Advances in the Neuroscience of Addiction

Cynthia M. Kuhn, George F. Koob - Advances in the Neuroscience of Addiction
CRC Press | ISBN: 0849373913 | 2010-04-05 | PDF | 238 pages | 12.40 Mb

Understanding the phenomenon of long-lasting vulnerability to addiction is essential to developing successful treatments. Written by a distinguished international team of contributors who are authorities in their respective fields, Advances in the Neuroscience of Addiction provides an excellent overview of the available and emerging approaches used to investigate the biologic mechanisms of drug addiction. It also delineates the promising research discoveries being made in relapse prevention.

The book begins with current animal models of addiction, which mimic the state of humans entering treatment: recently-abstinent animals that receive common triggers for relapse (classical conditioning, stress, and neuroadaptive dysregulation). Coverage then shifts to the use of electrophysiologic approaches, which enable researchers to characterize the discharge patterns of single neurons during drug self-administration. After exploring advances in voltammetry and enzyme-linked biosensors for measuring glutamate, the book discusses the theoretical background and results of neuroimaging studies related to neuronal networks that are activated by drug-specific cues. It then describes modern genetic approaches to manipulate target proteins that influence addictive behavior.

The book rounds out its coverage by illustrating how a neuroeconomic approach can inform studies of reward processing in general and addiction in particular. It is a comprehensive introduction to the methodologies of the field for students and beginning researchers and an essential reference source for established investigators.

http://depositfiles.com/es/files/345kvmwqi


Best regards

Hiperbilirrubinemia en ninos

 

Te envio las guias NICE 2010 que estan super buenas:
http://www.nice.org.uk/nicemedia/live/12986/48578/48578.pdf

 

¿Qué intervenciones resultan más efectivas para promover entre los profesionales de salud la adhesión al concepto de "toma compartida de decisiones" entre médico y paciente? [Archivo adjunto 1]

----------

 

[Más abajo se incluyen archivos adjuntos de carlos bada]

Interesante revision

Saludos

Carlos

 

 

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Archivos adjuntos de carlos bada

Archivo 1 de 1

Interventionsforimprovingtheadoption.pdf

 

Evaluacion clnica de la rodilla

http://click2.nejm.org/cts/click?q=137%3B67423319%3Bvt%2FQApB5otIb2r4WxWpKljLjbYWJplVp6o1z6KfK2KM%3D

{emergencias_y_desastres} Critical Care Medicine August 2010 - Volume 38 - Issue 8

 

Critical Care Medicine August 2010 - Volume 38 - Issue 8

Critical Care Medicine August 2010 - Volume 38 - Issue 8 Feature Articles A history of resolving conflicts over end-of-life care in intensive care units in the United States * Luce, John M. Critical Care Medicine. 38(8):1623-1629, August 2010. Phase II trial on the use of Dextran 70 or starch for supportive therapy in Kenyan children with severe malaria * Akech, Samuel O.; Jemutai, Julie; Timbwa, Molline; Kivaya, Esther; Boga, Mwanamvua; Fegan, Greg; Maitland, Kathryn Critical Care Medicine. 38(8):1630-1636, August 2010. Cold aortic flush and chest compressions enable good neurologic outcome after 15 mins of ventricular fibrillation in cardiac arrest in pigs * Janata, Andreas; Weihs, Wolfgang; Schratter, Alexandra; Bayegan, Keywan; Holzer, Michael; Frossard, Martin; Sipos, Wolfgang; Springler, Gregor; Schmidt, Peter; Sterz, Fritz; Losert, Udo M.; Laggner, Anton N.; Kochanek, Patrick M.; Behringer, Wilhelm Critical Care Medicine. 38(8):1637-1643, August 2010. Continuing Medical Education Articles Therapeutic strategies for severe acute lung injury Diaz, Janet V.; Brower, Roy; Calfee, Carolyn S.; Matthay, Michael A. Critical Care Medicine. 38(8):1644-1650, August 2010. A survival benefit of combination antibiotic therapy for serious infections associated with sepsis and septic shock is contingent only on the risk of death: A meta-analytic/meta-regression study Kumar, Anand; Safdar, Nasia; Kethireddy, Shravan; Chateau, Dan Critical Care Medicine. 38(8):1651-1664, August 2010. Continuing Medical Education Questions Critical Care Medicine. 38(8):1665, August 2010. Clinical Investigations Is heart period variability associated with the administration of lifesaving interventions in individual prehospital trauma patients with normal standard vital signs? * Rickards, Caroline A.; Ryan, Kathy L.; Ludwig, David A.; Convertino, Victor A. Critical Care Medicine. 38(8):1666-1673, August 2010. Validity and reliability of an intuitive conscious sedation scoring tool: The nursing instrument for the communication of sedation * Mirski, Marek A.; LeDroux, Shannon N.; Lewin, John J. III; Thompson, Carol B.; Mirski, Kara T.; Griswold, Michael Critical Care Medicine. 38(8):1674-1684, August 2010. A randomized, double-blind, placebo-controlled trial of TAK-242 for the treatment of severe sepsis * Rice, Todd W.; Wheeler, Arthur P.; Bernard, Gordon R.; Vincent, Jean-Louis; Angus, Derek C.; Aikawa, Naoki; Demeyer, Ignace; Sainati, Stephen; Amlot, Nicholas; Cao, Charlie; Ii, Masayuki; Matsuda, Hideyasu; Mouri, Kouji; Cohen, Jon Critical Care Medicine. 38(8):1685-1694, August 2010. Acute renal failure is NOT an "acute renal success"-a clinical study on the renal oxygen supply/demand relationship in acute kidney injury Redfors, Bengt; Bragadottir, Gudrun; Sellgren, Johan; Swärd, Kristina; Ricksten, Sven-Erik Critical Care Medicine. 38(8):1695-1701, August 2010. Laboratory Investigations Patients with acute pancreatitis complicated by organ failure show highly aberrant monocyte signaling profiles assessed by phospho-specific flow cytometry * Oiva, Jani; Mustonen, Harri; Kylänpää, Marja-Leena; Kyhälä, Lea; Alanärä, Tiina; Aittomäki, Saara; Siitonen, Sanna; Kemppainen, Esko; Puolakkainen, Pauli; Repo, Heikki Critical Care Medicine. 38(8):1702-1708, August 2010. Quantitative assessment of somatosensory-evoked potentials after cardiac arrest in rats: Prognostication of functional outcomes * Madhok, Jai; Maybhate, Anil; Xiong, Wei; Koenig, Matthew A.; Geocadin, Romergryko G.; Jia, Xiaofeng; Thakor, Nitish V. Critical Care Medicine. 38(8):1709-1717, August 2010. Role of regulatory T cells in long-term immune dysfunction associated with severe sepsis Nascimento, Daniele C.; Alves-Filho, José C.; Sônego, Fabiane; Fukada, Sandra Y.; Pereira, Marcelo S.; Benjamim, Claudia; Zamboni, Dario S.; Silva, João S.; Cunha, Fernando Q. Critical Care Medicine. 38(8):1718-1725, August 2010. Cerebral effects of hyperglycemia in experimental cardiac arrest Lennmyr, Fredrik; Molnar, Maria; Basu, Samar; Wiklund, Lars Critical Care Medicine. 38(8):1726-1732, August 2010. Bone marrow-derived mononuclear cell therapy in experimental pulmonary and extrapulmonary acute lung injury Araújo, Indianara M.; Abreu, Soraia C.; Maron-Gutierrez, Tatiana; Cruz, Fernanda; Fujisaki, Livia; Carreira, Humberto Jr; Ornellas, Felipe; Ornellas, Debora; Vieira-de-Abreu, Adriana; Castro-Faria-Neto, Hugo C.; Muxfeldt Ab'Saber, Alexandre; Teodoro, Walcy R.; Diaz, Bruno L.; Peres DaCosta, Carlos; Capelozzi, Vera L.; Pelosi, Paolo; Morales, Marcelo M.; Rocco, Patricia R. M. Critical Care Medicine. 38(8):1733-1741, August 2010. Editorials Futility in the intensive care unit: Hard cases make bad law * Curtis, J. Randall; Burt, Robert A. Critical Care Medicine. 38(8):1742-1743, August 2010. Severe malaria and sepsis: Will one fluid strategy suit both? * Molyneux, Elizabeth Critical Care Medicine. 38(8):1744-1745, August 2010. This is cool! Hypothermia, chest compressions, and ventilation can be accomplished in a large animal cardiac arrest model: Paving the way to human clinical trials * Helfaer, Mark A.; Topjian, Alexis Critical Care Medicine. 38(8):1745-1746, August 2010. Half empty or half full? * Batchinsky, Andriy I.; Cancio, Leopoldo C.; Buchman, Timothy G. Critical Care Medicine. 38(8):1747-1748, August 2010. Communication of sedation in the intensive care unit: Is it the real issue? * Ramelet, Anne-Sylvie Critical Care Medicine. 38(8):1748-1749, August 2010. Biomarkers as end points in clinical trials of severe sepsis: A garden of forking paths * Salluh, Jorge I. F.; Póvoa, Pedro Critical Care Medicine. 38(8):1749-1751, August 2010. Once bitten, twice shy: Defective monocyte signaling in acute pancreatitis * McGregor, Richard J.; Mole, Damian J. Critical Care Medicine. 38(8):1751-1752, August 2010. Promising prognostic potentials: Perhaps * Young, G. Bryan Critical Care Medicine. 38(8):1753, August 2010. Letters to the Editor Vancomycin plus rifampicin for methicillin-resistant Staphylococcus aureus pneumonia benefits only those who have no development of rifampicin resistance during treatment Tan, Che-Kim; Lai, Chih-Cheng; Lin, Sheng-Hsiang; Hsueh, Po-Ren Critical Care Medicine. 38(8):1754, August 2010. Vancomycin plus rifampicin for methicillin-resistant Staphylococcus aureus pneumonia benefits only those who have no development of rifampicin resistance during treatment Lim, Chae-Man; Jung, Young Ju Critical Care Medicine. 38(8):1754-1755, August 2010. Financial disclosures in clinical practice guidelines Kahn, Jeremy M.; Rubenfeld, Gordon D. Critical Care Medicine. 38(8):1755-1756, August 2010. Response from the Editor-in-Chief of Critical Care Medicine Parrillo, Joseph E. Critical Care Medicine. 38(8):1756-1757, August 2010. Predicting dead space ventilation in critically ill patients using clinically available data Sue, Darryl Y. Critical Care Medicine. 38(8):1757, August 2010. Lazarus phenomenon, autoresuscitation, and nonheart-beating organ donation Rady, Mohamed Y.; Verheijde, Joseph L. Critical Care Medicine. 38(8):1757-1758, August 2010. doi: 10.1097/CCM.0b013e3181defd10 + Favorites EPUB PDF (365 KB) Lazarus phenomenon, autoresuscitation, and nonheart-beating organ donation Shemie, Sam D.; Hornby, Karen; Hornby, Laura Critical Care Medicine. 38(8):1758-1759, August 2010. Is passive leg raising safe in mechanically ventilated patients receiving enteral nutrition? Nseir, Saad; Lubret, Rémy Critical Care Medicine. 38(8):1759, August 2010. Mechanical ventilation can cause changes in pulmonary circulation Ñamendys-Silva, Silvio A.; Domínguez-Cherit, Guillermo Critical Care Medicine. 38(8):1759-1760, August 2010. Breathing requirement and metabolic rate during cardiopulmonary resuscitation: Cardiac arrest during exercise Tiangco, Dexter; Haouzi, Philippe Critical Care Medicine. 38(8):1760-1761, August 2010. Defining death in donation after circulatory determination of death protocols: A bluish shade of violet Zamperetti, Nereo Critical Care Medicine. 38(8):1761, August 2010. Defining death in donation after circulatory determination of death protocols: A bluish shade of violet Bernat, James L.; Capron, Alexander M. Critical Care Medicine. 38(8):1761-1762, August 2010. doi: 10.1097/CCM.0b013e3181e285cb   http://ifile.it/146pfuq

 

Pancreatic Cancer 2008 Edition

 

Since the previous M.D. Anderson Solid Tumor Oncology Series publication on pancreatic cancer, there have been major advances in our understanding of molecular events which underlie pancreatic cancer development, both in the sporadic and inherited forms. We have seen the development of the first mouse models that accurately recapitulate features of the human disease. Several landmark clinical trials in both resectable and metastatic pancreatic cancer have been completed, raising new questions about the standard of care in this disease. Finally, the era of targeted biologic therapies has engendered new excitement about the prospects of more rapid progress in understanding and successfully treating this dreadful disease. Therefore, it is an appropriate time to review these important advances and outline areas of controversy and question in pancreatic cancer biology and treatment.

http://depositfiles.com/es/files/drzbvr7x8

http://www.megaupload.com/?d=2PQWD71Y

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GUIAS CLINICAS PARA REVISION

https://mail.google.com/mail/?ui=2&ik=14d8f0f8db&view=att&th=129ad92f4d947b68&disp=zip

 

BUENOS DIAS:  LES ENVIO  LAS GUIAS CLINICAS QUE SE HAN ELABORADO PARA  EL DEPARTAMENTO DE MEDICINA , FALTA LAS GUIAS CLINICAS DE LA UNIDAD DE CUIDADOS CRITICOS QUE TAMBIEN SE ESTAN ELABORANDO . EL MOTIVO DE ELABORAR LAS GUIAS ES PORQUE  EN EL MES DE SETIEMBRE (1RA SEMANA)  ESTAREMOS PASANDO LA EVALUACION PARA LA ACREDITACION DEL HOSPITAL Y DEBEMOS TENER NUESTRAS GUIAS  Y NUESTROS FORMATOS.

ESPERO COMENTARIOS

SALUDOS 

                 JCCA

 

P.D.  SI ALGUIEN DESEA ELABORAR ALGUNAS GUIAS COMO ESTATUS CONVULSIVO, ESTATUS ASMATICO,  CASI AHOGAMIENTO , INTOXICACION POR BENZODIAZEPINAS  , ESOFAGITIS CAUSTICA  ENTRE OTROS  , COMUNICAR  PARA  TOMARLO EN CUENTA .

LA DRA  ALVARADO  ESTA ELABORANDO LA GUIA DE CETOSIS DIABETICA

DRA   DELGADO  ESTA ELABORANDO  LA GUIA DE SINDROME DOLOROSO ABDOMINAL  Y SIND.  ICTERICO

--
Publicado por Claudio Mori Gonzales para Casimiro Ulloa el 7/12/2010 11:24:00 PM

INFORMACION XVI CONGRESO PERUANO Y XXXII CURSO INTERNACIONAL DE MEDICINA INTERNA

Estimados Colegas:

 

La Presidenta de la Sociedad Peruana de Medicina Interna tiene el agrado de invitar a usted al XVI Congreso Peruano y XXXII Curso Internacional de Medicina Interna que se llevará a cabo del 28 al 31 de octubre en Los Delfines Hotel & Casino.

Se desarrollarán 7 Simposios, 14 Conferencias Magistrales y 6 Cursos Internacionales, participarán como ponentes connotados Profesores de la
American College of Physicians, American College of Cardiology, Clínica Mayo y la Universidad de Miami.

Se está recepcionando los Abstracts siendo la fecha límite el 31 de Agosto, los mejores trabajos serán premiados.

Adjuntamos el formulario de presentación de Abstracts y el Formulario de Inscripción con el detalle de las cuotas de inscripción y el número de
nuestra cuenta, el mismo que puede completarlo con sus datos y enviarlo por esta vía junto con su pago respectivo.

Su inscripción temprana le permitirá beneficiarse de interesantes descuentos.

Los esperamos.

Dra. Rosa Cotrina
Presidenta SPMI

__________ Información de ESET NOD32 Antivirus, versión de la base de firmas de virus 5272 (20100712) __________

ESET NOD32 Antivirus ha comprobado este mensaje.

http://www.eset.com

GUIAS SOBRE ASMA- BRONQUIOLITIS [Archivos adjuntos 4]

 

[Más abajo se incluyen archivos adjuntos de Edwin Villacorta]

VARIOS ARTICULOS sobre ASMA y bronquiolitis en especial En este link 4 folletos sobre asma http://www.gemasma.com/presentacion/historico.asp UN ABRAZO y FELIZ DOMINGO "ESHPAÑHIA CAMPIÒN" Edwin Villacorta V. MEDICO PEDIATRA   Mi galeria de FOTOS http://evillitaz.hi5.com BEBÈ SANO - La mejor web para padres primerizos (machuca en el link) http://geocities.com/bebesano/   MIEMBRO DE SALUD LORETO (haz click  en el link) http://es.groups.yahoo.com/group/SALUD_LORETO/

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Archivos adjuntos de Edwin Villacorta

Archivo 4 de 4

BRONQ_1.rar

BRONQ_2.rar

BRONQ_3.rar

BRONQ_4.rar

 

GUIAS SOBRE ASMA - BRONQUIOLITIS

----------

 

ojala que contenga los 4 archivos adjuntos este reenvio

Atte.
MÁXIMO CUADROS

http://es.groups.yahoo.com/group/interno_residente_medico_PERU/
http://es-la.facebook.com/people/Maximo-Cuadros-Chavez/100001101314342

http://medicalia.ning.com/
http://www.medsocial.org/
http://medbook.ning.com/
http://irm-peru.ning.com/

UNYK: 245 HRP

----- Mensaje reenviado ----
De: Edwin Villacorta <evillitaz@yahoo.com>
Para: Salud Loreto <salud_loreto@yahoogroups.com>
CC: Grupo William <PEDIATRIA_PERU@yahoogroups.com>
Enviado: dom,11 julio, 2010 18:09
Asunto: [SALUD_LORETO] GUIAS SOBRE ASMA- BRONQUIOLITIS [Archivos adjuntos 4]

 

VARIOS ARTICULOS sobre ASMA y bronquiolitis en especial En este link 4 folletos sobre asma http://www.gemasma. com/presentacion /historico. asp UN ABRAZO y FELIZ DOMINGO "ESHPAÑHIA CAMPIÒN" Edwin Villacorta V. MEDICO PEDIATRA   Mi galeria de FOTOS http://evillitaz. hi5.com BEBÈ SANO - La mejor web para padres primerizos (machuca en el link) http://geocities. com/bebesano/   MIEMBRO DE SALUD LORETO (haz click  en el link) http://es.groups. yahoo.com/ group/SALUD_ LORETO/

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Diabetes e hipotiroidismo [Archivo adjunto 1]

 

[Más abajo se incluyen archivos adjuntos de Carlos Manuel Del Aguila Villar]

Ahi va un articulo relacionado al tema....

Dr. Carlos Manuel Del Aguila Villar

Servicio de Endocrinología del Instituto Nacional de Salud del Niño-Lima Perú

Magister en Nutrición

http://profesordelaguila.blogspot.com/

 

 

 

 

Diagnostico de hipotiroidismo subclinico en el paciente diabetico, alguien puede ayudarme.

Gracia por su atencion. Gengis Mendez Guatemala

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Archivos adjuntos de Carlos Manuel Del Aguila Villar

Archivo 1 de 1

hipotiroidismo y diabetes.pdf

] Emergencies in Urology

Emergencies in Urology

Publisher: Springer
Number Of Pages: 687
Publication Date: 2007-07-11
Sales Rank: 2506695
ISBN / ASIN: 3540486038

http://hotfile.com/dl/53675653/7420df9/Emergencies_Urology.pdf.html

--
welcome to http://www.myescience.com   a good password forum, and medcine forum,  we provider special resoucres (some passwords)  for donators who donate >100 usd,  open http://www.myescience.com

  you can use paypal to donate, click the orange donate of index, or you can donate will western union (for member's group higher than Sophomores ),
For more options, visit this group at
http://groups.google.com/group/medical-passwords?hl=en

Cambiando conceptos sobre Hipertension

Limitations of the usual blood-pressure hypothesis and importance of variability, instability, and episodic hypertension

Original Text

Prof Peter M Rothwell FMedSci a

Summary

Although hypertension is the most prevalent treatable vascular risk factor, how it causes end-organ damage and vascular events is poorly understood. Yet, a widespread belief exists that underlying usual blood pressure can alone account for all blood-pressure-related risk of vascular events and for the benefits of antihypertensive drugs, and this notion has come to underpin all major clinical guidelines on diagnosis and treatment of hypertension. Other potentially informative measures, such as variability in clinic blood pressure or maximum blood pressure reached, have been neglected, and effects of antihypertensive drugs on such measures are largely unknown. Clinical guidelines recommend that episodic hypertension is not treated, and the potential risks of residual variability in blood pressure in treated hypertensive patients have been ignored. This Review discusses shortcomings of the usual blood-pressure hypothesis, provides background to accompanying reports on the importance of blood-pressure variability in prediction of risk of vascular events and in accounting for benefits of antihypertensive drugs, and draws attention to clinical implications and directions for future research.

BLOGS para medicos

---------- Mensaje reenviado ----------
De: Máximo Cuadros <maximocuadros@yahoo.es>
Fecha: 8 de julio de 2010 13:40
Asunto: [interno_residente_medico_PERU] BLOGS para medicos
Para: interno_residente_medico_PERU@yahoogroups.com

 

USALbiomédica
http://usalbiomedica.wordpress.com/acerca-de/

 

Atte.
MÁXIMO CUADROS

http://es.groups.yahoo.com/group/interno_residente_medico_PERU/
http://es-la.facebook.com/people/Maximo-Cuadros-Chavez/100001101314342

http://medicalia.ning.com/
http://www.medsocial.org/
http://medbook.ning.com/
http://irm-peru.ning.com/

UNYK: 245 HRP

__._,_.___

BLOGS para medicos

mas BLOGS para medicos 

__._,_.___

Urticaria and Angioedema

Urticaria and Angioedema
Publisher:Informa Healthcare | Pages:528 | 2004-04-23 | ISBN:0824753151 | PDF | 59 MB

Exploring current treatment options for skin conditions affecting more than 20% of the population, this reference examines every type of urticaria and angioedema, reviews the mechanisms common to all types of these disorders, and discusses the uses and limitations of existing and emerging treatment regimens for urticaria and angioedema, including alternative therapeutic approaches.

http://uploading.com/files/a834fe25/3858_UrANg.rar/


Best regards

--
welcome to http://www.myescience.com a good password forum, and medcine forum, we provider special resoucres (some passwords) for donators who donate >100 usd, open http://www.myescience.com

you can use paypal to donate, click the orange donate of index, or you can donate will western union (for member's group higher than Sophomores ),
For more options, visit this group at
http://groups.google.com/group/medical-passwords?hl=en

Have you heard?

Have you heard? The Lancet's Impact Factor has recently gone up to 30.76 - just one more reason why you should read the independent and authoritative voice in global medicine.   More essential reading from The Lancet - Most read articles in 2010 - Sign up for ETOCs - Plus Video and Audio content Need more reasons why you should read The Lancet? • The journal is currently ranked second in the general medicine category (ISI Journal Citation Reports, 2009), which makes it one of the world's leading medical journals. • The Lancet remains independent without affiliation to a medical or scientific organization, ensuring our coverage is truly impartial. • Gain a professional edge by receiving the highest standard and most clinically relevant articles published across the full breadth of global medicine. • All articles are stringently peer-reviewed and edited for scientific and clinical relevance. Many of the articles published in The Lancet are practice changing and policy changing. • Fast-Tracked articles are published first online and live on thelancet.com before the print issue, reaching over 1.9 million registered users • Fast-Tracked articles are published within 4 weeks of submission, bringing you ground-breaking research when you need it most • Dig deeper into key global issues by listening to The Lancet Podcast featuring editorial staff and interviews with the study authors of key papers Since 1823 our mission has been to publish the best medical science in the world with a zeal to counter the forces that undermine the values of medicine, be they political, social, or commercial. We seek to publish high-quality clinical trials that will alter medical practice, and our commitment to international health ensures that research and analysis from all regions of the world is widely covered. Stay informed with the independent and authoritative voice in global medicine. For more information visit: www.thelancet.com Most read articles via TheLancet.com* Below are the Top 10 most read articles from The Lancet in 2010 to date. 1. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5 2. Once-only flexible sigmoidoscopy screening in prevention of colorectal cancer: a multicentre randomised controlled trial 3. Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension 4. Worldwide mortality in men and women aged 15-59 years from 1970 to 2010: a systematic analysis 5. Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin trials 6. Postexposure protection of non-human primates against a lethal Ebola virus challenge with RNA interference: a proof-of-concept study 7. Neonatal, postneonatal, childhood, and under-5 mortality for 187 countries, 1970-2010: a systematic analysis of progress towards Millennium Development Goal 4 8. Limitations of the usual blood-pressure hypothesis and importance of variability, instability, and episodic hypertension 9. Group cognitive behavioural treatment for low-back pain in primary care: a randomised controlled trial and cost-effectiveness analysis 10. Survival as a function of HbA1c in people with type 2 diabetes: a retrospective cohort study * In 2010. Articles are available to purchase individually or can be accessed via a full Online Only subscription with a 25% discount available until 30 July. Click here to subscribe SUBSCRIBE AND SAVE 25% > Get full access to The Lancet via an Online Only 'paper free' subscription.   Until 30 July 2010 you can subscribe at only 75% of the normal price. - High-quality research, challenging editorial and a global outlook. - Access all articles dating back to 1996 - 14 years of content and pay for only 39 issues. To subscribe, click here ARTICLE COLLECTIONS > All content published by The Lancet journals - in your specialty. Each of our 15 Specialty Collections is fully searchable, and clustered into topics to make it even quicker to find the article you want.  Pay only for the collection, topics and articles you need. For more information click here.     You are receiving this email because you are a registered user on TheLancet.com and opted in to receive related information from TheLancet.com. This email has been sent from The Lancet, Elsevier Limited, The Boulevard, Langford Lane, Kidlington, Oxford, OX5 1GB, registered in England with registered number 1982084.   To update your profile, click here, log in with your username and password, and amend your preferences. If you are unable to remember your log-in details, you can unsubscribe by clicking here. Forgotten your password? Click here - for a reminder. Copyright © 2010 Elsevier Limited. All rights reserved. Please read our site's Privacy Policy. THE LANCET ® is a registered trademark of Elsevier Properties SA, used under license.

MEDICAL CLINICS OF NORTH AMERICA - July 2010

 

---        Drug_Hypersensitivi ty_Reacti - Medical Clinics of North America   Salta - un día espectacular- -----linda como siempre

__._,_.___

Responder a remitente | Responder a grupo | Responder mediante la Web | Crear un tema nuevo

Mensajes con este tema (2)

Actividad reciente:

Visita tu grupo

Cambiar a: Solo Texto, Rese\xc3\xb1a Diaria • Cancelar suscripción • Condiciones de uso

.

__,_._,___

--
Claudio Guido Mori Gonzales
DNI 07963726
CMP 18700

Manejo de las GECAs en Menores de 5 años. Un enfoque basado en la evidencia [Archivo adjunto 1]

 

[Más abajo se incluyen archivos adjuntos de William Arellano Santillan]

Manejo de la gastroenteritis aguda en menores de 5años: Guía de práctica clínica Ibero-Latinoamericana.
Un enfoque basado en la evidencia
      WILLIAM ARELLANO
               Pediatra
facebook.com/William.Virgo.
          RPM: #893353
         Cel: 964 713855

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Archivos adjuntos de William Arellano Santillan

Archivo 1 de 1

Guía Ibero Latinoamericana de gastroenteritis en niños menores de 5años.pdf

Sindrome de West SOLICITADO [Archivo adjunto 1]

 

[Más abajo se incluyen archivos adjuntos de genaro julca villarreal]

DR ROJAS LE HAGO LLEGAR SU ARTICULO SOLICITADO,ESPERO LE SEA MUY UTIL

ATENTAMENTE

FABIAN JULCA

---

De: Juan Rojas <memval2003@yahoo.com>

Para: SALUD_LORETO@yahoogroups.com

Enviado: vie,2 julio, 2010 03:34
Asunto: [SALUD_LORETO] Sindrome de West :Ayuda por favor !!

 

Estimados:
Necesito con urgencia preparar una puesta al dia del Sindrome de West y su etiología.

Por ejemplo, este articulo

Epilepsy Res. 2006 Aug;70 Suppl 1:S87-95.
A new paradigm for West syndrome based on molecular and cell biology.
Kato M.

Muy agradecido de antemano
Juan Rojas

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Archivos adjuntos de genaro julca villarreal

Archivo 1 de 1

fabian julca.pdf

Superando barreras para los nuevos tratamientos

 

Buenos días   La vida está llena de ventajas y desventajas. Nadie entiende esto mejor que una persona con una enfermedad crónica o discapacidad.   ¿Debería existir el esfuerzo para disminuir los costos de tratamiento?¿O el énfasis debería ser puesto en el desarrollo de nuevos y mejores tratamientos?   Más información en el siguiente enlace:   http://redsaf.org/blog/?p=196   Saludos cordiales   Q.F. Aldo Alvarez Risco Red Sudamericana de Atención Farmacéutica www.redsaf.org Síguenos en Twitter  http://twitter.com/redsaf

 

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Procalcitonina e Infecciones [Archivo adjunto 1]

 

[Más abajo se incluyen archivos adjuntos de Manuel Mayorga]

La procalcitonina (PCT) es sintetizada por un amplio numero de tejidos y organos en respuesta a la invasion por bacterias, pero tambien por algunos parasitos (malaria) y hongos. Los examenes actuales de PCT son rapidos, especificos  y lo suficientemente sensibles para detectar incrementos en los niveles sericos de PCT dentro de las 4 a 6 horas de inicio de la infeccion. Desde el punto de vista de nuestra practica clinica los niveles de PCT pueden ayudarnos a tomar decisiones respecto a la necesidad de iniciar tratamiento antibiotico empirico (diferenciar entre infeccion viral vs bacteriana), evaluar el adecuado control del foco primario en las infecciones quirurgicas y la duracion del tratamiento antimicrobiano. El dosaje de PCT junto con los cultivos tambien nos permitiria discernir entre colonizacion vs infeccion por bacterias patogenicas.

Este examen ya se encuentra en el Peru desde hace buen tiempo pero creo que aun no hemos podido sacarle el debido provecho. Dado su alto valor predictivo negativo me parece que es una valiosa herramienta para un uso mas racional y prudente de los antibioticos en el ambito hospitalario, permitiendo tambien el desescalamiento o descontinuacion precoz de antibioticos, especialmente en la UCI. ¿A lo mejor tambien podria ser agregado dentro de la pregunta 4 del checklist en UCI?

Adjunto les envio un minireview publicado en el ultimo numero del Journal of Clinical Microbiology sobre este tema que debemos retomar.

 

 

Saludos cordiales

 

Dr. MANUEL MAYORGA ESPICHÁN

Médico Intensivista - Maestría en Enfermedades Infecciosas

Jefe de la Unidad de Terapia Intensiva del Hospital Central de la FAP

Past-Presidente de la Sociedad Peruana de Medicina Intensiva

Presidente del Comité de Eventos Científicos e Informes Técnicos (CECIT)

Consejo Nacional del Colegio Médico del Perú

Director Ejecutivo de Red Intensiva Perú

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Archivos adjuntos de Manuel Mayorga

Archivo 1 de 1

MiniReview Procalcitonina, JCM 2010.pdf

 

VIH

 

Actualizaciones

Infecciones por retrovirus. Infección por el VIH (I). Epidemiología, aspectos patogénicos y formas clínicas
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Complicaciones infecciosas en la infección por el VIH
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Complicaciones no infecciosas en la infección por el VIH
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Tratamiento de la infección por el VIH. Fármacos antirretrovirales
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Atención general y extrahospitalaria del paciente con infección por el VIH
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Protocolos

Protocolo diagnóstico del cuadro febril sin foco aparente en pacientes con infección por el VIH
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Protocolo diagnóstico de rash cutáneo en paciente con infección por el VIH
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Protocolo diagnóstico de las infiltraciones pulmonares en pacientes con infección por el VIH
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Protocolo diagnóstico de la afectación del sistema nervioso central en pacientes con infección por el VIH
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Protocolo diagnóstico y terapéutico de la diarrea en pacientes con infección por el VIH
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Protocolo diagnóstico de la pérdida de peso en el paciente con infección por el VIH

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Atte.
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UNYK: 245 HRP

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] pediatric nephrology shu

2010/7/3 moderadosb <moderadosb@gmail.com>

Please, need this very urgent.

 

Cardiomyopathy: a late complication of hemolytic uremic syndrome.
A M Walker, L N Benson, G J Wilson, G S Arbus
Pediatr Nephrol
April 1997 (Vol. 11, Issue 2, Pages 221-2)

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date rape:betahidroxibutirato

1.        Gamma-hydroxybutyrate. An endogenous short-chain fatty acid that occurs naturally in the body, this illegal substance is not detected by standard toxicology screens. It has emerged as an important intoxicant. It is often sold to participants at large dance parties ("raves") and has been responsible for mass intoxications (Prehosp Emerg Care 3:357, 1999 ). It has also been used as a "date rape" drug. Synonyms include "liquid Ecstasy," "liquid E," "grievous bodily harm," "Georgia home boy," "soap," "salty water," and "organic Quaaludes."

a.        Symptoms include ataxia, nystagmus, somnolence progressing to coma, vomiting, and random clonic movements of the face and extremities. EEG recording supports the belief that these represent myoclonus and not true seizures. Respiratory depression may progress to apnea.

b.        Treatment. Absorption is very rapid, and lavage and activated charcoal administration are of little use. Do not induce emesis. The drug is not antagonized by naloxone or flumazenil. Experimental but no clinical evidence has been found for the use of physostigmine, and its use is not recommended. Administer oxygen and protect the airway; monitor oxygenation. Obtain electrolytes and glucose and establish an IV line. Stimulation, including endotracheal intubation, may stimulate violently aggressive behavior. Give atropine for persistent symptomatic bradycardia. Treat hypotension with IV fluids; pressors are rarely necessary. Obtain an ECG and monitor the cardiac rhythm continuously. Intoxication is usually short lived; coma typically lasts for 1-2 hours, and full recovery often occurs within 8 hours. Stable asymptomatic patients can be discharged after 6 hours of observation. Admit any patient who is still clinically intoxicated after 6 hours (Ann Emerg Med 31:729, 1998 ).

Date rape

From Wikipedia, the free encyclopedia

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The examples and perspective in this article may not represent a worldwide view of the subject. Please improve this article and discuss the issue on the talk page. (May 2009)

This article needs additional citations for verification. Please help improve this article by adding reliable references. Unsourced material may be challenged and removed. (May 2009)

For other uses, see Date rape (disambiguation).

Main article: Types of rape

"Date rape", often referred to as "acquaintance rape", is an assault or attempted assault usually commited by a new acquaintance involving sexual intercourse without mutual consent.^[1][2]

• The term "date rape" is widely used. But most experts prefer the term "drug-facilitated sexual assault." However, this term evidently has a more limited scope as it does not include non-drug-assisted rapes. These drugs also are used to help people commit other crimes, like robbery and physical assault. They are used on both men and women. The term "date rape" also can be misleading because the person who commits the crime might not be dating the victim. Rather, it could be an acquaintance or stranger.^[3]

Contents [hide] 1 Drug-facilitated date rape 2 Laws 2.1 United States 3 Social issues 4 See also 5 References 6 External links

[edit] Drug-facilitated date rape

Drug-facilitated date rape is the use of drugs to assist the attacker in a rape. The drug can be any substance that is physical or mind altering.

Drug facilitated sexual assault (DFSA), which is considered an umbrella term for crimes such as drug-facilitated date rape, differs from many rapes in that it is not typically a crime of physical violence but rather of sexual hedonism and entitlement.

Instances of drug facilitated sexual assault have been found in the Bible.^[4]

While the phenomenon is not new DFSA emerged as public concern that mostly occurred in social settings. Alcohol was the original date rape agent.

Rohypnol^[5] (trade name for Flunitrazepam), is commonly known as a "club drug" because it is usually used in dance clubs and raves. Street names include: Circles, Forget Pill, LA Rochas, Lunch Money, Mexican Valium, Mind Erasers, Roach, Roopies, Roofies, R-2, Roches Dos, Rope, Rophies, Stupifi, Shays, Groundies, etc.^[1][3]

Ketamine^[6] is commonly known as: Black Hole, Bump, Cat Valium, Green, Jet, K, Kit Kat, Psychedelic heroin, Purple, Special K, Super Acid, Keller, Super C, etc.^[3][7]

In 2001, Dr. Michael Welner published pioneering research on the typology of drug-facilitated rapists. The typology has since been cited and used by law enforcement and mental health professionals for distinguishing different perpetrators, their personalities, and their psychological makeup.^[8]

The Typology of Drug facilitated sexual assault Includes

•Setting: Typology is best distinguished by the setting in which the attack takes place (e.g. Workplace Setting, Healthcare Setting or Social Setting).

•Accomplices and Conspiracies: There may be multiple perpetrators who conspire to commit the crime. Particularly in social settings, confirmed cases have involved male and female couple collaborators, siblings and friends.

•Intrafamilial DFSA: Many intrafamilial DFSA's often go unreported. Typically there is a power differential that prevent victims from speaking out.

•Male-on-male Offenses: Such cases occur nearly exclusively in social or school settings. Often the crime reflects the perpetrators conflicted feelings about private same-sex thought and desires.

•Sexual Deviance or Sexual Hunters: This group often includes those who are incompetent at finding sexual partners and those who have sexual fantasies of dominance.

[edit] Laws

[edit] United States

In 1996, President Clinton signed the Drug-Induced Rape Prevention and Punishment Act. This act punishes for the use of the drug called Rohypnol. Four years later, the president signed another legislation banning GHB.

People who use date rape drugs have a risk of up to an additional 20 years in prison. Any possession of Rohypnol, even if there is no intent of using it, has a sentence of up to three years in prison. Every state has laws pertaining to rape.^[9][10][11]

Indiana has a statute which makes the offense a Class A felony if "the commission of the offense is facilitated by furnishing the victim, without the victim's knowledge, with a drug ... or a controlled substance ... or knowing that the victim was furnished with the drug or controlled substance without the victim's knowledge."^[12] (see drink spiking)