lunes, 25 de febrero de 2013

¿A qué se llama libertad de pensar?



http://www.smo.edu.mx/colegiados/congreso-virtual.php


La libertad no se concibe
ni se ejerce cabalmente
si la responsabilidad no
la acompaña como la
sombra al cuerpo que
la proyecta.
• • •
El derecho de pensar con
libertad es tan necesario al
hombre como el derecho
de vivir, pues esto último
es la consecuencia de lo
primero.
• • •
La libertad más sagrada
es la libertad de pensar.

No nos referimos a la libertad de emitir opiniones, consagrada por nuestras leyes, sino a la libertad de pensar, en su íntimo sentido: la posibilidad de reflexionar y obrar, en todo momento, con independencia de prejuicios, de ideas ajenas, del qué dirán, etc., y asimismo, no hacer, pensar, ni decir lo que no debemos.
En este sentido, ¿quién se supone ampliamente libre?
En diversas oportunidades hicimos notar que casi todos creemos obrar conforme a nuestra voluntad y ser dueños de nuestra mente, sin advertir que tercian en tal circunstancia factores que son ajenos a nuestro propósito —algunos de ellos del más dudoso origen—, cuales serían los muchos pensamientos que suelen
adueñarse de la mente y obran burlando el control del hombre.
Observe el lector a esas personas cuya vida es el reflejo del torbellino psicológico que reina en su mente.
Cambian sin cesar de dirección, de ruta, de propósito; jamás se sienten seguras de nada; aquí y allá, tratan de adquirir, prestada, la convicción o la certeza que nunca pueden lograr por sí mismas.
Hoy le piden a un libro, mañana a un conferencista, después a una ideología, a una religión, a un partido, etc.
¿Tienen estas personas libertad de pensamiento? ¿Piensan, obran de acuerdo a su voluntad? Fácil es la
respuesta: la voluntad se encuentra en ellas dominada por conciliábulos de pensamientos ajenos que, a cierta altura de la vida, llegan a serles tan necesarios como el alcaloide al toxicómano. «No puedo darle mi opinión sobre este punto; todavía no he leído los diarios...».
Esta sutileza de Bernard Shaw encierra, desgraciadamente, una verdad común. Y obsérvese también el caso de aquellos que están absorbidos por un pensamiento, en forma que llega casi a constituir su obsesión. En circunstancias como ésta, el individuo termina muchas veces por adquirir las características del pensamiento que lo embarga, y hasta su nombre; se dice: «fulano es un bebedor», «es un maniático», «es un amargado».
En el primero de los ejemplos que hemos expuesto, es decir, cuando los pensamientos se suceden sin orden
ni concierto en la mente, hablar de la libertad que se tiene para satisfacer los deseos, es un contrasentido. Estas personas no hacen lo que «quieren» sino lo que «pueden»; lo poco que pueden alcanzar entre los vaivenes y los tumbos que les produce la heterogénea mezcla de pensamientos que llevan en su interior. En el segundo ejemplo, es bien claro que no es la voluntad de la persona la que actúa, sino el pensamiento que la obsesiona. El gobierno del individuo está ejercido —dictatorialmente— por uno o varios pensamientos que forman un deseo, el cual instiga a los instintos hasta obligarlos a satisfacer las exigencias de los mismos.
Mientras el ser viva ajeno por completo a cuanto ocurre en su región mental y no conozca la clave mediante la cual pueda obtener un severo control sobre ella, no podrá jamás alegar que es dueño de sí mismo y, por tanto, no podrá pensar libremente.

Fuente: http://www.logosofia.org.ar/institucional/que-es-logosofia.php

Enfermedades graves y embarazo/Pregnacy and critical illness





http://www.smo.edu.mx/jornada2013/

Enfermedades graves y embarazo/Pregnacy and critical illness

Revisión clínica. Población especial - enfermedades graves y embarazo


Clinical review: Special populations--critical illness and pregnancy.
Neligan PJ, Laffey JG.
Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Newcastle Road, Galway, Co, Galway, Ireland.patrick.neligan@hse.ie
Crit Care. 2011 Aug 12;15(4):227. doi: 10.1186/cc10256.
Abstract
Critical illness is an uncommon but potentially devastating complication of pregnancy. The majority of pregnancy-related critical care admissions occur postpartum. Antenatally, the pregnant patient is more likely to be admitted with diseases non-specific to pregnancy, such as pneumonia. Pregnancy-specific diseases resulting in ICU admission include obstetric hemorrhage, pre-eclampsia/eclampsia, HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome, amniotic fluid embolus syndrome, acute fatty liver of pregnancy, and peripartum cardiomyopathy. Alternatively, critical illness may result from pregnancy-induced worsening of pre-existing diseases (for example, valvular heart disease, myasthenia gravis, and kidney disease). Pregnancy can also predispose women to diseases seen in the non-pregnant population, such as acute respiratory distress syndrome (for example, pneumonia and aspiration), sepsis (for example, chorioamnionitis and pyelonephritis) or pulmonary embolism. The pregnant patient may also develop conditions co-incidental to pregnancy such as trauma or appendicitis. Hemorrhage, particularly postpartum, and hypertensive disorders of pregnancy remain the most frequent indications for ICU admission. This review focuses on pregnancy-specific causes of critical illness. Management of the critically ill mother poses special challenges. The physiologic changes in pregnancy and the presence of a second, dependent, patient may necessitate adjustments to therapeutic and supportive strategies. The fetus is generally robust despite maternal illness, and therapeutically what is good for the mother is generally good for the fetus. For pregnancy-induced critical illnesses, delivery of the fetus helps resolve the disease process. Prognosis following pregnancy-related critical illness is generally better than for age-matched non-pregnant critically ill patients.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387584/pdf/cc10256.pdf



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




domingo, 24 de febrero de 2013

Historia y algo más/History and more


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





Este mes en la historia de la anestesiología: Febrero
This Month in Anesthesia History: February
1723 February 25: Christopher Wren died in London. Around 1660 the English architect and astronomer began to experiment with the transfusion of blood between animals and intravenous injections into animals. An account of his work was published in the Philosophical Transactions of the Royal Society of London in 1665.  [see Bergman NA. Early intravenous anesthesia: an eyewitness account. Anesthesiology 72:185-186, 1990] Recent biographies of Wren include Lisa Jardine's On a Grander Scale: The Outstanding Life of Christopher Wren and Adrian Tinniswood's His Invention So Fertile: A Life of Christopher Wren.
http://ahahq.org/Calendar/February.php 

  
Un informe de la conferencia James Watson en la Universidad de Yale
A report of the James Watson lecture at Yale University.
Smith-Vikos T.
Department of Molecular, Cellular, and Developmental Biology, Yale University, New Haven, CT 06520, USA. thalyana.smith-vikos@yale.edu
Yale J Biol Med. 2012 Sep;85(3):417-9. Epub 2012 Sep 25.
Abstract
In March 2012, Nobel Prize winner James Watson gave a seminar at Yale University entitled "Driven by Ideas." In his lecture, Watson discussed his personal vision for the future of science, specifically addressing how the scientific community should approach developing anticancer agents. He discussed the use of glycolytic inhibitors as anticancer agents due to the Warburg effect, as well as the benefits of metformin and anti-inflammatory drugs to help prevent cancer. He also compared drugs that target cell proliferation instead of targeting cell growth. Additionally, Watson commented on the mechanisms for how research should be conducted in the laboratory.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3447206/pdf/yjbm_85_3_417.pdf
 
 
Una conversación con Robert Lefkowitz, Joseph Goldstein y Michael Brown
A conversation with Robert Lefkowitz, Joseph Goldstein, and Michael Brown
Ushma S. Neill and Howard A. Rockman
J Clin Invest. 2012 May 1; 122(5): 1586-1587. Published online 2012 May 1. doi: 10.1172/JCI64244
Today we shift the format of our Conversations with Giants in Medicine and allow three of our most charismatic giants (Robert Lefkowitz, Joseph Goldstein, and Michael Brown) to interview each other. Lefkowitz (Duke University) is known for his seminal discoveries in understanding G protein-coupled receptor function. The legendary partnership between Brown and Goldstein (University of Texas Southwestern Medical Center) has spanned four decades. Together they were awarded the 1985 Nobel Prize in Physiology or Medicine acknowledging their discovery of the LDL cholesterol receptor and its role in the regulation of cholesterol metabolism. The full interview can be seen on the JCI website, http://www.jci.org/kiosk/cgm.

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

sábado, 23 de febrero de 2013

Más de miocardiopatía periparto/More on peripartum cardiomyopathy

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


Cardiomiopatía periparto: una revisión 
Peripartum cardiomyopathy: a review.
Capriola M.
Thomasville Medical Center, Department of Emergency Medicine, Thomasville Medical Center, Thomasville, NC, USA.
Int J Womens Health. 2013;5:1-8. doi: 10.2147/IJWH.S37137. Epub 2012 Dec 28.
Abstract
Peripartum cardiomyopathy (PPCM) is a form of dilated cardiomyopathy of unclear etiology affecting women without preexisting heart disease during the last month of pregnancy or during the first 5 months postpartum. Its incidence shows marked geographic and ethnic variation, being most common in Africa and among women of African descent. Most women present in the first month postpartum with typical heart failure symptoms such as dyspnea, lower extremity edema, and fatigue. These symptoms are often initially erroneously diagnosed as part of the normal puerperal process. Diagnosis can be aided by the finding of a significantly elevated serum brain natriuretic peptide. The etiology of PPCM is unclear; however, recent research suggests abnormal prolactin metabolism is seminal in its development, and prolactin antagonism with bromocriptine shows promise as a novel treatment for PPCM.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536353/pdf/ijwh-5-001.pdf
 
  
Curso clínico variable de la cardiomiopatía periparto 
The variable clinical course of peripartum cardiomyopathy.
Krejci J, Hude P, Spinarova L, Zampachova V, Sirotkova A, Freiberger T, Nemcova E, Vitovec J.
International Clinical Research Center - 1st Internal Cardio-Angiological Clinic, St. Anne's University Hospital Brno, Czech Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2012 Oct 31. doi: 10.5507/bp.2012.080.
Abstract
BACKGROUND: In Europe, peripartum cardiomyopathy (PPCM) is a rare disorder, often difficult to diagnose and it has a variable clinical course. The aim of this report was to describe and discuss the individual variability of this disorder and its management. PATIENTS AND METHODS: Three cases of PPCM manifesting as severe heart failure are compared. Common was the presence of myocardial inflammation detected by endomyocardial biopsy. Different were treatment methods and clinical course. Modern therapeutic concepts such as immunosuppressive therapy and bromocriptin administration are discussed, as well as non-pharmacological approaches. CONCLUSION: In the differential diagnostics of dyspnea associated with pregnancy and childbirth, PPCM should be considered. The potentially severe course of the disease requires hospitalization with the possibility of comprehensive heart failure treatment, including non-pharmacological approaches such as device therapy and heart transplantation.
http://biomed.papers.upol.cz/getrevsrc.php?identification=public&mag=bio&raid=413&type=fin&ver=2 

  
Una emergencia obstétrica llamada cardiomiopatía periparto 
An obstetric emergency called peripartum cardiomyopathy!
Shaikh N.
Department of Anesthesia/ICU and Pain Management, Hamad Medical Corporation, Doha-Qatar.
J Emerg Trauma Shock. 2010 Jan;3(1):39-42. doi: 10.4103/0974-2700.58664.
Abstract
Peripartum cardiomyopathy (PPCM) is a rare obstetric emergency affecting women in late pregnancy or up to five months of postpartum period. The etiology of PPCM is still not known. It has potentially devastating effects on mother and fetus if not treated early. The signs, symptoms and treatment of PPCM are similar to that of heart failure. Early diagnosis and proper management is the corner stone for better outcome of these patients. The only way to prevent PPCM is to avoid further pregnancies.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823141
/ 

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


viernes, 22 de febrero de 2013

LOS EFECTOS DE UN MENU DE COMIDA BASURA EN EL ORGANISMO





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





LOS EFECTOS DE UN MENU DE COMIDA BASURA EN EL ORGANISMO nutricionyantiaging.blogspot.com.es

De sobra es conocido por todos que la ingesta frecuente de comida basura es perjudicial, pero ¿te has parado a pensar cuáles son los efectos de una sola ingesta?. Los investigadores de la Canadian Cardiovascular Society se...

Miocardiopatía periparto/Peripartum cardiomyopathy

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


Miocardiopatía periparto
Miocardiopatía periparto
Diego Felipe Polanía Ardila, Solón Navarrete Hurtado, Edgar Mariano Acuña Osorio, Rafael Alberto Álvarez Rosero.
Rev Insuf Cardíaca 2009; (Vol 4) 4:177-183 

La miocardiopatía periparto no es una patología frecuente; sin embargo, presenta una alta tasa de mortalidad, elevándose aún más cuando el diagnóstico y el tratamiento no se realizan en forma temprana1,2. Las primeras descripciones de la entidad se realizaron alrededor de la década de 1870, cuando Virchow y Porack describieron un proceso de degeneración miocárdica en pacientes quienes fallecieron en el período postparto. Sin embargo, no fue sino hasta el año 1973 cuando se describe que la causa de la falla cardíaca en las pacientes con estas características se debía a una cardiopatía dilatada, diferente de la cardiopatía generada por el estrés del embarazo. Desde ese momento, se reconoce a la miocardiopatía periparto como una entidad distinta del resto de las cardiomiopatías. El propósito de esta revisión es principalmente realizar una descripción de los mecanismos involucrados en la fisiopatología, las manifestaciones clínicas, el diagnóstico y el tratamiento de la enfermedad.
http://www.scielo.org.ar/pdf/ic/v4n4/v4n4a06.pdf  
Cardiomiopatía periparto: experiencia en un centro terciario Asiático 
Peripartum cardiomyopathy: experience in an Asian tertiary centre.
Lim CP, Sim KL.
National Heart Centre Singapore, 17 Third Hospital Avenue, Singapore 168752. lim.choon.pin@nhcs.com.sg.
Singapore Med J. 2013 Jan;54(1):24-7.
Abstract
Introduction: Peripartum cardiomyopathy (PPCM) is a rare but life-threatening condition. We report 11 patients admitted to the National Heart Centre Singapore with a diagnosis of PPCM over a period of 14 months. Methods: Baseline demographics, pregnancy history, haematology, serum biochemistry and echocardiographic findings of women admitted with a diagnosis of PPCM were analysed. Results: The incidence of PPCM was 0.89 per 1,000 live births in our cohort. 63.6% of the patients were Malay and 27.3% were Chinese. 45.5% of the patients were smokers and 45.5% had a history of pregnancy-induced hypertension or preeclampsia. There was no maternal mortality. Mean left ventricular ejection fractions at diagnosis and at six months were 26.9% ± 9.1% and 51.9% ± 10.6%, respectively. Mean left ventricular internal diameters in end-diastole at diagnosis and at six months were 5.5 ± 0.5 cm and 5.1 ± 0.6 cm, respectively. All patients were treated successfully for the acute episode and all but one patient had returned to New York Heart Association functional class I status at six months. Conclusion: PPCM remains a rare condition and appears to occur more commonly in Malay patients. Smoking and pregnancy-induced hypertension appear to be significant risk factors. While short-term outcome remains excellent, collaborative studies with other tertiary centres will help enhance our understanding of the long-term management of and clinical outcomes in these patients.
http://www.sma.org.sg/UploadedImg/files/SMJ/5401/5401a1.pdf  

  
Evolución favorable despues de cardiomiopatía periparto: estudios de 10 años sobre miocardiopatía periparto en un hospital universitario 
Favourable outcome after peripartum cardiomyopathy: a ten-year study on peripartum cardiomyopathy in a university hospital.
Chee KH.
Department of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia. cheekh@um.edu.my.
Singapore Med J. 2013 Jan;54(1):28-31.
Abstract
Introduction: Peripartum cardiomyopathy (PPCM) is an uncommon form of congestive heart failure, affecting obstetric patients around the time of delivery. The epidemiology of PPCM is infrequently reported. This study was undertaken to define the prevalence, presentation and outcome of PPCM among women giving birth in a teaching hospital in Malaysia. Methods: A retrospective case record analysis was conducted on all patients admitted and diagnosed with PPCM at the University Malaya Medical Centre, Kuala Lumpur, Malaysia, from 1 January 2000 to 31 December 2009. All deliveries were undertaken in the same hospital. Results: A total of 12 patients were diagnosed with PPCM during the ten-year study period. The prevalence of PPCM was 2.48 in 100,000 (1 in 40,322) live births. Nine women were diagnosed with PPCM within five months of delivery. Three women had twin pregnancies. There was one death in the group (mortality rate 8.3%). The mean left ventricular ejection fraction at the time of diagnosis was 28.9% ± 8.5% (range 15%-40%). Following the index event, left ventricular function normalised in six of the nine patients (66.7%) who underwent subsequent echocardiography one year later. All patients were treated with standard heart failure therapy. Two patients with normalised left ventricular function had subsequent pregnancies - one pregnancy was terminated at seven weeks and the other patient delivered uneventfully at full term. Conclusion: PPCM is uncommon. The outcome in our series was favourable, with 66.7% of patients with PPCM recovering their left ventricular function. The mortality rate was 8.3%.
http://www.sma.org.sg/UploadedImg/files/SMJ/5401/5401a2.pdf 




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

Books Update. NYT

http://www.nytimes.com/indexes/2013/02/22/books/booksupdate/index.html


February 22, 2013
Books Update

On the Cover of Sunday's Book Review

'The Love Song of Jonny Valentine'
By TEDDY WAYNE
Reviewed by JESS WALTER


The Bieberesque 11-year-old hero of Teddy Wayne's new novel is beginning to realize that he's a confection - manufactured, managed and manipulated by a corporate team of adults.
Up Front: Jess Walter

'Little Known Facts'
By CHRISTINE SNEED
Reviewed by CURTIS SITTENFELD


Christine Sneed's novel stars a 50-something movie star, an idol along the lines of Harrison Ford, and his family and colleagues.
Also in the Book Review

Jackie Collins: By the Book


The author of "Hollywood Wives" and, most recently, "The Power Trip," believes "The Great Gatsby" is the best love story ever. Fitzgerald, she says, had sexual chemistry down.
By the Book: Archive

'Give Me Everything You Have'
By JAMES LASDUN
Reviewed by SCOTT BRADFIELD


James Lasdun describes the experience of being stalked by a disturbed former student.

'See Now Then'
By JAMAICA KINCAID
Reviewed by FERNANDA EBERSTADT


In Jamaica Kincaid's novel, an ugly divorce ends the domestic idyll of a New England family.

'Detroit: An American Autopsy'
By CHARLIE LEDUFF
Reviewed by PAUL CLEMENS


A journalist and Detroit native searches for clues to the city's fate.

'Umbrella'
By WILL SELF
Reviewed by JUDITH SHULEVITZ


In Will Self's neo-modernist novel, a woman who has languished for decades in a mental hospital is briefly revived from oblivion.

'Unfinished Empire: The Global Expansion of Britain'
By JOHN DARWIN
Reviewed by ALEX VON TUNZELMANN


From ramshackle trading posts to the princely states of India, John Darwin examines 500 years of British expansion.

'City of Angels: Or, The Overcoat of Dr. Freud'
By CHRISTA WOLF. Translated by DAMION SEARLS.
Reviewed by JOSHUA HAMMER


In this autobiographical novel, Christa Wolf wrestles with her ambiguous cooperation with the Stasi.

'Life Among Giants'
By BILL ROORBACH
Reviewed by HALEY TANNER


This novel involves a dead rock star and an unsolved double homicide, nighttime trysts, affairs, embezzling and illicit recordings.

'Gods Like Us'
By TY BURR
Reviewed by CARYN JAMES


A cultural history of movie stardom examines our worship and resentment of screen icons.

'The Searchers: The Making of an American Legend'
By GLENN FRANKEL
Reviewed by J. HOBERMAN


Glenn Frankel sorts through the layers of history in a classic film.

Fiction Chronicle
By ALISON McCULLOCH


New books by Sarah Selecky, Whitney Otto, Lynne Sharon Schwartz, David Park and Christine Schutt.

CRIME
The Bank Job
By MARILYN STASIO


Roger Hobbs's "Ghostman" is named after the most elusive gang member - the guy who makes everything disappear.

miércoles, 20 de febrero de 2013

Homenaje al dr Sergio Estrada Parra. ENCB-IPN. México 2013


martes, 19 de febrero de 2013

Colegio Mexicano de Ortopedia y Traumatología: 6° Congreso Nacional de Residentes de Ortopedia y Traumatología.

Colegio Mexicano de Ortopedia y Traumatología: 6° Congreso Nacional de Residentes de Ortopedia y Traumatología.

PRORROGA para ingresar trabajos hasta el próximo

viernes 22 de febrero a las 23:59 hrs.

PARA LOS AUTORES DE MODALIDAD CARTEL

El 28 de febrero es el último día para subir su archivo al sistema ID-CMO

Colegio Mexicano de Ortopedia y Traumatología: 6° Congreso Nacional de Residentes de Ortopedia y Traumatología.

http://www.smo.edu.mx/anuncio_residentes6.htm



Congreso Nacional de ortopedia_virtual XXXI

Congreso Nacional de ortopedia_virtual XXXI

IMPORTANTE: A partir de ya!!! podrás ingresar al congreso virtual XXXI realizado en el WTC en el 2012!!!! excelentes conferencias!!!
http://www.smo.edu.mx/colegiados/congreso-virtual.php



lunes, 18 de febrero de 2013

QUINUA 2 VECES POR SEMANA

                                                  http://www.smo.edu.mx/actividad/videoteca.php




QUINUA 2 VECES POR SEMANA




Por su alto valor nutritivo, al concentrar una importante cantidad de proteínas de tipo vegetal, con excelente calidad de aminoácidos esenciales y por ser de fácil digestión, especialistas del Instituto Nacional de Salud (INS) recomendaron consumir quinua una a dos veces por semana, sobre todo los niños y los adultos mayores.

Antonio Castillo, nutricionista del INS y miembro alterno del Minsa ante la Comisión Multisectorial de Naturaleza Temporal "Año Internacional de la Quinua 2013”, sostuvo que la versatilidad de este cultivo peruano para ser cocido permite que se pueda preparar en guisos, sopas, desayunos, entradas, platos de fondo, o para acompañar  algunas carnes como pollo, pavita, pescado, entre otros.

Indicó que este cereal tiene más proteínas (13.6%) que el arroz (7.8%) y el trigo (10.3%), sin que estos alimentos dejen de ser importantes en una alimentación balanceada; pero debido a su gran contenido proteico, la quinua fortalece mejor el organismo de las personas.

Con respecto a la grasa contenida en este alimento, Antonio Castillo precisó que es de nivel bajo (apenas 5%), y de este porcentaje la mitad contiene ácido linoleico, esencial para la dieta humana.

“La quinua también es una buena fuente de almidón, fibra, minerales y vitaminas; destacando entre los minerales el calcio y fósforo; y entre las vitaminas, son mayores las del complejo B”, subrayó.

En el caso de los niños y niñas, los beneficios nutricionales de la quinua son fundamentales por la cantidad de proteínas de tipo vegetal y la calidad de aminoácidos esenciales en una buena elección para la alimentación infantil, comentó el experto.

Castillo explicó que es una buena opción para la alimentación de los adultos mayores porque les proporciona proteínas, una buena fuente energética y de fibra, a la que se le atribuye la cualidad de prevenir enfermedades degenerativas (cardiovasculares, diabetes, cáncer de colon, entre otros). Además de  ser  de fácil digestión y no dificulta la masticación.

El 20 de febrero se realizará el lanzamiento mundial del Año Internacional de la Quinua en la sede central de la Organización de las Naciones Unidas, donde participará la Primera Dama de la Nación Nadine Heredia, quien recibirá oficialmente el título de Embajadora Especial de la FAO para el Año Internacional de la Quinua.

Recetario 

El Ministerio de Salud a través del Instituto Nacional de Salud ha elaborado el Recetario de la Quinua, que contiene recetas nutritivas, económicas y saludables elaboradas en base a este milenario cereal.

Citó, por ejemplo, el tamal de quinua, quinua a la huancaína con papa, quinua a la princesa con sangrecita, quinotto de quinua con carne guisada, quinua con pota saltada, guiso de quinua con riñón, chaufa de quinua con sangrecita de pollo, torrejas de quinua, tacu tacu de quinua, entre otros.

¿QUE ES LA COXARTROSIS?

¿QUE ES LA COXARTROSIS?

La cadera, es una de las articulaciones mas grandes y poderosas del cuerpo, está sometida a enormes esfuerzos de carga y movimiento prácticamente desde el nacimiento hasta la muerte. Precisamente por ésta situación, es que puede presentar una serie de alteraciones que provocan dolor, cojera y dificultad para caminar o movilizarse.
http://colegiomexicanodeortopediaytrauma.blogspot.mx/2013/02/que-es-la-coxartrosis.html

http://www.smcc.com.mx/index.htm


domingo, 17 de febrero de 2013

Estudiando el Amor/Studing Love

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



Observando los rostros queridos inhibe las reacciones de defensa. ¿Un mecanismo promotor de salud? 
Viewing loved faces inhibits defense reactions: a health-promotion mechanism?
Guerra P, Sánchez-Adam A, Anllo-Vento L, Ramírez I, Vila J.
Department of Personality, University of Granada, Granada, Spain.
PLoS One. 2012;7(7):e41631. doi: 10.1371/journal.pone.0041631. Epub 2012 Jul 23.
Abstract
We have known for decades that social support is associated with positive health outcomes. And yet, the neurophysiological mechanisms underlying this association remain poorly understood. The link between social support and positive health outcomes is likely to depend on the neurophysiological regulatory mechanisms underlying reward and defensive reactions. The present study examines the hypothesis that emotional social support (love) provides safety cues that activate the appetitive reward system and simultaneously inhibit defense reactions. Using the startle probe paradigm, 54 undergraduate students (24 men) viewed black and white photographs of loved (romantic partner, father, mother, and best friend), neutral (unknown), and unpleasant (mutilated) faces. Eye-blink startle, zygomatic major activity, heart rate, and skin conductance responses to the faces, together with subjective ratings of valence, arousal, and dominance, were obtained. Viewing loved faces induced a marked inhibition of the eye-blink startle response accompanied by a pattern of zygomatic, heart rate, skin conductance, and subjective changes indicative of an intense positive emotional response. Effects were similar for men and women, but the startle inhibition and the zygomatic response were larger in female participants. A comparison between the faces of the romantic partner and the parent who shares the partner's gender further suggests that this effect is not attributable to familiarity or arousal. We conclude that this inhibitory capacity may contribute to the health benefits associated with social support.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402448/pdf/pone.
0041631.pdf  
La selección natural, los hijos, y la ética del matrimonio (y divorcio): Construcción de un caso para el mejoramiento neural de las relaciones humanas. 
Natural Selection, Childrearing, and the Ethics of Marriage (and Divorce): Building a Case for the Neuroenhancement of Human Relationships.
Earp BD, Sandberg A, Savulescu J.
Oxford Uehiro Centre for Practical Ethics, University of Oxford, Suite 8, Littlegate House, St Ebbes Street, Oxford, OX1 1PT UK.
Philos Technol. 2012 Dec;25(4):561-587. Epub 2012 Jul 5.Abstract
We argue that the fragility of contemporary marriages-and the corresponding high rates of divorce-can be explained (in large part) by a three-part mismatch: between our relationship values, our evolved psychobiological natures, and our modern social, physical, and technological environment. "Love drugs" could help address this mismatch by boosting our psychobiologies while keeping our values and our environment intact. While individual couples should be free to use pharmacological interventions to sustain and improve their romantic connection, we suggest that they may have an obligation to do so as well, in certain cases. Specifically, we argue that couples with offspring may have a special responsibility to enhance their relationships for the sake of their children. We outline an evolutionarily informed research program for identifying promising biomedical enhancements of love and commitment.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3510696/pdf/13347_
2012_Article_81.pdf 
 
La reacción cerebral a la observación de caras de los compañeros románticos de distinto o del mismo sexo. 
The brain reaction to viewing faces of opposite- and same-sex romantic partners.
Zeki S, Romaya JP.
Wellcome Laboratory of Neurobiology, University College London, London, United Kingdom. zeki.pa@ucl.ac.uk
PLoS One. 2010 Dec 31;5(12):e15802. doi: 10.1371/journal.pone.0015802.
Abstract
We pursued our functional magnetic resonance imaging (fMRI) studies of the neural correlates of romantic love in 24 subjects, half of whom were female (6 heterosexual and 6 homosexual) and half male (6 heterosexual and 6 homosexual). We compared the pattern of activity produced in their brains when they viewed the faces of their loved partners with that produced when they viewed the faces of friends of the same sex to whom they were romantically indifferent. The pattern of activation and de-activation was very similar in the brains of males and females, and heterosexuals and homosexuals. We could therefore detect no difference in activation patterns between these groups.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3013131/pdf/pone.
0015802.pdf  
Las bases neurales de amor romántico 
The neural basis of romantic love.
Bartels A, Zeki S.
Wellcome Department of Cognitive Neurology, University College London, UK.
Neuroreport. 2000 Nov 27;11(17):3829-34.
Abstract
The neural correlates of many emotional states have been studied, most recently through the technique of fMRI. However, nothing is known about the neural substrates involved in evoking one of the most overwhelming of all affective states, that of romantic love, about which we report here. The activity in the brains of 17 subjects who were deeply in love was scanned using fMRI, while they viewed pictures of their partners, and compared with the activity produced by viewing pictures of three friends of similar age, sex and duration of friendship as their partners. The activity was restricted to foci in the medial insula and the anterior cingulate cortex and, subcortically, in the caudate nucleus and the putamen, all bilaterally. Deactivations were observed in the posterior cingulate gyrus and in the amygdala and were right-lateralized in the prefrontal, parietal and middle temporal cortices. The combination of these sites differs from those in previous studies of emotion, suggesting that a unique network of areas is responsible for evoking this affective state. This leads us to postulate that the principle of functional specialization in the cortex applies to affective states as well.
http://journals.lww.com/neuroreport/pages/articleviewer.aspx?year=2000&issue=11270&article=00046&type=abstract 



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

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