sábado, 8 de junio de 2013

Books Update NYT


http://www.nytimes.com/indexes/2013/06/07/books/booksupdate/index.html

Books Update
On the Cover of Sunday's Book Review

'We Are All Completely Beside Ourselves'
By KAREN JOY FOWLER
Reviewed by BARBARA KINGSOLVER


The narrator of Karen Joy Fowler's latest novel spent part of her childhood in a long household experiment with an adopted chimpanzee for a twin sister.


Also in the Book Review

Khaled Hosseini: By the Book


The author of "And the Mountains Echoed" keeps a handy copy of "I'm a Lebowski, You're a Lebowski: Life, 'The Big Lebowski,' and What Have You" on his bookshelf.
By the Book: Archive

'The Last Man in Russia'
By OLIVER BULLOUGH
Reviewed by ELLEN BARRY


Oliver Bullough suggests one man's life reveals much about the country's demographic ills.

'Submergence'
By J. M. LEDGARD
Reviewed by FLOYD SKLOOT


J. M. Ledgard's novel of love, espionage and scientific discovery.

'We Need New Names'
By NOVIOLET BULAWAYO
Reviewed by UZODINMA IWEALA


A Zimbabwean moves to Detroit in NoViolet Bulawayo's novel.

'Americanah'
By CHIMAMANDA NGOZI ADICHIE
Reviewed by MIKE PEED


Being black, in America and Africa, draws a novelist's scrutiny.
ArtsBeat Q. & A.: Chimamanda Ngozi Adichie

'A Constellation of Vital Phenomena'
By ANTHONY MARRA
Reviewed by MADISON SMARTT BELL


Anthony Marra's first novel is set during a decade of war in Chechnya.

'Fairyland: A Memoir of My Father'
By ALYSIA ABBOTT
Reviewed by ALEXANDRA STYRON


Alysia Abbott searches for the truth about her father's life.

'She Left Me the Gun'
By EMMA BROCKES
Reviewed by ANNA ALTMAN


Emma Brockes searches for the truth about her mother's life.

'The Unwinding: An Inner History of the New America'
By GEORGE PACKER
Reviewed by DAVID BROOKS


Stories of our hard times, with a nod to John Dos Passos.

Revolution Redux
By JOYCE E. CHAPLIN


In two retellings, the War for Independence has a modern veneer.

'The Yonahlossee Riding Camp For Girls'
By ANTON DISCLAFANI
Reviewed by ALEX KUCZYNSKI


Equestrian boarding school, romance and Southern snobbery in the 1930s.

The Fortress of Solicitude
By AMANDA FORTINI


Some mothers with means are re-embracing hearth and home, complete with a D.I.Y. twist.

'One and Only'
By LAUREN SANDLER
Reviewed by LORI GOTTLIEB


Dispelling the myths about only children and their mothers.

'The Slippage'
By BEN GREENMAN
Reviewed by S. KIRK WALSH


Ben Greenman's novel examines barren lives in the suburbs.

'Paranoia'
By VICTOR MARTINOVICH. Translated by DIANE NEMEC IGNASHEV.
Reviewed by ARKADY OSTROVSKY


In this novel's police state, following your heart can be perilous.

'The Science Delusion'
By CURTIS WHITE
Reviewed by ERIC BANKS


The novelist and social critic Curtis White takes aim at the triumphalism of a technology- and science-obsessed world.

'Brilliant Blunders'
By MARIO LIVIO
Reviewed by CARL ZIMMER


Science can be so messy that even great scientists make fantastic mistakes, an astrophysicist writes.

Fiction Chronicle
By TOM LeCLAIR


New books by Giorgio Vasta, Christina Schwarz, Isabel Allende, Christina Baker Kline and Muriel Rukeyser.

'Mortal Sins'
By MICHAEL D’ANTONIO
Reviewed by JANET REITMAN


Michael D'Antonio recounts the priest abuse scandal, with lawyers and advocates for victims battling a church in denial.

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

OPEN BOOK
Expo Takes Manhattan
By JOHN WILLIAMS


The publishing industry recently gathered in Manhattan, partly to promote the fall season's big books.

Back Page

Dark Places
By ELAINE SHOWALTER


The stories of Amanda Berry, Gina DeJesus and Michelle Knight could join a distinguished tradition of captivity narratives.

Inside the List
By GREGORY COWLES


Dean Koontz's "Deeply Odd," at No. 3 on the hardcover fiction list, features the ghost of Alfred Hitchcock and an aesthetic argument about the nature of good and evil.

Paperback Row
By IHSAN TAYLOR


Paperback books of particular interest.

Editors' Choice


Recently reviewed books of particular interest.

Book Review Podcast


This week, Anthony Marra discusses his novel, "A Constellation of Vital Phenomena"; Lauren Sandler talks about "One and Only: The Freedom of Having an Only Child, and the Joy of Being One"; and Gregory Cowles has best-seller news. Pamela Paul is the host.




Kevin Barry Wins Impac Dublin Literary Award

One New York Poet Honors the New York Poems of Another

'Bridges of Madison County' Musical Will Open on Broadway

REVIEWS BY THE TIMES'S CRITICS

Riding Waves of Thrills, Chills and Carats

'Darkness Sticks to Everything' by Tom Hennen

'Taipei' by Tao Lin

'The Yonahlossee Riding Camp for Girls' by Anton DiSclafani

'The Center Holds' by Jonathan Alter

CHILDREN'S BOOKS

Children's Books: Ode to Music

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

Muestrame una bolita de grasa y te enseñare un tumor maligno

Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 12 de Junio 2013 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia:“Muestrame una bolita de grasa y te enseñare un tumor maligno” por el “Dr. Juan Carlos Duarte Valencia“ Cirujano Oncologo Pediatra de la Cd. de Tijuana B.C. 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/diagnostico_tumores/

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 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

Guías básicas de la OMS para resucitar al recién nacido, 2012

Guías básicas de la OMS para resucitar al recién nacido, 2012

Guidelines on Basic New Born Resuscitation, WHO 2012
http://apps.who.int/iris/bitstream/10665/75157/1/9789241503693_eng.pdf


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

jueves, 6 de junio de 2013

Bibliotecas. Alerta


Once librerías y cuatro instituciones participarán a partir de este ...
ecodiario
Once librerías y cuatro instituciones participarán a partir de este viernes en la XXXI Feria del Libro, que este año estrena nuevo emplazamiento en la Vía Roma de Palma, con 25 casetas y que podrá ser visitada hasta el domingo 9 de junio. PALMA DE ...
Ver todos los artículos sobre este tema »
Librerías de la Eurociudad protagonizan la Feira do Libro
Faro de Vigo
El Paseo da Corredoira de Tui es hoy el escenario de la Feira do Libro Galego en la que participanlibrerías de Tui y Valença, dentro del marco de la Eurociudad. Las librerías Valverde e Iris de Tui, la Papelaría Moderna y la Biblioteca Municipal de ...
Ver todos los artículos sobre este tema »
Once librerías mostrarán en la calle el valor del conocimiento y la ...
Noticias de Navarra
En los stands de las librerías participantes, en los que se ha habilitado "un recorrido interno que permitirá resguardarse de la lluvia o del sol", los libreros acercarán a los lectores las mejores selecciones de cada establecimiento en novela, ensayo ...
Ver todos los artículos sobre este tema »
FOTOS: Librerías en Japón marcan tendencia con torres de libros
SDP Noticias
Librerías en Japón han puesto en marcha toda su creatividad para mostrar sus productos a los lectores potenciales, construyen geniales torres de libros marcando tendencia y atrayendo a los hipsters. Japón.- Las librerías en Japón han comenzado a marcar ...
Ver todos los artículos sobre este tema »
Librerías en Japón marcan tendencia con torres de libros
Uniradio Noticias
Las librerías en Japón han comenzado a marcar tendencia en la forma de exhibir historietas, mangas, novelas y demás libros, lo hacen con creativas torres que van de lo práctico a lo sorprendente. Empleados y gerentes de estos establecimientos cada vez ...
Ver todos los artículos sobre este tema »
Las librerías serán el escenario de la 28ª Feria del Libro de Jaén
Andalucía Información
El 3 de junio se inaugura la 28ª edición de la Feria del Libro de la capital, que presenta este año un formato diferente sobre el que están puestas la miradas de libreros de otras provincias andaluzas. Y es que la 28ª Feria se celebrará en las ...
Ver todos los artículos sobre este tema »
Ocho respuestas sobre el futuro de la Feria y del libro
El País.com (España)
Para las librerías la Feria es una gran oportunidad para dar a conocer el trabajo que desarrollamos durante el año, en un expositor inmejorable como es el PARQUE DEL RETIRO. Queremos sacar laslibrerías fuera de nuestro espacio habitual y desde el ...
Ver todos los artículos sobre este tema »
Sol y lleno de público en el estreno de la Feria del Libro en la plaza ...
Heraldo de Aragon
Después de la inauguración oficial, la tarde del viernes, libreros (este año se han instalado un total de 16 expositores de librerías y editoriales, tanto de Huesca como del resto de la provincia) autores (está previsto que participen 80) y lectores ...
Ver todos los artículos sobre este tema »
Los dos libros de Gesto ya están en las librerías
Diario Vasco
Tal y como anunció en su acto de despedida el sábado en Bilbao, Gesto por la Paz informó ayer de que sus libros 'Enhorabuena' y 'Un gesto que hizo sonar el silencio' están ya a la venta en las librerías, al precio de 16 euros los dos volúmenes. Se ...
Ver todos los artículos sobre este tema »

Sueños y Palabras: Novedades Librerías Kel Junio 2013
Novedades Librerías Kel Junio 2013. Chicos, acá les dejo las novedades que van a poder encontrar en las Librerías Kel a partir de esta semana :). Yo me pedí ...
sueniosypalabras.blogspot.com/.../novedades-librerias-kel-juni...
¿Puede seguir protegiendo el precio fijo del libro a las pequeñas ...
La Confederación del Gremio de Libreros demanda a Amazon porque entienden que sus ofertas vulneran la ley del libro que regula, entre otras cosas, ...
www.error500.net/puede-seguir-protegiendo-el-precio-fijo-del...

ebooks. Alerta


Apple conspiró con e-books: EU
El Universal
El juicio llega más de un año después de que el Departamento de Justicia demandó a Apple y a cinco de las editoriales más grandes de Estados Unidos, acusándolas de trabajar en forma ilegal para aumentar los precios de los e-books y anular el control ...
Ver todos los artículos sobre este tema »
Muñecos acompañados de eBooks para superar los miedos de los ...
SER Madrid Norte
En Mundo 2.0 hoy hemos querido conocer la experiencia de dos jóvenes que tras terminar sus carreras – psicología infantil y diseñador- y no encontrar trabajo decidieron crear su propia empresa sumando su talento con las nuevas tecnologías. Así nació ...
Ver todos los artículos sobre este tema »
Apple quiere incrementar precio de los e-books, acusa EU
Milenio.com
Nueva York • Apple conspiró con las editoriales para aumentar el precio de los libros electrónicos ('e-books') en un plan que costó a los consumidores "cientos de millones de dólares", dijo el lunes un abogado del Gobierno de Estados Unidos. El juicio ...
Ver todos los artículos sobre este tema »
Comienza el juicio entre EE.UU. y Apple por el caso de precios en ...
Europa Press
Apple se enfrenta este lunes a un juicio tras las acusaciones de las autoridades federales y estatales de conspirar con las editoriales para subir el precio de los libros electrónicos. El juicio enfrenta al fabricante de los populares iPad e iPhone ...
Ver todos los artículos sobre este tema »
Apple antitrust suit over e - books set for NY trial
Terra.com
The government and Apple Inc. are set to square off over accusations of price-fixing e-books. The Justice Department sued Apple last year, claiming that the computer innovator had conspired with a major book publisher to force Amazon.com to raise its ...
Ver todos los artículos sobre este tema »
EU enjuiciará a Apple por precios de eBooks
El Economista
Un tribunal de Nueva York ha arrancado hoy el juicio contra Apple por fijación del precio de los libros electrónicos. Una demanda que se remonta a abril de 2012, cuando el departamento de justicia de Estados Unidos demandó a la compañía y las ...
Ver todos los artículos sobre este tema »
OPINA: ¿Prefieres los libros físicos o los e-books?
El Comercio
Los Ángeles (EFE). Más de quinientos años después de que la imprenta permitiera la proliferación de las bibliotecas públicas, el mundo del libro pasa por una nueva revolución, de tinta digital y pantallas táctiles, que desafía los pilares que sustentan ...
Ver todos los artículos sobre este tema »
Crean una aplicación que permite las dedicatorias en ebooks
Diariocrítico.com
La plataforma de lectura digital Biblioeteca ha presentado una novedad para aportar valor añadido alebook: una aplicación para guardar la dedicatoria de los autores favoritos. Este avance es tanto para los lectores, como para los autores que podrán ...
Ver todos los artículos sobre este tema »
La Casa del Libro lanza su herramienta de autoedición de eBooks
TICbeat
La Casa del Libro lanza Autopublicación Tagus, una herramienta para la autoedición de escritos eneBook que, según aseguran sus responsables, permite la publicación en cuatro pasos de eBookslistos para ser adquiridos a través de su tienda online.
Ver todos los artículos sobre este tema »

Estados Unidos acusa a Apple de conspirar con editoriales por e ...
El Departamento de Justicia estadounidense se vuelve a enfrentar a la firma de la manzana en un nuevo juicio que pone en dudas las prácticas comerciales del gigante de Silicon Valley.
Gestión

Comenzó el juicio contra Apple por "inflar" precios de ebooks - Infobae
Infobae.com es el sitio de noticias con mayor actualizacion de Latinoamérica. Noticias actualizadas las 24 horas, los 365 días del año.
www.infobae.com/.../713740-Comenzo-el-juicio-contra-Apple...
Apple niega acusaciones de sobreprecio de ebooks - El Comercio
Apple negó las acusaciones del Departamento de Justicia de Estados Unidos de pactar con las editoriales para aumentar el precio de los libros ...
www.elcomercio.com/.../Apple-sobreprecio-ebooks-libros-Inte...
EU acusa a Apple por alza en precio de e-books - Dinero en Imagen ...
EU acusa a Apple por alza en precio de e-books. Un abogado del gobierno estadounidense acusó a la empresa de poner fin a la competencia cuando ...
www.dineroenimagen.com/2013-06-03/21108
EU acusa a Apple de conspirar con editoriales por E-books - Forbes ...

Apple va sola a juicio después de que las cinco editoriales acordaron eliminar las prohibiciones sobre los descuentos mayoristas y pagar colectivamente 164 ...
www.forbes.com.mx/.../eu-acusa-a-apple-de-conspirar-con-edi...

or Whizar-Lugo para ti Neuropatía periférica y tolerancia a la glucosa

Polineuropatía en la tolerancia a la glucosa alterada: ¿Es la hiperglucemia postprandial el principal culpable? Mini revisión


Polyneuropathy in Impaired Glucose Tolerance: Is Postprandial Hyperglycemia the Main Culprit? A Mini-Review
N. Papanas D. Ziegler
Institute for Clinical Diabetology, German Diabetes Center at Heinrich Heine University, Leibniz Center for Diabetes
Research, and Department of Metabolic Diseases, University Hospital, Düsseldorf , Germany
Gerontology 2013;59:193-198

Abstract
There is accumulating evidence for the mutual relationship between peripheral neuropathy and impaired glucose tolerance (IGT). The key factor in the pathogenesis of neuropathy in IGT is postprandial hyperglycemia, which induces increased oxidative stress, endothelial dysfunction, and activation of both protein kinase C and the polyol pathway, leading to impaired neuronal metabolism and DNA damage. Other pathogenic factors include dyslipidemia and the metabolic
syndrome. The cornerstone of management is improved glycemic control, although a long sustainable effect has not been documented yet, calling for further supportive trials. Secondary therapeutic targets encompass hypolipidemic and antihypertensive treatment, smoking cessation and weight loss. The increasing awareness of peripheral neuropathy in IGT is expected to improve healthcare provision in subjects with this condition.
http://www.karger.com/Article/Pdf/343988



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

MANEJO DEL HALLUX VALGUS Y SUS COMPLICACIONES

http://livestre.am/4uiT7

Sesión de junio de 2013 del CMO

MANEJO DEL HALLUX VALGUS Y SUS COMPLICACIONES
Coordinador: Dra. Patricia Parra Téllez

Titular del Capítulo de Especialización en Tobillo y Pie


martes, 4 de junio de 2013

SESIÓN REGLAMENTARIA 05/2013. CMO México 2013


                                           





SESIÓN REGLAMENTARIA 05/2013


El Consejo Directivo del Colegio Mexicano de Ortopedia y Traumatología A.C., atentamente le invita y convoca a su primera Sesión Reglamentaria, que tendrá verificativo el miércoles 5 de junio de 2013 a las 20:30 horas, en el auditorio de nuestra sede, ubicado en el WTC México, Montecito No. 38, piso 25, Oficinas 23 a 27, Col. Nápoles, 03810 México, D.F., bajo la siguiente:

ORDEN DEL DÍA

1. Palabras de bienvenida.
2. Lectura del acta de la sesión anterior, celebrada el 3 de abril de 2013.
3. Comunicaciones de la Presidencia.
4. Asuntos generales
5. Panel Foro:


MANEJO DEL HALLUX VALGUS Y SUS COMPLICACIONES
Coordinador: Dra. Patricia Parra Téllez
Titular del Capítulo de Especialización en Tobillo y Pie



a)  Introducción. Dra. Patricia Parra Téllez
Instituto Nacional de Rehabilitación. .................. 5 ’


b) Osteotomía de Chevron. Dr. Jesús Vázquez Escamilla.
Jefe de la División de DNM y Cirugía de Pie y Tobillo.
Instituto Nacional de Rehabilitación. ................ 10 ’


c) Cirugía de Keller Brandes. Dr. Eduardo G. López Gavito.
Instituto Nacional de Rehabilitación................. 10 ’


d) Osteotomías proximales. Dr. Luis Felipe Hermida Galindo.
Jefe de Servicio de Cirugía de Pie y Tobillo, 
Hospital Dr. Germán Díaz Lombardo................ 10 ’


e) Artrodesis cuneometatarsal. Dr. Antonio Cisneros Fuentes
Hospital de Ortopedia y Traumatología de 
Lomas Verdes, IMSS ................ 12 ’

f) Preguntas y comentarios .................. 5 ’


7. Convivio ofrecido por Merck



Atentamente



Dr. Salvador O. Rivero Boschert
Presidente
Dr. Arturo Gutiérrez Meneses
I Secretario Propietario







Si está interesado en presenciar las sesiones del CMO, brindamos dos alternativas para
consultar la información: el día y hora establecido puede ingresar a la Transmisión en vivo, o bien posteriormente consultar las ponencias a través de nuestra Videoteca.


Opioides en el viejo/Opioids in the elderly



Opioides en el tratamiento del dolor crónico severo en los ancianos: declaración de consenso de un panel internacional de expertos con foco en los seis opioides clínicamente más utilizado en la escalón III OMS opioides (buprenorfina, fentanilo, hidromorfiona, metadona, morfina, y oxicodona)


Opioids and the management of chronic severe pain in the elderly: consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine, fentanyl, hydromorphone, methadone, morphine, oxycodone).
Pergolizzi J, Böger RH, Budd K, Dahan A, Erdine S, Hans G, Kress HG, Langford R, Likar R, Raffa RB, Sacerdote P.
Johns Hopkins University, Baltimore, Maryland, USA. jpjmd@msn.com
Pain Pract. 2008 Jul-Aug;8(4):287-313. doi: 10.1111/j.1533-2500.2008.00204.x. Epub 2008 May 23.
Abstract
SUMMARY OF CONSENSUS: 1. The use of opioids in cancer pain: The criteria for selecting analgesics for pain treatment in the elderly include, but are not limited to, overall efficacy, overall side-effect profile, onset of action, drug interactions, abuse potential, and practical issues, such as cost and availability of the drug, as well as the severity and type of pain (nociceptive, acute/chronic, etc.). At any given time, the order of choice in the decision-making process can change. This consensus is based on evidence-based literature (extended data are not included and chronic, extended-release opioids are not covered). There are various driving factors relating to prescribing medication, including availability of the compound and cost, which may, at times, be the main driving factor. The transdermal formulation of buprenorphine is available in most European countries, particularly those with high opioid usage, with the exception of France; however, the availability of the sublingual formulation of buprenorphine in Europe is limited, as it is marketed in only a few countries, including Germany and Belgium. The opioid patch is experimental at present in U.S.A. and the sublingual formulation has dispensing restrictions, therefore, its use is limited. It is evident that the population pyramid is upturned. Globally, there is going to be an older population that needs to be cared for in the future. This older population has expectations in life, in that a retiree is no longer an individual who decreases their lifestyle activities. The "baby-boomers" in their 60s and 70s are "baby zoomers"; they want to have a functional active lifestyle. They are willing to make trade-offs regarding treatment choices and understand that they may experience pain, providing that can have increased quality of life and functionality. Therefore, comorbidities--including cancer and noncancer pain, osteoarthritis, rheumatoid arthritis, and postherpetic neuralgia--and patient functional status need to be taken carefully into account when addressing pain in the elderly. World Health Organization step III opioids are the mainstay of pain treatment for cancer patients and morphine has been the most commonly used for decades. In general, high level evidence data (Ib or IIb) exist, although many studies have included only few patients. Based on these studies, all opioids are considered effective in cancer pain management (although parts of cancer pain are not or only partially opioid sensitive), but no well-designed specific studies in the elderly cancer patient are available. Of the 2 opioids that are available in transdermal formulation--fentanyl and buprenorphine--fentanyl is the most investigated, but based on the published data both seem to be effective, with low toxicity and good tolerability profiles, especially at low doses. 2. The use of opioids in noncancer-related pain: Evidence is growing that opioids are efficacious in noncancer pain (treatment data mostly level Ib or IIb), but need individual dose titration and consideration of the respective tolerability profiles. Again no specific studies in the elderly have been performed, but it can be concluded that opioids have shown efficacy in noncancer pain, which is often due to diseases typical for an elderly population. When it is not clear which drugs and which regimes are superior in terms of maintaining analgesic efficacy, the appropriate drug should be chosen based on safety and tolerability considerations. Evidence-based medicine, which has been incorporated into best clinical practice guidelines, should serve as a foundation for the decision-making processes in patient care; however, in practice, the art of medicine is realized when we individualize care to the patient. This strikes a balance between the evidence-based medicine and anecdotal experience. Factual recommendations and expert opinion both have a value when applying guidelines in clinical practice. 3. The use of opioids in neuropathic pain: The role of opioids in neuropathic pain has been under debate in the past but is nowadays more and more accepted; however, higher opioid doses are often needed for neuropathic pain than for nociceptive pain. Most of the treatment data are level II or III, and suggest that incorporation of opioids earlier on might be beneficial. Buprenorphine shows a distinct benefit in improving neuropathic pain symptoms, which is considered a result of its specific pharmacological profile. 4. The use of opioids in elderly patients with impaired hepatic and renal function: Functional impairment of excretory organs is common in the elderly, especially with respect to renal function. For all opioids except buprenorphine, half-life of the active drug and metabolites is increased in the elderly and in patients with renal dysfunction. It is, therefore, recommended that--except for buprenorphine--doses be reduced, a longer time interval be used between doses, and creatinine clearance be monitored. Thus, buprenorphine appears to be the top-line choice for opioid treatment in the elderly. 5. Opioids and respiratory depression: Respiratory depression is a significant threat for opioid-treated patients with underlying pulmonary condition or receiving concomitant central nervous system (CNS) drugs associated with hypoventilation. Not all opioids show equal effects on respiratory depression: buprenorphine is the only opioid demonstrating a ceiling for respiratory depression when used without other CNS depressants. The different features of opioids regarding respiratory effects should be considered when treating patients at risk for respiratory problems, therefore careful dosing must be maintained. 6. Opioids and immunosuppression: Age is related to a gradual decline in the immune system: immunosenescence, which is associated with increased morbidity and mortality from infectious diseases, autoimmune diseases, and cancer, and decreased efficacy of immunotherapy, such as vaccination. The clinical relevance of the immunosuppressant effects of opioids in the elderly is not fully understood, and pain itself may also cause immunosuppression. Providing adequate analgesia can be achieved without significant adverse events, opioids with minimal immunosuppressive characteristics should be used in the elderly. The immunosuppressive effects of most opioids are poorly described and this is one of the problems in assessing true effect of the opioid spectrum, but there is some indication that higher doses of opioids correlate with increased immunosuppressant effects. Taking into consideration all the very limited available evidence from preclinical and clinical work, buprenorphine can be recommended, while morphine and fentanyl cannot. 7. Safety and tolerability profile of opioids: The adverse event profile varies greatly between opioids. As the consequences of adverse events in the elderly can be serious, agents should be used that have a good tolerability profile (especially regarding CNS and gastrointestinal effects) and that are as safe as possible in overdose especially regarding effects on respiration. Slow dose titration helps to reduce the incidence of typical initial adverse events such as nausea and vomiting. Sustained release preparations, including transdermal formulations, increase patient compliance
http://onlinelibrary.wiley.com/doi/10.1111/j.1533-2500.2008.00204.x/pdf



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

Joint Reconstruction computer-navigated total knee arthroplasty


sábado, 1 de junio de 2013

Artroscopia y medicina del Fútbol. Congreso Internacional CMO 2013

Bibliotecas. Alerta

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









La biblioteca del BCB abre sus textos a los colegios
La Razón (Bolivia)
00:01 / 31 de mayo de 2013. La biblioteca del Banco Central de Bolivia (BCB) inició esta semana un programa de apertura a los colegios del país con el objetivo de fomentar el hábito de la lectura, en el marco de la recientemente promulgada Ley del Libro.
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Farmacia, biblioteca de guardia
La Voz de Galicia
No será en la Concepción Arenal, sino en una sala de lectura de la Facultade de Farmacia que tiene acceso directo desde el exterior. Primera victoria. La segunda, una biblioteca de cierta entidad abierta hasta las 3 en el casco histórico: La biblioteca ...
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La biblioteca de mi vida
El País.com (España)
Las bibliotecas Rijkmuseum, de Ámsterdam, o la del Real Gabinete Portugués de Lectura Brasileña, en Rio de Janeiro, se encuentran entre las 20 más espectaculares del mundo, pero usted creerá que como la suya, ninguna. Probablemente sea cierto ...
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Táchira: Biblioteca Pública de Junín reabre sus puertas al colectivo
EntornoInteligente
Jhoan Carlos Rosales, Coordinador Regional de la Red de Bibliotecas Públicas del Estado Táchira, informó que esta acción se enmarca dentro las políticas de recuperación de estos espacios de saberes, que con todo éxito desarrolla este ente adscrito a la ...
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Nueva Biblioteca Virtual de la Antigua Escuela de Traductores de ...
Universia.es
El pasado 28 de mayo se llevó a cabo la presentación en Toledo de la Biblioteca Virtual de la Antigua Escuela de Traductores de Toledo, un proyecto que permite el acceso online indiscriminado a los archivos de esta escuela dispersos por toda Europa.
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Una biblioteca, de aniversario
El Día (Argentina)
Mañana festeja sus 93 años de fundación la Biblioteca Alejo Iglesias de Villa Elisa, una de las instituciones más emblemáticas de la localidad. La celebración comenzará a las 11, con la realización de un mural en el patio de atrás del edificio, que ...
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El alcalde anuncia un nuevo centro social y biblioteca en Ventanielles
20minutos.es
Ampliar foto. Destaca que "la idea es trasladar la actual biblioteca de Ventanielles que se ha quedado pequeña" y sumarla a la nueva instalación para conseguir más metros de centro social y que permita resolver los problemas del barrio en esta materia.
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La antipoesía de Nicanor Parra en la Biblioteca Nacional de España
Revista de Arte - Logopress
La Biblioteca Nacional presenta una exposición dedicada al poeta, matemático y físico chileno, Nicanor Parra, premio Cervantes 2011. Parra. Obras públicas, que podrá contemplarse hasta septiembre, realiza un recorrido panorámico por su obra, ...
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«Sé bien qué es no tener lectores»
Diario de León
«El infierno y el paraíso son metáforas; pero existen y están en este mundo» advierte risueño segundos después de saludar a una masiva audiencia en su rudimentario español. Brown llenó a rebosar el auditorio de la Biblioteca Nacional, a la que llegó en ...
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Presentan una Biblioteca Federal con formato digital
EnNotas
biblioteca digital federal sileoni La Biblioteca Federal realizada en formato digital con 26 textos de autores del pensamiento nacional y latinoamericano -que en su mayoría ya no se consiguen en soporte papel- fue presentada ayer en el IV Congreso ...
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La biblioteca del palacio de Abrantes | BiblogTecarios
Hoy me apetece descubriros un “rinconcito” que poca gente conoce, y en el que merece la pena perderse, indagar y disfrutar del idioma y la cultura italiana.
www.biblogtecarios.es/.../la-biblioteca-del-palacio-de-abrantes
Fanfic: Entre El Amor Y La Biblioteca, Ben 10 | FanFiction
Gwen, esta es el sexto mensaje que te dejo, donde estas – Dijo Kevin, sentándose en el mueble. Kevin, tranquilízate, ella está bien – Dijo Ben. Como saber eso ...
m.fanfiction.net/s/9344565/1/Entre-El-Amor-Y-La-Biblioteca
Biblioteca | Redetis
Educación, Trabajo e Inserción Laboral para America Latina.
www.redetis.iipe.unesco.org/biblioteca-redetis/

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