viernes, 10 de marzo de 2017

Transplante con riñon marginal / Transplantation with marginal kidney

Marzo 9, 2017. No. 2623







¿Es un abuelo de 87 años de edad demasiado marginal para ser un donante de riñón? La visión de los anestesiólogos
Is an 87-Year-Old Grandfather Too Marginal for Being a Kidney Donor? The View of Anesthesiologists.
J Clin Med Res. 2016 Sep;8(9):680-2. doi: 10.14740/jocmr2629w. Epub 2016 Jul 30.
Abstract
Living kidney donation has been accepted increasingly as a result of growth in the number of end-stage renal disease patients awaiting organ. In this aspect using grafts from marginal donors such as with advanced age is increasing in worldwide practice and also in Turkey. Therefore, anesthetic management of donors is particularly important. We herein report the anesthetic management of an 87-year-old grandfather donating his kidney to her granddaughter and review the current anesthetic strategies in a geriatric patient.
KEYWORDS: Anesthesia; Elderly donor; Geriatrics; Kidney; Transplantation

¿Cuándo es Justificable el Trasplante con un "Riñón Marginal"?
When is Transplantation with a "Marginal Kidney" Justifiable?
Ann Transplant. 2016 Jul 26;21:463-8.
Abstract
The ability of kidney transplantation to improve quality of life has made this therapeutic modality the treatment of choice among renal replacement therapies; however, the continuing organ shortage has forced the use of marginal kidneys as a supplementary source of allografts. It has been repeatedly suggested that failed kidney transplant recipients have greater morbidity and mortality compared with dialysis patients with no renal transplant history. Achieving an optimal balance between the advantages of kidney transplant and disadvantages of allografts with marginal quality is a topic of controversy in transplant medicine. The major and potentially life-threatening complications of immunosuppressive therapies and shorter lifespan following graft failure necessitate a reappraisal of kidney transplant programs from expanded-criteria deceased donors, which can neither necessarily give dialysis patients a better quality of life nor a significant survival benefit, especially in settings with additional diminished graft survival due to HLA-mismatch. It should be offered just to those with short life expectancy and with HLA-matching. The last item is very important in countries without mandatory HLA-matching protocols for kidney transplantation programs.

Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología.
Committee for European Education in Anaesthesiology (CEEA) 
y el Colegio de Anestesiólogos de León A.C.
Abril 7-9, 2017, León Guanajuato, México

Informes  (477) 716 06 16, kikinhedz@gmail.com
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Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

Biomecánica de la marcha



Biomechanics of Gait

Fuente
Este artículo es originalmente publicado en:

De y Todos los derechos reservados para:
Courtesy: Mary Lloyd Ireland M.D.
Associate Professor
University of Ketucky
Lexington, KY, USA
Mary Lloyd Ireland M.D.
www.MaryLloydIreland.com
565 Biomechanics of Gait
Lower Extremity Gait
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Prion - una visión general / Prion - An Overview

Marzo 10, 2017. No. 2624








Prion - una visión general
Prion - An Overview
Edited by Yusuf Tutar, ISBN 978-953-51-3002-4, Print ISBN 978-953-51-3001-7, 236 pages, Publisher: InTech, Chapters published March 08, 2017 under CC BY 3.0 license
DOI: 10.5772/63289
Edited Volume
Protein aggregation causes malfunction in several biochemical processes. Genetic and spontaneous formations of these transmissible spongiform encephalopathies are fatal to humans and animals. Conformational change of normal form of the protein to misfolded form causes its accumulation. The misfolded infectious protein agent forms the pathogenesis of the disease. This book presents pathology of the disease along with current knowledge of the structure-activity mechanism in the first two sections. Dyshomeostasis of metals is implicated in the pathogenesis of prions, and this influence is discussed further to understand the prion mechanism. Genetic resistance and immunobiology of the disease are elaborated in the following section. Finally, a computational study on the dynamics of the prion propagation provides a structural basis of the mechanism.

Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología.
Committee for European Education in Anaesthesiology (CEEA) 
y el Colegio de Anestesiólogos de León A.C.
Abril 7-9, 2017, León Guanajuato, México

Informes  (477) 716 06 16, kikinhedz@gmail.com



Vacante para Anestesiología Pediátrica
Hospital de Especialidades Pediátrico de León, Guanajuato  México 
Informes con la Dra Angélica García Álvarez 
angy.coachanestped@gmail.com o al teléfono 477 101 8700 Ext 1028
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Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

jueves, 9 de marzo de 2017

MARATÓN DEL HOMBRO Y CODO DOLOROSO / Dr José Carlos Cortés

ATIENDE TU DOLOR
Tiempos buenos para los hombros malos

www.hombroycodo.com.mx

www.mihombroycodo.com.mx



miércoles, 8 de marzo de 2017

Fracturas por estrés del cuello femoral

Fracturas por Estrés Del Cuello Femoral

Femoral Neck Stress Fractures

Fuente
Este artículo es originalmente publicado en:
De y Todos los derechos reservados para:
courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Dr. Ebraheim’s educational animated video describes stress fractures of the femoral neck, and explains some X-Ray imaging of the fracture, also explains about the several treatment options.
Become a friend on facebook:
http://www.facebook.com/drebraheim
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