sábado, 6 de agosto de 2011

Evidencias en Pediatría

(Evidencias en Pediatría) Todos los artículos que abordan temas relacionados con bioética o ética médica, a un clichttp://goo.gl/ZA9XP

Preocupa el avance de la ”obesidad digital”

06AGO

Un estudio global se refiere así a las consecuencias del uso abusivo de las computadoras. Los especialistas recomiendan empezar una “dieta tecnológica”

Expertos de la consultora internacional JWT Intelligence no se refieren a un aumento excesivo de peso generado por el sedentarismo que provoca estar muchas horas frente a una computadora, sino a la obesidad como consecuencia de consumir de más todo aquello que tenga que ver con la tecnología.

Sucede que, sumado a las horas laborales que muchos pasan con la PC, existen quienes aún en sus ratos libres siguen conectados.

Por eso el informe habla de de-teching, un neologismo que se refiere a la necesidad de emprender una “dieta digital”, en la que poco a poco el usuario se desprenda del excedente tecnológico. “Preparar la mente para un comienzo más racional y saludable”, indica el estudio.

La relación con la tecnología puede salirse de control y transformarse en un acto compulsivo e, incluso, obsesivo. Un ejemplo de ello podría ser la necesidad de chequear a cada momento la casilla de correo electrónico, revisar los muros en Facebook o mantener conversaciones desde Twitter hasta transformarse en adicto.

Según el Interactive Advertising Bureau de Argentina (IAB), entidad que agrupa a las principales empresas de Internet y de publicidad interactiva, los habitantes de ese país invierten 27,4 horas mensuales conectados a la web. El promedio del uso de Internet supera en cuatro horas al mundial (23,1) y es el más alto de la región, por sobre las 25,4 horas que pasan los brasileños y las 25,1 de los mexicanos.

El 30% del tiempo se consume en las redes sociales, mientras que un 18% corresponde a la mensajería instantánea y un 7% a revisar el correo electrónico.

Si bien no está del todo claro que se trate de una nueva “enfermedad”, algunos especialistas empiezan a considerarla como tal. Y en otras naciones, como los Estados Unidos, China y Corea del Sur ya existen clínicas en donde se trata a pacientes con las mismas técnicas utilizadas en los tratamientos contra las adicciones.

Fuente: Infobae

Estatinas y sepsis

Estatinas y sepsis

Statins and sepsis.
Gao F, Linhartova L, Johnston AM, Thickett DR.
Academic Department of Anaesthesia, Critical Care, and Pain, Heart of England NHS Foundation Trust, University of Warwick, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS, UK.f.g.smith@bham.ac.uk
Br J Anaesth. 2008 Mar;100(3):288-98.
Abstract
Severe sepsis and septic shock is common and frequently fatal. Over the last few years, the primary treatments demonstrated to improve outcome from several major clinical trials have finally emerged. However, translating these recent therapeutic advances to routine clinical practice has proven controversial, and new approaches of additional strategies are continued to be developed. Given their pleiotropic effects related to many pathophysiological determinants of sepsis, statin therapy could be the next step in the search for adjuvant therapy. A future challenge may be to test both the efficacy and the safety by large randomized controlled clinical trials ascertaining the effects of statins administered at the onset of sepsis and in patients with severe sepsis or septic shock admitted into intensive care units
http://bja.oxfordjournals.org/content/100/3/288.full.pdf+html

Efectos de descontinuar o continuar la terapia previa con estatinas en sepsis severa y shock séptico: un estudio retrospectivo de cohortes.

Effects of discontinuing or continuing ongoing statin therapy in severe sepsis and septic shock: a retrospective cohort study.
Mekontso Dessap A, Ouanes I, Rana N, Borghi B, Bazin C, Katsahian S, Hulin A, Brun-Buisson C.
Crit Care. 2011 Jul 18;15(4):R171.
Abstract
INTRODUCTION: Recent publications suggest potential benefits from statins as a preventive or adjuvant therapy in sepsis. Whether ongoing statin therapy should be continued or discontinued in patients admitted in the intensive care unit (ICU) for sepsis is open to question. METHODS:
We retrospectively compared patients with severe sepsis and septic shock in whom statin therapy had been discontinued or continued. The primary endpoint was the number of organ failure-free days at day 14. Secondary end-points included hospital mortality and safety. The association of statin continuation with outcome was evaluated for crude analysis and after propensity score matching and adjustment. We also measured plasma atorvastatin concentrations in a separate set of ICU septic patients continuing the drug. RESULTS: Patients in whom statin therapy had been continued in the ICU (n=44) had significantly more organ failure-free days (11 [6-14] vs. 6 [0-12], mean difference of 2.34, 95%CI from 0.47 to 5.21, P = 0.03) as compared to others (n=32). However, there were important imbalances between groups, with more hospital-acquired infections, more need for surgery before ICU admission, and a trend towards more septic shock at ICU admission in the discontinuation group. The significant association of statin continuation with organ failure free days found in the crude analysis did not persist after propensity-matching or multivariable adjustment: beta coefficients [95% CI] of 2.37 [-0.96 to 5.70] (P =0.20) and 2.24 [-0.43 to 4.91] (P =0.11) respectively. We found particularly high pre-dose and post-dose atorvastatin concentrations in ICU septic patients continuing the drug. CONCLUSIONS: Continuing statin therapy in ICU septic patients was not associated with reduction in the severity of organ failure after matching and adjustment. In addition, the very high plasma concentrations achieved during continuation of statin treatment advocates some caution.
http://ccforum.com/content/pdf/cc10317.pdf

Estatinas, inflamación, y sepsis: hipótesis

Statins, inflammation, and sepsis: hypothesis.
Almog Y.
Medical Intensive Care Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University, Beer-Sheva, Israel.almogya@bgumail.bgu.ac.il
Chest. 2003 Aug;124(2):740-3.
Abstract
Sepsis and septic shock are complex inflammatory syndromes. Multiple cellular activation processes are involved, and many humoral cascades are triggered. Statins have anti-inflammatory properties. Our preliminary observations indicate that patients receiving therapy with statins may have a lower incidence of severe sepsis. We hypothesize that statins have a strong protective effect against sepsis by virtue of diverse anti-inflammatory effects that are independent of their lipid-lowering ability.
http://chestjournal.chestpubs.org/content/124/2/740.full.pdf+html

Atentamente
Anestesiología y Medicina del Dolor

www.anestesia-dolor.org

"Evidencias en Pediatría"

Hola a tod@s

Ayer se publicaron en la web de"Evidencias en Pediatría", http://www.evidenciasenpediatria.es , 2 nuevos artículos correspondientes al próximo nº de septiembre.

Desde ayer puede leerse en "Evidencias en Pediatría" http://www.evidenciasenpediatria.es la lectura crítica de este artículo:

Los anunciantes pueden influir en el contenido de las revistas médicas que financian. Evid Pediatr. 2011;7:66. http://goo.gl/Kotlx

La lactancia materna se asocia a un menor riesgo de epilepsia en la infancia. Evid Pediatr. 2011;7:67. http://goo.gl/zQthb

Esperamos que resulten del interés de todos.

Como en ocasiones anteriores recordamos que quien desee suscribirse al "boletín de novedades" de "Evidencias en Pediatría", puede hacerlo desde su página principal http://www.evidenciasenpediatria.es , enlace "Suscripción gratuita al boletín de novedades".

Un saludo.

Cristóbal Buñuel, en nombre del equipo editorial de "Evidencias en Pediatría"
http://www.evidenciasenpediatria.es

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Obesidad

“Urología Pediátrica un Enfoque Quirúrgico”

Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. Iniciamos el Programa 2011, el día 10 de Agosto las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Urología Pediátrica un Enfoque Quirúrgico”, por el “Dr. Mario Riquelme Heras” Cirujano Pediatra de la Cd. de Monterrey N.L. 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/urologia_quirurgica/

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 nbsp; &n bsp; 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

Educatiion review

For a Standout College Essay, Applicants Fill Their Summers

By JENNY ANDERSON

A group of New York City high school students recreated Leonardo da Vinci's “Last Supper” in Florence. The group spent a month in Italy this summer studying the Renaissance.

Students preparing to apply to college are increasingly tailoring their summer plans with the goal of creating a better personal statement.

Bloomberg to Use Own Funds in Plan to Aid Minority Youth

By MICHAEL BARBARO and FERNANDA SANTOS

Mayor Michael R. Bloomberg’s administration is planning far-reaching measures to help young black and Latino men, and the mayor himself will finance a quarter of it.

Read Comments (354)

Apollo Group to Buy Maker of Math Courses

By TRIP GABRIEL

Hoping to retain more students, the company behind the profit-making University of Phoenix is paying $75 million for Carnegie Learning, which offers computer-based math instruction.

Review Aims to Avert Cheating on State Tests

By SHARON OTTERMAN

The effort is a response to reports of cheating on standardized tests in Atlanta, Philadelphia and other cities.

ON EDUCATION

Staff members of The Notebook, a community newspaper and Web site that covers Philadelphia public schools, at work in their office last week.

Pa. Joins States Facing a School Cheating Scandal

By MICHAEL WINERIP

A large data file contains evidence that suggests cheating on state exams at 89 Pennsylvania schools.

Read Comments (106)

Richard Robinson is the chief executive of Scholastic.

Children’s Publisher Backing Off Its Corporate Ties

By TAMAR LEWIN

Some of the publisher’s most controversial programs have been withdrawn, but a review board will now monitor the content.

ASKED AND ANSWERED

A Progress Report on Geography

By TIMOTHY WILLIAMS

The Department of Education recently released the results of its national geography survey, and there were both good and bad implications.

Brandon Ashley grew up in the Bay Area and received his first basketball scholarship offer when he was in the ninth grade.

Local Basketball Stars Shun Bay Area Colleges

By SAM LAIRD

The Bay Area has one of the best crops of young basketball recruits in years, but Northern California is losing many of them to faraway schools.

GENDER GAMES

The former Ball State coach Kathy Bull sued the university after it lost a number of coaches from its women's teams.

Long Fights for Sports Equity, Even With a Law

By KATIE THOMAS

While a college or university in violation of Title IX risks losing its federal funds, that penalty has never been used, and there are no examples of cases being referred to the justice department.

Comments

Schools Turn To Fees After Drop in State Aid

By MORGAN SMITH

Texas school districts are turning to fees so that parents will make up some of the money that previously came from the state.

School Plan to Engage Parents Arouses Skepticism

By REBECCA VEVEA

The new leadership at Chicago Public Schools is taking another crack at one of the district’s thorniest problems: involving parents in their children’s education.

Marcus Neal, an instructor at Bard College's Math Camp, watched as students solved problems during a group competition.

A Sleepaway Camp Where Math Is the Main Sport

By RACHEL CROMIDAS

Educators have been brought to the campus of Bard College to teach low-income students who are gifted in mathematics concepts as varied as number theory and cryptography.

Once Nearly 100%, Teacher Tenure Rate Drops to 58% as Rules Tighten

By SHARON OTTERMAN

Under new rules, the percentage of teachers granted tenure declined from 99 percent five years ago.

Education Life

TRAINING DAYS A video camera captures Tayo Adeeko teaching her third graders, for later critique.

Ed Schools’ Pedagogical Puzzle

By SHARON OTTERMAN

New models for teacher preparation are thinking outside the box. Are they too far out?

Doctoral students at the American Museum of Natural History include Edward Stanley (with lizards), Dawn Roje (with flatfish) and Phil Barden (with ants, collected by sucking on tube).

The Critter People

By TAMAR LEWIN

Dinosaur eggs, iguanas and ooh, look, a grad student. Inside the new school at the Natural History Museum

Video: Every Day at the Museum

The Master’s as the New Bachelor’s

By LAURA PAPPANO

Call it credentials inflation. A four-year degree may not cut it anymore.

More Education News

Books review

Sunday Book Review

Leanne Shapton

‘A Book of Secrets’

By MICHAEL HOLROYD
Reviewed by TONI BENTLEY

A noted biographer retells the love story of Vita Sackville-West and Violet Keppel in unprecedented depth.

Excerpt: ‘A Book of Secrets’

HORROR

The State of Zombie Literature: An Autopsy

By TERRENCE RAFFERTY

Does our 21st-century fascination with these hungry hordes stem from a general anxiety about overwhelming, uncontrollable threats?

‘Northwest Corner’

By JOHN BURNHAM SCHWARTZ
Reviewed by JULIE MYERSON

John Burnham Schwartz’s new novel returns to the broken families of “Reservation Road.”

Excerpt: 'Northwest Corner'

‘The Rules of the Tunnel’

By NED ZEMAN
Reviewed by EMMA FORREST

A depressed writer searches for answers to his problems in the lives of kindred sufferers.

A Somali pirate in January 2010, with a captured Greek cargo ship anchored offshore.

‘The Pirates of Somalia’

By JAY BAHADUR
Reviewed by JOSHUA HAMMER

At great personal risk, a Canadian journalist explores the rise of modern piracy.

Excerpt: ‘The Pirates of Somalia’

‘The Night Train’

By CLYDE EDGERTON
Reviewed by ADAM MANSBACH

In this novel, set in the civil-rights-era South, two aspiring musicians fight to preserve a forbidden friendship.

‘The Theory That Would Not Die’

By SHARON BERTSCH McGRAYNE
Reviewed by JOHN ALLEN PAULOS

The controversial history of the mathematical theorem that tells us when we should change our minds.

‘Paradise Lust’

By BROOK WILENSKY-LANFORD
Reviewed by ANDREA WULF

A history of the eccentric searchers who have sought the real Garden of Eden, in the Arctic, Chinese Turkestan and rural Ohio.

‘Tiger Trap’

By DAVID WISE
Reviewed by TARA McKELVEY

David Wise assesses the impact of Chinese spying in America.

Excerpt: ‘Tiger Trap’

‘Other People’s Money’

By JUSTIN CARTWRIGHT
Reviewed by MALENA WATROUS

Contributors to the financial collapse of 2008 emerge in Justin Cartwright’s novel.

‘Devotions’

By BRUCE SMITH
Reviewed by STEPHEN BURT

Bruce Smith’s tough-guy poems call attention to the male experience.

CHILDREN’S BOOKS

‘A Storm Called Katrina’

By MYRON UHLBERG
Reviewed by PAMELA PAUL

A fictional but realistic account of a 10-year-old boy who lives in New Orleans during the great hurricane of 2005 and its aftermath.

Book News and Reviews