sábado, 1 de junio de 2013

Dolor por cáncer/Cancer pain

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


Adyuvantes analgésicos en dolor por cáncer: Una revisión 
Adjuvant Analgesics in Cancer Pain: A Review
Raj Mitra, Stephanie Jones
AM J HOSP PALLIAT CARE 2012 29: 70
Abstract
Adjuvant analgesics (co-analgesics) are medications whose primary indication is the management of a medical condition with secondary effects of analgesia. Cancer pain is multifactorial and often involves inflammatory, nociceptive, and neuropathic pain subtypes. Adjuvant analgesics used in conjunction with opioids have been found to be beneficial in the management of many cancer pain syndromes; however, they are currently underutilized. Antidepressants, anticonvulsants, local anesthetics, topical agents, steroids, bisphosphonates, and calcitonin are all adjuvants which have been shown to be effective in the management of cancer pain syndromes. When utilizing analgesic adjuvants in the treatment of cancer pain, providers must take into account the particular side effect profile of the medication. Ideally, adjuvant analgesics will be initiated at lower dosages and escalated as tolerated until efficacy or adverse effects are encountered.
Keywords: adjuvant, analgesic, cancer and pain
http://ajh.sagepub.com/content/29/1/70.full.pdf+html 


  
Tratamiento clínico del dolor en cáncer avanzado del pulmón 
Clinical management of pain in advanced lung cancer.
Simmons CP, Macleod N, Laird BJ.
Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK. EH4 2XR.
Clin Med Insights Oncol. 2012;6:331-46. doi: 10.4137/CMO.S8360. Epub 2012 Oct 8.
Abstract
Lung cancer is the most common cancer in the world and pain is its most common symptom. Pain can be brought about by several different causes including local effects of the tumor, regional or distant spread of the tumor, or from anti-cancer treatment. Patients with lung cancer experience more symptom distress than patients with other types of cancer. Symptoms such as pain may be associated with worsening of other symptoms and may affect quality of life. Pain management adheres to the principles set out by the World Health Organization's analgesic ladder along with adjuvant analgesics. As pain can be caused by multiple factors, its treatment requires pharmacological and non-pharmacological measures from a multidisciplinary team linked in with specialist palliative pain management. This review article examines pain management in lung cancer.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3474460/pdf/cmo-6-2012-331.pdf 

Papel de los corticosteroides en el manejo del dolor de los pacientes con cáncer 
The role of corticosteroids in the treatment of pain in cancer patients.
Leppert W, Buss T.
Department of Palliative Medicine, Poznan University of Medical Sciences, Poland. wojciechleppert@wp.pl
Curr Pain Headache Rep. 2012 Aug;16(4):307-13. doi: 10.1007/s11916-012-0273-z.
Abstract
Pain is one of the most frequent and most distressing symptoms in the course of cancer. The management of pain in cancer patients is based on the concept of the World Health Organization (WHO) analgesic ladder and was recently updated with the EAPC (European Association for Palliative Care) recommendations. Cancer pain may be relieved effectively with opioids administered alone or in combination with adjuvant analgesics. Corticosteroids are commonly used adjuvant analgesics and play an important role in neuropathic and bone pain treatment. However, in spite of the common use of corticosteroids, there is limited scientific evidence demonstrating their efficacy in cancer patients with pain. The use of corticosteroids in spinal cord compression, superior vena cava obstruction, raised intracranial pressure, and bowel obstruction is better established than in other nonspecific indications. This review aims to present the role of steroids in pain and management of other symptoms in cancer patients according to the available data, and discusses practical aspects of steroid use.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395343/pdf/11916_2012_Article_273.pdf 


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


viernes, 31 de mayo de 2013

Books Update NYT


Books Update


http://www.nytimes.com/indexes/2013/05/31/books/booksupdate/index.html

On the Cover of Sunday's Book Review

Cooking
By WILLIAM GRIMES


An ode to bacon, several vegetarian options and the latest from Nigella Lawson are among the summer's notable cookbooks.

Travel
By JOSHUA HAMMER


This season's travel books include new titles by three recently minted septuagenarians with more than a century's worth of globe-trotting among them.

Gardening
By DOMINIQUE BROWNING


"The Flower of Empire," Tatiana Holway's lively case for the importance of the Amazonian water lily, is one of the season's crop of gardening books.




Also in the Book Review

Walter Mosley: By the Book


The author of the Easy Rawlins novels, most recently, "Little Green," says that in a great mystery, "the crime being investigated reveals a deeper rot."
By the Book: Archive

'American Dream Machine'
By MATTHEW SPECKTOR
Reviewed by CHRISTINE SNEED


Despite the taint of failure, there remains something hopeful in the Hollywood of Matthew Specktor's sprawling, atmospheric novel.

'Galateo: Or, The Rules of Polite Behavior'
By GIOVANNI DELLA CASA. Edited and Translated by M. F. RUSNAK.
Reviewed by JUDITH MARTIN


Giovanni Della Casa's book on conduct, published in 1558 and now newly translated from the Italian, promotes civilized manners for their own sake.

COMICS
Healthy Appetites
By DOUGLAS WOLK


New comics include "Relish," Lucy Knisley's memoir about various episodes in her life and what she was eating at the time.

'The Art of Controversy'
By VICTOR S. NAVASKY
Reviewed by DEBORAH SOLOMON


An illustrated tour of political cartoons throughout history.

VISUALS
Hidden in Plain Sight
By STEVEN HELLER


"Various Small Books" is a collection of pictures and essays showing how other artists have copied, parodied or otherwise paid homage to the work of Ed Ruscha.

'Rita Moreno: A Memoir'
By RITA MORENO
Reviewed by ANITA GATES


The celebrities that pop up throughout Rita Moreno's memoir include Marlon Brando, Elvis Presley and John F. Kennedy.

'The Stone Roses: War and Peace'
By SIMON SPENCE
Reviewed by JEFF GORDINIER


A biography of the band that, for a brief moment, held the future of rock 'n' roll in its hands.

'I Would Die 4 U: Why Prince Became an Icon'
By TOURé
Reviewed by HOWARD HAMPTON


Touré's critical study of Prince, based on lectures the author delivered at Harvard.

'Lady at the O.K. Corral'
By ANN KIRSCHNER
Reviewed by SARA WHEELER


Ann Kirschner tells the story of Josephine Marcus, for nearly 50 years Wyatt Earp's common-law wife and a valiant frontierswoman in her own right.

'Letters to a Young Scientist'
By EDWARD O. WILSON
Reviewed by BILL STREEVER


Edward O. Wilson offers encouragement and inspirational maxims to budding scientists.

'A Dog Walks Into a Nursing Home'
By SUE HALPERN
Reviewed by JULIE KLAM


Sue Halpern writes about Pransky, a sweet 7-year-old Labradoodle who helps the residents of a nursing home.

'No Joke: Making Jewish Humor'
By RUTH R. WISSE
Reviewed by ANTHONY GOTTLIEB


Ruth R. Wisse recounts the long history of Jewish humor and brings it up to date.

'The Outsider: A Memoir'
By JIMMY CONNORS
Reviewed by PETER LATTMAN


The brash tennis star Jimmy Connors recounts his storied career.

'Shocked: My Mother, Schiaparelli, and Me'
By PATRICIA VOLK
Reviewed by ALEXANDRA JACOBS


Patricia Volk recalls her tumultuous relationship with her mother, and with the work of the fashion designer Elsa Schiaparelli.

'Sum It Up'
By PAT SUMMITT with SALLY JENKINS
Reviewed by EMILY BAZELON


A memoir by Pat Summitt, the University of Tennessee women's basketball coach who helped revolutionize the game and won eight national titles.

'Eleven Rings: The Soul of Success'
By PHIL JACKSON and HUGH DELEHANTY
Reviewed by MARC TRACY


In "Eleven Rings," Phil Jackson ruminates on the philosophy and the players that made him the most successful coach in NBA history.

'The Victory Season'
By ROBERT WEINTRAUB
Reviewed by MAXWELL CARTER


Robert Weintraub details baseball's joyous reacclimatization after World War II.

'Mickey and Willie'
By ALLEN BARRA
Reviewed by RON SWOBODA


The veteran sportswriter Allen Barra explores in depth the remarkable similarities between two great New York center fielders.

CRIME
Miami Vice
By MARILYN STASIO


In "The Prince of Paradise," John Glatt tells a true story of murder and glitz in Miami Beach.

'Super Boys'
By BRAD RICCA
Reviewed by PETER KEEPNEWS


Jerry Siegel and Joe Shuster, the two creators of Superman, sold their rights to the iconic character for next to nothing.

Classic '70s Television
By CARYN JAMES


New books go behind the scenes of two eponymous TV ventures: "The Mary Tyler Moore Show" and "The Flip Wilson Show."

'Crapalachia'
By SCOTT MCCLANAHAN
Reviewed by ALLISON GLOCK


Scott McClanahan writes of a world in West Virginia where existence is both tedious and shocking.

'Yes Is the Answer'
Edited by MARC WEINGARTEN and TYSON CORNELL
Reviewed by ROB SHEFFIELD


The anthology "Yes Is the Answer" celebrates prog rock in all its tomfoolery and excess.

'The Village'
By JOHN STRAUSBAUGH
Reviewed by ADA CALHOUN


Scoundrels, artists and geniuses commingle in this ambitious history of Greenwich Village.

'Red Sparrow'
By JASON MATTHEWS
Reviewed by CHARLES CUMMING


A 33-year veteran of the C.I.A. turns his hand to espionage fiction.

Food Chronicle
By DAWN DRZAL


New books by Elissa Altman, Julia Reed, Raymond Sokolov, Mika Brzezinski and Mark Russ Federman.

Children's Books

Splish Splash
By CAROLYN JURIS


Four new picture books about rainy weather.

Out and About
By JEFF CHU


A novel and a memoir about growing up with secrets in religious families.

Bookshelf: Baby
By PAMELA PAUL


Five new picture books about babies and the ambivalence and pride they can inspire in siblings.

'Primates'
By JIM OTTAVIANI. Illustrated by MARIS WICKS.
Reviewed by CARL ZIMMER


This graphic novel presents the stories of three women who profoundly changed our understanding of the great apes: Dian Fossey, Biruté Galdikas and Jane Goodall.

'If You Find Me'
By EMILY MURDOCH
Reviewed by WHITNEY JOINER


In Emily Murdoch's first novel, a girl is haunted by secrets.

BEST SELLERS

Combined Print & E-Book Fiction

Combined Print & E-Book Nonfiction

Hardcover Fiction

Hardcover Nonfiction

Paperback Trade Fiction

Paperback Mass-Market Fiction

Paperback Nonfiction

All the Lists

What I Read That Summer


Twelve writers recall their most memorable experiences of summer reading.

OPEN BOOK
Bound for the Hamptons
By JOHN WILLIAMS


The Book Review's first use of "beach read," Tao Lin's new novel and more.

Back Page

Literary Excursions
By CHRIS WALLACE


Today's tourists might learn something from the traveler-memoirists of earlier generations.

Inside the List
By GREGORY COWLES


Forty years after his death, J. R. R. Tolkien is on the hardcover fiction list again, this time with "The Fall of Arthur," which makes its debut at No. 10.

Paperback Row
By IHSAN TAYLOR


Paperback books of particular interest.

Editors' Choice


Recently reviewed books of particular interest.

Book Review Podcast


This week, Peter Lattman talks about the new memoir by the tennis star Jimmy Connors; Julie Bosman has notes from the field; Alexandra Jacobs discusses Patricia Volk's "Shocked"; Anthony Gottlieb on Ruth R. Wisse's "No Joke: Making Jewish Humor"; and Gregory Cowles has best-seller news. Pamela Paul is the host.




Book Review Podcast: Annual Summer Reading Issue

The Art of Writing About Listening

Senior Editor at Poetry Magazine Gets the Top Job

REVIEWS BY THE TIMES'S CRITICS

'The Riddle of the Labyrinth' by Margalit Fox

'The Silver Star' by Jeannette Walls

'The Unwinding: An Inner History of the New America' by George Packer

'Robert Oppenheimer: A Life Inside the Center' by Ray Monk

'The Shining Girls' by Lauren Beukes

CHILDREN'S BOOKS

Children's Books: The Trouble With Treats

ARCHIVE

Crime Columns

Children's Books

The New York Times Book Review: Back Issues

Editor's Note

Thanks for taking the time to read this e-mail. Feel free to send feedback; I enjoy hearing your opinions and will do my best to respond.

John Williams
Senior Staff Editor
The New York Times on the Web

jueves, 30 de mayo de 2013

XI Congreso regional COTEG 2013 Ortopedia en GeriatríaGto


1er Congreso Reumatología, Ortopedia y Psicoterapia


III Internatio Training Course for Full-Endoscopic Operations of the Lumbar, Thoracic and Cervical Spine


Artroscopia y Medicina del Fútbol, Cancún, México, 2013


Casos raros/Rare cases

Manejo anestésico de una embarazada sometida a cirugía laparoscópica para un feocromocitoma. Informe de caso 
Anesthetic management of a pregnant woman undergoing laparoscopic surgery for pheochromocytoma -A case report-
A Ram Doo, Deokkyu Kim, Kyoung-Nam Cha, Young Jin Han and Dong-Chan Kim
Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Korean J Anesthesiol. 2013 Apr;64(4):373-375 
Pheochromocytoma is a rare catecholamine producing tumor. Anesthetic management for the resection of pheochromocytoma is hard and challenging issue to anesthesiologist, because of its potentially lethal cardiovascular complications. It becomes more complicated when the patient is pregnant. Clinicians must keep the safety of both mother and fetus in mind. The timing of surgery for pheochromocytoma in pregnancy is very important for the maternal and fetal safety and depends on the gestational age when diagnosis is made, clinical response to medical treatment, the surgical accessibility of the tumor, and the presence of fetal distress. We report anesthetic experience of a laparoscopic resection for pheochromocytoma in 25th week gestational woman.

Keywords: Laparoscopic surgery, Pheochromocytoma, Pregnancy.
http://synapse.koreamed.org/Synapse/Data/PDFData/0011KJAE/kjae-64-373.pdf   
Infusión de ketamina para manejo de depresión mayor: un nuevo papel del anestesiólogo 
KETAMINE INFUSION AS A TREATMENT FOR MAJOR DEPRESSIVE DISORDER:
A NEW ROLE FOR ANESTHESIOLOGISTS?
Joshua D. Dilley, W. Brooks Gentry, Kimberly J. Golden
M.E.J. ANESTH 21 (6), 2012
Abstract
A 2003 study indicates that the lifetime prevalence of major depressive disorder (MDD) is 16.2% and that in a 12 month period 13.1 to 14.2 million US adults will suffer from MDD. MDD
can be a devastating illness, affecting every aspect of a person's life. An emerging therapy involving ketamine administration for the treatment of MDD has shown promise in treating those who have not been responsive to conventional pharmacological therapy, as well as those unresponsive to ECT therapy2-6. We report the first administration of this therapy by anesthesiologists. Written informed consent was obtained from the patient granting permission for publication of this article.
http://www.meja.aub.edu.lb/downloads/21_6/871-874.pdf  

Consideraciones anestésicas en enfermedad de Leigh: informe de caso y revisión de la literature. 
Anesthetic considerations in Leigh disease: Case report and literature review.
Terkawi AS, Wani TM, Al-Shuaibi KM, Tobias JD.
Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2012 Apr;6(2):181-5. doi: 10.4103/1658-354X.97037.
Abstract
Leigh disease is an extremely rare disorder, characterized by a progressive neurodegenerative course, with subacute necrotizing encephalomyelopathy. It usually presents in infancy with developmental delay, seizures, dysarthria, and ataxia. These patients may also develop episodes of lactic acidosis that usually lead to respiratory failure and death. Due to the rarity of the condition, the most appropriate anesthetic plan remains unclear. We present a patient with Leigh disease, who required general anesthesia. The pathogenesis of the disease is discussed and previous reports of perioperative care from the literature are reviewed
http://www.saudija.org/text.asp?2012/6/2/181/97037.
Anestesia ambulatoria para cirugía oral en enfermedad juvenil de Leigh       
Outpatient anesthesia for oral surgery in a juvenile with Leigh disease.
Ellis Z, Bloomer C.
University of Texas Dental School, Health Science Center, San Antonio, Texas, USA.
Anesth Prog. 2005 Summer;52(2):70-3.
Abstract
We report a case of anesthesia for elective outpatient third molar extraction in a juvenile with Leigh disease, a progressive neurodegenerative disorder related to respiratory chain deficiency. This syndrome usually presents in infancy and is characterized by nervous system dysfunction and respiratory abnormalities. Anesthesia has been reported to aggravate respiratory symptoms and frequently precipitate respiratory failure. Preoperative swallowing difficulty or respiratory symptoms should be carefully diagnosed, because they can be a warning sign of postoperative complications or mortality. Adverse effects of anesthesia may quickly lead into metabolic acidosis. Anesthetics should be carefully chosen that do not interfere with mitochondrial respiration, which can lead to lactic acidosis.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2527047/pdf/i0003-3006-52-2-70.pdf 

Atentamente
Dr. Juan C. Flores-Carrillo
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org


Bibliotecas. Alerta


Primera biblioteca sin libros en EE.UU.
El Universo
En Texas, EE.UU., se inaugurará la que se considera es la primera biblioteca pública sin libros de papel del mundo. La llamada BiblioTech es un ambicioso proyecto que se instalará este año en un distrito de bajos recursos, en el sur de la ciudad de San ...
Ver todos los artículos sobre este tema »




UCLM se suma a la 'Biblioteca Virtual de la Escuela de Traductores ...
ABC.es
La Universidad de Castilla-La Mancha (UCLM) se ha incorporado al proyecto de la 'Biblioteca virtual de la antigua Escuela de Traductores de Toledo' con la aportación de fondos bibliográficos y, también, asesoramiento sobre los autores y los registros ...
Ver todos los artículos sobre este tema »




Una veintena de estudiantes de la UB pernoctan en la biblioteca ...
Europa Press
Una veintena de estudiantes de la Universitat de Barcelona (UB) han pasado la noche en la Bibliotecade la Facultad de Filología del centro en contra del desalojo la madrugada del sábado de una cincuentena de estudiantes que ocupaban el rectorado, ...
Ver todos los artículos sobre este tema »




Donan cuatro manuscritos de los Beatles a la Biblioteca Británica
ABC.es
«Mientras trabajaba en un nuevo libro sobre los Beatles decidí que la Biblioteca Británica debería tener la mejor colección pública de sus manuscritos, y estoy encantado de que, gracias a este programa, he podido hacerlo realidad», declaró el escritor.
Ver todos los artículos sobre este tema »




La Biblioteca Nacional reúne en una muestra las mejores viñetas...
Granada Hoy
Escribir entre líneas nunca tuvo tanto sentido como en la Transición, época en la que un grupo de dibujantes gráficos utilizó el humor para conquistar la libertad de expresión, una generación de artistas irrepetible cuyas viñetas más políticas ha ...
Ver todos los artículos sobre este tema »




La Biblioteca de Caravana amplía sus horarios por los exámenes ...
el periodic
La Biblioteca Municipal de Caravana de La Nucía amplia sus horarios, en 3 horas más al día, con motivo de los exámenes de junio de 2013. Del 3 al 28 de junio la Biblioteca abrirá de 9 de la mañana hasta las 21 horas, sin cerrar al mediodía. El motivo ...
Ver todos los artículos sobre este tema »




La Biblioteca Popular del Paraná adquirió más de 900 nuevos libros
La Voz 901 Digital
Durante la mañana del miércoles 29 de mayo, en el horario de 9 a 12, se expondrán en la Sala Antonio Medina de la sede de la Biblioteca Popular los 911 nuevos libros que la institución adquirió los días 2,3,4 y 5 de mayo en la Feria Internacional del ...
Ver todos los artículos sobre este tema »




Diputación de Bizkaia impulsa la lectura con la instalación en la ...
Europa Press
Coincidiendo con el Día Internacional de Libro, la Biblioteca Foral de Bizkaia se sumó a la iniciativa Bookcrossing, liberando más de 400 libros en diferentes espacios de Bilbao. Tras una "exitosa" acogida y con el objetivo de impulsar la lectura, la ...
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Inauguran la biblioteca "Juan Villoro", en Morelia
Mi Morelia.com
Morelia, Michoacán.- La escuela primaria “El Pensador Mexicano”, inauguró la biblioteca que lleva a partir de este lunes, el nombre del escritor mexicano Juan Villoro, quien estuvo presente en el plantel para hacer el corte de listón y envió un mensaje ...
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La Filmoteca de Catalunya abre al público su biblioteca documental ...
Europa Press
La Filmoteca de Catalunya ha abierto al público su biblioteca documental en un archivo 'on line' en el que se pueden consultar los fondos gráficos y documentales que tiene la institución, ha informado este martes la Filmoteca en un comunicado. El nuevo ...
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16 anuncios vintage para ratones de biblioteca : Marketing Directo
según redaccion
Echando la vista atrás, los antiguos anuncios de bibliotecas destacan por su sabor retro, por su excelente trabajo de copywriting y por su atrevido uso del color. Si se considera a sí mismo un auténtico ratón de biblioteca, le recomendamos ...
Marketing Directo





Web 1 resultado nuevo de Biblioteca


Biblioteca | - Health Supplements
Visite la biblioteca para obtener información sobre el acabado de imitación, o ir awww.paintedhouse.com o www.fauxlikeapro.com, y convertir un simple trabajo ...
health-supplements.biz/tag/biblioteca/

40 Sites & Apps for Creating Presentations

TECHNOLOGY TIDBITS: THOUGHTS OF A CYBER HERO

40 SITES AND APPS FOR CREATING PRESENTATIONS

Written by dkapuler on May 29, 2013 12:30 pm
Creating a presentation or slideshow is one of the staples of any 21st Century Classroom.  This is a skill that almost every educator has and is a must known skill for any successful student.  It used to be that only programs such as PowerPoint could create presentations.  However, now there are lots of sites and apps that not only creating stunning presentations but also make it easier then ever.  Below is my list of some of my favorite tools for creating beautiful looking presentations/slideshows.

*This list is in alphabetical order.

40 Sites & Apps for Creating Presentations

  1. 9Slides - A wonderful site and app for adding video/audio narration to a presentation.  Ideal for professional development or teaching a lesson.
  2. Animoto - One of the most popular sites/apps for creating beautiful looking slideshows w/ an educational portal.
  3. AuthorStream - A great way to upload PPT presentations and share them w/ others similar to Slideshare.
  4. Aximedia Slideshow Creator - A wonderful Android app for creating stunning looking slideshows.
  5. Biteslide - A fantastic site for creating interactive presentations that contain all types of media w/ educational portal, where teachers create student accounts.
  6. Electric Slide - Is a nice iOS app that allows users to present all styles of presentations (PPT, Keynote, etc) wirelessly.
  7. eMaze - A nice site that is a cross between Prezi and PP that allows users to zoom around their presentation.  Best of all, a finished presentation can be embedded into a site.
  8. Flixtime - A cool site for mixing photos, videos, and music to create a stunning presentation.
  9. Haiku Deck - A amazing iPad app for creating beautiful looking presentations w/ the ability to upload Creative Commons licensed photos as well as creating charts and graphs.
  10. HelloSlide - A innovative site that allows a user to add narration to their presentations simply by typing in text.
  11. Kizoa - A fun site for creating slideshows or collages w/ a built in photo editor.
  12. Knovio - A nice site for adding video or audio to a powerpoint presentation.  Ideal for Pecha Kucha style presentations.
  13. Magisto - A cool way to create a presentation w/ this video mash-up site/app.
  14. Muvee Cloud - Another nice video mash-up site that creates fun looking movies/presentations by mixing and matching video and music.
  15. Narrable - An innovative site for adding audio to photos to create an engaging slideshow.
  16. Netclick - While Netclick is more of a "student response system" it is a great way to engage an audience through the use of an interactive slideshow.
  17. One True Media - A fantastic video mash-up site for mixing video, audio, and images to creating stunning presentations.
  18. PhotoPeach - One of my favorite sites/apps for creating an interactive slideshow w/ educational portal.  A user can also create a quiz embedded into a slideshow as well.
  19. Photoshow (Roxio) - A nice site for creating slideshows w/ photos, videos, and music, and sharing publicly or privately.
  20. PhotoSnack - A fun site for creating slideshows for blogs, FB, or Twitter.
  21. Popcorn Maker - One of the easiest video mash-ups sites around to creating stunning presentations.
  22. PowToon - Is a new (beta) and wonderful site for creating amazing animated slideshows/presentations.
  23. Present.me - A great site for "flipping" your classroom by adding a video narration side by side to a slideshow.
  24. Reel - A simple site for uploading presentations to garner feedback and self assessment.
  25. Slide.ly - Create a beautiful looking presentation w/ images and music.
  26. Slideful - A fun site for creating beautiful looking slideshows.
  27. Sliderocket - A easy to use site for creating visually engaging slideshows, recently purchased by ClearSlide.
  28. Slideroll - A nice site/app to create slideshows and publish them on the web.
  29. Slideshare - One of the most popular sites around for uploading and sharing presentations in a secure environment.
  30. SlideShark - A nice iOS app for view and editing PPT on the iPhone or iPad.
  31. Slideshow Creator - SSC on Google+ is probably one of the most popular way to create slideshows in a safe environment for students.
  32. Smilebox - A very popular site for creating beautiful looking slideshows, collages, presentations and more.
  33. Soo Meta - A wonderful site for "flipping" a classroom and creating excellent looking presentations that can be embedded into a blog or site.  Also, there are nice features such as: the ability to embed a poll into a presentation, track usages statistics, and more.
  34. Speaker Deck - A great site for uploading a PDF then turning them into a slideshow that can be embedded into a site or blog.
  35. Swipe - A new (private beta) site for creating beautiful looking slideshows that can be used on any device.
  36. TotSplash - An innovative presentation and brainstorming tool for creating engaging presentations that can be embedded into a site/blog.
  37. Vivapitch - A nice plugin for PPT and Android to engage audiences on mobile devices.
  38. Vizlingo - A cool site for making a slideshow out of text.
  39. Vuvox - A great site for creating stunning presentations and slideshows.
  40. WebSlides - A neat way to turn Diigo bookmarks into interactive slideshows.

'Novedades en terapia celular'

Blog de la Condroprotección has posted a new item, 'Novedades en terapia
celular'

Un equipo español acaba de publicar en la revista Transplantation, de la
asociación americana de trasplantes, un trabajo en el que demuestra la utilidad
del autotrasplante de células madre mesenquimales de adulto para tratar la
artrosis de rodilla, explica el diario El Pais. En el ensayo, con 12 pacientes,
11 manifestaron una gran mejoría en [...]

You may view the latest post at
http://www.condroprotectores.es/novedades-en-terapia-celular/

Éxtasis/Ecstasy

Efectos tóxicos agudos del éxtasis y compuestos relacionados: revisión de su patofisiología y tratamiento. 
Acute toxic effects of 'Ecstasy' (MDMA) and related compounds: overview of pathophysiology and clinical management.
Hall AP, Henry JA.
Department of Anaesthesia and Intensive Care Medicine, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester LE1 5WW, UK. andrew.p.hall@uhl-tr.nhs.uk
Br J Anaesth. 2006 Jun;96(6):678-85. Epub 2006 Apr 4.
Abstract
Since the late 1980s 'Ecstasy' (3,4-methylenedioxymethamphetamine, MDMA) has become established as a popular recreational drug in western Europe. The UK National Criminal Intelligence Service estimates that 0.5-2 million tablets are consumed weekly in Britain. It has been reported that 4.5% of young adults (15-34 yr) in the UK have used MDMA in the previous 12 months. Clinically important toxic effects have been reported, including fatalities. While the phenomenon of hyperpyrexia and multi-organ failure is now relatively well known, other serious effects have become apparent more recently. Patients with acute MDMA toxicity may present to doctors working in Anaesthesia, Intensive Care and Emergency Medicine. A broad knowledge of these pathologies and their treatment is necessary for anyone working in an acute medical speciality. An overview of MDMA pharmacology and acute toxicity will be given followed by a plan for clinical management.
http://bja.oxfordjournals.org/content/96/6/678.full.pdf 
  
Papel del dantroleno en el manejo de los efectos tóxicos agudos del éxtasis 
Role of dantrolene in the management of the acute toxic effects of Ecstasy (MDMA)
J. Moon, J. Cros
Hemel Hempstead, UK
The use of dantrolene in the management of hyperthermia for acute 'Ecstasy' (3,4-methylenedioxymetamphetamine, MDMA) toxicity has been recently reviewed by Hall and Hendry.1 We would like to confirm the efficacy of dantrolene after a recent case that presented to our emergency department.
http://bja.oxfordjournals.org/content/99/1/146.1.full.pdf 

Hipertermia inducida por MDMA: un sobreviviente de temperatura corporal inicial de 42.9ºC 
MDMA induced hyperthermia: a survivor with an initial body temperature of 42.9 degrees C.
Mallick A, Bodenham AR.
Academic Unit of Anaesthesia, Leeds General Infirmary.
J Accid Emerg Med. 1997 Sep;14(5):336-8.
Abstract
A young male survived hyperpyrexia (42.9 degrees C) following MDMA ("Ecstasy") ingestion. He developed convulsions, rhabdomyolysis, metabolic acidosis, and respiratory failure. This was successfully managed by assisted ventilation, aggressive fluid therapy, and the early administration of dantrolene, in addition to cooling measures. This is the first report of a survivor with such a severe hyperpyrexia.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1343106/pdf/jaccidem
00020-0064.pdf   
Inducción de hipertermia maligna en cerdos susceptibles con 3-4-metilenedioxi metanfetamina (Éxtasis)
Induction of malignant hyperthermia in susceptible swine by 3,4-methylenedioxy methamphetamine ("ecstasy").
Fiege M, Wappler F, Weisshorn R, Gerbershagen MU, Menge M, Schulte Am Esch J.
Department of Anesthesiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, D-20246 Hamburg, Germany. fiege@uke.uni-hamburg.de
Anesthesiology. 2003 Nov;99(5):1132-6.
Abstract
BACKGROUND: 3,4-Methylenedioxymethamphetamine (MDMA, "ecstasy") can mediate acute toxic effects such as muscle rigidity, metabolic acidosis, and hyperthermia. Because of close clinical similarities, an association between MDMA intoxication and malignant hyperthermia (MH) was suggested. The aim of this study was to investigate whether MDMA is a trigger of MH in susceptible swine. METHODS: MH-nontriggering general anesthesia was performed in six MH-susceptible (MHS) and six MH-normal swine. The animals were exposed to MDMA in cumulative doses of 0.5, 1, 2, 4, 8, and 12 mg/kg. The clinical occurrence of MH was defined by achievement of two of three conditions: central venous Pco2 >/=75 mmHg, central venous pH </= 7.20, and increase of body core temperature >/= 2.0 degrees C. Once MH occurred, a standardized therapy with dantrolene, sodium bicarbonate, and hyperventilation with 100% oxygen was initialized. RESULTS: Administration of 8 mg/kg MDMA triggered MH in all MHS swine. The MH-normal swine also developed clinical signs of hypermetabolism, but even after administration of 12 mg/kg MDMA, changes were moderate compared with the MHS swine. Dantrolene therapy of MDMA-induced MH crisis in the MHS swine partially counteracted the clinical signs of MH immediately. CONCLUSIONS: MDMA induces MH in genetically susceptible swine in relevant doses. Therefore, MHS patients should avoid use of MDMA or related drugs. Patients with a personal or family history of MDMA-induced hyperthermia should be tested for a diagnosis of MH susceptibility. Dantrolene is effective in therapy of MDMA-induced porcine MH.
http://journals.lww.com/anesthesiology/pages/articleviewer.aspx?year=2003&issue=11000&article=00020&type=abstract 

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

martes, 28 de mayo de 2013

Ciprofloxacina


Acta Ortopédica Mex >Enero-Febrero, 2013; Volumen 27


Artroscopia y Medicina del Fútbol. Congreso Internacional CMO, México, 2013


¿Ortopedia legal o a la defensiva?


Congreso Internacional de Artroscopia y Lesiones del Fútbol, México 2013



                           
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