Imagen del mes/Imagen of the month

Ver galeria de Imágenes Ependimomas medulares. Parte 1. Ependimonas intramedulares Spinal ependymomas. Part 1: Intramedullary ependymomas. Klekamp J. Neurosurg Focus. 2015 Aug;39(2):E6. doi: 10.3171/2015.5.FOCUS15161. PDF Ependimomas medulares. Parte 2. Ependimomas del filum terminale Spinal ependymomas. Part 2: Ependymomas of the filum terminale Jörg Klekamp, MD Neurosurgical Focus Aug 2015 / Vol. 39 / No. 2, Page E7 PDF Evolución a largo plazo de la resección quirúrgica con y sin radiación en el tratamiento de ependimomas medulares. Estudio retrospectivo multicéntrico del grupo Korea Spinal OncologyResearch Long-term outcomes of surgical resection with or without adjuvant radiation therapy for treatment of spinal ependymoma: a retrospective multicenter study by the Korea Spinal Oncology Research Group. Lee SH, Chung CK, Kim CH, Yoon SH, Hyun SJ, Kim KJ, Kim ES, Eoh W, Kim HJ. Neuro Oncol. 2013 Jul;15(7):921-9. doi: 10.1093/neuonc/not038. Epub 2013 Apr 10. PDF La diferenciación entre ependimoma espinal intramedular y astrocitoma: análisis de resonancia magnética comparativa. Differentiation between intramedullary spinal ependymoma and astrocytoma: comparative MRI analysis. Kim DH, Kim JH, Choi SH, Sohn CH, Yun TJ, Kim CH, Chang KH. Clin Radiol. 2014 Jan;69(1):29-35. doi: 10.1016/j.crad.2013.07.017. Epub 2013 Sep 10. PDF Resección con microcirugía de ependimoma intramedular Microsurgical resection of intramedullary spinal cord ependymoma. McCormick PC. Neurosurg Focus. 2014 Sep;37 Suppl 2:Video 9. doi: 10.3171/2014.V3.FOCUS14276.Abstract PDF VIDEO https://www.youtube.com/watch?v=lcHhymSvSqU&feature=youtu.be Manejo y evolución de tumores intramedulares en adultos. Experiencia de 20 años Management and outcome in adult intramedullary spinal cord tumours: a 20-year single institution experience. Boström A, Kanther NC, Grote A, Boström J1. BMC Res Notes. 2014 Dec 15;7:908. doi: 10.1186/1756-0500-7-908. PDF Ependimoma lumbar se manifiesta con una raquiaanestesia no usual Lumbar ependymoma presenting with an unusual spinal anaesthetic. Dawson J, Malik A. Anaesthesia. 2012 Jun;67(6):676-7. doi: 10.1111/j.1365-2044.2012.07143.x. PDF Ependimoma lumbar se manifiesta con paraplegia después de un intento de anestesia raquídea Lumbar ependymoma presenting with paraplegia following attempted spinal anaesthesia. Jaeger M, Rickels E, Schmidt A, Samii M, Blömer U. Br J Anaesth. 2002 Mar;88(3):438-40. PDF Manifestación atípica de un tumor medular después de anestesia peridural An unusual presentation of spinal cord tumor after epidural anesthesia. Martin HB, Gibbons JJ, Bucholz RD. Anesth Analg. 1992 Nov;75(5):844-6. PDF Pronóstico por la localización de ependimomas espinales en adultos Prognosis by tumor location in adults with spinal ependymomas. Oh MC, Kim JM, Kaur G, Safaee M, Sun MZ, Singh A, Aranda D, Molinaro AM, Parsa AT. J Neurosurg Spine. 2013 Mar;18(3):226-35. doi: 10.3171/2012.12.SPINE12591. Epub 2013 Jan 11. PDF Ependimomas intramedulares medulocervicales. Manejo operatorio, recuperación funcional y evolución a largo plazo Intramedullary medullocervical ependymoma--surgical treatment, functional recovery, and long-term outcome. Li D, Hao SY, Wu Z, Jia GJ, Zhang LW, Zhang JT. Neurol Med Chir (Tokyo). 2013;53(10):663-75. Epub 2013 Sep 27. PDF

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

Lactarios Institucionales y escolares

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 2 Diciembre 2015 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Lactarios Institucionales y escolares” por el“Dr. Heladio Verver y Vargas”, Pediatra, de la Cd. De México DF 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/lactados/
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

Oxido nitroso / Nitrous oxide

Noviembre 28, 2015. No. 2159

Efectos analgésicos y fisiológicos en sedación consciente con diferentes concentraciones de óxido nitroso Analgesic and physiological effects in conscious sedation with different nitrous oxide concentrations. Bonafé-Monzó N, Rojo-Moreno J, Catalá-Pizarro M. J Clin Exp Dent. 2015 Feb 1;7(1):e63-8. doi: 10.4317/jced.52034. eCollection 2015. Abstract OBJECTIVES: to study the physiological changes, as well as the psychosedative and analgesic effects of nitrous oxide, in experimental conditions. STUDY DESIGN: 101 dental students volunteers participated in a single nitrous oxide sedation session without dental treatment. Signs and symptoms were registered during and after the procedure. Pulse rate and hemoglobin oxygen saturation were monitored at: 100 per cent O2, 30 per cent N2O, 50 per cent N2O and 5 minutes after 100 per cent O2. A Likert scale was used to evaluate pain perception. The analgesic effects of nitrous oxide were evaluated at: 30 per cent N2O, 50 per cent N2O, and five minutes postoperatively. RESULTS: Pulse rate and hemoglobin oxygen saturation decreased significantly through all the procedure and after recovery. However, oxygen saturation recovered after the final oxygenation. Only 8.2% of subjects reported the pain stimulus as being quite annoying when they inhaled 30 per cent N2O, while this percentage was of 15.8 % when inhaling 50 per cent N2O, and of 32.7 % during the recovery period. The most common effects of nitrous oxide sedation were bright eyes (99%), voice change (98%) and smiling (91%). Most of the subjects reported tingling (98%) and relax (91.1%) CONCLUSIONS: nitrous oxide causes a significant decrease in heart rate and oxygen saturation, but always within safety limits. Maintaining an appropriate level of consciousness was confirmed as a feature in 50 per cent dose in this study. The analgesic effect of nitrous oxide was confirmed but a dose dependency could not be established. Key words:Nitrous oxide, conscious sedation, anxiolysis, safety, physiogical parameters, signs, symptoms, analgesia. PDF Técnicas basadas con óxido nitroso versus técnicas sin óxido nitroso en anestesia general Nitrous oxide-based techniques versus nitrous oxide-free techniques for general anaesthesia. Sun R, Jia WQ, Zhang P, Yang K, Tian JH, Ma B, Liu Y, Jia RH, Luo XF, Kuriyama A. Cochrane Database Syst Rev. 2015 Nov 6;11:CD008984. [Epub ahead of print] Abstract BACKGROUND: Nitrous oxide has been used for over 160 years for the induction and maintenance of general anaesthesia. It has been used as a sole agent but is most often employed as part of a technique using other anaesthetic gases, intravenous agents, or both. Its low tissue solubility (and therefore rapid kinetics), low cost, and low rate of cardiorespiratory complications have made nitrous oxide by far the most commonly used general anaesthetic. The accumulating evidence regarding adverse effects of nitrous oxide administration has led many anaesthetists to question its continued routine use in a variety of operating room settings. Adverse events may result from both the biological actions of nitrous oxide and the fact that to deliver an effective dose, nitrous oxide, which is a relatively weak anaesthetic agent, needs to be given in high concentrations that restrict oxygen delivery (for example, a common mixture is 30% oxygen with 70% nitrous oxide). As well as the risk of low blood oxygen levels, concerns have also been raised regarding the risk of compromising the immune system, impaired cognition, postoperative cardiovascular complications, bowel obstruction from distention, and possible respiratory compromise. OBJECTIVES: To determine if nitrous oxide-based anaesthesia results in similar outcomes to nitrous oxide-free anaesthesia in adults undergoing surgery. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2014 Issue 10); MEDLINE (1966 to 17 October 2014); EMBASE (1974 to 17 October 2014); and ISI Web of Science (1974 to 17 October 2014). We also searched the reference lists of relevant articles, conference proceedings, and ongoing trials up to 17 October 2014 on specific websites (http://clinicaltrials.gov/, http://controlled-trials.com/, and http://www.centerwatch.com). SELECTION CRITERIA: We included randomized controlled trials (RCTs) comparing general anaesthesia where nitrous oxide was part of the anaesthetic technique used for the induction or maintenance of general anaesthesia (or both) with any general anaesthesia using a volatile anaesthetic or propofol-based maintenance of anaesthesia but no nitrous oxide for adults undergoing surgery. Our primary outcome was inhospital case fatality rate. Secondary outcomes were complications and length of stay. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trial quality and extracted the outcome data. We used meta-analysis for data synthesis. Heterogeneity was examined with the Chi² test and by calculating the I² statistic. We used a fixed-effect model if the measure of inconsistency was low for all comparisons (I² statistic < 50%); otherwise we used a random-effects model for measures with high inconsistency. We undertook subgroup analyses to explore inconsistency and sensitivity analyses to evaluate whether the results were robust. We assessed the quality of evidence of the main outcomes using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. MAIN RESULTS: We included 35 trials (13,872 adult participants). Seven included studies were at low risk of bias. We identified eight studies as awaiting classification since we could not obtain the full texts, and had insufficient information to include or exclude them. We included data from 24 trials for quantitative synthesis. The results of meta-analyses showed that nitrous oxide-based techniques increased the incidence of pulmonary atelectasis (odds ratio (OR) 1.57, 95% confidence interval (CI) 1.18 to 2.10, P = 0.002), but had no effects on the inhospital case fatality rate, the incidence of pneumonia, myocardial infarction, stroke, severe nausea and vomiting, venous thromboembolism, wound infection, or the length of hospital stay. The sensitivity analyses suggested that the results of the meta-analyses were all robust except for the outcomes of pneumonia, and severe nausea and vomiting. Two trials reported length of intensive care unit (ICU) stay but the data were skewed so were not pooled. Both trials reported that nitrous oxide-based techniques had no effects on the length of ICU stay. We rated the quality of evidence for two outcomes (pulmonary atelectasis, myocardial infarction) as high, four outcomes (inhospital case fatality rate, stroke, venous thromboembolism, length of hospital stay) as moderate, and three (pneumonia, severe nausea and vomiting, wound infection rate) as low. AUTHORS' CONCLUSIONS: Given the evidence from this Cochrane review, the avoidance of nitrous oxide may be reasonable in participants with pre-existing poor pulmonary function or at high risk of postoperative nausea and vomiting. Since there are eight studies awaiting classification, selection bias may exist in our systematic review. PDF

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

E-books, librerias, bibliotecarios, bibliotecas

E-Books
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Librópatas

Especial Black Friday: los ebooks de Librópatas a 99 céntimos
Librópatas
Viajando con Jane Austen . Fue el primero de los ebooks de Librópatas. ¿Qué hacer cuando tienes vacaciones y no tienes planes con que llenarlas?




Todo eReaders (blog)

Wattpad permite incluir videos y gifs en los ebooks
Todo eReaders (blog)
wattpad android 1 Wattpad permite incluir videos y gifs en los ebooks En las últimas horas se ha actualizado la app Wattpad con una novedad ...




Te Interesa

Más del 40% de los usuarios de eBooks accede a su biblioteca desde dos o más dispositivos
Te Interesa
Más de un 40% de lectores de eBooks bajo modelo de suscripción accede desde dos o más dispositivos a su biblioteca y un 15% ya utiliza tres ...
¿Cuáles son los dispositivos móviles más usados para la lectura digital? - elEconomista.es
Tablets y smartphones ganan adeptos entre los lectores digitales - PcWorld
Cobertura total de la noticia


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librerias
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Vanguardia.com.mx

Librerías británicas compensan el "Viernes negro" con un "Sábado civilizado"
Terra Colombia
Diversas librerías del Reino Unido contrarrestarán el caos que se prevé esta semana durante la jornada de rebajas del "Black Friday" ("Viernes ...




Hispanidad

Las librerías ven algo de luz este año, sin olvidar que en 2014 desaparecieron casi 1.000
Hispanidad
Según el Mapa de Librerías de España 2014, elaborado por CEGAL, el censo de librerías era de 3.650, un 15,8% menos que en el año anterior ...




EFESalud

Una enfermera saturada de éxito regresa a las librerías
EFESalud
Satu, el fenómeno de esta profesión que revolucionó las redes sociales, vuelve a las librerías con 'El tiempo entre suturas' y con la novedad de que ...

bibliotecarios
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La Vanguardia

Huelva será sede de las Jornadas de Bibliotecarios de Andalucía en 2017
La Vanguardia
La Asociación Andaluza de Bibliotecarios ha elegido Huelva como sede en 2017 de las Jornadas Bibliotecarias de Andalucía, un evento que cada ...
Huelva será sede en 2017 de las Jornadas de Bibliotecarios de Andalucía - La Vanguardia
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eldiadigital.es

Los bibliotecarios salen a la calle
eldiadigital.es
Los bibliotecarios salen a la calle ... colegios como el 'San Lucas y María' o el 'San Patricio' dentro de la actividad “El bibliotecario sale a la calle”.



Bibliotecarios que piensan y actúan
AtenasDigital.com
Reunión de bibliotecarios y sus amigos en Grecia, los Balcanes y más allá, en una celebración de aprendizaje, nuevas ideas, nuevas amistades ...

Bibliotecas
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El Colombiano

Colombia recibe donación de Japón para construir bibliotecas
El Colombiano
La bibliotecas serán construidas en los departamentos de Bolívar, Córdoba y Magdalena, informó este jueves el Ministerio de Cultura de Colombia.
Japón hace donación para construir cinco bibliotecas en Colombia - Terra Colombia
Japón hace millonaria donación para que se construyan cinco bibliotecas en el país - Noticias RCN (Comunicado de prensa) (blog)
Gobiernos de Japón y Colombia firman contrato para construcción de bibliotecas - RCN Radio (blog)
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IU critica que los fondos de las bibliotecas por habitante están por debajo de las directrices ...
20minutos.es
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Medwave, edición noviembre 2015 completa

Hemos completado la edición correspondiente al mes de noviembre de 2015, los artículos incluidos son los siguientes:


DE LOS EDITORES

Impacto y pertinencia en la revista: publicando en inglés y gran número de visitas únicas
Vivienne C. Bachelet

Medwave 2015 Nov;15(10):e6301
http://dx.doi.org/10.5867/medwave.2015.10.6301


REPORTE DE CASO

Inmunoglobulina intravenosa en el tratamiento del síndrome de Morvan secundario a la recurrencia de un carcinoma tímico
Gabriel Horta Baas (México)

Medwave 2015 Nov;15(10):e6323
http://dx.doi.org/10.5867/medwave.2015.10.6323


ESTUDIO PRIMARIO

Prevalencia del delirium en pacientes hospitalizados en un servicio de medicina interna
Bernardita Claudia Carrillo Venezian, Ana Carolina González Pezoa (Chile)

Medwave 2015 Nov;15(10):e6311
http://dx.doi.org/10.5867/medwave.2015.10.6311


MÉTODOS DE INVESTIGACIÓN Y REPORTE
Normas para la excelencia en los reportes sobre mejoras de la calidad (SQUIRE 2.0): guías de publicación revisadas a partir de un proceso de consenso detallado
Greg Ogrinc, Louise Davies, Daisy Goodman, Paul Batalden, Frank Davidoff, David Stevens (Estados Unidos)

Medwave 2015 Nov;15(10):e6318
http://dx.doi.org/10.5867/medwave.2015.10.6318


ANÁLISIS

Aterosclerosis y estatinas: rol de la epigenética
Marcelo Storino Farina, Jairo Rojano Rada, Antony Molina Garrido, Xiomara Martínez, Alfredo Pulgar, Roxanna Paniagua, Jorge Garrido (Venezuela)

Medwave 2015 Nov;15(10):e6324
http://dx.doi.org/10.5867/medwave.2015.10.6324


CARTA A LA EDITORA

Sobre los ensayos clínicos: algunas consideraciones metodológicas y bioéticas
Carlos Alva Díaz, Wilfor Aguirre Quispe (Perú)

Medwave 2015 Nov;15(10):e6313
http://dx.doi.org/10.5867/medwave.2015.10.6313


Para mayor información sobre envío de manuscritos, revisión y como publicar en Medwave escribir directamente a Rodrigo Núñez mailto:publishing@medwave.cl

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PORTADA MEDWAVE
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Hemorragia obstétrica/Obstetric hemorrhage

Noviembre 27, 2015. No. 2158

Manejo hemostático de la hemorragia obstétrica Haemostatic management of obstetric haemorrhage. Collis RE, Collins PW. Anaesthesia. 2015 Jan;70 Suppl 1:78-86, e27-8. doi: 10.1111/anae.12913. Abstract The haemostatic management of major obstetric haemorrhage remains challenging, and current published guidance relies heavily on experience from the non-pregnant population and expert opinion. In recent years, an interest in the implications of relative hypofibrinogenaemia, point-of-care monitoring of coagulation abnormalities, and the potential to give goal-directed therapy to correct coagulopathies, have created the possibility of significantly challenging and changing guidance. There is evidence that the haemostatic impairment in the pregnant population is different from trauma-induced bleeding, and the type and rate of onset of coagulopathies differ depending on the underlying cause. This review examines areas such as possible intervention points, describes evidence for over-transfusion of fresh frozen plasma in some situations and challenges conventional thinking on formulaic management. It also examines the rationale for other therapeutic options, including fibrinogen concentrate and tranexamic acid PDF Avances médicos en el tratamiento de la hemorragia postparto Medical advances in the treatment of postpartum hemorrhage. Ducloy-Bouthors AS1, Susen S, Wong CA, Butwick A, Vallet B, Lockhart E. Anesth Analg. 2014 Nov;119(5):1140-7. doi: 10.1213/ANE.0000000000000450. Abstract Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide. Recent advances in the management of severe bleeding for trauma patients may provide insight into PPH management, but must be applied with caution considering the significant differences between trauma and obstetric patients. In this review, we summarized evidence for current management strategies for patients with major obstetric hemorrhage, including (1) rapid laboratory assessment of coagulopathy, (2) early transfusion of plasma and high plasma-to-red blood cell transfusion ratios in massive PPH, and (3) use of tranexamic acid and fibrinogen concentrates in the setting of PPH complicated by coagulopathy. PDF

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015