Falla de anestesia neuroaxial/Failed neuroaxial anesthesia

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

Malposición de catéter en anestesia epidural confirmada por tomografía computada  Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography. Lee SJ, Kim SH, Park SY, Kim MG, Jung BI, Ok SY. Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University, Seoul, Korea. Korean J Pain. 2011 Mar;24(1):44-7. doi: 10.3344/kjp.2011.24.1.44. Epub 2011 Feb 25. Abstract We report a case of failed epidural anesthesia despite successful identification of the epidural space, loss of resistance technique, hanging drop method and drip infusion. This case evaluated the use of computed tomography to confirm epidural catheter position, which showed the catheter accidentally positioned at the T2 lamina. Because epidural anesthesia can even after successful procedure using standardized techniques such as loss of resistance, we recommend performing the procedure under fluoroscopic guidance to improve success rate and patient safety. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3049976/pdf/kjpain-24-44.pdf   ¿Por que los bloqueos epidurales no siempre funcionan?  Why Epidurals Do Not Always Work? Katherine Arendt, MD, Scott Segal, MD Department of Anesthesiology, Mayo Clinic, Rochester, MN; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA Rev Obstet Gynecol. 2008;1(2):49-55. The overwhelming majority of epidural catheters placed for labor provide satisfactory analgesia. There are, however, times when the catheter is not sited within the epidural space correctly, the patient's neuraxial anatomy is problematic, or a patient's labor progresses more quickly than expected by the anesthesiologist, and the epidural block does not set up on time. In this article, the basics of neuraxial labor analgesia, the causes of its failure, and the strategies anesthesiologists employ to rescue poorly functioning catheters are reviewed. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2505163/pdf/RIOG001002 _0049.pdf     Enlaces de utilidad Links: http://www.csaol.cn/img/Hypertextbook/a/c94.htm   http://www.anesthesia.utoronto.ca/edu/cme/courses/m14/Failed_Epidural  _Options_CS.htm   http://www.allaboutepidural.com/main-content/epidural-side-effects-malfunction   http://cdigital.uv.mx/bitstream/123456789/29805/1/FERMANSUAREZ JUANJORGE.pdf    Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

McKenzie Method Assessment

http://www.smo.edu.mx/anuncio_residentes6.htm
http://colegiomexicanodeortopediaytrauma.blogspot.mx/2013/03/mckenzie-method-assessment.html


Spine-health
Do you compensate for your back or neck pain by assuming different positions? You may be a candidate for the McKenzie Method Assessment.

During the McKenzie physical examination, patients are taken through provocative loading strategies (movements) that help classify the patient and determine the best treatment approach.




http://www.spine-health.com/wellness/exercise/videos
Back Exercise Video Directory

Back exercise is a vital part of maintaining proper spine health and is often a regular part of any back treatment program for conditions such as sciatica, degenerative disc disease and other back disorders. Browse our back exercise videos which provide informative instuctions and tips on the proper techniques and exercises to perform to help alleviate back pain and assure a strong and healthy back and spine.



Hamstring Exercises for Low Back Pain Relief Video
A visual demonstration of the correct exercises and stretches for the hamstring muscles that are designed to bring relief for lower back pain.
Sciatica Exercises for Degenerative Disc Disease Video
See how to perform exercises to relieve sciatica from degenerative disc disease. Beginning and advanced techniques are demonstrated.
Sciatica Exercises for Piriformis Syndrome Video
An informative visual demonstration of correct exercises and stretching techniques to help relieve sciatica pain caused by piriformis syndrome.
Sciatica Exercises for Spinal Stenosis Video
Learn the correct technique for performing stretches and exercises to increase back strength and relieve sciatica caused by spinal stenosis.

http://www.spine-health.com/wellness/exercise/mckenzie-method-assessment


McKenzie Method Assessmentwww.spine-health.com
-AA+A By: Thomas E. (Ted) Dreisinger, PhDArticle has been peer reviewedTweetprintWhen a patient’s pain symptoms can be made better or worse by adopting various, differentiated active positions, it is said that a

Apnea obstructiva del sueño/Sleep obstructive apnea

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


Apnea obstructiva del sueño/Sleep obstructive apnea

Apnea obstructiva del sueño y diabetes tipo 2: ¿Hay un enlace?  Obstructive sleep apnea and type 2 diabetes: is there a link? Pamidi S, Tasali E. Respiratory Division, Department of Medicine, McGill University Montreal, QC, Canada. Front Neurol. 2012;3:126. Epub 2012 Aug 13. Abstract Type 2 diabetes is a chronic illness that is increasing in epidemic proportions worldwide. Major factors contributing to the development of type 2 diabetes include obesity and poor lifestyle habits (e.g., excess dietary intake and limited physical activity). Despite the proven efficacy of lifestyle interventions and the use of multiple pharmacological agents, the economic and public health burden of type 2 diabetes remains substantial. Obstructive sleep apnea (OSA) is a treatable sleep disorder that is pervasive among overweight and obese adults, who represent about two thirds of the U.S. population today. An ever-growing number of studies have shown that OSA is associated with insulin resistance, glucose intolerance and type 2 diabetes, independent of obesity. Evidence from animal and human models that mimic OSA provides potential mechanisms for how OSA may alter glucose metabolism. Up to 83% of patients with type 2 diabetes suffer from unrecognized OSA and increasing severity of OSA is associated with worsening glucose control. However, it is still unclear whether OSA may lead to the development of diabetes over time. More data from large-scale longitudinal studies with rigorous assessments of diabetes and OSA are needed. In addition, there is still controversy whether continuous positive airway pressure (CPAP) treatment of OSA improves glucose metabolism. Large-scale randomized-controlled trials of CPAP treatment of OSA with well-validated assessments of insulin sensitivity and glucose tolerance are needed. These studies may reveal that OSA represents a novel, modifiable risk factor for the development of prediabetes and type 2 diabetes. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449487/pdf/fneur-03-00126.pdf     Apnea obstructiva del sueño como riesgo para ateroesclerosis-implicaciones preventivas y de tratamiento personalizado  Obstructive sleep apnoea as a risk factor for atherosclerosis - implication for preventive and personalised treatment. Tuleta I, Pabst S, Juergens UR, Nickenig G, Skowasch D. University of Bonn, Bonn, Germany. EPMA J. 2011 Mar;2(1):39-47. doi: 10.1007/s13167-011-0070-5. Epub 2011 Mar 26.Abstract Atherosclerosis with its manifestations and associated diseases is a main cause of morbidity and mortality in industrial countries. The pathomechanisms underlying atherosclerosis are complex and comprise exogenous factors as well as genetic predisposition. Beyond the well-defined risk factors for the development of atherosclerosis, obstructive sleep apnoea (OSA) merits more and more attention. A growing body of evidence has associated OSA with vascular pathologies. Although the exact mechanisms involved are not known, the occurrence of intermittent hypoxia typical for OSA may lead to oxidative stress, inflammation, metabolic and neural changes which in turn are responsible for vessel dysfunction underlying atherosclerosis. It has been demonstrated that therapy with continuous positive airway pressure (CPAP) plays a vasoprotective role. This review summarises data resulting from epidemiological and clinical studies with emphasis on the possible mechanisms linking OSA with atherosclerosis, predictive biomarkers helping identify OSA patients at high cardiovascular risk and personalised treatment approaches.  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3405376/pdf/13167_2011 _Article_70.pdf    Atentamente Dr. Juan C. Flores-Carrillo Anestesiología y Medicina del Dolor www.anestesia-dolor.org

Más sobre apnea obstructiva del sueño/More on OSA

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

Avances recientes en el manejo de la apnea obstructivo del sueño: perspectiva dental  Recent advances in the management of obstructive sleep apnea: The dental perspective. Prabhat KC, Goyal L, Bey A, Maheshwari S. Department of Orthodontics and Dental Anatomy, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. J Nat Sci Biol Med. 2012 Jul;3(2):113-7. doi: 10.4103/0976-9668.101877. Abstract Obstructive sleep apnea (OSA) is common in adult population. OSA shows detrimental effects on health, neuropsychological development, quality-of-life, and economic potential and now it is recognized as a public health problem. Despite the availability of expanded therapeutic options, polysomnography and nasal continuous positive airway pressure (CPAP) are the gold standards for the diagnosis and treatment for OSA. Recently, American Academy of Sleep Medicine has recommended oral appliances for OSA. Hence the therapeutic interventions that are directed at the site of airway obstruction in the maxillofacial region are within the scope of dentistry. Treatment of OSA can improve vitality, social and daytime functioning, family life and mental health of a person and hence the quality-of-life. Obesity is the main predisposing factor for OSA. Other than obesity, craniofacial abnormalities such as micrognathia and retrognathia, age, ethnic background and genetic predisposition, consumption of alcohol, smoking, and sedatives may also predispose to OSA. Treatment modalities for OSA are behavior modification, diet and medication, CPAP devices, surgical (maxillo-mandibular advancement surgery), and oral appliances. Treatment of a patient with OSA not only improves the physical health of the patients but also the mental and social well-being. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3510903/  Apnea obstructiva del sueño e hígado graso no alcohólico: ¿Es el hígado otro órgano blanco?   Obstructive sleep apnea and non-alcoholic Fatty liver disease: is the liver another target? Mirrakhimov AE, Polotsky VY. I.K. Akhunbaev Kyrgyz State Medical Academy Bishkek, Kyrgyzstan. Front Neurol. 2012;3:149. doi: 10.3389/fneur.2012.00149. Epub 2012 Oct 17. Abstract Obstructive sleep apnea (OSA) is recurrent obstruction of the upper airway during sleep leading to intermittent hypoxia (IH). OSA has been associated with all components of the metabolic syndrome as well as with non-alcoholic fatty liver disease (NAFLD). NAFLD is a common condition ranging in severity from uncomplicated hepatic steatosis to steatohepatitis (NASH), liver fibrosis, and cirrhosis. The gold standard for the diagnosis and staging of NAFLD is liver biopsy. Obesity and insulin resistance lead to liver steatosis, but the causes of the progression to NASH are not known. Emerging evidence suggests that OSA may play a role in the progression of hepatic steatosis and the development of NASH. Several cross-sectional studies showed that the severity of IH in patients with OSA predicted the severity of NAFLD on liver biopsy. However, neither prospective nor interventional studies with continuous positive airway pressure treatment have been performed. Studies in a mouse model showed that IH causes triglyceride accumulation in the liver and liver injury as well as hepatic inflammation. The mouse model provided insight in the pathogenesis of liver injury showing that (1) IH accelerates the progression of hepatic steatosis by inducing adipose tissue lipolysis and increasing free fatty acids (FFA) flux into the liver; (2) IH up-regulates lipid biosynthetic pathways in the liver; (3) IH induces oxidative stress in the liver; (4) IH up-regulates hypoxia inducible factor 1 alpha and possibly HIF-2 alpha, which may increase hepatic steatosis and induce liver inflammation and fibrosis. However, the role of FFA and different transcription factors in the pathogenesis of IH-induced NAFLD is yet to be established. Thus, multiple lines of evidence suggest that IH of OSA may contribute to the progression of NAFLD but definitive clinical studies and experiments in the mouse model have yet to be done. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3473309/pdf/fneur-03-00149.pdf    Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

El Committee for European Education in Anaesthesiology tiene programados 3 cursos próximos en Xalapa, León, y Tijuana México

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




El Committee for European Education in Anaesthesiology tiene programados 3 cursos próximos en Xalapa, León, y Tijuana México.


Curso en Xalapa Veracruz, Abril 26-28, 2013
http://www.anestesia-dolor.org/eventos/TRIPTICO%20CUARTO%20MODULO%20IV%20CURSO%20%20ABRIL%2013.pdf


Curso en León, Guanajuato, Abril 26-28, 2013
http://www.anestesia-dolor.org/eventos/Programa_respiratorio_CEEA_%20Leon%20Gto.pdf


Curso en Tijuana, BC, Mayo 3-5, 2013
http://www.anestesia-dolor.org/eventos/Triptico_Respiratorio_2013.pdf


Sociedad Mexicana de Anestesiólogos Cardiotorácicos. Curso de internacional de anestesia cardiaca, Guadalajara, México. Mayo 3-5, 2013
http://www.smact.org.mx/images/PROGRAMA-CURSO-SMACT-2013.pdf


Otros eventos de anestesiología y ciencias afines
http://www.anestesia-dolor.org/eventos.html



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

Books Update NYT

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





http://www.nytimes.com/indexes/2013/03/01/books/booksupdate/index.html


March 1, 2013
Books Update

On the Cover of Sunday's Book Review

'Sticks and Stones'
By EMILY BAZELON
Reviewed by ANDREW SOLOMON


In "Sticks and Stones," Emily Bazelon charts the experiences of a few bullied children and synthesizes the scholarship on how to contain or prevent such harm.
Up Front: Andrew Solomon
Also in the Book Review

Garry Wills: By the Book


The author of "Nixon Agonistes," "Lincoln at Gettysburg" and, most recently, "Why Priests?" considers Garry Trudeau's "Doonesbury" "the best political writing of our time."
By the Book: Archive

'The Fun Parts'
By SAM LIPSYTE
Reviewed by BEN FOUNTAIN


Satire mingles with warmth and pathos in Sam Lipsyte's second collection of stories.

'The Wanting'
By MICHAEL LAVIGNE
Reviewed by ETHAN BRONNER


A novel of Israelis and Palestinians looks to the days when there was an intimacy to the violence.

'Going to Tehran'
By FLYNT LEVERETT and HILLARY MANN LEVERETT
Reviewed by LAURA SECOR


Two analysts believe that United States policy in Iran should emulate the opening to China.

'Shouting Won't Help'
By KATHERINE BOUTON
Reviewed by SETH S. HOROWITZ


Katherine Bouton explores the experience, and the science, of hearing loss.

'Schroder'
By AMITY GAIGE
Reviewed by JONATHAN DEE


The protagonist of Amity Gaige's novel, worried about an impending divorce, takes off on a road trip with his daughter.
ArtsBeat Q. & A.: Amity Gaige

The Daily Round
By MORRIS DICKSTEIN


Wide-ranging essays and a writer's guide from Phillip Lopate.

'After the Music Stopped'
By ALAN S. BLINDER
Reviewed by MATTHEW BISHOP


A former Federal Reserve vice chairman examines the 2008 financial crisis, how it was handled and what remains to be done.

'An Enlarged Heart'
By CYNTHIA ZARIN
Reviewed by CHRISTOPHER R. BEHA


In these intertwined essays, Cynthia Zarin reflects on love, work and the surprises of time's passing.
ArtsBeat Q. & A.: Cynthia Zarin

'The Pretty One'
By LUCINDA ROSENFELD
Reviewed by EMILY COOKE


Siblings chafe against their assigned family roles in Lucinda Rosenfeld's novel.

'The Legend of Broken'
By CALEB CARR
Reviewed by MIKE PEED


The discovery of a long-lost manuscript reveals the fate of an ancient German kingdom in Caleb Carr's epic fantasy.

Plasticidad Cerebral y neurodesarrollo en niños con programa canguro

Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 6 de Marzo 2013 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Plasticidad Cerebral y neurodesarrollo en niños con programa canguro” por la “Dra. Laura López Vargas.” Pediatra- Neonatólogo de la Cd. de Guadalajara Jal. 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/plasticidad_cerebral/

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

Vino y salud/Wine and health

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

Este fin de semana disfrute de su vino preferido sabiendo que le ayuda a proteger su salud. Lea estas evidencias científicas recientes  This weekend enjoy your favorite wine knowing that it helps to protect your health. Read these recent scientific evidence  Vino rojo, vino blanco, vino rosado y jugo de uva inhiben la enzima convertidora de angiotensina en las células humanas endoteliales  Red wine, white wine, rosé wine, and grape juice inhibit angiotensin-converting enzyme in human endothelial cells. Persson I. Int J Nutr Pharmacol Neurol Dis [serial online] 2013 [cited 2013 Feb 22];3:17-23 Background: Beneficial effects of wine on cardiovascular disease have been shown previously, but the mechanism is still unknown. The renin-angiotensin system is an important mechanism in the body concerning regulation of blood pressure, fluid, and electrolyte balance, and the angiotensin-converting enzyme (ACE) is a key enzyme in this system. Aims: The aim of this study was to investigate the effect of red wine, white wine, rosι wine, and alcohol-free grape juice on somatic ACE-1 activity. The effects of the stilbene resveratrol and its glycoside, resveratrol-3-glycoside were also tested on ACE activity and concentration of nitric oxide (NO). Materials and Methods: Cultured endothelial cells from human umbilical veins (HUVEC) were incubated with wine, grape juice, resveratrol, or resveratrol-3-glycoside. Ethanol was used as control in the corresponding concentration (13%). Results: After incubation, a significant inhibition of ACE activity was seen with all the wines tested and the red grape juice. This inhibition was of a similar magnitude except for a lesser inhibition with the rosι wine. No significant inhibition was seen with the white grape juice, resveratrol, resveratrol-3-glycoside, or ethanol alone, and neither did resveratrol nor resveratrol-3-glycoside affect the concentration of NO. Conclusions: The effect of wine and grape juice on ACE activity in HUVEC is dependent on the amount of flavonoids and not on the content of alcohol or resveratrol. Keywords: ACE, cardiovascular disease, ethanol, grape juice, resveratrol, wine http://www.ijnpnd.com/text.asp?2013/3/1/17/106975 Potenciales propiedades anticancerosas de los antioxidantes de la uva  Potential anticancer properties of grape antioxidants. Zhou K, Raffoul JJ. Department of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USA. J Oncol. 2012;2012:803294. doi: 10.1155/2012/803294. Epub 2012 Aug 7. Abstract Dietary intake of foods rich in antioxidant properties is suggested to be cancer protective. Foods rich in antioxidant properties include grape (Vitis vinifera), one of the world's largest fruit crops and most commonly consumed fruits in the world. The composition and cancer-protective effects of major phenolic antioxidants in grape skin and seed extracts are discussed in this review. Grape skin and seed extracts exert strong free radical scavenging and chelating activities and inhibit lipid oxidation in various food and cell models in vitro. The use of grape antioxidants are promising against a broad range of cancer cells by targeting epidermal growth factor receptor (EGFR) and its downstream pathways, inhibiting over-expression of COX-2 and prostaglandin E2 receptors, or modifying estrogen receptor pathways, resulting in cell cycle arrest and apoptosis. Interestingly, some of these activities were also demonstrated in animal models. However, in vivo studies have demonstrated inconsistent antioxidant efficacy. Nonetheless, a growing body of evidence from human clinical trials has demonstrated that consumption of grape, wine and grape juice exerts many health-promoting and possible anti-cancer effects. Thus, grape skin and seed extracts have great potential in cancer prevention and further investigation into this exciting field is warranted. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420094/pdf/JO2012-803294.pdf   http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420094/     Polifenoles del vino: agentes potenciales en la neuroprotección  Wine polyphenols: potential agents in neuroprotection. Basli A, Soulet S, Chaher N, Mérillon JM, Chibane M, Monti JP, Richard T. GESVAB, ISVV, Université de Bordeaux, France. Oxid Med Cell Longev. 2012;2012:805762. doi: 10.1155/2012/805762. Epub 2012 Jul 5. Abstract There are numerous studies indicating that a moderate consumption of red wine provides certain health benefits, such as the protection against neurodegenerative diseases. This protective effect is most likely due to the presence of phenolic compounds in wine. Wine polyphenolic compounds are well known for the antioxidant properties. Oxidative stress is involved in many forms of cellular and molecular deterioration. This damage can lead to cell death and various neurodegenerative disorders, such as Parkinson's or Alzheimer's diseases. Extensive investigations have been undertaken to determine the neuroprotective effects of wine-related polyphenols. In this review we present the neuroprotective abilities of the major classes of wine-related polyphenols. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399511/pdf/OXIMED2012-805762.pdf  Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

Artículos de Febrero 2013 del J Clin Anesthesia son gratuitos

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

Artículos de Febrero 2013 del J Clin Anesthesia son gratuitos El Journal of Clinical Anesthesia 2013;25(1)1-84 con acceso libre a todos los articulos del mes de febrero http://www.jcafulltextonline.com/current Free articles on J Clin Anesrhesia Feb 2013 Atentamente Anestesiología y Medicina del Dolor www.anestesia-dolor.org

OHCHR - Comité de los Derechos del Niño

Tomado del muro de Mara Perez
Breve historia de la Convención:

La Convención de derechos del niño de 1989, supone un hito en el reconocimiento de los derechos de los niños y niñas, ya no sólo porque en la misma se reconoce que todos los men...Ver más

OHCHR - Comité de los Derechos del Niño
www2.ohchr.org
Convención- Situación de ratificación, Reservas y declaracionesProtocolo sobre la venta de niños - Situación de

Breve historia de la Convención:

La Convención de derechos del niño de 1989, supone un hito en el reconocimiento de los derechos de los niños y niñas, ya no sólo porque en la misma se reconoce que todos los menores tendrán una serie de derechos (derechos humanos) sino porque de la misma se deriva que éstos pasen a ser titulares de derechos y ya no sólo objetos susceptibles de protección. Por lo tanto, los niños y niñas de todo el mundo tienen la facultad de exigir de los Gobiernos el cumplimiento de los derechos que en la misma vienen reconocidos.

Seguidamente se incluye un breve recorrido por los pasos dados hasta la aprobación de la Convención:

1923. La Unión Internacional «Save the Children» redacta y aprueba la Declaración de los Derechos del Niño (comúnmente llamada Declaración de Ginebra). Esta norma consta de 5 puntos sobre los que se articula la protección de la infancia.

1924. La quinta asamblea de la Sociedad de Naciones aprueba la Declaración de Ginebra y propone que los países miembros se guíen por sus principios.

1948. La Organización de las Naciones Unidas, aprueba el texto de la Declaración levemente ampliado. 1948. Declaración Universal de Derechos humanos, artículos (16, 25, 26).

1959. La Asamblea General de la ONU promulga el 20 de noviembre una nueva Declaración de los derechos del niño.

1978. El Gobierno de Polonia propone la primera versión de una Convención relativa de los derechos del niño.

1979. La Comisión de Derechos Humanos de las Naciones Unidas examina la propuesta de Polonia y crea un grupo de trabajo encargado de revisarla y presentar un texto final.

1983. Diversas organizaciones no gubernamentales forman un Grupo Ad Hoc de ONG con el fin de contribuir de la manera más eficaz posible a las tareas del Grupo de trabajo de las Naciones Unidas.

1989. El Grupo de trabajo presenta el proyecto definitivo a la Comisión de Derechos Humanos. El 20 de noviembre, la Asamblea General de la ONU adopta la Convención sobre los Derechos del Niño.

Estructura de la Convención:

La Convención consta de 54 artículos. En los 5 primeros artículos se define qué se entiende por niño (toda aquella persona menor de 18 años), se establece que los derechos que se reconocen lo son con independencia del origen étnico, cultural, de la nacionalidad, o el sexo. Declara que siempre ha de ser tenido en cuenta el interés superior del menor, en todas las medidas que con respecto a los menores pudieran ser adoptadas y vincula a los estados a respetar los derechos reconocidos en la misma y a hacer todo lo posible para su garantía.

A partir del Art. 6, se establecen los derechos que efectivamente les corresponden a los niños y niñas, y las medidas que deben ser adoptadas para garantizarlos. Así se establece que los niños y niñas tienen los siguientes derechos:

Derecho a la vida y a gozar de todo aquello que les permita un adecuado desarrollo.
Derecho a ser inscrito después del nacimiento, a tener un nombre y una nacionalidad, a conocer a sus padres y a gozar de su protección, los padres deberán cuidarle adecuadamente y serán ayudados por los estados para ejercer adecuadamente las funciones de crianza y cuidado.
Derecho a preservar su identidad, su nombre, nacionalidad y las relaciones familiares.
Derecho a no ser separado de sus padres salvo cuando sea adecuado para él (por ejemplo, en caso de maltrato) y a ser informado, directamente o a través del adulto a cuyo cargo se encuentre del paradero de sus padres en caso de que se produzca su detención.
Derecho de reunificación familiar, que incluye la posibilidad de entrar o salir libremente de cualquier estado al objeto de cumplir esta finalidad.
Derecho a no ser trasladados ilícitamente al extranjero o ser retenidos.
Derecho a dar su opinión y a ser escuchado en todos los asuntos que le afecten en función del grado de juicio que tengan.
Derecho a la libertad de expresión y de información.
Derecho a la libertad de pensamiento, conciencia y religión.
Derecho de reunión y asociación.
Derecho al honor, a la intimidad personal y familiar y a la propia imagen.
Derecho a gozar de protección del estado cuando sus padres no puedan hacerse cargo de ellos.
Derecho a la protección contra toda forma de perjuicio o abuso físico o mental, descuido o trato negligente, malos tratos o explotación, incluido el abuso sexual, con independencia de quién sea el causante del abuso (bien los padres, personas encargados de su cuidado, o terceras personas).
Derecho a que su interés sea el que prime en caso de adopción.
Derecho a obtener la condición de refugiado y a gozar de los derechos que se derivan de dicha condición.
Derecho de protección especial de aquellos niños o niñas con deficiencias físicas o mentales y a gozar de todas las actuaciones que les garanticen una buena calidad de vida.
Derecho a la salud y a recibir el tratamiento adecuado.
Derecho a la seguridad social y a gozar de un nivel de vida adecuado para su desarrollo físico, mental, espiritual, moral y social.
Derecho a la educación.
Derecho a la protección de aquellos niños y niñas que pertenezcan a minorías étnicas, religiosas o culturales.
El derecho al esparcimiento, al descanso, al juego y a participar en la vida social, cultural y artística.
El derecho a ser protegido contra la explotación económica y contra el desempeño de cualquier trabajo que pueda ser peligroso o entorpecer su educación, o que sea nocivo para su salud o para su desarrollo físico, mental, espiritual, moral o social.
Derecho a ser protegido frente al consumo de drogas y a su utilización en el tráfico de drogas.
Derecho a ser protegido frente al secuestro, la venta o la trata de niños o niñas para cualquier fin o en cualquier forma.
Derecho a no ser sometido a torturas a tratos inhumanos y degradantes, a gozar de las garantías que legalmente se establezcan en caso de detención. Nunca se le aplicarán la pena de muerte ni la cadena perpetua.
Derecho a la protección especial en caso de conflicto armado.
Difusión y garantía de los derechos (art. 42 y siguientes de la Convención)

Una vez expuestos los derechos de los que disfrutan todos los niños y niñas, en el art.42 se establece la obligación de los estados parte de dar a conocer el contenido de la Convención.

Por su parte, el art.43 se establece que el Comité de los derechos del niño será el órgano encargado de velar por el cumplimiento de la Convención de aquellos países que la hubiesen ratificado.

El Comité de los derechos del niño: es un órgano independiente compuesto por 18 expertos independientes cuya finalidad es verificar el grado de cumplimiento por parte de los estados de los compromisos adquiridos al ratificar la Convención.

En el siguiente link puedes obtener mayor información acerca del Comité:http://www2.ohchr.org/spanish/bodies/crc/index.htm

Se puede acceder al contenido íntegro de la Convención en el siguiente link:http://www2.ohchr.org/spanish/law/crc.htm

CURSO “PEDI@TÍPS ORTOPÉDICOS”

CURSO “PEDI@TÍPS ORTOPÉDICOS”

CURSO 
“PEDI@TÍPS ORTOPÉDICOS”

COORDINADOR GENERAL:
DR. JOSÉ CORTÉS GÓMEZ

FECHA: 26, 27 Y 28 DE JUNIO 2013

HORARIO: 8:00 A 14:00 HRS.

SEDE: SALA “B” UNIDAD DE CONGRESOS
INSTITUTO NACIONAL DE PEDIATRIA

DIRIGIDO A:
RESIDENTES DE PEDIATRÍA Y ORTOPEDIA,
ORTOPEDISTAS, MEDICOS GENERALES,
TRABAJADORAS SOCIALES.

INFORMES:
drjosecortes@me.com
ortopediatra@me.com
www.ortopedistapediatra.com

INSURGENTES SUR No. 3700-C
COL. INSURGENTES-CUICUILCO
C.P. 04530
MÉXICO, D.F.
TEL. 10-84-09-00 EXT. 1317

SESIÓN DE ORTOPEDIA / ONDAS DE CHOQUE / Ortopedia Hospital Angeles Pedregal

SESIÓN DE ORTOPEDIA / ONDAS DE CHOQUE / Ortopedia Hospital Angeles Pedregal

Ortopedia Hospital Ángeles Pedregal

ESTIMADOS COMPAÑEROS:

LES RECUERDO QUE EL DIA 28 DE FEBRERO DEL 2013 SE LEVARA A CABO LA SESIÓN DE ORTOPEDIA
CON EL TEMA :

ONDAS DE CHOQUE

CON EL DR.EDSON ANTONIO SERRANO CARPIO QUE VIENE DE PERÚ 

LES RECUERDO QUE ES EN E CLUB MEDICO A LAS 20 HRS.

COORDINACIÓN DE ORTOPEDIA — en Hospital Ángeles del Pedregal

Hospital · Evento · Médico

Dirección Camino Santa Teresa 10700 Mexico City, Mexico Teléfono 5449 5500 Sitio web http://www.hospitalangelespedregal.com.mx/

Más de miocardiopatía periparto/More on peripartum cardiomyopathy

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

“In Ixtli in Yollotl”

Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 27 de Febrero 2013 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “In Ixtli in Yollotl” por el “Dr. Guillermo Gutiérrez Calleros.” Pediatra- Neonatólogo de la Cd. de Phoenix Az. 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/in_ixtli_in_yollotl/

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