Mas de salud y viajes aereos / More on health and air travel

Julio 31, 2017. No. 2766

Manejo de emergencias médicas en vuelo: ¿están preparados los estudiantes de medicina para responder a esta necesidad de la comunidad? Management of in-flight medical emergencies: are senior medical students prepared to respond to this community need? Katzer RJ1, Duong D2, Weber M1, Memmer A3, Buchanan I4. West J Emerg Med. 2014 Nov;15(7):925-9. doi: 10.5811/westjem.2014.9.22569. Epub 2014 Oct 21. Abstract INTRODUCTION: In-flight medical emergencies on commercial aircraft are common in both domestic and international flights. We hypothesized that fourth-year medical students feel inadequately prepared to lend assistance during in-flight medical emergencies. This multicenter study of two U.S. medical schools obtains a baseline assessment of knowledge and confidence in managing in-flight medicalemergencies. METHODS: A 25-question survey was administered to fourth-year medical students at two United States medical schools. Questions included baseline knowledge of in-flight medicine (10 questions) and perceived ability to respond to in-flight medical emergencies. RESULTS: 229 participants completed the survey (75% response rate). The average score on the fund of knowledge questions was 64%. Responses to the 5-point Likert scale questions indicated that, on average, students did not feel confident or competent responding to an in-flight medical emergency. Participants on average also disagreed with statements that they had adequate understanding of supplies, flight crew training, and ground-based management. CONCLUSION: This multicenter survey indicates that fourth-year medical students do not feel adequately prepared to respond to in-flightmedical emergencies and may have sub-optimal knowledge. This study provides an initial step in identifying a deficiency in current medicaleducation. PDF ¿Es seguro el transporte aéreo para aquellos con enfermedades pulmonares? Is air travel safe for those with lung disease? Coker RK1, Shiner RJ, Partridge MR. Author information Abstract Airlines commonly report respiratory in-flight emergencies; flight outcomes have not been examined prospectively in large numbers of respiratory patients. The current authors conducted a prospective, observational study of flight outcomes in this group. UK respiratory specialists were invited to recruit patients planning air travel. Centres undertook their usual pre-flight assessment. Within 2 weeks of returning, patients completed a questionnaire documenting symptoms, in-flight oxygen use and unscheduled healthcare use. In total, 616 patients were recruited. Of these, 500 (81%) returned questionnaires. The most common diagnoses were airway (54%) and diffuse parenchymal lung disease (23%). In total, 12 patients died, seven before flying and five within 1 month. Pre-flight assessment included oximetry (96%), spirometry (95%), hypoxic challenge (45%) and walk test (10%). Of the patients, 11% did not fly. In those who flew, unscheduled respiratory healthcare use increased from 9% in the 4 weeks prior to travel to 19% in the 4 weeks after travel. However, when compared with self-reported data during the preceding year, medical consultations increased by just 2%. In patients flying after careful respiratory specialist assessment, commercial air travel appears generally safe. PDF Cuestiones de salud de los viajes aéreos. Health issues of air travel. DeHart RL1. Annu Rev Public Health. 2003;24:133-51. Epub 2002 Oct 23. Abstract Every day in the United States the airline industry boards over 1.7 million passengers for a total of 600 million passengers per year. As these passengers enter the cabin of their aircraft few are aware of the artificial environment that will protect them from the hazards of flight. Passengers are exposed to reduced atmospheric pressure, reduced available oxygen, noise, vibration, and are subject to below zero temperatures that are only a quarter inch away-the thickness of the aircraft's skin. Over the past decade there have been both technical and lay articles written on the perception of poor cabin air quality. Studies have, in part, supported some of those concerns, but, in general, the air quality exceeds that found in most enclosed spaces on terra firma. Since the events of September 11th, passengers have not only been exposed to the physical stress of flight, but also to social and emotional stress preceding departure. There has been a significant increase in air rage on board aircraft, which poses a threat to flight safety and a fear of harm to passengers and crew. The phrase "economy class syndrome" has received popular press attention and refers to the possibility of deep vein thrombosis (DVT) in the tight confines of an aircraft cabin. Studies have been conducted that demonstrate DVT can occur in flight just as it occurs in other modes of transportation or with prolonged sitting. In part, because of the stress related to commercial flight it is not a mode of transportation for everyone. Certain cardiovascular, pulmonary, and neuropsychiatric conditions are best left on the ground. Although medical problems and death are rare in flight, they do occur, and one major airline reported 1.52 medical diversions per billion revenue passenger miles flown. To provide medical support at 36,000 ft (11,000 m) most airlines now carry on-board medical kits as well as automatic external defibrillators. A recent survey conducted by a major airline revealed that there was at least one physician on 85% of all its flights. Both passenger and cargo aircraft have proven to be vectors of disease in that they transport humans, mosquitoes, and other insects and animals who, in turn, transmit disease. Transmission to other passengers has occurred with tuberculosis and influenza. Vectors for yellow fever, malaria, and dengue have been identified on aircraft. Although there are numerous health issues associated with air travel they pale in comparison to the enormous benefits to the traveler, to commerce, to international affairs, and to the public's health. PDF XIV Congreso Virtual Mexicano de Anestesiología 2017 Octubre 1-Diciembre 31, 2017 Información / Information California Society of Anesthesiologists Reuniones / Events Informacion / Information

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

Los medios sociales en la ortopedia pediátrica

http://www.ortopediapediatricaisunza.com.mx/academia/los-medios-sociales-en-la-ortopedia-pediatrica/

Social Media in Pediatric Orthopaedics

Fuente

Este artículo es publicado originalmente en:

https://www.ncbi.nlm.nih.gov/pubmed/28719545

https://insights.ovid.com/crossref?an=01241398-900000000-99035

De:

Lander ST1,Sanders JO,Cook PC,O’Malley NT.

J Pediatr Orthop. 2017 Jul 17. doi: 10.1097/BPO.0000000000001032. [Epub ahead of print]

Todos los derechos reservados para:

Copyright © 2016 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.

Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Abstract

BACKGROUND:

Internet searches and social media utilization in health care has exploded over the past 5 years, and patients utilize it to gain information on their health conditions and physicians. Social media has the potential to serve as a means for education, communication, and marketing in all health care specialties. Physicians are sometimes reluctant to engage because of concerns of privacy, litigation, and lack of experience with this modality. Many surgical subspecialties have capitalized on social media but no study to date has examined the specific footprint of pediatric orthopaedic surgeons in this realm. We aim to quantify the utilization of individual social media platforms by pediatric orthopaedic surgeons, and identify any differences between private and hospital-based physicians, but also regional differences.

CONCLUSIONS:

The rapid expansion of social media usage by patients and their family members is an undeniable force affecting the health care industry. The Internet and social media platforms provide all physicians with a means to educate patients, collaborate with colleagues, and promote their practice and areas of interest. Our survey indicates that pediatric orthopaedic surgeons may be underutilizing their potential social media presence.

LEVELS OF EVIDENCE:

Level IV.

PMID:  28719545    DOI:  

10.1097/BPO.0000000000001032

Resumen

ANTECEDENTES:

Las búsquedas en Internet y la utilización de los medios sociales en el cuidado de la salud han explotado en los últimos 5 años, y los pacientes lo utilizan para obtener información sobre sus condiciones de salud y los médicos. Los medios de comunicación social tienen el potencial de servir como un medio para la educación, comunicación y marketing en todas las especialidades de salud. Los médicos son a veces reacios a participar debido a las preocupaciones de privacidad, litigios, y la falta de experiencia con esta modalidad. Muchas subespecialidades quirúrgicas han capitalizado en las redes sociales, pero ningún estudio hasta la fecha ha examinado la huella específica de los cirujanos ortopédicos pediátricos en este ámbito. Nuestro objetivo es cuantificar la utilización de las plataformas de medios sociales individuales por los cirujanos ortopédicos pediátricos, e identificar las diferencias entre los médicos privados y los hospitales, pero también las diferencias regionales.

CONCLUSIONES:
La rápida expansión del uso de los medios de comunicación social por los pacientes y sus familiares es una fuerza innegable que afecta a la industria del cuidado de la salud. La Internet y las plataformas de medios sociales proporcionan a todos los médicos un medio para educar a los pacientes, colaborar con sus colegas y promover su práctica y áreas de interés. Nuestra encuesta indica que los cirujanos ortopédicos pediátricos pueden estar subutilizando su potencial presencia en los medios sociales.

NIVELES DE EVIDENCIA:
Nivel IV.

PMID: 28719545 DOI: 10.1097 / BPO.0000000000001032

#ortopedia pediátrica#medios sociales

Descripción general de las fracturas pediátricas

http://www.ortopediapediatricaisunza.com.mx/academia/descripcion-general-de-las-fracturas-pediatricas/

Overview of Paediatric fractures

Fuente

Este artículo es publicado originalmente ene:

https://youtu.be/1cByeJdyyY4

De y Todos los derechos reservados para:

Courtesy: Kaye Wilkins MD

Lynn Staheli MD

www.global-help.orgPublicado el 19 jul. 2017

By Dr. Kaye Wilkins. A comprehensive overview of pediatric fractures. For more information and videos, please visit http://global-help.org and http://www.pedorthoacademy.org.

• Categoría
• Licencia

• Ciencia y tecnología

• Licencia Atribución de Creative Commons (reutilización permitida)

#fracturas#fracturas pediátricas

Conceptos Basicos de Medicina Legal, como evitar una demanda

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. Continuamos el Programa 2017, el día 26 Julio las 21hrs (Centro, México DF, Guadalajara Liima Perú) a la Conferencia: “Conceptos Basicos de Medicina Legal, como evitar una demanda”, por el “Dr. Alejandro Esquivel Velazco.“ Pediátra de la Cd de Cuernavaca Mor”. La sesión inicia puntualmente a 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/medicina_legal/

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.
7.- Recientemente te solicita para emtar en la patafoem un add in, que es un parche bajalo de la siguiente liga: https://adobe.ly/2r4SSag



Dr. Enrique Mendoza López
Webmaster: CONAPEME
Coordinador Nacional: Seminario Ciberpeds-Conapeme
Av La Clinica 2520-310 col Sertoma
Monterrey N.L. CP 64718
Tel (81) 83482940, (81)81146053
Cel 0448183094806

Corazon y hormonas / Heart and hormones

Julio 23, 2017. No. 2758

Corazón, lípidos y hormonas. La enfermedad cardiovascular es la principal causa de muerte en la población general. Además de los factores de riesgo bien conocidos, como la hipertensión, la tolerancia a la glucosa y la dislipidemia, la evidencia creciente sugiere que los cambios hormonales en diversas enfermedades endocrinas también afectan la morfología cardíaca y la función. Estudios recientes destacan la importancia de la disposición ectópica intracelular de lípidos miocárdicos y pericárdicos, ya que incluso ligeros cambios en estos depósitos de grasa se asocian con alteraciones en el rendimiento cardíaco. En esta revisión se describen los efectos de las hormonas, como la insulina, las hormonas tiroideas, la hormona del crecimiento y el cortisol, sobre la función cardíaca, centrándose en su impacto en el metabolismo de los lípidos miocárdicos, la utilización de sustrato cardiaco y la diusposión ectópica de lípidos, de incluso sutiles cambios hormonales para la función cardíaca en diversas enfermedades endocrinas y metabólicas. PALABRAS CLAVE: esteatosis cardiaca; Cardiomiopatía diabética; Hipotiroidismo; Lípidos miocárdicos Heart, lipids and hormones. Wolf P1, Winhofer Y1, Krssak M1,2, Krebs M3. Endocr Connect. 2017 May;6(4):R59-R69. doi: 10.1530/EC-17-0031. Epub 2017 Apr 18. Abstract Cardiovascular disease is the leading cause of death in general population. Besides well-known risk factors such as hypertension, impaired glucose tolerance and dyslipidemia, growing evidence suggests that hormonal changes in various endocrine diseases also impact the cardiac morphology and function. Recent studies highlight the importance of ectopic intracellular myocardial and pericardial lipid deposition, since even slight changes of these fat depots are associated with alterations in cardiac performance. In this review, we overview the effects of hormones, including insulin, thyroid hormones, growth hormone and cortisol, on heart function, focusing on their impact on myocardial lipid metabolism, cardiac substrate utilization and ectopic lipid deposition, in order to highlight the important role of even subtle hormonal changes for heart function in various endocrine and metabolic diseases. KEYWORDS: cardiac steatosis; diabetic cardiomyopathy; hypothyroidism; myocardial lipids PDF Sistema endocrino y corazón: una revisión Soo S. Rhee y Elizabeth N. Pearce Rev Esp Cardiol. 2011;64(3):220-231 Resumen Una función endocrina normal es esencial para la salud cardiovascular. Los trastornos del sistema endocrino, consistentes en hiperfunción o hipofunción hormonales, tienen múltiples efectos en el sistema cardiovascular. En esta revisión se comentan la epidemiología, el diagnóstico y el tratamiento de los trastornos de las glándulas hipófisis, tiroides, paratiroides y suprarrenales en lo relativo a sus repercusiones de disfunción endocrina en el sistema cardiovascular. Se revisan también los efectos beneficiosos cardiovasculares que aporta el restablecimiento de una función endocrina normal. PDF XIV Congreso Virtual Mexicano de Anestesiología 2017 Octubre 1-Diciembre 31, 2017 Información / Information

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