sábado, 2 de abril de 2011

BIBLIOTECA MEDICA


BIBLIOTECA MEDICA



Posted: 01 Apr 2011 07:58 PM PDT
Según el médico fránces Lauren Chevallier se deben excluir de la dieta ciertos alimentos procesados industrialmente e inspirarse en lo que comían "nuestros ancestros que alimentaban de la caza y la recolección", para adelgazar y evitar enfermedades Excluir de la dieta ciertos alimentos procesados industrialmente e inspirarse en lo que comían "nuestros antepasados cazadores y
Posted: 01 Apr 2011 07:58 PM PDT
Combinando las hormonas del estrés con la terapia conductual es posible ayudar a las personas a superar el miedo a las alturas, según un estudio de la Universidad de Basilea en Suiza que se publica en la revista Proceedings of the National Academy of Sciences (PNAS). Los investigadores, dirigidos por Dominique de Quervain, evaluaron los efectos del cortisol, una hormona del estrés
Posted: 01 Apr 2011 07:58 PM PDT
Las diferencias cerebrales de los jóvenes antisociales El período de la adolescencia tiene la reputación de ser una época de travesuras y conductas atrevidas. Pero para algunos jóvenes es mucho más problemática. Los jóvenes antisociales parecen tener dificultades para distinguir emociones. El período de la adolescencia tiene la reputación de ser una época de travesuras y conductas
Posted: 01 Apr 2011 07:58 PM PDT
Las cinco claves de la ONU para acabar con el VIH Cada día se producen 7.000 nuevas infecciones por el virus. Las ganancias logradas hasta la fecha son frágiles, advierte el organismo. Rebecca Auma Awiti es una madre seropositiva. Vive en Kenia con sus tres hijos que, gracias al tratamiento antirretroviral, nacieron sin el virus. "La terapia ha salvado a mis niños y me va a dar a mí la
Posted: 01 Apr 2011 07:58 PM PDT
La OMS alerta de las enfermedades ligadas al ruido en las ciudades Es la segunda mayor amenaza ambiental para la salud de las personas. "La contaminación acústica en las ciudades no solo es una molestia, sino también una amenaza para la salud pública". Así lo ha asegurado hoy la directora de la Organización Mundial de la Salud (OMS) en Europa, Zsuzsanna Jakab, durante la presentación de
Posted: 01 Apr 2011 08:13 AM PDT
Lo hace igual que las escritas de forma normal, al menos durante unos instantes, según lo demuestran investigadores del Centro Vasco de Cognición, Cerebro y Lenguaje en un estudio que puede ayudar a comprender mejor el fenómeno de la dislexia La mayoría de las personas puede leer despacio y con esfuerzo los textos reflejados en el espejo, pero un equipo de científicos del Centro Vasco de
Posted: 01 Apr 2011 08:13 AM PDT
Una nueva prueba podría ser una forma no invasiva de hacer un seguimiento de los pacientes de trasplante de corazón frente al rechazo de órganos. La prueba, que se basa en la secuenciación del ADN para detectar fragmentos de ADN del donante en la sangre del receptor, aún debe ser validada mediante ensayos clínicos. Sin embargo los médicos esperan que, en última instancia, ofrezca una forma

Travel


TRAVEL

Why We Travel

By PAUL THEROUX
As the traveler's map is redrawn, parts in unsettling and tragic ways, voices might whisper, "Stay home." Don't. There are opportunities to be had.
PRACTICAL TRAVELER

Summer Rental Deals

By MICHELLE HIGGINS
Vacation properties are being snatched up early this year, though there are still a few places where bargains can be found.
36 HOURS

36 Hours in Louisville, Ky.

By MICHAEL WASHBURN
The last decade has seen a cultural and civic blooming in Louisville, with new galleries, restaurants and performance spaces taking their place alongside the city's stalwart attraction, the Kentucky Derby.

Arts


Art

Visions of Life, Built From Bits and Pieces

By ROBERTA SMITH
A small exhibition of collages, organized to celebrate the centennial of Romare Bearden's birth, feels unusually current.
EXHIBITION REVIEW

The Height of City Manufacturing

By NICOLAI OUROUSSOFF
An exhibition at the Skyscraper Museum explores urban buildings designed for manufacturing in roughly the last century.
Second Avenue Dance Company performed a new piece of choreography by Lucinda Childs at its spring concert Wednesday at Fifth Floor Theater.
DANCE REVIEW

Motion and Emotion Discover New Pairings

By GIA KOURLAS
The Second Avenue Dance Company's spring concert presents student work and new choreography from Lucinda Childs, Sidra Bell and others.
The soprano Deanna Breiwick, center, and the tenors Jeffrey Hill, left, and Paul Appleby, performed Luciano Berio's reconstruction of Mozart's
MUSIC REVIEW

In Unfinished Mozart Opera, Berio Provides the Last Word

By ANTHONY TOMMASINI
The impressive, game musicians of Ensemble ACJW took up Luciano Berio's orchestral commentary on Mozart's "Zaide" at Zankel Hall.
Tate Donovan at the Friedman Theater, where he appears in

In a Broadway Role, Many Returns

By FELICIA R. LEE
Tate Donovan's turn in "Good People" has brought him back to New York and to his Irish-American roots.

Mielopatia (6/6)

Mielopatia (5/6)

Mielopatia (4/6)

Mielopatia (3/6)

Mielopatia (2/6)

Mielopatia (1/6)

art


Art

Bengal Tiger at the Baghdad Zoo, with Robin Williams, near right, and Glenn Davis, in the drama by Rajiv Joseph at the Richard Rodgers Theater.
THEATER REVIEW | 'BENGAL TIGER AT THE BAGHDAD ZOO'

Ghostly Beast Burning Bright in Iraq

By CHARLES ISHERWOOD
"Bengal Tiger at the Baghdad Zoo" is a powerful new drama by Rajiv Joseph, in which Robin Williams embodies the creature who becomes the play's questioning conscience.
Friedrich Schr?der-Sonnenstern's drawing
ART REVIEW

A Perverse Mind Populated by Devils, Snakes and Buxom Nudes

By KEN JOHNSON
Friedrich Schr?der-Sonnenstern, a mentally off-kilter genius, produced cartoonish, sexually charged, mystically suggestive colored-pencil drawings in the 1950s that are on view at Michael Werner Gallery.
Stephanie Blythe as Fricka, and Bryn Terfel as Wotan in
MUSIC REVIEW

This Is the (Wagner) House That Levine Built

By ANTHONY TOMMASINI
"Das Rheingold" at the Met was conducted well on Wednesday night by Fabio Luisi, who took the place of James Levine. But Mr. Levine's presence was still felt.

Dining & Wine

Adam Kolesar, known as Tiki Adam, shows off his custom Airstream bar and all the Tiki accoutrements, at his home in Brooklyn.
THE TIPSY DIARIES

Sweet on Tiki, Flower of Cocktails

By FRANK BRUNI
Adam Kolesar is known as Tiki Adam - tiki drinks are his particular passion - and considered to be one of the great characters of the New York bar scene.
Sharing one.
BO?TE

Riff Raff's Tiki Bar

By BEN DETRICK
The bar brings the tiki out after a long winter. Cue the mai tais and Polynesian cozy comfort.

Multimedia

VIDEO: Tiki Confidential
Cocktail connoisseur "Tiki Adam" Kolesar passes on some Tiki history at the bar Death & Co. Mixologist Brian Miller prepares the fabled Zombie 34.

Movie Reviews


Movie Reviews

Markus Rygaard as Elias in the Danish film
MOVIE REVIEW | 'IN A BETTER WORLD'

A Do-Gooder Vision Clouded by Blind Spots

By A. O. SCOTT
"In a Better World" is set in a Danish town and a refugee camp in Africa, and is an elegant, somber scourge for the guilty conscience of the affluent, liberal West.
Michelle Monaghan and Jake Gyllenhaal in
MOVIE REVIEW | 'SOURCE CODE'

Don't Know Who You Are, but Don't Know Who I Am

By MANOHLA DARGIS
In Duncan Jones's science-fiction film, a man who knows himself to be a helicopter pilot wakes up on a train traveling to Chicago, only to find he is in someone else's body.

Giuseppe Fuda in
MOVIE REVIEW | 'LE QUATTRO VOLTE'

Eternal Complexities of the Very Simple Life

By A. O. SCOTT
"Le Quattro Volte," an idiosyncratic and amazing new film by Michelangelo Frammartino, is so full of surprises that even to describe it is to risk giving something away.
In
MOVIE REVIEW | 'RUBBER'

The Tread Life on This Tire Is Something Else

By MANOHLA DARGIS
In "Rubber," a horror film by Quentin Dupieux, a rogue tire has an unstable mind of its own.
In
MOVIE REVIEW | 'QUEEN TO PLAY'

Chess as a Slow Dance of Seduction

By STEPHEN HOLDEN
In Caroline Bottaro's slight but captivating "Queen to Play," Sandrine Bonnaire plays a chambermaid empowered by her mastery of chess.
Rainn Wilson as a self-proclaimed superhero in
MOVIE REVIEW | 'SUPER'

You Don't Need Superpowers if You Have a Pipe Wrench (and Anger Issues)

By STEPHEN HOLDEN
"Super," directed by James Gunn, tells the story of an antihero who decides he should be a superhero.
James Marsden and the rabbit known as E.?B. - the voice of Russell Brand - in
MOVIE REVIEW | 'HOP'

Bunny Doesn't Want to Work, Just Wants to Bang the Drum All Day

By A. O. SCOTT
"Hop," a Christianity-free Easter tale of rabbits and humans, stars Hugh Laurie and Russell Brand.
Alexia Ponce, left, and Reyna Ponce in Aaron Schock's
MOVIE REVIEW | 'CIRCO'

Big Top as Family Business

By JEANNETTE CATSOULIS
"Circo," a documentary by Aaron Schock, travels with a small family-run through rural Mexico.
Patrick Wilson and Rose Byrne in
MOVIE REVIEW | 'INSIDIOUS'

Something's Going On in That House

By MIKE HALE
In "Insidious," the team behind "Saw" comes up with a ghost story with virtually no gore or instruments of torture.

Significancia de la procalcitonina en la sepsis


Significancia de la procalcitonina en la sepsis

Significance of serum procalcitonin in sepsis.
Sudhir U, Venkatachalaiah RK, Kumar TA, Rao MY, Kempegowda P. 
Indian J Crit Care Med 2011;15:

Context: Rapid treatment of sepsis is of crucial importance for survival of patients. Specific and rapid markers of bacterial infection have been sought for early diagnosis of sepsis. One such measurement, Procalcitonin (PCT), has recently become of interest as a possible marker of the systemic inflammatory response to infection. Aims: This study was done to find out the common sources of sepsis and to evaluate the diagnostic value of PCT, its predictive value and its relation with Sepsis-related Organ Failure Assessment (SOFA) scores and mortality in various stages of sepsis. Settings and Design: The prospective study was conducted at our tertiary care center from October 2006 to December 2008. A total of 100 patients were included in the study. The study sample included all patients aged above 18 years presenting consecutively to our center during the study period with acute sepsis. They were divided into three groups: sepsis, severe sepsis and septic shock based on standardized criteria. Materials and Methods: PCT and various other relevant factors were measured in all study subjects. These parameters were compared among the three study groups. The statistical analyses were done using Student "t" test and two-way analysis of variance (ANOVA). Results: Respiratory tract infection was the most common source of sepsis. PCT proved to be an excellent indicator of sepsis with sensitivity of 94%. There was a significant association between serum PCT and SOFA scores (P < 0.05). Serum PCT levels did not predict mortality in the present study. Conclusions: PCT is among the most promising sepsis markers, capable of complementing clinical signs and routine lab parameters suggestive of severe infection.

Serie temática. Artículos seleccionados de la Actualización Anual en Cuidados Intensivos y Medicina de Urgencias 2011


Serie temática. Artículos seleccionados de la Actualización Anual  en Cuidados Intensivos y Medicina de Urgencias 2011
Thematic Series
Selected articles from the Annual Update in Intensive Care and Emergency Medicine 2011

The effect of light on critical illness
Ricardo Castro, Derek C Angus, Matt R Rosengart

Hypoxia-inducible factors and the prevention of acute organ injury
Samuel N Heyman, Seymour Rosen, Christian Rosenberger

Access block and emergency department overcrowding
Roberto Forero, Sally McCarthy, Ken Hillman

Can 'permissive' hypercapnia modulate the severity of sepsis-induced ALI/ARDS?
Gerard Curley, Mairead Hayes, John G Laffey

The microcirculation of the critically ill pediatric patient
Anke PC Top, Robert C Tasker, Can Ince

Cardiac output monitoring: an integrative perspective
Jamal A Alhashemi, Maurizio Cecconi, Christoph K Hofer

New treatment options against gram-negative organisms
Matteo Bassetti, Francesca Ginocchio, Malgorzata Mikulska

Triage of high-risk surgical patients for intensive care
Julia B Sobol, Hannah Wunsch

Heparin-induced thrombocytopenia in the ICU: an overview
Yasser Sakr

Iron deficiency in critically ill patients: highlighting the role of hepcidin
Nicholas Heming, Philippe Montravers, Sigismond Lasocki


Atentamente
Dr. Juan Carlos Flores-Carrillo 
Anestesiología y Medicina del Dolor