sábado, 4 de diciembre de 2010

Now Online | T Winter Travel 2010



T’s winter travel edition begins with a fairy tale, by way of a cover shoot in the snowy Swedish countryside. Then it’s off to another kind of winter wonderland: the high-rolling peaks of Courchevel (where’s there as much “ice” on the skiers as on the slopes). Ready for a thaw? There’s serious surfing on Sumba Island, home to some of the world’s best breaks and the ultimate eco-resort. For more beach time, we drop in on St. Lucia before heading to Rio, where the art scene is heating up. It’s a season of pilgrimages, too: In the temples of Tamil Nadu, India, Guy Trebay partakes in bathing rituals that give a whole new meaning to taking the waters. In Taipei, the designer Jason Wu goes home looking for inspiration for his next collection. And in Los Angeles, Frank Bruni eats his way through what has become America’s great food city. Wash it all down with the artisanal cocktails of Sydney, then sleep it off at the latest slumber spas. Plus: check into thehottest new hotels, from Buenos Aires to Bangkok.

Cleopatra’s Guide to Good Governance

Yentus & Booher
OP-ED CONTRIBUTOR

Cleopatra’s Guide to Good Governance

The leadership advice Washington needs, from the life and experiences of Cleopatra VII.

Alzheimer's Disease




Zen and the Art of Coping With Alzheimer's

In Brief:
THE NUMBER OF ALZHEIMER'S PATIENTS IS EXPECTED TO INCREASE DRAMATICALLY IN COMING YEARS, STRAINING THE HEALTH CARE SYSTEM.
SCIENTISTS HAVE NOT DISCOVERED THE CAUSE NOR DEVISED EFFECTIVE TREATMENTS. EVEN DIAGNOSIS IS DIFFICULT.
IN THE ABSENCE OF THERAPIES, ATTENTION HAS TURNED TO TEACHING THE SKILLS NECESSARY TO COPE WITH DEMENTED PATIENTS.
INCREASINGLY CAREGIVERS ARE ENCOURAGED TO VALIDATE THE FEELINGS AND PERCEPTIONS OF THE PERSON WITH ALZHEIMER'S.
During the YouTube forum with the Democratic presidential candidates in July, the first question about health care came from two middle-age brothers in Iowa, who faced the camera with their elderly mother. Not everybody with Alzheimer’s disease has two loving sons to take care of them, they said, adding that a boom in dementia is expected in the next few decades.
“What are you prepared to do to fight this disease now?” they asked.
The politicians mouthed generalities about health care, larded with poignant anecdotes. None of them answered the question about Alzheimer’s.
Science hasn’t done much better. There is no cure for Alzheimer’s and no way to prevent it. Scientists haven’t even stopped arguing about whether the gunk that builds up in the Alzheimer’s brain is a cause or an effect of the disease. Alzheimer’s is roaring down — a train wreck to come — on societies all over the world.
People in this country spend more than a $1 billion a year on prescription drugs marketed to treat it, but for most patients the pills have only marginal effects, if any, on symptoms and do nothing to stop the underlying disease process that eats away at the brain. Pressed for answers, most researchers say no breakthrough is around the corner, and it could easily be a decade or more before anything comes along that makes a real difference for patients.
Meanwhile, the numbers are staggering: 4.5 million people in the United States have Alzheimer’s, 1 in 10 over 65 and nearly half of those over 85. Taking care of them costs $100 billion a year, and the number of patients is expected to reach 11 million to 16 million by 2050. Experts say the disease will swamp the health system.
It’s already swamping millions of families, who suffer the anguish of seeing a loved one’s mind and personality disintegrate, and who struggle with caregiving and try to postpone the wrenching decision about whether they can keep the patient at home as helplessness increases, incontinence sets in and things are only going to get worse.
Drug companies are placing big bets on Alzheimer’s. Wyeth, for instance, has 23 separate projects aimed at developing new treatments. Hundreds of theories are under study at other companies large and small. Why not? People with Alzheimer’s and their families are so desperate that they will buy any drug that offers even a shred of hope, and many will keep using the drug even if the symptoms don’t get better, because they can easily be convinced that the patient would be even worse off without it.
It is telling, maybe a tacit admission of defeat, that a caregiving industry has sprung up around Alzheimer’s. Books, conferences and Web sites abound — how to deal with the anger, the wandering, the sleeping all day and staying up all night, the person who asks the same question 15 times in 15 minutes, wants to wear the same blouse every day and no longer recognizes her own children or knows what a toilet is for.
The advice is painfully and ironically reminiscent of the 1960s and ’70s, the literal and figurative high point for many of the people who are now coping with demented parents. The theme is, essentially, go with the flow. People with Alzheimer’s aren’t being stubborn or nasty on purpose; they can’t help it. Arguing and correcting will not only not help, but they will ratchet up the hostility level and make things worse. The person with dementia has been transported into a strange, confusing new world and the best other people can do is to try to imagine the view from there and get with the program.
If a patient asks for her mother, for instance, instead of pointing out that her mother has been dead for 40 years, it is better to say something like, “I wish your mother were here, too,” and then maybe redirect the conversation to something else, like what’s for lunch.
If Dad wants to polish off the duck sauce in a Chinese restaurant like it’s a bowl of soup, why not? If Grandma wants to help out by washing the dishes but makes a mess of it, leave her to it and just rewash them later when she’s not looking. Pull out old family pictures to give the patient something to talk about. Learn the art of fragmented, irrational conversation and follow the patient’s lead instead of trying to control the dialogue.
Basically, just tango on. And hope somebody will do the same for you when your time comes. Unless the big breakthrough happens first.

Holograms Deliver 3-D, Without the Goofy Glasses

NOVELTIES

Holograms Deliver 3-D, Without the Goofy Glasses


Enlarge This Image
WHEN the famous hologram of Princess Leia says, “Help me, Obi-Wan Kenobi,” in “Star Wars,” it’s science fiction. Now you can watch actual moving holograms that are filmed in one spot and then projected and viewed in another spot.
Norma Jean Gargasz
One hologram by Dr. Nasser Peyghambarian is an F-4 Phantom jet on a polymer sheet that refracts light.
Zebra Imaging and United States Army
Zebra Imaging and Parsons Brinckerhoff
Architects are finding that hologram technology helps them to communicate with clients, lawyers and engineers.
“The hologram is about the size and resolution of Princess Leia in the movie,” said Nasser Peyghambarian, an optical scientist at the University of Arizona and leader of a research team that recently demonstrated the technology, reported in the Nov. 4 issue of Nature.
The holograms aren’t as speedy as those in Hollywood. The images move a lot more haltingly, as the display changes only every two seconds, far slower than video sailing past at 30 frames a second.
But unlike science fiction, these holograms are actually happening and in close to real time: a fellow is filmed in one room, the computer-processed data is sent via ethernet to another room, and then laser beams go to work. Voilà: His holographic telepresence appears and moves, albeit somewhat jerkily, in apparently solid detail (until you try to put a hand through him).
Innovative research in holography is going on at labs and companies worldwide, said Lisa Dhar, a senior technology manager at the University of Illinois, Urbana-Champaign, who is an expert in holographic materials.
“Groups are deploying new materials and methods to create compelling work” of both still and moving holograms, Dr. Dhar said.
The work has implications beyond the lab, she said. We may need to wait a decade before watching holographic movies at home. But even before the technology is practical for games and entertainment, it promises applications in advertising, the military, architecture and engineering.
Zebra Imaging in Austin, Tex., sells holographic prints that at first glance look much like ordinary 2-by-3-foot pieces of plastic — until an LED flashlight is shined at them. Then the patterns, burned into the plastic with high-power laser beams, come to life, said Al Wargo, chief executive. Out of the surface springs a model of a complicated building or an intricate network of pipes and mechanical equipment.
No special eyewear is required to view the holographic prints, which typically cost $1,000 to $3,000 each. The company has also demonstrated moving holographic displays in prototype at conferences, Mr. Wargo said. (It introduced color holograms in September.)
Zebra’s main customer has been the Defense Department, which sends data in computer files to the company. Zebra then renders holographic displays of, for example, battlefields in Iraq and Afghanistan.
Businesses are also Zebra customers, including FMC Technologies in Houston, which uses holograms of oil field equipment for sales and training.
Adam Andrich, global marketing manager for fluid control at FMC, says holograms are handy substitutes when the company wants to demonstrate its 50,000-pound equipment at trade shows.
“The holograms are a lot lighter,” he said, and they create a striking effect as they rise in shimmering volume in the air. “They are so realistic that every time we show them, people try to grab them,” he said.
Holographic prints may also find use among architects and engineers. Tina Murphy, a project engineer at HNTB in Indianapolis, says she already uses extensive 3-D computer modeling to plan before construction, but holograms can also help to communicate, particularly with a group. “We can show them to plant operators, lawyers, regulators and engineers,” she said. “With this one visual image, we can all communicate.”
The holograms are an inexpensive alternative to bulky, often fragile physical models of wood or polystyrene, says Jared Smith, a senior vice president at Parsons Brinckerhoff in Seattle, an engineering, planning and architecture firm.
“Slip them into a portfolio case and carry them,” he said. “Then shine a light on them and up leap these buildings in three dimensions.”
At the University of Arizona in Tucson, Dr. Peyghambarian created his displays using 16 cameras. Software rendered the images in holographic pixels, and laser beams directed by the software recorded the information on a novel plastic that can be erased and rewritten in two seconds. Dr. Peyghambarian says that the group is working on speeding up the rate and expects versions to be in homes in 7 to 10 years. Slower versions may be useful far sooner, for example, for long-distance medical consultation.
To help make those long-distance connections happen, Keren Bergman, a professor of electrical engineering at Columbia University in New York, is working on ways to send holograms not just from room to room, but also from Arizona to New York on the Internet. Dr. Bergman and Dr. Peyghambarian are collaborating as part of joint researchfinanced by the National Science Foundation.
One day, she may summon people to her lab by holographic telepresence, just as Alexander Graham Bell once summoned Thomas Watson (“Come here!”) with a historic telephone call. To introduce that memorable moment, maybe she will find a good quote from “Star Wars.”

Turkey and Mizuna Salad

RECIPES FOR HEALTH

Turkey and Mizuna Salad

Andrew Scrivani for The New York Times
This dish has bright, mildly spicy Asian flavors and lots of crunch. Mizuna is a Japanese mustard green that’s high in folic acid, vitamin A, carotenoids and vitamin C. If you can’t find it, substitute arugula.

Recipes for Health

Martha Rose Shulman presents food that is vibrant and light, full of nutrients but by no means ascetic, fun to cook and to eat.


For the salad:
2 cups mizuna or arugula
3 cups shredded or diced cooked turkey
Salt and freshly ground pepper
1 serrano chili, seeded if desired and chopped (optional)
1 bunch scallions, white part and green, thinly sliced
1 small cucumber, seeded, diced and peeled if waxy; or 1/2 long European cucumber, diced
1/4 cup chopped cilantro
1 small red bell pepper, cut in thin strips
2 tablespoons coarsely chopped walnuts
2 broccoli crowns, cut or broken into small florets, steamed four to five minutes, refreshed with cold water and drained on paper towels (optional)
For the dressing:
2 tablespoons fresh lime juice
1 tablespoon seasoned rice wine vinegar
1 garlic clove, minced or put through a press
2 teaspoons finely minced fresh ginger
1 tablespoon soy sauce
2 tablespoons dark Chinese sesame oil or walnut oil
2 tablespoons canola or peanut oil
1/3 cup low-fat buttermilk or plain nonfat yogurt
1 tablespoon turkey stock or water, for thinning out if using yogurt
1. Line a platter or large bowl with the mizuna or arugula.
2. Season the turkey with salt and pepper, and combine in a large bowl with the chili, scallions, cucumber, cilantro, red pepper and walnuts
3. Combine the ingredients for the dressing, and mix well. Toss with the turkey mixture. Arrange on top of the mizuna or arugula and serve.
Yield: Serves six.
Advance preparation: You can prepare and combine the salad ingredients several hours before tossing with the dressing. Keep in the refrigerator.
Nutritional information per serving: 293 calories; 17 grams fat; 3 grams saturated fat; 54 milligrams cholesterol; 10 grams carbohydrates; 4 grams dietary fiber; 242 milligrams sodium (does not include salt added during preparation); 24 grams protein

Microbe Finds Arsenic Tasty; Redefines Life

Microbe Finds Arsenic Tasty; Redefines Life

Henry Bortman
Felisa Wolfe-Simon takes samples from a sediment core she pulled up from the remote shores of 10 Mile Beach at Mono Lake in California.

Scientists said Thursday that they had trained a bacterium to eat and grow on a diet of arsenic, in place of phosphorus — one of six elements considered essential for life — opening up the possibility that organisms could exist elsewhere in the universe or even here on Earthusing biochemical powers we have not yet dared to dream about.
Science
A scanning electron micrograph of the bacteria strain GFAJ-1.

The bacterium, scraped from the bottom of Mono Lake in California and grown for months in a lab mixture containing arsenic, gradually swapped out atoms of phosphorus in its little body for atoms of arsenic.
Scientists said the results, if confirmed, would expand the notion of what life could be and where it could be. “There is basic mystery, when you look at life,” said Dimitar Sasselov, an astronomer at the Harvard-Smithsonian Center for Astrophysics and director of an institute on the origins of life there, who was not involved in the work. “Nature only uses a restrictive set of molecules and chemical reactions out of many thousands available. This is our first glimmer that maybe there are other options.”
Felisa Wolfe-Simon, a NASA astrobiology fellow at theUnited States Geological Survey in Menlo Park, Calif., who led the experiment, said, “This is a microbe that has solved the problem of how to live in a different way.”
This story is not about Mono Lake or arsenic, she said, but about “cracking open the door and finding that what we think are fixed constants of life are not.”
Dr. Wolfe-Simon and her colleagues publish their findings Friday in Science.
Caleb Scharf, an astrobiologist at Columbia University who was not part of the research, said he was amazed. “It’s like if you or I morphed into fully functioning cyborgs after being thrown into a room of electronic scrap with nothing to eat,” he said.
Gerald Joyce, a chemist and molecular biologist at the Scripps Research Institute in La Jolla, Calif., said the work “shows in principle that you could have a different form of life,” but noted that even these bacteria are affixed to the same tree of life as the rest of us, like the extremophiles that exist in ocean vents.
“It’s a really nice story about adaptability of our life form,” he said. “It gives food for thought about what might be possible in another world.”
The results could have a major impact on space missions to Mars and elsewhere looking for life. The experiments on such missions are designed to ferret out the handful of chemical elements and reactions that have been known to characterize life on Earth. The Viking landers that failed to find life on Mars in 1976, Dr. Wolfe-Simon pointed out, were designed before the discovery of tube worms and other weird life in undersea vents and the dry valleys of Antarctica revolutionized ideas about the evolution of life on Earth.
Dr. Sasselov said, “I would like to know, when designing experiments and instruments to look for life, whether I should be looking for same stuff as here on Earth, or whether there are other options.
“Are we going to look for same molecules we love and know here, or broaden our search?”
Phosphorus is one of six chemical elements that have long been thought to be essential for all Life As We Know It. The others are carbon, oxygen, nitrogen, hydrogen and sulfur.
While nature has been able to engineer substitutes for some of the other elements that exist in trace amounts for specialized purposes — like iron to carry oxygen — until now there has been no substitute for the basic six elements. Now, scientists say, these results will stimulate a lot of work on what other chemical replacements might be possible. The most fabled, much loved by science fiction authors but not ever established, is the substitution of silicon for carbon.
Phosphorus chains form the backbone of DNA and its chemical bonds, particularly in a molecule known as adenosine triphosphate, the principal means by which biological creatures store energy. “It’s like a little battery that carries chemical energy within cells,” said Dr. Scharf. So important are these “batteries,” Dr. Scharf said, that the temperature at which they break down, about 160 Celsius (320 Fahrenheit), is considered the high-temperature limit for life.
Arsenic sits right beneath phosphorus in the periodic table of the elements and shares many of its chemical properties. Indeed, that chemical closeness is what makes it toxic, Dr. Wolfe-Simon said, allowing it to slip easily into a cell’s machinery where it then gums things up, like bad oil in a car engine.
At a conference at Arizona State about alien life in 2006, however, Dr. Wolfe-Simon suggested that an organism that could cope with arsenic might actually have incorporated arsenic instead of phosphorus into its lifestyle. In a subsequent paper in The International Journal of Astrobiology, she and Ariel Anbar and Paul Davies, both of Arizona State University, predicted the existence of arsenic-loving life forms.
“Then Felisa found them!” said Dr. Davies, who has long championed the idea of searching for “weird life” on Earth as well as in space and is a co-author on the new paper.
Reasoning that such organisms were more likely to be found in environments already rich in arsenic, Dr. Wolfe-Simon and her colleagues scooped up a test tube full of mud from Mono Lake, which is salty, alkaline and already heavy in arsenic, and gradually fed them more and more.
Despite her prediction that such arsenic-eating organisms existed, Dr. Wolfe-Simon said that she held her breath every day that she went to the lab, expecting to hear that the microbes had died, but they did not. “As a biochemist, this stuff doesn’t make sense,” she recalled thinking.
A bacterium known as strain GFAJ-1 of the Halomonadaceae family of Gammaproteobacteria, proved to grow the best of the microbes from the lake, although not without changes from their normal development. The cells grown in the arsenic came out about 60 percent larger than cells grown with phosphorus, but with large, empty internal spaces.
By labeling the arsenic with radioactivity, the researchers were able to conclude that arsenic atoms had taken up position in the microbe’s DNA as well as in other molecules within it. Dr. Joyce, however, said that the experimenters had yet to provide a “smoking gun” that there was arsenic in the backbone of working DNA.
Despite this taste for arsenic, the authors also reported, the GFAJ-1 strain grew considerably better when provided with phosphorus, so in some ways they still prefer a phosphorus diet. Dr. Joyce, from his reading of the paper, concurred, pointing out that there was still some phosphorus in the bacterium even after all its force-feeding with arsenic. He described it as “clinging to every last phosphate molecule, and really living on the edge.”
Dr. Joyce added, “I was feeling sorry for the bugs.

Cardiología

 VII CURSO INTERNACIONAL TEÓRICO-PRÁCTICO DE TERAPIA ENDOVASCULAR & MIOCÁRDICA. MADRID 2009




Introducción
Eulogio García Fernández.  Andrés Iñiguez Romo.  Carlos Macaya Miguel.  Antonio Serra Peñaranda. 
Rev Esp Cardiol.2010; 10(Supl.C) :1
Novedades en stents farmacoactivos. Actualización y futuros desarrollo
Antonio Serra Peñaranda.  Faustino Miranda Guardiola.  Beatriz Vaquerizo Montilla. 
Rev Esp Cardiol.2010; 10(Supl.C) :2-11
Tratamiento de reperfusión en el infarto agudo de miocardio con elevación del segmento ST
Jose Antonio Baz.  Andrés Iñiguez Romo.  Eulogio García Fernández.  Antonio Serra Peñaranda.  Carlos Macaya Miguel. 
Rev Esp Cardiol.2010; 10(Supl.C) :12-20
Nuevas evidencias y directrices en antiagregación y anticoagulación en síndrome coronario agudo e intervencionismo coronario percutáneo
David Vivas.  Antonio Fernández-Ortiz.  Carlos Macaya Miguel.  Eulogio García Fernández.  Andrés Iñiguez Romo.  Antonio Serra Peñaranda. 
Rev Esp Cardiol.2010; 10(Supl.C) :21-9
Implantación transcatéter de prótesis valvular aórtica (situación actual, novedades tecnológicas y perspectivas clínicas). Resultados del Registro Edwards de implantación transfemoral en España
Eulogio García Fernández.  Rosana Hernández.  Carlos Macaya Miguel.  Andrés Iñiguez Romo.  Antonio Serra Peñaranda. 
Rev Esp Cardiol.2010; 10(Supl.C) :30-9
Abstracts

Rev Esp Cardiol.2010; 10(Supl.C) :40-66