Biblioteca médica

BIBLIOTECA MEDICA

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Edulcorantes naturales y artificiales para adelgazar Posted: 02 Aug 2011 04:20 PM PDT Efectos cancerígenos de la sacarina: mito o realidad La sacarina es uno de los edulcorantes artificiales más estudiados y controvertidos de la historia. Esto se debe a que existieron y existen muchas opiniones científicas encontradas sobre los posibles efectos cancerígenos de dicho edulcorante. Por ello, es muy interesante analizar si estos efectos nocivos sobre la salud son un mito o

Beber aguas cuando te levantes Posted: 02 Aug 2011 04:32 PM PDT Hoy en Japón es popular beber agua inmediatamente al levantarse en la mañana. Para personas mayores y con enfermedades serias así como con enfermedades modernas el tratamiento del agua ha sido de mucho éxito para la sociedad médica Japonesa con una cura de hasta 100% para:*Dolor de cabeza*Dolor de cuerpo*Dolor al corazón*Artritis*Taquicardia*Epilepsia*Gordura*Bronquitis*Asma*TBC (Tuberculosis)*

Anestesia y neurotoxicidad para el desarrollo cerebral; relevancia clínica

Anestesia y neurotoxicidad para el desarrollo cerebral; relevancia clínica  Anesthesia and neurotoxicity to the developing brain: the clinical relevance Andrew J. Davidson Pediatric Anesthesia Volume 21, Issue 7, pages 716-721, July 2011 Summary Laboratory work has confirmed that general anesthetics cause increased neuronal apoptosis and changes to the morphology of dendritic spines in the developing brains of animals. It is an effect seen with most volatile anesthetics as well as with ketamine and propofol. The effects are dose dependent and seen over particular periods of early development. There is some evidence that rodents exposed to anesthesia during infancy have delayed neurobehavioral development. There are inherent limitations in translating the preclinical data to human practice but the data cannot be ignored. Some human clinical studies have found evidence for an association between major surgery and changes in neurobehavioral outcome, although the evidence is less clear for minor surgery. These associations are certainly at least partly because of factors apart from anesthesia, such as coexisting pathology or the effect of surgery itself. Other clinical studies have found no evidence for an association between surgery and outcome. These studies are also not without limitations. Thus it remains unclear what role anesthesia exposure in infancy actually plays in determining neurobehavioral outcome. To date studies can neither confirm that anesthesia plays a role nor rule it out Keywords: anesthesia; toxicity; neonates; neurodevelopment http://onlinelibrary.wiley.com/doi/10.1111/j.1460-9592.2010.03506.x/pdf

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

Secreto profesional: Un caso real en relación al aborto

Posted by mariohitschfeld in Featured Articles, Matasanos, Medicina, Salud on 08 1st, 2011 | 11 responses

Les quiero contar un dilema ético, el más difícil que me ha tocado vivir. Y dentro de mi especialidad, la psiquiatría, creo que es el ejemplo más complicado que existe. ¿Qué harían ante una situación como ésta?

En un policlínico de psiquiatría atiendo a una joven por un cuadro depresivo leve. Es al tercer control que asiste conmigo. Ella es soltera, sin hijos, estudiante universitaria, vive con su madre. Luego de conversar sobre su situación en las últimas semanas, que por cierto era “más o menos”, le pregunto si hay algo más que explique su momento actual. Se da el siguiente diálogo:

Paciente: Sí, pasó una cosa… ¿Todo lo que cuento aquí queda bajo el secreto profesional? ¿Cierto?…

Médico: Sí.

Paciente: Estoy embarazada, lo supe hace 2 semanas…

Médico: …mmm… Debe ser difícil…

Paciente: Sí, pero ya está todo arreglado. En 2 días más esto se acaba, voy a abortar…

….La sesión tuvo 20 minutos más de duración. Pero en mi mente dura hasta ahora.

Algunos datos más para contextualizar el caso real. La joven ha estado embarazada 2 veces antes. La primera vez abortó, la segunda fue un aborto espontáneo. En el embarazo actual, ella sabe quién es el padre, pero no es su pareja y ha tenido múltiples parejas sexuales en los últimos meses. Nadie más sabe lo que me contó.

Y finalmente, mi postura personal es contraria al aborto.

Amigas y amigos, ¿qué dilema o problema ético se presenta en este caso? ¿Es uno o varios dilemas? ¿El problema es sólo ético? ¿Cómo se debería resolver? ¿Cómo hubiesen conducido lo que quedaba de sesión?

EDUCACIÓN 2.0

"La irrupción de las Nuevas Tecnologías en el campo de la educación es hoy ya una realidad imparable, donde los profesores tienen a su disposición una ingente cantidad de recursos para desarrollar nuevos tipos de actividades didácticas encaminadas a concretar una nueva forma de enseñanza, la que algunos autores han dado en denominar Educación 2.0. Partiendo del curso Actividades y recursos para el desarrollo de la competencia digital en primaria y ESO, que tuvo lugar en la sede de la UNIA en Baeza, nuestro TOMA NOTA de hoy abordará algunas de estas nuevas posibilidades didácticas que ofrece la red de redes". Interesante video en el cual los Dres. Jordi Adell (WebQuest), Francisco Castillo (Mapas) y Anibal de la Torre (Wikis) nos introduce en el mundo de la Educación 2.0. Recomiendo su revisión ampliamente (ver más)

Uso de las tic y redes sociales en salud

Uso de las tic y redes sociales en salud

View more presentations from SSMN


uso-de-las-tic-y-redes-sociales-en-salud

Boletin Conapeme Agosto 2011

Boletin Conapeme Agosto 2011

 

Estimados pediatras de Ciberpeds-Conapeme les mostramos el nuevo Boletin de Conapeme

numero 1 de Agosto 2011

 

 

 

 

Pueden ver la version completa del Boletin en la pagina de Conapeme

tambien:  http://bit.ly/qIudpi

 

 

 

 Dr. Enrique Mendoza López
Webmaster: CONAPEME
Coordinador Nacional: Seminario Ciberpeds-Conapeme
Av La Clinica 2520-310 col Sertoma
Monterrey N.L. CP 64718
Tel (81) 83482940, (81)81146053
 Cel 0448183094806

Conferencia todo lo que el Pediatra debe saber de Lactancia Materna

  Estimado Pediatra  te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. Iniciamos el Programa 2011, el día 3 de Julio  las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Vacuna de Neumococo PCV13v”, por la  “Maestra Leticia de la Rosa”  Enfermera de la Cd de México DF  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/lactancia_materna/

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

Pancreatitis y embarazo

Pancreatitis biliar aguda relacionada al embarazo: experiencia de 5 años de un centro Acute biliary pancreatitis related with pregnancy: a 5-year single center experience. Turhan AN, Gönenç M, Kapan S, Islim F, Oner OZ, Tulubas E, Aygun E. Department of General Surgery, Bakirköy Training And Research Hospital, Istanbul, Turkey. ahmetnturhan@gmail.com Ulus Travma Acil Cerrahi Derg. 2010 Mar;16(2):160-4. Abstract BACKGROUND: Pregnancy-associated acute biliary pancreatitis is a rare but challenging clinical entity in terms of diagnosis and management. We report our institutional medical data of pregnancy-associated acute biliary pancreatitis. METHODS: Medical records of 27 patients admitted to our clinics for pregnancy-associated acute biliary pancreatitis between January 2005 and January 2010 were reviewed. RESULTS: Of the 27 patients, 25 (93%) were in the post-partum period, and 2 (7%) were pregnant. Seventeen patients (63%) were managed with conservative treatment, and were scheduled for interval cholecystectomy, while 10 patients (37%) had early cholecystectomy prior to discharge. The mortality rate was 3% (n=1). CONCLUSION: Pregnancy-associated acute biliary pancreatitis usually has a mild-to-moderate clinical course with a favorable outcome, and can be managed successfully with conservative treatment. Early cholecystectomy done prior to discharge in the initial admission should be considered in mild-to-moderate pregnancy-associated acute biliary pancreatitis, except in patients within the first trimester http://www.journalagent.com/pubmed/linkout.asp?ISSN=1306-696X&PMID=20517772  Pancreatitis aguda en el embarazo: un problema no resuelto Acute pancreatitis in pregnancy: an unresolved issue. Jain P. World J Gastroenterol. 2010 Apr 28;16(16):2065-6. Abstract Management of acute pancreatitis in pregnancy is based on expert opinion only, due to geographic and ethic variations. Nonbiliary causes should be sought as they are associated with worse outcomes. Alcohol as a cause of acute pancreatitis is not rare. Hemoconcentration as a marker of fluid deficit and severity should be predicted with caution and fluid resuscitation should be done carefully by closely monitoring the central venous pressure, cardiac and respiratory system. Hypercalcemia of hyperparathyroidism may be falsely lowered due to hypoalbuminemia or suppressed by magnesium tocolysis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2860087/pdf/WJG-16-2065.pdf    Manejo endoscópico de las alteraciones biliares durante el embarazo Endoscopic management of biliary disorders during pregnancy. Chong VH, Jalihal A. Gastroenterology Unit, Department of Medicine, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam. chongvuih@yahoo.co.uk Hepatobiliary Pancreat Dis Int. 2010 Apr;9(2):180-5. Abstract BACKGROUND: Biliary interventions during pregnancy are associated with risks to both the pregnancy and developing fetus. In this report we summarize our experience with endoscopic interventions including endoscopic ultrasound (EUS) in the management of biliary disorders during pregnancy. METHODS: Endoscopic retrograde cholangiopancreatographies (ERCPs) performed between May 2003 through January 2010 (n=607) were identified from our database, and cases of interventions during pregnancy were reviewed. All procedures were done using conscious sedation and lead shielding. RESULTS: Nine ERCPs (1.5%) were performed in 8 pregnant patients. Their median gestational period was 22 weeks (range, <2-36 weeks). Two, 5 and 2 patients were in their first, second and third trimester, respectively. Indications for ERCP included obstructive jaundice (6 patients) cholangitis (2), and acute pancreatitis/obstructive jaundice (1). Two patients underwent EUS before ERCP. Fluoroscopy was used in 5 ERCPs (median 12 seconds; range 2-20 seconds), and the overall time for a ERCP ranged from 5 to 25 minutes. During ERCP endoscopic sphincterotomy was performed in 5 patients, stenting in 6, and balloon clearance in 3. One procedure caused complication in induction of labor. During pregnancy, there were 4 non-procedure related complications including acute cholecystitis (1), HELLP syndrome resulting in spontaneous abortion (1) and stent migrations (2). Five pregnancies had uncomplicated term deliveries, whereas 2 required urgent caesarian sections (one for fetal distress and 1 for cholangitis secondary to stent migration). One patient was well in her second trimester during follow-up. Seven babies were well at birth with median APGAR scores of 9, and 10 at 5 and 10 minutes, respectively. One baby died of sudden death syndrome at age of 40 days. CONCLUSIONS: ERCP is a safe procedure for pregnant women. It can be conducted for biliary stenting and subsequent clearance after deliveries. EUS has a complementary role. Different strategies can be applied according to the conditions or expertise of endoscopists. http://www.hbpdint.com/upload/PDF/2010410103417158910.pdf

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

Ahora para los guerreros del twitter : les recuerdo del curso taller de patología quirúrgica del pie, a llevarse a cabo del 6al 9 de septiembre del 2011 en el INR, los que soliciten pre registro a traves de mí, tendran beca para el cuso. bibliomanazteca@yahoo.com.mx

Si al parto en el agua

Biblioteca médica

BIBLIOTECA MEDICA

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• Consejos para cuidar tu corazón
• Conoce tu mente
• Funciones del agua en el organismo

Consejos para cuidar tu corazón Posted: 30 Jul 2011 09:45 AM PDT Hola buenas tardes gente taringuera hoy les traigo unos consejos para que cuiden sus corazones... 1. Conoce tu presion arterial Toda persona debe conocer su presion arterial. Se considera que una persona tiene hipertension arterial cuando luego de reiterados controles su presion es de 140 y/o 90 mmhg (14 y/o 9) o mayor. El diagnostico se basa en el control de la presion arterial, ya que

Conoce tu mente Posted: 30 Jul 2011 09:33 AM PDT POST CREADO POR mickactis Para comenzar a hablar de nuestra mente y sus enfermedades primero voy a resumir desde el punto de vista psicoanalitico freudiano la estructura de la psique con el fin de hacer entendible para todos la informacion. Breve reseña de su vida y obra. Nació en Viena en 1856 y se recibió de médico a los 25 años. Desde muy joven ejerció su profesión y además fue

Funciones del agua en el organismo Posted: 30 Jul 2011 09:30 AM PDT Funciones del agua en el organismo El agua es un recurso vital para el organismo, cumple funciones específicas por lo que recomiendan consumir al menos 2 litros diariamente. Se dice que el agua es el “solvente universal” en ella son transformados la mayoría de los nutrientes y sustancias necesarias para el buen funcionamiento celular. Es desintoxicante, los residuos generados durante

En este día

ON THIS DAY

On This Day: July 31

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On July 31, 1964, the American space probe Ranger 7 transmitted pictures of the moon's surface.

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On July 31, 1919, Primo Levi, the Italian writer and chemist whose work was influenced by his captivity at Auschwitz, was born. Following his death on April 11, 1987, his obituary appeared in The Times.

Go to obituary » | Other birthdays »

On This Date

1777	The Marquis de Lafayette, a 19-year-old French nobleman, was made a major-general in the American Continental Army.
1875	Andrew Johnson, the 17th president of the United States, died in Carter Station, Tenn., at age 66.
1914	The New York Stock Exchange closed due to the outbreak of World War I. (Trading didn't resume until December.)
1919	Germany's Weimar Constitution was adopted.
1972	Democratic vice-presidential candidate Thomas Eagleton withdrew from the ticket with George McGovern following disclosures that Eagleton had once undergone psychiatric treatment.
1977	The "Son of Sam" killer claimed his last victims when he shot and killed Stacy Moskowitz, 20, and seriously wounded her date as they sat in a parked car in Brooklyn, N.Y. (David Berkowitz was arrested less than two weeks later. He is serving six sentences of 25 years to life.)
1981	A seven-week strike by major league baseball players ended.
1990	Nolan Ryan became the 20th major league pitcher to win 300 games as his Texas Rangers beat the Milwaukee Brewers 11-3.
1995	Walt Disney Co. agreed to acquire Capital Cities-ABC Inc. in a $19 billion deal.
2007	The U.N. Security Council unanimously approved a 26,000-strong peacekeeping force for Sudan's Darfur region.
2008	Scientists reported the Phoenix spacecraft had confirmed the presence of frozen water in Martian soil.
2009	Three American tourists were arrested by Iran on suspicion of espionage during what their families have said was a simple hiking trip along the Iraq-Iran border. (One was released on bail, the others remain in Iranian custody.)

Current Birthdays

Author J.K. Rowling ("Harry Potter" books) turns 46 years old today.

AP Photo/Joel Ryan

Dallas Cowboys linebacker DeMarcus Ware turns 29 years old today.

AP Photo/Sharon Ellman

1919	Robert Morgenthau, Former Manhattan district attorney, turns 92
1944	Geraldine Chaplin, Actress, turns 67
1945	William Weld, Former Massachusetts governor, turns 66
1951	Evonne Goolagong Cawley, Tennis Hall of Famer, turns 60
1956	Deval Patrick, Governor of Massachusetts, turns 55
1958	Bill Berry, Rock musician (R.E.M.), turns 53
1962	Wesley Snipes, Actor, turns 49
1963	Fatboy Slim, Rock musician, turns 48
1975	Annie Parisse, Actress ("Law and Order"), turns 36
1978	Zac Brown, Country singer, musician, turns 33
1979	B.J. Novak, Actor, writer ("The Office"), turns 32

Historic Birthdays

Primo Levi7/31/1919 - 4/11/1987Italian-Jewish writer and chemist.Go to obituary »

59	Augustus 7/31/1526 - 2/12/1586 Elector of Saxony & leader of Protestant Germany
62	George Baxter 7/31/1804 - 1/11/1867 English engraver and printer
79	Jane Currie Hoge 7/31/1811 - 8/26/1890 American welfare worker & fundraiser for the Union
80	Abram Stevens Hewitt 7/31/1822 - 1/18/1903 American industrialist & philanthropist who became mayor of N. Y. C.
76	Henri Brisson 7/31/1835 - 4/11/1912 French statesman who was twice premier of France
77	Richard Dixon Oldham 7/31/1858 - 7/15/1936 English geologist who discovered evidence of the Earth's Core
99	S. S. Kresge 7/31/1867 - 10/18/1966 American merchant who started a chain of 1,000 variety stores
87	Jacques Villon 7/31/1875 - 6/9/1963 French painter and printmaker & brother of Marcel Duchamp
70	Elmo Roper 7/31/1900 - 4/30/1971 American who developed political forecasting by polls
49	Whitney Young 7/31/1921 - 3/11/1971 American civil rights leader & head of the National Urban League