lunes, 26 de diciembre de 2016

Medwave edición diciembre 2016

Medwave edición diciembre 2016
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ESTUDIO PRIMARIO
Reporte de conocimientos, creencias y actitudes en calidad de atención y seguridad del paciente en alumnos de pregrado: validando el cuestionario APSQ-III modificado
Ezequiel García Elorrio, Dolores Macchiavello, Viviana Rodriguez, Yael Catalano, Giuliana Corna, Josefina Dahinten, Marina Ontivero (Argentina)
Medwave 2016 Dic;16(11):e6809

NOTA TÉCNICA
Carcinoma de células basales pigmentado simulando un melanoma de extensión superficial
Paula Hasbún Acuña, Roberto Cullen Aravena, César Maturana Donaire, Raúl Ares Mora, Ninoska Porras Kusmanic (Chile)
Medwave 2016 Dic;16(11):e6805
EPISTEMONIKOS
¿Son efectivos los probióticos para prevenir la diarrea del viajero?
Yazmín Pinos, Victoria Castro-Gutiérrez, Gabriel Rada (Chile)
Medwave 2016;16(Suppl5):e6807
 

¿Cuál es el rol de la proteína C activada en el tratamiento de la sepsis?
Juan Alvarado, Ricardo Castro (Chile)
Medwave 2016; 16(Suppl5):e6801
ESPECIAL CARDIOLOGÍA
Síncope: electrocardiograma y pruebas de función autonómica
William Uribe, Adrián Baranchuk, Federico Botero (Colombia, Canadá)
Medwave 2016;16(Suppl 4):e6816
 
Arritmias supraventriculares: aspectos electrocardiográficos
Antoni Bayés de Luna (España)
Medwave 2016;16(Suppl 4):e6815
Factores de riesgo de fibrilación auricular en el post operatorio de cirugía de revascularización coronaria: papel de la apnea obstructiva del sueño
Amro Qaddoura, Adrian Baranchuk (Canadá)
Medwave 2016;16(Suppl4).e6810
 
El equipo de editorial de Medwave le desea una muy felíz Navidad. 

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La vida deportiva de estas grandes figuras del fútbol terminó a causa de las #lesiones.

La vida deportiva de estas grandes figuras del fútbol terminó a causa de las #lesiones.

Excelente presentación sobre lesiones de isquiotibiales por Dr Johannes Tol de @Aspetar

Excelente presentación sobre lesiones de isquiotibiales por Dr Johannes Tol de @Aspetar

Resultadoss quirúrgicos de lesiones mediales versus lesiones multiligamentarias laterales en rodillas dislocadas-

Resultaadoss quirúrgicos de lesiones mediales versus lesiones multiligamentarias laterales en rodillas dislocadas-



Surgical Outcomes of Medial Versus Lateral Multiligament-Injured, Dislocated Knees



Fuente
Este artículo es originalmente publicado en:



https://www.ncbi.nlm.nih.gov/pubmed/27062009

http://www.arthroscopyjournal.org/article/S0749-8063(16)00068-2/fulltext?sf46476316=1





De:

King AH1Krych AJ1Prince MR1Pareek A1Stuart MJ1Levy BA2.

Arthroscopy. 2016 Sep;32(9):1814-9. doi: 10.1016/j.arthro.2016.01.038. Epub 2016 Apr 6.



Todos los derechos reservados para:



Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.



Abstract

PURPOSE:

To compare clinical and functional outcomes of surgically treated medial and lateral knee dislocations.

CONCLUSIONS:

In patients undergoing multiligament knee reconstruction, our data suggest that those who undergo medial repair for knee dislocations are not as likely to achieve positive results as those who undergo reconstruction or lateral reconstruction/repair, regardless of the status of the peroneal nerve. In addition, medial reconstruction had comparable outcomes to those in patients treated with lateral reconstruction/repair. Lastly, female patients showed less favorable clinical outcomes than male patients.




Resumen

PROPÓSITO:
Comparar los resultados clínicos y funcionales de luxaciones mediales y laterales de rodilla tratadas quirúrgicamente.
CONCLUSIONES:
En los pacientes sometidos a reconstrucción de rodilla multiligamento, nuestros datos sugieren que aquellos que se someten a reparación medial para las luxaciones de rodilla no son tan probables para lograr resultados positivos como aquellos que se someten a reconstrucción o reconstrucción / reparación lateral, independientemente del estado del nervio peroneo. Además, la reconstrucción medial tuvo resultados comparables a los de los pacientes tratados con reconstrucción / reparación lateral. Por último, las mujeres presentan resultados clínicos menos favorables que los varones.

LEVEL OF EVIDENCE:

Level III, retrospective comparative study.


PMID: 27062009  DOI:   10.1016/j.arthro.2016.01.038

Amor / Love

Diciembre 24,  2016. No. 2548



  


Neuroendocrinología del amor
The neuroendocrinology of love.
Indian J Endocrinol Metab. 2016 Jul-Aug;20(4):558-63. doi: 10.4103/2230-8210.183479.
Abstract
Romantic love could be considered as a collection of activities associated with the acquisition and retention of emotions needed to survive and reproduce. These emotions change the individual's behavioural strategies in a way that will increase the likelihood of achieving these goals. Love may be defined as an emergent property of an ancient cocktail of neuropeptides and neurotransmitters. It appears that lust, attachment and attraction appear to be distinct but intertwined processes in the brain each mediated by its own neurotransmitters and circuits. These circuits feed on and reinforce each other. Sexual craving is mediated by testosterone and oestrogen and has the amygdala as an important centre. Attraction is mediated by hormones of stress and reward including dopamine, norepinephrine cortisol and the serotinergic system and has the nucleus accumbens the ventral tegmental area as key mediators.
KEYWORDS: Love; monogamy; neuroendocrine; oxytocin; prairie vole; vasopressin
Regulación de los sentimientos del amor romántico: Preconcepciones, Estrategias y Factibilidad.
Regulation of Romantic Love Feelings: Preconceptions, Strategies, and Feasibility.
PLoS One. 2016 Aug 16;11(8):e0161087. doi: 10.1371/journal.pone.0161087. eCollection 2016.
Abstract
Love feelings can be more intense than desired (e.g., after a break-up) or less intense than desired (e.g., in long-term relationships). If only we could control our love feelings! We present the concept of explicit love regulation, which we define as the use of behavioral and cognitive strategies to change the intensity of current feelings of romantic love. We present the first two studies on preconceptions about, strategies for, and the feasibility of love regulation. Questionnaire responses showed that people perceive love feelings as somewhat uncontrollable. Still, in four open questions people reported to use strategies such as cognitive reappraisal, distraction, avoidance, and undertaking (new) activities to cope with break-ups, to maintain long-term relationships, and to regulate love feelings. Instructed up-regulation of love using reappraisal increased subjective feelings of attachment, while love down-regulation decreased subjective feelings of infatuation and attachment. We used the late positive potential (LPP) amplitude as an objective index of regulation success. Instructed love up-regulation enhanced the LPP between 300-400 ms in participants who were involved in a relationship and in participants who had recently experienced a romantic break-up, while love down-regulation reduced the LPP between 700-3000 ms in participants who were involved in a relationship. These findings corroborate the self-reported feasibility of love regulation, although they are complicated by the finding that love up-regulation also reduced the LPP between 700-3000 ms in participants who were involved in a relationship. To conclude, although people have the preconception that love feelings are uncontrollable, we show for the first time that intentional regulation of love feelings using reappraisal, and perhaps other strategies, is feasible. Love regulation will benefit individuals and society because it could enhance positive effects and reduce negative effects of romantic love.
El amor romántico vs. drogadicción puede inspirar un nuevo tratamiento para la adicción.
Romantic Love vs. Drug Addiction May Inspire a New Treatment for Addiction.
Front Psychol. 2016 Sep 22;7:1436. eCollection 2016.
Abstract
Drug addiction is a complex neurological dysfunction induced by recurring drug intoxication. Strategies to prevent and treat drug addiction constitute a topic of research interest. Early-stage romantic love is characterized by some characteristics of addiction, which gradually disappear as the love relationship progresses. Therefore, comparison of the concordance and discordance between romantic love and drug addiction may elucidate potential treatments for addiction. This focused review uses the evidences from our recent studies to compare the neural alterations between romantic love and drug addiction, moreover we also compare the behavioral and neurochemical alterations between romantic love and drug addiction. From the behavioral comparisons we find that there are many similarities between the early stage of romantic love and drug addiction, and this stage romantic love is considered as a behavioral addiction, while significant differences exist between the later stage of romantic love and drug addiction, and this stage of romantic love eventually developed into a prosocial behavior. The neuroimaging comparisons suggest that romantic love and drug addiction both display the functional enhancement in reward and emotion regulation network. Except the similar neural changes, romantic love display special function enhancement in social cognition network, while drug addiction display special dysfunction in cognitive control network. The neurochemical comparisons show that there are many similarities in the dopamine (DA) system, while significant differences in oxytocin (OT) system for romantic love and drug addiction. These findings indicate that the functional alterations in reward and emotion regulation network and the DA system may be the neurophysiological basis of romantic love as a behavioral addiction, and the functional alterations in social cognition network and the OT system may be the neurophysiological basis of romantic love as a prosocial behavior. It seems that the OT system is a critical factor for the development of addiction. So we then discuss strategies to treat drug addiction with OT, and suggest that future research should further investigate OT system interventions aiming to improve cognitive control and/or social cognition functions, in order to develop strategies designed to more effectively treat drug addiction.
KEYWORDS: drug addiction; drug addiction treatment; oxytocin; resting-state functional connectivity; romantic love; social cognition system
5to Curso Internacional de Anestesiología cardiotorácica, vascular, ecocardiografía y circulación extracorpórea. SMACT
Mayo 4-6, 2017, Mexicali, México
Informes Dr. Hugo Martínez Espinoza bajamed@hotmail.com
Regional Anesthesiology and Acute Pain Medicine Meeting
April 6-8, 2017, San Francisco, California, USA
ASRA American Society of Regional Anesthesia and Pain Medicine
California Society of Anesthesiologists
Annual Meeting April 27-30, 2017
San Francisco California
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