viernes, 11 de marzo de 2016

Libros con acceso abierto / Free access books

Marzo 3, 2016. No. 2254-A

 


Nuevos aspectos de los mecanismos moleculares y celulares de la carcinogénesis humana
New Aspects in Molecular and Cellular Mechanisms of Human Carcinogenesis
Edited by Dmitry Bulgin, ISBN 978-953-51-4382-6, 192 pages, Publisher: InTech, Chapters published March 02, 2016 under CC BY 3.0 license
Edited Volume
Written by an international team of experts in the field of human carcinogenesis, this book discusses recent advances in cancer research, which include the following topics: basic molecular and cellular mechanisms behind cancer growth, new approaches in cancer therapy, and cancer diagnostic. The book serves as a useful source of reference for cancer biologists, medical doctors, and clinical researchers in the fields of cancer diagnosis, prevention, and treatment.
 Cánceres ginecológicos. Ciencias básicas, clínica y perspectivas terapéuticas
Gynecologic Cancers - Basic Sciences, Clinical and Therapeutic Perspectives
Edited by Samir A. Farghaly, ISBN 978-953-51-4278-2, 338 pages, Publisher: InTech, Chapters published March 02, 2016 under CC BY 3.0 license
Edited Volume
Gynecologic cancers include malignancies of the female genital tract involving the vulva, vagina, cervix, uterus, fallopian tubes or ovaries. In the USA, 98,280 women had gynecological cancers in 2015, and 30,440 died of these cancers. World wide, the number of women who had cancers of the female genital tract was 1,085,900, in 2012 and the number of deaths was 417,600. Cancers of the uterus, cervix and ovary are most common. Widespread screening with the Pap test has allowed physicians to find per-cancerous changes in the cervix and vagina. This has assisted in identifying some invasive cancers early. Multidisciplinary team of experts includes specialists in medical oncology, gynecologic oncology, radiology, urology, radiotherapy, and surgery who work together to determine the best treatment approach for the patient. Recent progress in the development of new surgical techniques has transformed the treatment of gynecologic cancers, resulting in greater surgical precision and fewer complications. In addition targeted adjuvant therapy has become useful in improving the oncologic outcome of patients with these cancers.
Avances en cirugía oftalmológica
Advances in Eye Surgery
Edited by Patricio A. Pacheco, ISBN 978-953-51-2249-4, 302 pages, Publisher: InTech, Chapters published February 24, 2016 under CC BY 3.0 license
DOI: 10.5772/59216
Edited Volume
This is a comprehensive, practical guidebook that provides a clear overview and update of current modern techniques of ocular surgery. The chapters will be of interest to a wide audience. The chapters are written by experts with special interest and extensive clinical experience in the topics.

          
Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

Neumonía / Pneumonia

Marzo 7, 2016. No. 2258


 
  


Manejo de la neumonía por Pseudomona aeuruginosa asociada al ventilador
Pseudomonas aeruginosa ventilator-associated pneumonia management.
Infect Drug Resist. 2016 Jan 20;9:7-18. doi: 10.2147/IDR.S50669. eCollection 2016.
Abstract
Ventilator-associated pneumonia is the most common infection in intensive care unit patients associated with high morbidity rates and elevated economic costs; Pseudomonas aeruginosa is one of the most frequent bacteria linked with this entity, with a high attributable mortality despite adequate treatment that is increased in the presence of multiresistant strains, a situation that is becoming more common in intensive care units. In this manuscript, we review the current management of ventilator-associated pneumonia due to P. aeruginosa, the most recent antipseudomonal agents, and new adjunctive therapies that are shifting the way we treat these infections. We support early initiation of broad-spectrum antipseudomonal antibiotics in present, followed by culture-guided monotherapy de-escalation when susceptibilities are available. Future management should be directed at blocking virulence; the role of alternative strategies such as new antibiotics, nebulized treatments, and vaccines is promising.
KEYWORDS: ICU; adjunctive-therapies; care-bundles; multidrug-resistant; new-antibiotics
Valor pronóstico de procalcitonina en neumonía. Revisión sistemática y meta-análisis
Prognostic value of procalcitonin in pneumonia: A systematic review and meta-analysis.
Respirology. 2016 Feb;21(2):280-8. doi: 10.1111/resp.12704. Epub 2015 Dec 10.
For critically ill patients, an elevated PCT level was associated with an increased risk of mortality (RR 4.18, 95% CI: 3.19-5.48). The prognostic performance was nearly equal between patients with ventilator-associated pneumonia (VAP) and patients with CAP.
KEYWORDS: meta-analysis; mortality; pneumonia; procalcitonin; prognosis
CEEA Veracruz


          
Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

[Identidad Bibliotecaria] Resumen semanal



E-Books
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Revista Mercado de Dinero (Comunicado de prensa) (Registro)

Apple compensará con $400 millones a 23 millones de usuarios de 'ebooks'
Revista Mercado de Dinero (Comunicado de prensa) (Registro)
ebook-tablet Escrito por Confidencial MD.- El Tribunal Supremo de los Estados Unidos ha rechazado la apelación de Apple contra su condena de ...
Apple a pagar US$ 400 millones por inflar los precios de ebooks - ENTER.CO
Apple deberá pagar US$ 450 millones por e-books - Revista Capital
Apple tiene que pagar 450 millones de dólares por e-books - lagranepoca
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El Grupo Informatico

Apple estafó a los usuarios con el precio de los ebooks
El Grupo Informatico
Pero el Tribunal Supremo de los Estados Unidos ha declinado revisar su caso sobre la fijación de precios de los ebooks. Eso supone que Apple ha ...




Todo eReaders (blog)

Mofibo calienta el mercado holandés de los ebooks
Todo eReaders (blog)
Hace tiempo que Mofibo, una empresa relacionada con los ebooks y con las tarifas planas deebooks, se atrevió a adentrarse en el mercado ...


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librerias
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La Razón (Argentina)

La Noche de las Librerías, este sábado en avenida Corrientes
La Razón (Argentina)
En una de las ciudades con más librerías por habitantes, este fin de semana una avenida se convierte en peatonal para darle aún más lugar a los ...
Este sábado, la cultura y los libros llegan a la avenida Corrientes - Clarín.com
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Télam

Cultura Arranca una nueva edición de la "Noche de las librerías"
Télam
El tradicional evento, que contará con lecturas en vivo, charlas con escritores, una feria de editoriales independientes, presentaciones de libros, ...




EntornoInteligente

Elisa Lerner vuelve a las librerías con sus crónicas reunidas
El Nacional.com
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bibliotecarios
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Teleprensa periódico digital

La Junta inicia la formación de 20 bibliotecarios de Almería en el uso de nuevas tecnologías
Teleprensa periódico digital
ALMERÍA.- La Delegación territorial de Cultura, Turismo y Deporte, ha iniciado hoy en la biblioteca “Francisco Villaespesa”, los cursos de formación ...




El Almería

La Junta inicia la formación de 20 bibliotecarios en el uso de...
El Almería
La Delegación de Cultura inició ayer en la biblioteca Francisco Villaespesa, los cursos de formación dirigidos a bibliotecarios que desempeñan su ...



Imparten a bibliotecarios curso de automatización
La Voz (Comunicado de prensa) (Registro) (blog)
MELCHOR MÚZQUIZ, COAH.- En días pasados bibliotecarios del Municipio de Múzquiz participaron en un curso denominado “Automatización de ...


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Bibliotecas
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La Voz de Galicia

Las bibliotecas bajo la lupa judicial
La Voz de Galicia
El primero es el S-1/2011, relativo a «suministro y gestión de material bibliográfico con destino a la sala de adultos de la biblioteca Ágora».
La Policía Judicial recaba documentos sobre la adjudicación de las bibliotecas - El Ideal Gallego
El BNG pide aclarar las adjudicaciones a Eulen y que se depuren responsabilidades "alcancen a ...- Lainformacion.com
Un juez investiga dos contratos de la etapa de Negreira por posible tráfico de influencias - La Opinión A Coruña
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El Comercio Digital (Asturias)

Las bibliotecas ampliarán los contenidos de Wikipedia sobre Avilés
La Nueva España
Illán GARCÍA La red de bibliotecas municipales de Avilés participará el próximo mes de abril en el proyecto "Biblio Wiki Asturias", consistente en ...
Las bibliotecas de Avilés buscan colaboradores para subir temas a Wikipedia - El Comercio Digital (Asturias)
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Diario La Opinión Cúcuta

Llaman a postular a bibliotecas públicas al Premio 'Daniel Samper Ortega'
Diario La Opinión Cúcuta
Los servicios bibliotecarios que prestan las 1.424 bibliotecas públicas del país y su impacto en las comunidades, serán reconocidos por el Ministerio ...

Más de neumonía / More on pneumonia

Marzo 8, 2016. No. 2259




Antibióticos nebulizados en NAV. Revisión sistemática y meta-análisis
Nebulized antibiotics for ventilator-associated pneumonia: a systematic review and meta-analysis.
Crit Care. 2015 Apr 7;19:150. doi: 10.1186/s13054-015-0868-y.
CONCLUSIONS: Nebulized antibiotics seem to be associated with higher rates of clinical cure in the treatment of ventilator-associated pneumonia. However, the apparent benefit in the clinical cure rate observed by traditional meta-analysis does not persist after trial sequential analysis. Additional high-quality studies on this subject are highly warranted.
TRIAL REGISTRATION NUMBER: CRD42014009116 . Registered 29 March 2014.
Colistina para infección pulmonar. Una actualización
Colistin for lung infection: an update.
These finding stresses to use high loading as well as high maintenance dose of intravenous colistin. It is not only suboptimal plasma concentration of colistin but also poor lung tissue concentration, which has been demonstrated in recent studies, poses major concern in using intravenous colistin. Combination therapy mainly with carbapenems shows synergistic effect. In recent studies, inhaled colistin has been found promising in treatment of lung infection due to MDR gram-negative bacteria. New evidence shows less toxicity than previously reported.
KEYWORDS: Colistin; Critically ill; Lung infection; Pneumonia; Ventilator-associated pneumonia
¿Como evitar microaspiración? Un element clave en la prevención de NAV en pacientes intubados en UCI
How to avoid microaspiration? A key element for the prevention of ventilator-associated pneumonia in intubated ICU patients.
BMC Infect Dis. 2014 Nov 28;14:119. doi: 10.1186/1471-2334-14-119.
Abstract
Microaspiration of subglottic secretions through channels formed by folds in high volume-low pressure poly-vinyl chloride cuffs of endotracheal tubes is considered a significant pathogenic mechanism of ventilator-associated pneumonia (VAP). Therefore a series of prevention measures target the avoidance of microaspiration. However, although some of these can minimize microaspiration, benefits in terms of VAP prevention are not always obvious. Polyurethane-cuffed endotracheal tubes successfully reduce microaspiration but high quality data demonstrating VAP rate reduction are lacking. An analogous conclusion can be made regarding taper-shaped cuffs compared with classic barrel-shaped cuffs. More clinical data regarding these endotracheal tube designs are needed to demonstrate clinical value in addition to in vitro-based evidence. The clinical usefulness of endotracheal tubes developed for subglottic secretions drainage is established in multiple studies and confirmed by meta-analysis. Any change in cuff design will fail to prevent microaspiration if the cuff is insufficiently inflated. At least one well-designed trial demonstrated that continuous cuff pressure monitoring and control decrease the risk of VAP. Gel lubrication of the cuff prior to intubation temporarily hampers microaspiration through sludging the channels formed by folds in high volume-low pressure cuffs. As the beneficial effect of gel lubrication is temporarily, its potential to reduce VAP risk is probably nonsignificant. A minimum positive end-expiratory pressure of at least 5 cmH2O can be recommended as it reduces the risk of microaspiration in vitro and in vivo. One randomized controlled study demonstrated a reduced risk of VAP in patients ventilated with PEEP (5-8 cmH2O). Regarding head-of-bed elevation, it can be recommended to avoid supine positioning. Whether a 45° head-of-bed elevation is to be preferred above 25-30° head-of-bed elevation remains unproven. Finally, the routine monitoring of gastric residual volumes in mechanically ventilated patients receiving enteral nutrition cannot be recommended.
CEEA Veracruz


          
Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015