lunes, 6 de diciembre de 2010

Once on This Island, a D.I.Y. Art Show

Once on This Island, a D.I.Y. Art Show

Oscar Hidalgo for The New York Times
A performance with poles, staged by Brody Condon as part of the one-day show on Flagler Memorial Island.
MIAMI BEACH — Flagler Memorial Island, a tiny oval of sand and coconut palms in Biscayne Bay, is a strange appendage to the city of Miami Beach. It is a municipal park with no means of access unless you own a boat or have friends who do. It is artificial, like the overdeveloped Venetian Islands nearby, but remains uninhabited and a little wild, with no electricity or facilities. It is home to a big white obelisk, but almost no one here seems to know what the monument honors or goes to visit it.

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The latest on the arts, coverage of live events, critical reviews, multimedia extravaganzas and much more.Join the discussion.
It would be hard to imagine a better refuge for anyone yearning to flee the gridlock, frenzied deal making and acres of art-filled booths that took over this city last week for the annual Art Basel Miami Beachfair. And so on Friday a small group of artists — with the cautious blessing of municipal officials — commandeered the island for exactly that purpose: retreating there to stage a one-afternoon, extremely D.I.Y. exhibition that felt worlds away from the one back on shore.
The rules as set out by Miami Beach — which wants to use the island for cultural projects but also to protect its unkempt beauty and ecosystem — were not exactly art-world friendly. Work could be moved into place no earlier than the morning of the show; none of it could alter the island or damage its plant life; no more than 300 people at a time could come out to the island; and all evidence of the show’s existence had to be gone by the next morning. In addition, during the setup and the exhibition, the island would remain open as a public park if anyone wanted to visit for that purpose, and some did.
“I was out here yesterday morning getting a lay of the land, and I came across these two Cuban guys who had made their own stove, and they gave me lunch,” said Shamim Momin, the curator who conceived the show. “It was really good barbecue. I’m not even sure what kind of meat it was.”
The exhibition is the most highly visible one mounted by Ms. Momin since she left theWhitney Museum of American Art last year to found LAND, the Los Angeles Nomadic Division, a kind of guerrilla nonprofit organization whose mission is to foster site-specific public art around the country and eventually, it hopes, around the world. She said she formed the organization — after a dozen years at the Whitney, where she served as the co-curator of two Whitney biennials — because she felt a need to respond to the sort of hard-to-classify work being made by many younger artists now, work that “always seems to feel way too sanitized inside museum or gallery walls.”
The island project, put together with the help of a new Miami art organization, Ohwow, had no walls at all, unless you counted the chain-link fence encircling the recently restored neo-Classical monument to Henry Morrison Flagler, a railroad tycoon responsible for much of South Florida’s development. The island was built in the early 1920s to look as artificial as possible, a circle with the obelisk at its center, appearing in early pictures like a sundial in the middle of the bay. But erosion and the occasional hurricane have chipped away at it, so that it is now roughly kidney shaped, with the monument decidedly to one side, surrounded by a tangle of sea grape and wild tamarind trees. The only suggestions that the island might not be in the South Pacific are a few metal trash cans and park signs prohibiting guns, fire and dogs.
Ms. Momin recruited a group of artists — including a few with high name recognition these days, like Terence Koh, Jack Pierson and Hanna Liden — who she thought would rise to the occasion of working off the grid. And indeed many of the works could not have functioned very well anywhere else.
Luis Gispert, who was raised in Miami and is known for lushly disturbing films that burrow into the city’s culture of excess, took on the role of professor on this Gilligan’s Island, fashioning a nonworking antenna out of a large, upright, gold-painted palm leaf, which rotated in a clearing, as if searching for signs of life in the city beyond. Marina Rosenfeld, who often works with sound and music, planted two loudspeakers in a gumbo-limbo tree, but the speakers were covered with sound-absorbing Acousti Coat paint, so that they would perform the opposite of their intended function, if only conceptually. Rona Yefman brought an old Sony Trinitron television and stuck it in a grove. It was connected it to a portable generator and showed a funny, haunting video in which two fictional Tel Aviv gangs play a violent version of capture the flag.
Kate Levant and Michael E. Smith’s work had no fixed location, because the 30-year-old man who was their “work,” Pat Chisholm — a friend of theirs from Detroit, whom they asked to go live, eat and sleep on the island during the project — rarely stayed in one place for long. Mr. Chisholm, an armored-car driver who met Mr. Smith many years ago in a substance-abuse program, said that Ms. Levant and Mr. Smith simply wanted him to experience the place, while they camped in the Everglades, and that they would come pick him up after it was all over.
“They said, ‘Just be yourself,’ and I had to think about that for a while,” said Mr. Chisholm, an animated, talkative man wearing a cap with the word “infidel” written in English and Arabic.
He came equipped with freeze-dried provisions and a Mylar camping blanket but was denied permission to bring along one of his many firearms. The only problem he encountered while sleeping alone on the island on Thursday night was a platoon of rats enticed by the smell of his dinner.
“I was worried that maybe the police would send over a helicopter with thermal vision and be able to spot me down there, you know?” he said. “But nope, didn’t see a soul. It was actually kind of nice.”
Despite the show’s lawless aesthetic, Ms. Momin, who runs the LAND’s projects more or less with a full-time staff of two — Taylor Livingston, the production manager, and William Parks, its exhibition coordinator — tried to leave nothing to chance, charting everything from sunset times to tide schedules ahead of time. But in the end it was the umbilical back to land, the boat, that proved to be trouble for them. Its inability to accommodate many visitors at a time on Friday afternoon led to a backup of angry people near the dock of the Mondrian Hotel, many of whom never made it to the island before the show ended at dusk.
“I’m really sorry that more people weren’t able to get out here, but it’s part of the nature of something like this that maybe things don’t work the way everyone thinks they will,” Ms. Momin said after three almost sleepless days.
She lighted a cigarette on the beach as the sun dropped behind the horizon. “If you didn’t get out here,” she said, “maybe this really didn’t happen after all.”

Fantastical Thrust (and Hair Color)

MUSIC REVIEW

Fantastical Thrust (and Hair Color)

Chad Batka for The New York Times
My Chemical Romance, with the vocalist Gerard Way, right, and the guitarist Frank Iero, at Roseland Ballroom.
What’s the quickest way out of New Jersey? Judging by the new My Chemical Romance album, it might be a spaceship. “Danger Days: The True Lives of the Fabulous Killjoys,” the group’s fourth album and its first in four years, is a shameless, grand and sometimes goofy work that sounds destined for ComicCon.

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Chad Batka for The New York Times
Brian Fallon, the lead singer of the Gaslight Anthem, at Roseland Ballroom on Friday night.
In the video for the first single, “Na Na Na (Na Na Na Na Na Na Na Na Na),”the band members play postapocalyptic outlaws on a violent road chase. For a group given to heart-rending bombast, the move toward the fantastical is an unexpected one.
At Roseland Ballroom on Friday night the band was earthbound, mostly, but not modest, in a terrific, thrusting show that felt bigger than even this big room. The concert was part of a holiday series sponsored by the radio station Rock 101.9 (WRXP-FM), which paired the group with another breakthrough New Jersey band, the Gaslight Anthem, whose approach to escape is more micro.
It was an unusual match. Even at its most insular, My Chemical Romance has always been something of a fabulist band, lacing its emo with flashes of metal and lacerated lyrics. By contrast the Gaslight Anthem’s members are committed naturalists, their blues-and-soul-influenced rock sporting heavy, unhealed scars. My Chemical Romance’s songs are shrieks; the Gaslight Anthem’s are croaky whispers.
If the Gaslight Anthem is to be forever saddled with comparisons to Bruce Springsteen, another New Jerseyite with magnifying-glass lyrics, then maybe My Chemical Romance will have to learn to start dodging the words “Bon Jovi” in the coming years. Compared with My Chemical Romance’s earlier albums, “Danger Days” (Reprise) is comically simple, lyrically and emotionally. The huge swelling chords and jumpy tempo of “Planetary (GO!)” recall nothing so much as the Black Eyed Peas. Elsewhere hair metal and glam rock references abound, the line between flamboyant and tacky hopelessly blurred.
And yet, taken out of context, the album is punchy and effective, a knowing attempt at supersizing the group’s sound in keeping with its longstanding ambition.
Onstage the wiry Gerard Way has learned how to communicate that bigness. His look was arena glam: body all bent and twisted, hair a bright synthetic red. The new songs in particular captured the push and pull between glamour and muscle, helped greatly by the addition of the assaultive drummer Michael Pedicone, though they had only a glancing impact when compared with the older material.
“It doesn’t matter what you believe,” Mr. Way told the crowd. “But I believe we are the” — he said, using a sharp word for emphasis — “greatest,” before setting off into “I’m Not Okay (I Promise),” one of the band’s biggest and most anthemic hits, which spurred a roaring singalong. The main set closed with an anguished, triumphant, cathartic “Helena,” the sort of aggressive plaint that was once its bread and butter but that in light of the group’s evolving direction, felt nostalgic.
Looking in the rearview mirror might be the Gaslight Anthem’s primary mode of being. Its songs teem with specificity of detail, every word a memory. Though “American Slang” (SideOneDummy), the band’s third album, talks a lot about leaving New Jersey behind, the lead singer, Brian Fallon, remains fixated on place — in this case New York, which dominates the new songs and also his stage patter. “I don’t think anyone’s from New York,” he said. “Who of you was born before 1990 on 33rd Street?”
But even though the Gaslight Anthem’s geographical perspective has broadened, its musical topography remains more or less unchanged, with tough, ragged, determined songs that don’t quite fill a room this size, though not for lack of effort. “We Came to Dance” and “Miles Davis & the Cool” traded some of their swing for punch, helped by Benny Horowitz’s rigorous and hard drumming, and Alex Rosamilia’s guitar expanded “The ’59 Sound” into something more than a remembrance.
The Gaslight Anthem ended its set with “The Backseat,” which felt like a regression to smallness until the end, when the group closed it out with a few bars of U2’s “I Still Haven’t Found What I’m Looking For,” Mr. Fallon spreading his steady rasp as wide as it could go. As the final gesture before giving over the stage to the headliner, it was maybe a wink: Hey, we can do big too.

Ácido fólico en mujeres embarazadas: poco, tarde y mal” y ademas embarullado

“Ácido fólico en mujeres embarazadas: poco, tarde y mal” y ademas embarullado

Posted on 4 Diciembre 2010 porrafabravo


Comentaba hace unos días Javier G de Dios en el excelente blog Pediatría basada en pruebas,un artículo publicado en Medicina Clínica que  examino la ingesta de acido fólico en más de setecientas embarazadas de la comunidad valenciana. Lo comentaba algo desesperado porque los resultados de este estudio muestran que la ingesta de alimentos por sí sola es insuficiente para que la mayoría de embarazadas alcancen la ingesta recomendada de acido folico (≥ 600μg/día) durante todo el embarazo (y de 400 mcg/día en periconcepción). Latoma de suplementos de acido fólico resuelve solo en parte el problema, ya que no evita que un porcentaje muy amplio de embarazadas sigan sin alcanzar la ingesta recomendada.
Hasta aquí la reseña del pediatra que ve como malformaciones congénitas graves como los defectos del tubo neural podría ser evitadas con un simple aporte de ácido fólico en la preconcepción y embarazo y que le lleva a titular su comentario como “Ácido fólico en mujeres embarazadas: poco, tarde y mal”
Si leemos el estudio podemos ir un poco más lejos y comprobar que el 80, 69 y  34 % de las embarazadas no cumplían la ingesta de acido fólico considerada como mínimo recomendable en el periodo más crítico es decir preconcepción y  primeros dos meses de embarazo. También  se observan fenómenos curiosos como que el déficit mejoraba conforme transcurría el embarazo llegando a solo un 31,5 % de incumplimiento al final de este (séptimo mes), o la distribución temporal y cualitativa de la toma de suplementos, como se ve en la figura.

Evolución del patrón de uso de suplementos individualizado de ácido fólico (AF) en preconcepción y por mes de embarazo. Estudio INMA-Valencia, 2003–2005 (n=782)
En la etapa preconcepcional y primer mes de embarazo se toma el acido fólico como único suplemento, y con dosis excesivas en un treinta por ciento de los casos. A partir del segundo mes la proporción de mujeres que utilizaban más de un tipo de suplementos (en forma de polivitamínicos) fue aumentando hasta superar el 50% a partir del tercer mes de embarazo. No se indican como tales en el estudio la asociaciones de acido fólico con iodo o con vitamina B12.
También se comprobó que el uso de suplementos se inicia tardíamente (después del segundo mes) en una de cada 4 mujeres.
Alrededor de un tercio de las mujeres que manifiestan tomar suplementos de AF lo hacen en exceso, superando la cifra de 1.000 μg/día que se ha considerado como límite  superior tolerable de ingesta. Aunque el riesgo de toxicidad por ácido fólico es bajo, se ha establecido esta cifra entre otras cosas porque se considera que podría enmascarar los síntomas de una deficiencia de vitamina B12,  y dejarla sin tratar con el consiguiente daño neurológico (habría que considerar la vigencia de esta recomendación tan clásica en la época en que la determinación de B12 y fólico es fácil y barata).
Todavía lo podemos complicar más si adjuntamos la tabla* si vemos la tabla de medicamentos dados de alta que tiene acido fólico y las cantidades de acido fólico que aportan por unidad de dosis:
Tras estos datos se vislumbra que si queremos mejorar este problema una premisa fundamentales es disminuir la variabilidad en los suplementos que se prescriben. Urge simplificar el variopinto abanico de medicamentos con acido fólico, tener en cuenta las dosis recomendadas, y de paso aclarar el papel y necesidad de suplementos como el iodo o los polivitamínicos.
En amarillo los medicamentos con ácido fólico como único componente.* Gracias al Centro de Información de Medicamentos del Hospital Valle Hebron por facilitarme la tabla

 
 
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2 Responses ““Ácido fólico en mujeres embarazadas: poco, tarde y mal” y ademas embarullado” →

  1. 4 Diciembre 2010
    Hasta ahora, yo me he guiado por la recomendación de 400mcg/día de ácido fólico como suplemento, hasta la 12ª semana. Y en este sentido, tenía claro que los fármacos comercializados superaban lo indicado, excepto el Zolico, que es el que acostumbro a utilizar (único con esa dosis como sustancia única). Curiosamente, como genérico o principio activo no existe a esa dosis (prescripción electrónica), o al menos no lo encuentro.
    En fin, que sí es un embrollo… como otros muchos.
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No todo es medicina: El amor en tiempos de facebook & remember John Lennon

No todo es medicina: El amor en tiempos de facebook & remember John Lennon


Las redes sociales, se transforman, y a nadie extrañará que en este momento se esté gestando otra forma de comunicarnos. El marketing reemplaza a la epidemiologia, y el PBI de sólo 5 empresas farmaceuticas internacionales son mayores al PBI de toda America Latina. Del mismo modo que si Facebook fuera un país, sería el tercer país de la tierra.
Fantasias dirán algunos, mundos virtuales para otros, y una vieja terapeuta que tuve, me diria que no hay nada mas real que una fantasia. O quizás hoy no haya nada más real que las propias relaciones virtuales. Tanto asi, que no conozco en persona más que un 8% de mis contactos en Facebook.
Amigos que uno admira, y que hace años no ve, o quizás nunca hemos compartido un café o una cerveza en una mesa. Cómo explicarle a mis hijas, que siempre se rien cuando cuento…que no habia internet cuando yo era niño. Joder, que si a mi mismo me cuesta creerlo. Asi es el mundo Vichi, ciertamente no era para vos mi saludo del dia del médico, ni para muchos que me han escrito alguna vez, y me han contado que van a un pueblo cada 15 dias para leer lo que escribo. A ellos no va mi homenaje, si no las gracias por hacerlo, por estar en un lugar que a mi, si ya este me resulta dificil, no puedo imaginar los otros.
El mundo se ha expandido, con geografias virtuales, hasta el infinito. Mientras el tiempo se ha comprimido hasta el simple momento que dura un twitter.
Pero no era de esto que queria hablar. Las “Coreas”, aunque el mundo lo ignore nos ponen cerca de una guerra nuclear. Como aquella vieja amenaza de Octubre del 62. Los hombres no hemos enloquecido, tan sólo seguimos pensando en lógicas que nada tienen que ver con lás lógicas difusas, profusas y confusas que nos dominan. Es nuestra esencia. Y la lógica aristotelica-tomista, una de las tantas que occidente ha comprado. Quizás por eso los chinos puedan entender mejor a Hegel, aunque no tengan idea quien fue, o que escribió. No, siempre me voy por otros lados……..y regreso.
Regreso para decirles como cada domingo, que no todo es medicina. Y que hubo un hombre, que marcó mi vida, y que un 8 de Diciembre de 1980, lo lloré como muchos en el mundo, porque marco mi infancia, mi adolescencia, y mi temprana juventud. El hablaba de universalismo, no de globalización. Y mis hijas durmieron con esa música, renovada en forma de música clásica, durante su infancia. Para mi Solchi que nunca me lee, para Agus que transita caminos de alegria como siempre, para Vichi que me recordó que el amor existe. Para el mundo, que no olvide que un hombre, un simple hombre, hizo llorar a millones un dia con su ida. Pero no se fue. Porque cada vez que los tiempos son dificiles, nos volvemos a decir, “Hard times are over, over, for a while”, o cantar como cantaron y cantan en su homenaje cada 8 de Diciembre……Give peace a chance…..A John Winston Lennon, mi homenaje. Por haber luchado con una guitarra o un piano, y sus canciones, por la paz. A las mujeres que amo, a los que recorren estas geografias virtuales, difundan el mensaje, la paz siempre es posible…….y todo lo que necesitamos es amor. Y a quien piense que esto es naif, habre de refutar que más naif es creer que un mundo puede sobrevivir sin esto.