martes, 12 de marzo de 2013

Escenarios patológicos en el Manguito Rotador. Dr Michel Michell Ruiz



Escenarios patológicos en el Manguito Rotador. Dr Michel Michell Ruiz

http://youtu.be/tf_XfFGages

Bibliotecas. Alerta

La Biblioteca Nacional homenajea el trabajo periodístico de García ...
Lainformacion.com
La Biblioteca Nacional rinde esta tarde homenaje a la faceta periodística del premio Nobel de Literatura Gabriel García Márquez con un encuentro entre dos de sus colaboradores más cercanos, Gerald Martín y Jaime Abello Banfi, y el periodista Juan Cruz.
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Las bibliotecas son más que libros y ebooks | siscopac
Desde la creciente utilización del libro electrónico no se ha parado de hablar del futuro de lasbibliotecas, más concretamente de si las bibliotecas del futuro ...
siscopac.wordpress.com/.../las-bibliotecas-son-mas-que-libros-...

lunes, 11 de marzo de 2013

Sugamadex

En la hora del sugamadex


In the hour of Sugammadex.
Chon JY.
Department of Anesthesiology and Pain Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2013 Jan;64(1):3-5. doi: 10.4097/kjae.2013.64.1.3. Epub 2013 Jan 21.
Abstract
Sugammadex is a modified gamma-cyclodextrin which is showing favorable outcomes regarding reversal of neuromuscular blockade, especially by rocuronium. It is designed to encapsulate rocuronium and being considered a new class of drugs as selective relaxant binding agents. It has given countless benefits to the patients at risk of incomplete or delayed recovery after neuromuscular block and has renown for another milestone in anesthesia practice. Recurrence of neuromuscular block has not been reported to be associated with the provided doses of sugammadex that are adequate for selected for reversal. Acceptable profiles are brought to light telling safety of sugammadex. However, some questions related to the twitch characteristics those resembled succinylcholine when reversal, the application for rocuronium anaphylaxis, and the hypersensitivity or anaphylaxis to sugammadex remain and are need of further investigation. It is imperative that potential problems that we need attention may include the patient's history of pulmonary disease and allergic disease for using sugammadex.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3558646/pdf/kjae-64-3.pdf



¿Necesitamos sugamadex al final de la anestesia general para revertir la acción de los relajantes musculares?
Do we need to use sugammadex at the end of a general anesthesia to reverse the action of neuromuscular bloking agents?
Della Rocca G, Di Marco P, Beretta L, De Gaudio A, Ori C, Mastronardi P.
Della Rocca Giorgio, Department of Anesthesia and Intensive Care Medicine. University of Udine. Udine,Italy -giorgio.dellarocca@uniud.it.
Minerva Anestesiol. 2012 Nov 29. [Epub ahead of print]
Abstract
Sugammadex, the first selective relaxant-binding agent indicated to reverse the neuromuscular blockade induced during general anesthesia, was recently introduced into clinical practice. In the present report, the following issues pertinent to the use of sugammadex in anesthesia practice are discussed: the intraoperative use of NMBAs and the incidence of postoperative residual curarization (PORC); the efficacy and safety of rocuronium plus sugammadex compared to succinylcholine for rapid sequence induction; the availability of sugammadex in hospitals; and, finally, some relevant legal medical aspects. Sugammadex is considerably more expensive than neostigmine, but its use can be advocated based on its safety and efficacy profile as a reversal agent of steroidal neuro muscular blocking agents (NMBAs), and as a mean to prevent PORC. The availability of sugammadex in Italian hospitals may have a beneficial impact on patient safety. This is due to the fact that PORC is a common and dangerous condition that may lead to postoperative inhalational events, hypoxemia, and pneumonia; and at the moment, it is not completely preventable even when advanced neuromuscolar monitoring techniques are applied." In the case of rapid sequence intubation (RSI), rocuronium (1.2 mg/Kg) administration followed by sugammadex represents a better choice in terms of efficacy and safety than succinylcholine. If a new drug is proven to be safer and more efficient than the one it is replacing, hospitals should consider the new drug and make it available, at least for selected patients or in situations at risk of severe complications. It's reasonable to hypothesize that, when discussing informed consent for elective procedures, patients and families may want to know if the admitting facilities have the superior agent available, and that the absence of such agent could create concerns and complains.


http://www.minervamedica.it/en/getfreepdf/eoHHZVuc7DofWra1EXMD3a

SjN1kypdvnwGvPz%252BBe87XFunsM0oS8l0i2lm5k70uOKMaoa0QcO0Ft9vHOChIrlw%253D%253D/R02Y9999N00A0508.pdf



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


Bibliotecas. Alerta

Tango en la Biblioteca Municipal
Tribuna de Salamanca
La programación cultural de las bibliotecas municipales continúa el próximo sábado, 14 de marzo, con un espectáculo de tango a cargo de la agrupación Mayol Tango Trío. La cita es a las 20,00 horas en el teatro de la Biblioteca Torrente Ballester. 11.03.
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Mañana se conmemora el Día de la Biblioteca Provincial Dr. Atilio ...
El Intransigente
Del mismo modo, esta misa se oficiará en memoria de la profesora María Inés Garrido de Solá, quien fuera la primera directora de esta Biblioteca, y en cuya formación y puesta en funcionamiento ha tenido una encomiable y fundamental intervención, que ...
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El Intransigente



La nueva Biblioteca del Estado atrajo a más de 6.500 usuarios el ...
La Crónica de Badajoz
En poco más de un mes y desde el mismo día en que se inauguró, el pasado 28 de enero, la nueva sede de la Biblioteca del Estado Bartolomé J. Gallardo de Badajoz se ha convertido en un punto de referencia en la ciudad, para los ya socios y para los que ...
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La Biblioteca Nacional acogerá un debate sobre García Márquez
Noticias de Álava
La Biblioteca Nacional de España (BNE) y la Embajada de Colombia rendirán homenaje a Gabriel García Márquez en su faceta como periodista, de la mano de dos personas que han dedicado los últimos veinte años a trabajar al lado del Nobel colombiano.
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Moguer muestra en la biblioteca 'Llamadores de pasión y gloria'
Huelva Información
El patio central de la Biblioteca Municipal Zenobia-Juan Ramón acoge la exposición Llamadores de Pasión y Gloria, del Consejo de Hermandades, una sencilla pero interesante muestra de llamadores de los distintos pasos en los que salen en procesión ...
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En adhesión al mes de la mujer la Biblioteca Municipal presentará ...
El Acontecer Diario
En el marco de actividades en los centros bibliotecarios municipales del departamento, donde además funcionan los Centros MEC y los Centro de Aseso a la Sociedad de la Información (CASI), el viernes 15, habrá un Encuentro Departamental de ...
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El Acontecer Diario



Biblioteca a pie de calle
El Comercio Digital (Asturias)
Programa de ocio. Cada fin de semana se liberan cuatro libros durante las actividades La Noche es Tuya y 'Doce17'. Temática. Los libros se eligen según el público al que van dirigidos o por temática, según las actividades de ese fin de semana.
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Documentalistas cántabros muestran sus trabajos en la Biblioteca ...
Qué.es
En Cantabria hay una cantera de realizadores que destaca por la calidad de sus trabajos documentales. Nueve de estos filmes se podrán contemplar esta semana en la Biblioteca Central en un ciclo que ha organizado la Asociación Cántabra Audiovisual ...
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Mejoran con rehabilitación pulmonar pacientes de vías respiratorias

"Curso Virtual de Actualización en Lactancia Materna" . 22 de Marzo 2013

Reciba un cordial saludo de LACTARED - RED DE LACTANCIA MATERNA

Adjunto encontrará:

1.- PDF con información del Curso Virtual de Actualización en
Lactancia Materna.
2.- Ficha de Inscripción.
3.- PDF con Información de la Certificación Internacional IBCLC.

Si desea información de los costos envíenos sus datos en la ficha y enseguida estamos en contacto para brindarle mayores detalles del curso. Y si tiene alguna colega que se pueda interesar por el curso
reenviarle la información para que puedad participar del mismo, le
agradeceríamos mucho.


Atentamente
Wildemir Carrasco Sanez
Coordinador de Admisión
Cepren-Lactared Red de Lactancia Materna
Correo: lactared@gmail.com
Telefono : +511-4451978

domingo, 10 de marzo de 2013

QUE SABER Y COMO MANEJAR LA DEFICIENTE CALIDAD ÓSEA EN EL PACIENTE ORTOPÉDICO

Fentanilo TTS/TTS fentanyl

Estado de coma que amenaza la vida y quemadura solar en un paciente con fentanil-TTS. Informe de caso  
Life-threatening coma and full-thickness sunburn in a patient treated with transdermal fentanyl patches: a case report.
Sindali K, Sherry K, Sen S, Dheansa B.
Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex, RH19 3DZ, United Kingdom. ksindali@gmail.com.
J Med Case Rep. 2012 Jul 26;6(1):220. doi: 10.1186/1752-1947-6-220.
Abstract
INTRODUCTION: Fentanyl transdermal patches have been widely used in the treatment of chronic pain and in palliative care settings since 1991 in cases where prolonged opioid use is often necessary. Transdermal drug delivery is deemed safe and effective with the advantages of delivering a steady dose of the drug and improving patient compliance due to its ease of use. However, intentional and unintentional misuse and overdose using transdermal opioid patches has been widely reported in the literature. CASE PRESENTATION: We describe the case of a 77-year-old Caucasian woman who developed severe opioid toxicity while sun tanning, likely due to altered fentanyl transdermal patch function in a heated environment. As a result of prolonged sun exposure due to an opioid-induced coma she then sustained hyperthermia and severe burns to her abdomen and lower limbs. This inadvertent fentanyl overdose necessitated initial treatment in intensive care and follow on care in a specialist burn unit. CONCLUSION: Patients who are using fentanyl patches and their relatives should be educated about how to use the patch safely. Healthcare practitioners should warn patients about the possibility of overdosing on transdermally delivered drugs if used incorrectly. They should avoid strenuous activities and external heat sources such as warming blankets, hot water bottles, saunas, hot tubs or sunbathing and should seek medical attention if they develop a fever. Additionally, any burns sustained in the context of altered consciousness levels such as in this case with opioid overdose should raise suspicion about a potential deeper burn injury than is usually observed.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427044/pdf/1752-1947-6-220.pdf 

  
Estudio clínico multicéntrico sobre la eficacia y seguridad del parche matrix de fentanil transdérmico en el manejo de dolor oncológico moderado severo en 474 pacientes chinos 
Multicenter clinical study for evaluation of efficacy and safety of transdermal fentanyl matrix patch in treatment of moderate to severe cancer pain in 474 chinese cancer patients.
Zhu YL, Song GH, Liu DQ, Zhang X, Liu KF, Zang AH, Cheng Y, Cao GC, Liang J, Ma XZ, Ding X, Wang B, Li WL, Hu ZW, Feng G, Huang JJ, Zheng X, Jiao SC, Wu R, Ren J.
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Breast Oncology, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;
Chin J Cancer Res. 2011 Dec;23(4):317-22. doi: 10.1007/s11670-011-0317-7.
Abstract
OBJECTIVE: Although a new matrix formulation fentanyl has been used throughout the world for cancer pain management, few data about its efficacy and clinical outcomes associated with its use in Chinese patients have been obtained. This study aimed to assess the efficacy and safety of the new system in Chinese patients with moderate to severe cancer pain. METHODS: A total of 474 patients with moderate to severe cancer pain were enrolled in this study and were treated with the new transdermal fentanyl matrix patch (TDF) up to 2 weeks. All the patients were asked to record pain intensity, side effects, quality of life (QOL), adherence and global satisfaction. The initial dose of fentanyl was 25 μg/h titrated with opioid or according to National Comprehensive Cancer Network (NCCN) guidelines. Transdermal fentanyl was changed every three days. RESULTS: After 2 weeks. The mean pain intensity of the 459 evaluated patients decreased significantly from 5.63±1.26 to 2.03±1.46 (P<0.0001). The total remission rate was 91.29%, of which moderate remission rate 53.16%, obvious remission rate 25.49% and complete remission rate 12.64%. The rate of adverse events was 33.75%, 18.78% of which were moderate and 3.80% were severe. The most frequent adverse events were constipation and nausea. No fatal events were observed. The quality of life was remarkably improved after the treatment (P<0.0001). CONCLUSION: The new TDF is effective and safe in treating patients with moderate to severe cancer pain, and can significantly improve the quality of life.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551305/pdf/cjcr-23-04-317.pdf 
 

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

AOS en pediatría/OSA in pediatrics

Apnea obstructiva del sueño en pediatría y el papel crítico del crecimiento orofacial: evidencias 
Pediatric obstructive sleep apnea and the critical role of oral-facial growth: evidences.
Huang YS, Guilleminault C.
Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital and University Taiwan, China.
Front Neurol. 2012;3:184. doi: 10.3389/fneur.2012.00184. Epub 2013 Jan 22.
Abstract
Aims: Review of evidence in support of an oral-facial growth impairment in the development of pediatric sleep apnea in non-obese children. Method: Review of experimental data from infant monkeys with experimentally induced nasal resistance. Review of early historical data in the orthodontic literature indicating the abnormal oral-facial development associated with mouth breathing and nasal resistance. Review of the progressive demonstration of sleep-disordered-breathing (SDB) in children who underwent incomplete treatment of OSA with adenotonsillectomy, and demonstration of abnormal oral-facial anatomy that must often be treated in order for the resolution of OSA. Review of data of long-term recurrence of OSA and indication of oral-facial myofunctional dysfunction in association with the recurrence of OSA. Results: Presentation of prospective data on premature infants and SDB-treated children, supporting the concept of oral-facial hypotonia. Presentation of evidence supporting hypotonia as a primary element in the development of oral-facial anatomic abnormalities leading to abnormal breathing during sleep. Continuous interaction between oral-facial muscle tone, maxillary-mandibular growth and development of SDB. Role of myofunctional reeducation with orthodontics and elimination of upper airway soft tissue in the treatment of non-obese SDB children. Conclusion: Pediatric OSA in non-obese children is a disorder of oral-facial
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551039/pdf/fneur-03-00184.pdf
  
Características específicas de los niños con apnea obstructiva del sueño y cor pulmonar 
The specific characteristics in children with obstructive sleep apnea and cor pulmonale.
Lee PC, Hwang B, Soong WJ, Meng CC.
Division of Pediatric Cardiology, Departments of Pediatrics, National Yang-Ming University and Taipei Veterans General Hospital, No 201 Sec 2, Shih-Pai Road, Taipei 112, Taiwan. pichang lee@yahoo.com
ScientificWorldJournal. 2012;2012:757283. doi: 10.1100/2012/757283. Epub 2012 May 3.
Abstract
BACKGROUND: The prevalence of obstructive sleep apnea (OSA) in the pediatric population is currently estimated at 1-2% of all children. The purpose of this study was to investigate the clinical and hemodynamic characteristics in pediatric patients with cor pulmonale and OSA. METHODS: Thirty children with the diagnosis of OSA were included. These patients consisted of 26 male and 4 female children with a mean age of 7 ± 4 years old. Five of those children were found to be associated with cor pulmonale, and 25 had OSA but without cor pulmonale. RESULTS: The arousal index was much higher in children with OSA and cor pulmonale. The children with OSA and cor pulmonale had much lower mean and minimal oxygen saturation and a higher incidence of bradycardia events. All 5 patients with OSA and cor pulmonale underwent an adenotonsillectomy, and the pulmonary arterial pressure dropped significantly after the surgery. CONCLUSION: This study demonstrated that the OSA pediatric patients with cor pulmonale had the different clinical manifestations and hemodynamic characteristics from those without cor pulmonale. The adenotonsillectomy had excellent results in both the OSA pediatric patients with and without cor pulmonale.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3356724/pdf/TSWJ2012-757283.pdf 

  
Manejo perioperatorio de los infantes con apnea obstructiva del sueño 
Perioperative management of children with obstructive sleep apnea.
Schwengel DA, Sterni LM, Tunkel DE, Heitmiller ES.
Johns Hopkins Medical Institutions, Johns Hopkins University School of Medicine, Department of Anesthesiology/Critical Care Medicine, 600 North Wolfe St., Blalock 1412, Baltimore, MD 21287-8711, USA.dschwen1@jhmi.edu
Anesth Analg. 2009 Jul;109(1):60-75.
doi: 10.1213/ane.0b013e3181a19e21.
Abstract
Obstructive sleep apnea syndrome (OSA) affects 1%-3% of children. Children with OSA can present for all types of surgical and diagnostic procedures requiring anesthesia, with adenotonsillectomy being the most common surgical treatment for OSA in the pediatric age group. Thus, it is imperative that the anesthesiologist be familiar with the potential anesthetic complications and immediate postoperative problems associated with OSA. The significant implications that the presence of OSA imposes on perioperative care have been recognized by national medical professional societies. The American Academy of Pediatrics published a clinical practice guideline for pediatric OSA in 2002, and cited an increased risk of anesthetic complications, though specific anesthetic issues were not addressed. In 2006, the American Society of Anesthesiologists published a practice guideline for perioperative management of patients with OSA that noted the pediatric-related risk factor of obesity, and the increased perioperative risk associated with adenotonsillectomy in children younger than 3 yr. However, management of OSA in children younger than 1 yr-of-age was excluded from the guideline, as were other issues related specifically to the pediatric patient. Hence, many questions remain regarding the perioperative care of the child with OSA. In this review, we examine the literature on pediatric OSA, discuss its pathophysiology, current treatment options, and recognized approaches to perioperative management of these young and potentially high-risk patients.
http://www.anesthesia-analgesia.org/content/109/1/60.full.pdf 

 

Atentamente
Dr. Enrique Hernández-Cortez
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org




Bibliotecas. Alerta

Letras para esquivar balas: bibliotecas, otro punto vital
Portafolio.co
Una literatura infantil y juvenil que aborde los conflictos armados, junto con bibliotecasconcebidas como centros culturales multimedia, permitiría a los niños escapar de la violencia guerrillera y narcotraficante en Colombia y México, según expertos ...
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Portafolio.co

Revisiones_bibliográficas: Bibliotecas. Alerta
Además, por las bibliotecas de Chantrea, Echavacoiz, Iturrama, Mendillorri, Milagrosa, San Francisco, San Jorge, San Pedro y Yamaguchi pasaron 472.808 ...
paveca3.blogspot.com/2013/03/bibliotecas-alerta_9519.html
Bibliotecas, préstamo electrónico y el futuro del acceso público a los ...
La Federación Internacional de Asociaciones e Instituciones Bibliotecarias ha dado a conocer (01/30/2013) el documento Bibliotecas, préstamo electrónico y el ...
www.actualidadeditorial.com/bibliotecas-prestamo-electronico...
Destellos Nocturnoss: Desvaríos: Bibliotecas de Ensueño!
son diferentes tipos de bibliotecas/estanterías o como las llamen para poner a nuestros amados ...Estas dos últimas bibliotecas son mis Bibliotecas Soñadas!
destellosnocturnoss.blogspot.com/.../desvarios-bibliotecas-de-e...

Bibliotecas. Alerta

La biblioteca en la que ver no es necesario
El Universal
Ambas son usuarias frecuentes de la recién remodelada y reinaugurada Biblioteca de México José Vasconcelos, en la Ciudadela, también conocida como La Ciudad de los Libros y la Imagen, un proyecto realizado por el Consejo Nacional para la Cultura y ...
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El Universal


La Biblioteca de DD.HH. de Lanús se traslada el 24 al Parque de la ...
InfoRegión
En el marco de los actos que habrá este mes por el Día de la Memoria, la biblioteca se trasladará al espacio verde para acercar la temática a los vecinos. Recibe donaciones de distintos organismos que trabajan bajo la temática de los derechos humanos y ...
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InfoRegión

La Biblioteca Básica de Historia
Prensa Libre
De este planteamiento, que era sólo una idea hace tres años, surgió la Biblioteca Básica de Historia de Guatemala, que lleva ya seis volúmenes publicados. Los primeros cuatro libros de la Bibliotecafueron impresos con el apoyo de la Fundación Soros ...
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Éxito 'online' de la Biblioteca Valenciana
Las Provincias
La Biblioteca Valenciana Nicolau Primitiu registró un total de 159.494 consultas a lo largo de 2012 entre las visitas realizadas a la página web y a través de la biblioteca digital Bivaldi, según fuentes de la Conselleria de Cultura. La página web ha ...
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Regàs obtiene el Biblioteca Breve
Nuevo Diario de Santiago del Estero
La escritora española Rosa Regàs Pagés ganó el premio Biblioteca Breve 2013, según se conoce por el comunicado de la editorial, Seix Barral, por su novela “Música de cámara”, que cuenta la historia de un amor truncado entre una mujer de herencia ...
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Nuevo Diario de Santiago del Estero

«Deberíamos ver Laboral como una biblioteca a la que hay que ...
El Comercio Digital (Asturias)
Tiene un difícil reto por delante que no todo el mundo comprende. Lo sabe y eso, pese a la crisis que ahoga muchos de sus sueños, no le ha quitado la sonrisa de siempre. Benjamil Weil (París, 1962) sigue con el optimismo pegado al gesto. Igual que en ...
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Experiencias clinicas biblioteca escolar prontuario
UNIVERSIDAD DE PUERTO RICO, RECINTO DE RÍO PIEDRAS ESCUELA GRADUADA DE CIENCIAS Y TECNOLOGÍAS DE LA INFORMACIÓN ...
www.slideshare.net/.../experiencias-clinicas-biblioteca-escolar-...
Sueño de Polífilo | Biblioteca Lázaro Galdiano
Posts about Sueño de Polífilo written by bibliotecalazarogaldiano.
bibliotecalazarogaldiano.wordpress.com/tag/sueno-de-polifilo/

Guías clínicas para adultos hipotiroideos

Guías clínicas para adultos hipotiroideos.
Clinical practice guidelines for hypothyroidism in adults: cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association.
Garber JR, Cobin RH, Gharib H, Hennessey JV, Klein I, Mechanick JI, Pessah-Pollack R, Singer PA, Woeber KA; American Association of Clinical Endocrinologists and American Thyroid Association Taskforce on Hypothyroidism in Adults.
Endocrine Division, Harvard Vanguard Medical Associates, Boston, Massachusetts 02215, USA. jgarber@bidmc.harvard.edu
Endocr Pract. 2012 Nov-Dec;18(6):988-1028.
Abstract
OBJECTIVE: Hypothyroidism has multiple etiologies and manifestations. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions. This paper describes evidence-based clinical guidelines for the clinical management of hypothyroidism in ambulatory patients. METHODS: The development of these guidelines was commissioned by the American Association of Clinical Endocrinologists (AACE) in association with American Thyroid Association (ATA). AACE and the ATA assembled a task force of expert clinicians who authored this article. The authors examined relevant literature and took an evidence-based medicine approach that incorporated their knowledge and experience to develop a series of specific recommendations and the rationale for these recommendations. The strength of the recommendations and the quality of evidence supporting each was rated according to the approach outlined in the American Association of Clinical Endocrinologists Protocol for Standardized Production of Clinical Guidelines-2010 update. RESULTS: Topics addressed include the etiology, epidemiology, clinical and laboratory evaluation, management, and consequences of hypothyroidism. Screening, treatment of subclinical hypothyroidism, pregnancy, and areas for future research are also covered. CONCLUSIONS: Fifty-two evidence-based recommendations and subrecommendations were developed to aid in the care of patients with hypothyroidism and to share what the authors believe is current, rational, and optimal medical practice for the diagnosis and care of hypothyroidism. A serum thyrotropin is the single best screening test for primary thyroid dysfunction for the vast majority of outpatient clinical situations. The standard treatment is replacement with L-thyroxine. The decision to treat subclinical hypothyroidism when the serum thyrotropin is less than 10 mIU/L should be tailored to the individual patient.



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

Bibliotecas. Alerta

La Biblioteca Valenciana registró cerca de 160.000 consultas online ...
20minutos.es
Según ha señalado en un comunicado la titular del ramo, María José Català, la Biblioteca Valenciana "es una entidad moderna, que se ha puesto al día actualizando los servicios al ciudadano y a los investigadores mediante un proceso de digitalización de ...
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Un paseo por las entrañas de la Biblioteca Nacional
InfoBAE.com
Por su parte, las autoridades de la Biblioteca Nacional aseguran que esta situación comenzará a regularizarse a mitad de año, cuando entre en funcionamiento el nuevo sistema “Aleph”, un software que costó 850 mil pesos y que digitalizará todos los ...
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InfoBAE.com

El Sur es una biblioteca
Diario de Cuyo
La reciente inauguración del edificio de la biblioteca "'Sur'' del departamento Rawson ha constituido un acontecimiento de enorme trascendencia que incorporó a los anales de la cultura una página gigantesca empapada en bronce. No son palabras de ...
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Inauguran Biblioteca Municipal en Tambillo
Diario La Voz de Huamanga
Un excelente acontecimiento anuncian los funcionarios del distrito de Tambillo, hoy en horas de la mañana se inaugura la Biblioteca Municipal de ese distrito, gracias al empeño y labor denodada de la Municipalidad Distrital de Tambillo, con su alcalde ...
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REALIZAN CICLO CON CORTOMETRAJES ARGENTINOS EN LA ...
Terra Argentina
El ciclo tendrá lugar a las 19 en el auditorio Jorge Luis Borges de la biblioteca (Agüero 2502) en el marco de las actividades que allí realiza La Nave de los Sueños, con la proyección de una selección de diez de los mejores cortos argentinos exhibidos ...
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La biblioteca de Lalín anima a los jóvenes a intercambiar libros
Faro de Vigo
ALFONSO LOÑO - LALÍN La biblioteca municipal Varela Jácome de Lalín celebra el Día Internacional del Libro Infantil y Juvenil con una novedosa iniciativa en la localidad, consistente en que los vecinos podrán donar volúmenes para que sean consultados ...
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Faro de Vigo

Ferrando frena la oposición para 3 plazas de la Biblioteca por ...
Información
M. A. La concejala del Partido Popular (PP), Pepa Ferrando, presentó ayer en el Registro de Orihuela un escrito de recusación que, aseguró, debe paralizar la oposición para cubrir tres vacantes en la nuevaBiblioteca María Moliner (2 auxiliares y el ...
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La biblioteca o el pabellón se quedarán sin luz si el Ayuntamiento...
El Almería
La biblioteca municipal, el edificio de servicios sociales, la escuela de música y el pabellón de deportes, son algunos de los edificios municipales que se quedaran a oscuras el próximo lunes después de que Endesa proceda al corte del suministro de luz ...
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Inauguran biblioteca en zona femenil del Cereso en Uruapan
Diario Provincia
Autoridades durante la inauguración de la biblioteca Tengo Alas en la zona femenil del Centro de Readaptación Social de Uruapan Lic. Eduardo Ruiz. | Foto: Cortesía Comunicacón Social de Uruapan. Uruapan, Michoacán.- Fue inaugurada la biblioteca ...
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La Biblioteca da a conocer las actividades para 2013
Actualidad
Presentación de la novela "Al otro lado del océano": Ana Emilia Moglia visitará laBiblioteca para presentar su primera novela, una historia de inmigrantes y amores contrariados que se inicia en Nápoles y llega hasta Emilio V. Bunge. (Fecha: sábado 16...
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Actualidad

Biblioteca maldita | Maestroviejo's Blog
Biblioteca maldita. marzo 4, 2013 por maestroviejo. Hacer clic en la imagen para ver el vídeo. Tu voto: Share this: Facebook · Correo electrónico · LinkedIn ...
maestroviejo.wordpress.com/2013/03/04/biblioteca-maldita/

Etica y humanismo médicos/Medical ethics and humanism

Comportamiento de médico y sus modales a la cabecera: la influencia de William Osler y la escuela de medicina de Johns Hokins


Physician behavior and bedside manners: the influence of William Osler and The Johns Hopkins School of Medicine.
Silverman BD.
Proc (Bayl Univ Med Cent). 2012 Jan;25(1):58-61
The practice of medicine changes with time as we develop better techniques for diagnosis and improved therapies for treatment. The art of medicine remains constant over the millennia because human nature is unchanging. Patients bring fear, anxiety, and self-pity into the exam room. It has always been the doctor's responsibility to calm their fears and provide hope. The accomplished doctor has a bedside manner that is humane and compassionate, empathetic and supportive.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246857/pdf/bumc0025-0058.pdf


Representación de las cualidades negativas de un médico como una herramienta de enseñanza posible en la ética médica y el humanismo: Viaje al fin de la noche de Louis-Ferdinand Celine.
Portrayal of negative qualities in a doctor as a potential teaching tool in medical ethics and humanism: Journey to the End of Night by Louis-Ferdinand Celine.
Wolf G.
Klinik für Innere Medizin III, University Hospital Jena, Erlanger Allee 101, D-07747 Jena, Germany. gunter.wolf@med.uni-jena.de
Postgrad Med J. 2006 Feb;82(964):154-6.
Abstract
Fictional stories about physicians and patients are increasingly used as a powerful teaching resource for medical students. Very often, but not exclusively, stories of physicians as positive role models are selected to teach students virtues and ethical values. Negative role models are rarely used and if so, physicians are rather described as medical quacks in such fiction then exhibiting primarily a corrupted character. I suggest that a fictional story that presents exclusively a negative role model of a physician could also be a valuable, admittedly difficult, teaching resource to demonstrate the consequences of absolute loss of ethical standards and virtues in physicians. A not widely known example of this genre is Louis-Ferdinand Céline's (1894-1961) novel Voyage au bout de la nuit (Journey to the End of the Night), published in 1932. Having a strong autobiographical background, the novel described the adventures of the medicine student, Ferdinand Bardamu, during the first world war, in the African colonies as a trader, in the United States of America as factory worker, and later after finishing his education, as a doctor for the poor. Unfortunately, Dr Bardamu develops an unprofessional, even criminal behaviour, and may serve as a negative role model for the virtues of physicians. This article will familiarise the reader with the novel and its physician author.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596693/pdf/154.pdf


Viaje al final de la noche por Louis Ferdinand Celine
Journey to the End of Night by Louis-Ferdinand Celine
http://www.almaclassics.com/excerpts/journeyto.pdf



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