sábado, 12 de septiembre de 2015

Ortopedia. Noticias


Ortopedia
Notificaciones diarias ⋅ 8 de septiembre de 2015
NOTICIAS


Angulo7

Separan del cargo a personal de Ortopedia de IMSS; serían cesados
Angulo7
El director de Hospital de Traumatología y Ortopedia del IMSS en Puebla, Carlos Francisco Morales Flores, dijo que los nueve empleados de video ...
IMSS exige sanción por video vergonsozo - El Sol de Cuautla
#Video Trabajador del IMSS se baña en ollas donde preparan los alimentos - Criterio Hidalgo
Suspenden a empleados del IMSS que protagonizaron video en olla - Periodico Central
Cobertura total de la noticia

Jornada Requisitos técnicos y sanitarios para la licencia de...
Ortopedia y Geriatría Profesional
La Federación Española de Técnicos Ortopédicos (Fetor) organiza una jornada informativa titulada “Requisitos Técnicos y Sanitarios para la ...

¿Quien escribió los primeros trabajos dedicados a la ortopedia?
detareas.com
Saludos, quisiera saber que personaje fue el que escribió los primeros trabajos relacionados con laortopedia, espero me puedan ayudar gracias.

osteoartritis
Ortopedia Pediátrica y Reemplazos Articulares. Dr Pablo Tejerina Vargas
Adults with uncorrected genu valgum are typically prone to injury and chronic knee problems such as chondromalacia and osteoarthritis. — Bow Legs ...

manual ortopedia del adulto. a. patel
todocoleccion.net
Libros de Segunda Mano - Ciencias, Manuales y Oficios - Medicina, Farmacia y Salud: Manual ortopedia del adulto. a. patel - f. honnart. toray masson ...

Medicina de rehabilitación. Noticias


Medicina de rehabilitación
Notificaciones diarias ⋅ 8 de septiembre de 2015
NOTICIAS


La Voz de Almería

Hombro doloroso postvacacional
La Voz de Almería
Dr. Chiquero y Dr. Pineda, médicos especialistas en Medicina Física y Rehabilitaciónen el Hospital Mediterraneo. La Voz. El verano es una estación ...




NetNoticiasMx (Comunicado de prensa) (blog)

Inicia la 2da semana de la Fisioterapia en la Facultad deMedicina
NetNoticiasMx (Comunicado de prensa) (blog)
Estefanía Portillo, alumna de quinto semestre de Terapia Física y Rehabilitación, fue la encargada de emitir un discurso a los estudiantes, ...



Inauguran Segunda Semana de la Fisioterapia de la Facultad de Medicina de la Uach
La Opcion
Pero sin límites” que organizan alumnos de la carrera de Terapia Física y Rehabilitación de la Facultad deMedicina y Ciencias Biométricas de la ...


WEB

Medicina Física y rehabilitación
Ozonklinikat
Ofrecemos medicina física y rehabilitación que regenera la movilidad motora provocada por diversas lesiones.



Medicina Rehabilitación
Fútbol ADN
La Rehabilitación es el proceso global y continuo de duración limitada y con objetivos definidos encaminados a permitir que una persona con ...

Medicina de rehabilitación. Noticias


Medicina de rehabilitación
Notificaciones diarias ⋅ 12 de septiembre de 2015
NOTICIAS


Expreso (Perú)

EsSalud: 700 nuevos médicos especialistas
Expreso (Perú)
... Ginecología, Pediatría, Ortopedía, Traumatología, Radiología, Cardiología, Oncología, Psiquiatría, Neurología y Medicina Física y Rehabilitación, ...
Puno: 715 médicos seguirán su especialización en hospitales de Essalud - Diario Correo
Essalud presentará a 80 médicos que seguirán su especialización en sus hospitales - Andina
PERÚ: 715 médicos seguirán su especialización en hospitales de Essalud - EntornoInteligente
Cobertura total de la noticia




el periodic

El área de salud Manises y Berklee College se unen en un proyecto de 'musicoterapia' para ...
el periodic
... cualificado entre los que figuran médicos especialistas en medicina interna,rehabilitación o geriatría, neuropsicólogos, fisioterapeutas, enfermeros, ...




La Verdad de Tamaulipas

Tendrá Educación Física Fisioterapeuta de cabecera
La Verdad de Tamaulipas
... Médica de la Universidad Autónoma de Nuevo León la Carrera de RehabilitaciónFísica y realizó sus prácticas en Medicina Deportiva de la UANL, ...

Los últimos artículos publicados en Medwave son:


Medwave



Proximos cursos a realizarse:

• 23 de septiembre, inicio curso de “Calidad en los procesos asistenciales”. Detalles e inscripciones en http://ecampus.medwave.cl/?page_id=746
• Nuevo ciclo del curso de “Prevención y control de infecciones asociadas a la atención en salud”. Información en http://ecampus.medwave.cl/?page_id=764


Los últimos artículos publicados en Medwave son:


REPORTE DE CASO

Pileflebitis: reporte de caso y revisión de literatura
Lizeth Flores Anaya, Cinthia León Lozada, William Torres Damas (Perú)

Medwave 2015 Sep;15(8):e6258
http://dx.doi.org/10.5867/medwave.2015.08.6258


ARTÍCULO DE REVISIÓN

Enfermedades y riesgos laborales en trabajadores de servicios de urgencia: revisión de la literatura y acercamiento a Chile
Rosa Jiménez, Juan Ricardo Pavés (Chile)

Medwave 2015 ago;15(7):e6239
http://dx.doi.org/10.5867/medwave.2015.07.6239


ESTUDIOS PRIMARIOS

Herramientas estadísticas en los artículos publicados en una revista de salud pública durante el periodo 2013-2014: estudio bibliométrico transversal
Víctor Arcila Quiceno, Elizabeth García Restrepo, Natalia Gómez Rúa, Gino Montenegro Martínez, Luis Carlos Silva Ayçaguer (Colombia, Cuba)

Medwave 2015 Ago;15(7):e6238
http://dx.doi.org/10.5867/medwave.2015.07.6238


EDITORIAL

Resúmenes Epistemonikos en Medwave: evidencia confiable y amigable que llegó para quedarse
Gabriel Rada, Vivienne C. Bachelet

Medwave 2015 Ago;15(7):e6232
http://dx.doi.org/10.5867/medwave.2015.6232


DE LOS EDITORES
Cuatro estados de ánimo del clínico basado en evidencia: lo que nos dejó el primer suplemento de resúmenes Epistemonikos
Gabriel Rada (Chile)

Medwave 2015 Ago;15(7):6237
http://dx.doi.org/10.5867/medwave.2015.07.6237


PORTADA MEDWAVE
www.medwave.cl

PORTADA eCAMPUS
http://ecampus.medwave.cl/

Embarazo patológico/Pathological pregnancy

Septiembre 12, 2015. No. 2083
Anestesia y Medicina del Dolor

Embarazo con co-morbilidades: Aspectos anestésicos durante cirugía
Pregnancy with co-morbidities: Anesthetic aspects during operative intervention.
Anesth Essays Res. 2013 Sep-Dec;7(3):294-301. doi: 10.4103/0259-1162.123207.
Abstract
The presence of co-morbidities during pregnancy can pose numerous challenges to the attending anesthesiologists during operative deliveries or during the provision of labor analgesia services. The presence of cardiac diseases, endocrinological disorders, respiratory diseases, renal pathologies, hepatic dysfunction, anemia, neurological and musculoskeletal disorders, connective tissue diseases and many others not only influence the obstetric outcome, but can significantly impact the anesthetic technique. The choice of anesthesia during the pregnancy depends upon the type of surgery, the period of gestation, the site of surgery, general condition of patient and so on. Whatever, the anesthetic technique is chosen the methodology should be based on evidentially supported literature and the clinical judgment of the attending anesthesiologist. The list of co-morbid diseases is unending. However, the present review describes the common co-morbidities encountered during pregnancy and their anesthetic management during operative deliveries.
KEYWORDS: Anemia; anesthesia; asthma; cardiac diseases; critically ill; diabetes mellitus; pregnancy
Entendiendo y tratando pacientes embarazadas con lupus
Understanding and Managing Pregnancy in Patients with Lupus.
Autoimmune Dis. 2015;2015:943490. doi: 10.1155/2015/943490. Epub 2015 Jul 12.
Abstract
Systemic lupus erythematosus (SLE) is a chronic, multisystemic autoimmune disease that occurs predominantly in women of fertile age. The association of SLE and pregnancy, mainly with active disease and especially with nephritis, has poorer pregnancy outcomes, with increased frequency of preeclampsia, fetal loss, prematurity, growth restriction, and newborns small for gestational age. Therefore, SLE pregnancies are considered high risk condition, should be monitored frequently during pregnancy and delivery should occur in a controlled setting. Pregnancy induces dramatic immune and neuroendocrine changes in the maternal body in order to protect the fetus from immunologic attack and these modifications can be affected by SLE. The risk of flares depends on the level of maternal disease activity in the 6-12 months before conception and is higher in women with repeated flares before conception, in those who discontinue useful medications and in women with active glomerulonephritis at conception. It is a challenge to differentiate lupus nephritis from preeclampsia and, in this context, the angiogenic and antiangiogenic cytokines are promising. Prenatal care of pregnant patients with SLE requires close collaboration between rheumatologist and obstetrician. Planning pregnancy is essential to increase the probability of successful pregnancies.
 
Encefalitis anti-NMDA receptor en una mujer embarazada
Anti-NMDA Receptor Encephalitis in a Pregnant Woman.
J Epilepsy Res. 2015 Jun 30;5(1):29-32. doi: 10.14581/jer.15008. eCollection 2015.
Abstract
Anti N-methyl-D-aspartate (NMDA) receptor encephalitis is one of the most common types of autoimmune synaptic encephalitis. Anti-NMDA receptor encephalitis commonly occurs in young women with ovarian teratoma. It has variable clinical manifestations and treatment responses. Sometimes it is misdiagnosed as a psychiatric disorder or viral encephalitis. To the best of our knowledge, anti-NMDA receptor encephalitis is a rare condition in pregnant women. We report a case of anti-NMDA receptor encephalitis in a pregnant woman who presented with abnormal behavior, epileptic seizure, and hypoventilation.
KEYWORDS: NMDA receptor antibodies; Outcome; Ovarian teratoma; Pregnancy
PDF 
Análisis retrospectivo de la evolución pacientes obstétricas en la UCI de un hospital de tercer nivel de atención
A retrospective analysis of obstetric patient's outcome in intensive care unit of a tertiary care center. Gombar SAhuja VJafra A.
J Anaesthesiol Clin Pharmacol. 2014 Oct;30(4):502-7. doi: 10.4103/0970-9185.142843.
Abstract
BACKGROUND AND AIMS: Admission to an intensive care unit (ICU) is considered as an objective marker of severe maternal morbidity. The aim was to assess the incidence and possible risk factors of obstetric patient admissions in the multidisciplinary ICU of a tertiary care center with emphasis on standardized mortality ratio (SMR).MATERIAL AND METHODS: A retrospective five year ICU record analysis was done for all pregnant women, who were admitted to multidisciplinary ICU of a tertiary care hospital during June 2007-12.RESULTS:
During this 5-year period, 21,943 deliveries took place and 164 women required ICU admission. Out of these, the data of 151 patients were analyzed. Maternal mortality rate was 31.1% (47 deaths) for patients admitted to ICU. The simplified acute physiologic score (SAPS) II was 62 (55-68) in nonsurvivor versus 34.00 (28-46) in survivor group (P value < 0.001). The receiver operated characteristic curve was plotted using SAPS II scores and the area under the curve was 0.93 with 95% confidence interval (0.89-0.96). The calculated SMR was 0.97. CONCLUSIONS:
Women admitted to ICU with diagnosis of puerperal sepsis and intrauterine death (IUD) with coexisting sepsis had higher mortality as compared to women with hypertensive disease of pregnancy and hemorrhage. The calculated SMR was less than one which is a predictor of good ICU care.
KEYWORDS: Developing countries; ICU; IUD; SAPS II; obstetric; obstetric hemorrhage; preeclampsia; pregnancy; puerperal sepsis
 
Modulo CEEA Leon, Gto. 


          
Anestesiología y Medicina del Dolor
52 664 6848905
vwhizar@anestesia-dolor.org
anestesia-dolor.org

Copyright © 2015

Lesión masiva de mango rotador y su reparación artroscopica


En este video mostramos una lesión masiva de mango rotador y su reparación artroscopica El manguito de los rotadores...
Posted by Dr. Francisco Cruz Ortopedia del Deporte de Alto Rendimiento México on Viernes, 11 de septiembre de 2015

viernes, 11 de septiembre de 2015

Cirugía bariátrica y embarazo/Bariatric surgery and pregnancy

Septiembre 8, 2015. No. 2079
Anestesia y Medicina del Dolor

Nutrición y embarazo después de cirugía bariátrica
Nutrition and pregnancy after bariatric surgery.
ISRN Obes. 2013 Jan 30;2013:492060. doi: 10.1155/2013/492060. eCollection 2013.
Abstract
Obesity is an escalating problem in all age groups and it is observed to be more common in females than males. About 25% of women meet the criteria of obesity and one-third of them are in the reproductive age. Because morbid obesity requiring surgical treatment is observed with increasing frequency, surgeons and gynecologists are undergoing new challenges. It is not only a matter of women's health and their quality of life but also proper development of the fetus, which should be a concern during bariatric treatment. Therefore complex perinatal care has to be provided for morbid obesity patients. The paper reviews pregnancy and fertility issues in bariatric surgery patients.
Efectos de la cirugía de bypass gástrico sobre la función reproductiva femenina
Effects of gastric bypass surgery on female reproductive function.
J Clin Endocrinol Metab. 2012 Dec;97(12):4540-8. doi: 10.1210/jc.2012-2205. Epub 2012 Oct 12.
Abstract
CONTEXT: Reproductive function may improve after bariatric surgery, although the mechanisms and time-related changes are unclear. OBJECTIVE: The objective of the study was to determine whether ovulation frequency/quality as well as associated reproductive parameters improve after Roux en Y gastric bypass surgery. DESIGN: This was a prospective cohort study that enrolled female subjects from 2005 to 2008 with study visits at baseline and then 1, 3, 6, 12, and up to 24 months after surgery. SETTING: The study was conducted at an academic health center. PATIENTS: Twenty-nine obese, reproductive-aged women not using confounding medications participated in the study. MAIN OUTCOME MEASURES: The primary outcome was integrated levels of urinary progestin (pregnanediol 3-glururonide) from daily urinary collections at 12 months postoperatively. Secondary outcomes were changes in vaginal bleeding, other biometric, hormonal, ultrasound, dual-energy x-ray absorptiometry measures, and Female Sexual Function Index. RESULTS: Ninety percent of patients with morbid obesity had ovulatory cycles at baseline, and the ovulatory frequency and luteal phase quality (based on integrated pregnanediol 3-glururonide levels) were not modified by bariatric surgery. The follicular phase was shorter postoperatively [6.5 d shorter at 3 months and 7.9-8.9 d shorter at 6-24 months (P < 0.01)]. Biochemical hyperandrogenism improved, largely due to an immediate postoperative increase in serum SHBG levels (P < 0.01), with no change in clinical hyperandrogenism (sebum production, acne, hirsutism). Bone density was preserved, contrasting with a significant loss of lean muscle mass and fat (P < 0.001), reflecting preferential abdominal fat loss (P < 0.001). Female sexual function improved 28% (P = 0.02) by 12 months. CONCLUSIONS: Ovulation persists despite morbid obesity and the changes from bypass surgery. Reproductive function after surgery is characterized by a shortened follicular phase and improved female sexual function.
PDF 
 Modulo CEEA Leon, Gto.


          
Anestesiología y Medicina del Dolor
52 664 6848905
vwhizar@anestesia-dolor.org
anestesia-dolor.org

Copyright © 2015