of justice.
“The proposed closure of the Forensic Science Service is ill-thought out, premature and at this stage likely to undermine the international status and reputation of what has been achieved in this field over many years.”
Independent forensic scientist Ronald Denney.

Posted by Daniel Cressey on February 25, 2011
Categories: Policy | Permalink | Comments (0) | TrackBacks (0)

Diario Pediátrico en españo

Diario Pediátrico en español

Cine y Pediatría (59). Películas seleccionadas al Oscar con sabor a infancia 

pediatriabasadaenpruebas.com - El gobernador español Felipe de Neve fundó en 1781 el Pueblo de Nuestra Señora la Reina de los Ángeles, que con los años paso a denominarse como Los Ángeles o, incluso, como L.A. Mientras el nombre...

Pediatria

Evidencias en Pediatria - Toma de decisiones clínicas basadas en pruebas científicas 

evidenciasenpediatria.es - Aparicio Rodrigo M, Balaguer Santamaría A. Dudosos beneficios del sulfato de magnesio inhalado asociado a agonistas beta en el asma aguda. Evid Pediatr. 2006;2:6. Resumen | Artículo completo | PDF ...

evidpediatria

"Evidencias en Pediatría", en la Biblioteca Cochrane Plus 

pediatriabasadaenpruebas.com - Desde esta semana es posible recuperar todos los artículos valorados críticamente de la revista electrónica "Evidencias en Pediatría", correspondientes al año 2010, a través de la Biblioteca Cochra...

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Evidencias en Pediatria - El uso simultáneo de dos antivirales no aporta ventajas en el tratamiento de la gripe en adultos 

evidenciasenpediatria.es - Objetivo: comparar la eficacia virológica (EV) a corto plazo y la eficacia clínica (EC) del tratamiento combinado oseltamivir-zanamivir (OZ) frente a monoterapia con oseltamivir (O) o zanamivir (Z)...

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El presidente chileno 'tuitea' (y se equivoca)  

elpais.com - ¿Imaginan al presidente José Luis Rodríguez Zapatero tuiteando ayer: "Voy camino del Congreso de los Diputados. Hoy conmemoramos un día histórico"? Hay presidentes que sí lo hacen, y no hablamos de...

Azul de metileno: revisado

Azul de metileno: revisado Methylene blue: Revisited Ginimuge PR, Jyothi SD. J Anaesth Clin Pharmacol 2010;26:517-20 Methylene blue, an inhibitor of nitric oxide synthase and guanylate cyclase has many uses in medicine. It has been found to improve the hypotension associated with various clinical states. It also improves hypoxia and hyper dynamic circulation in cirrhosis of liver and severe hepatopulmonary syndrome. It also results in transient and reproducible improvement in blood pressure and cardiac function in septic shock PDF disponible en este enlace  http://www.joacp.org/text.asp?2010/26/4/517/74599 Azul demetileno: utilidad en el tratamiento de la hipotensión arterialrefractaria en prematuros López-Suárez O, Pérez-Muñuzuri A, Baña-Souto A, Crespo-Suárez P, Couce-Pico ML, Fernández-Lorenzo JR An Pediatr (Barc). 2011 Feb 5. [Epub ahead of print] La hipotensión arterial del shock séptico se produce en parte como consecuencia de la liberación de mediadores inflamatorios. En este contexto, el exceso de óxido nítrico (NO)desempeña un papel en el desarrollo de dicha hipotensión, tal y como demuestran distintos trabajos que revelan niveles altos de nitratos, nitritos y metaboli tos del NO en recién nacidos con sepsis. Por este motivo, los inhibidores de la enzima NO sintasa se han ensayado con resultados variables, en el tratamiento del shock séptico.   Disponible en el siguiente enlace http://www.elsevier.es/ficheros/eop/S1695-4033(10)00552-7.pdf    Envenenamiento con indoxacarb: una presentación rara de metahemoglobinemia Indoxacarb poisoning: A rare presentation as methemoglobinaemia. Chhabra R, Singh I, Tandon M, Babu R. Department of Anaesthesiology and Intensive Care, Jaipur Golden Hospital, New Delhi, India. Indian J Anaesth. 2010 May;54(3):239-41 Abstract Indoxacarb is a broad-spectrum non-organophosphorus oxidiazine insecticide widely used in farming. Once absorbed it acts on sodium channels and blocks the flow of sodium ions. We report a case of indoxacarb poisoning in a farmer following suicidal consumption, manifested as unconsciousness, cyanosis and stationary SpO(2) values. Methemoglobinaemia was suspected on clinical presentation which was successfully managed with inj. methylene blue and other symptomatic and supportive treatment. Enlace para bajar el artículo http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933484/?tool=pubmed   Experiencia anestesiológica con metahemoglobinemia detectada durante anestesia general para gastrectomía en cáncer avanzado. Informe de caso Anesthetic experience of methemoglobinemia detected during general anesthesia for gastrectomy of advanced gastric cancer -A case report-. Cho SS, Park YD, Noh JH, Kang KO, Jun HJ, Yoon JS. Department of Anesthesiology, Seoul Veterans Hospital, Seoul, Korea. Korean J Anesthesiol. 2010 Nov;59(5):340-3. Epub 2010 Nov 25. Abstract Methemoglobinemia is an uncommon but potentially fatal disorder. Most cases have no adverse clinical consequence and require no treatment, but methemoglobinemia is often overlooked as a cause of low oxygen saturation, and often mistaken for the more common causes of hypoxia by anesthesiologists despite simple bedside tests that indicate the presence of this treatable abnormality. We present a 68-year-old female patient who underwent gastrectomy for advanced gastric cancer with bleeding. In the preoperative period, the patient showed cyanosis and oxygen saturation was 85% by pulse oximeter, but oxygen saturation by arterial blood gas analysis was 100%. After tracheal intubation, the methemoglobin level was 18.3%. Ascorbic acid and methylene blue were administered. During preanesthetic evaluation, the patient had not informed the anesthesiologist that she had been taking dapsone En este enlace puede bajar el PDF http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2998655/pdf/kjae-59-340.pdf

Atentamente Dr. Enrique Hernández-Cortes Anestesiología y Medicina del Dolor www.anestesia-dolor.org

Health Tip: Managing Chronic Fatigue Syndrome

Suggestions to help you cope

By Diana Kohnle

Thursday, February 24, 2011

Related MedlinePlus Page

• Chronic Fatigue Syndrome

(HealthDay News) -- Chronic fatigue syndrome (CFS) can make even the simplest daily activities -- such as taking a shower or getting dressed -- completely exhausting, the Womenshealth.gov Web site says.

The site offers these suggestions for coping with CFS:

• Keep a log of your activities, and when your symptoms are worse.
• Avoid doing things that seem to worsen fatigue and other symptoms.
• Work with an occupational therapist to help you learn to do things in ways that conserve your energy.
• Compare how much energy you feel like you had during the day to how much energy you actually used. This may slowly help you gain more energy over time.
• Don't push yourself too hard physically, mentally or emotionally.
• Take any prescription and over-the-counter medications recommended by your doctor.
• Before trying any alternative therapies, such as yoga or massage, talk to your doctor first.

HealthDay

Copyright (c) 2011 HealthDay. All rights reserved.

More Health News on:

Chronic Fatigue Syndrome

PERSEO

PERSEO: "Una de las mayores preocupaciones de la sociedad española es la necesidad de que, desde la infancia, se adopten hábitos de vida adecuados que permitan el desarrollo de una vida sana y plena.
La elevada prevalencia de obesidad que padecemos en España tiene su origen en múltiples factores, pero los más importantes se relacionan con el progreso tecnológico, las condiciones sociales y laborales y el estilo de vida actual. Estos cambios han modificado los hábitos alimentarios y han disparado el sedentarismo.
Dado que los hábitos de vida se forman durante los primeros años de la vida, la escuela constituye un lugar óptimo para desarrollar programas de educación y promoción de la salud.
Los Ministerios de Sanidad, Política Social e Igualdad, y de Educación junto a las Consejerías de Sanidad y Educación de seis Comunidades Autónomas han puesto en marcha el Programa PERSEO (Programa piloto escolar de referencia para la salud y el ejercicio, contra la obesidad).
Este programa piloto consiste en un conjunto de intervenciones sencillas en los centros escolares que pretenden promover hábitos de vida saludables entre los alumnos, implicando también a las familias y actuando simultáneamente sobre el comedor y el entorno escolar para facilitar la elección de las opciones más sanas."