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Fatiga de los residentes semejante al efecto de alcohol

El problema de la fatiga de los residentes hospitalarios por largas horas de trabajo, escasez de sueño y adecuado reposo es motivo de preocupación. En varios países se han implantado normas que limitan las horas de turno a la semana. Un estudio de la Universidad de Michigan revela que el desempeño del residente que ha tenido turnos pesados equivale a haber ingerido alcohol trabajando la mitad de tiempo.

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A year of seriously good films

By Peter Rainer | Film critic of The Christian Science Monitor

It was not the best of years, it was not the worst of years. For a change, I had no trouble compiling a 10-best list, or even a roster of worthy also-rans. And anyway, who says movies have to be timeless to be worth talking about?

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Drop Those Pounds!

Web Exclusive
By Barbara Kantrowitz and Pat Wingert
Newsweek
Updated: 10:25 a.m. ET Dec 12, 2006

When your 'fat' jeans become your everyday jeans, it's time to get serious about losing weight. But that's harder to do in your 40s than in your 20s. The facts, and some tips. 

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Streaming video: Human gut microbes

Journal home > Videoarchive index > Human gut microbes

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Uncovering an Epidemic — Screening for Mental Illness in Teens

Richard A. Friedman, M.D. 

Courtney, a 15-year-old from Portland, Oregon, always knew she was different from the other kids. "I had a sense that something was going on, but I was afraid to say anything because I didn't know anyone else had a similar problem," she said. Like thousands of U.S. teens, Courtney participated in a mental health screening program that was offered in her school. "Teenagers have a hard time asking for help," she explained. "Without the screening, I'm not sure how I would have gotten the help I needed." 

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Familial Pathways to Suicidal Behavior — Understanding and Preventing Suicide among Adolescents

David A. Brent, M.D., and J. John Mann, M.D. 

A 16-year-old boy whose brother recently committed suicide is seen in the emergency room after slashing his wrists. He reports having felt severely depressed and hopeless since his brother died and has markedly increased his alcohol intake. His depression actually began 4 years ago, after the death of his father, and has continued unabated. The patient has a history of being disciplined for fighting in school, usually after being teased or provoked by his peers. Immediately before his suicide attempt, he had a fight with his girlfriend, his mood plummeted, and he decided that he might as well be dead. His mother reports that the boy's father died of "accidental carbon monoxide poisoning." The father had had problems with depression, alcohol dependence, and aggression and most likely also committed suicide. 

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Pneumonia vs. the ElderlyWhy are they so susceptible to it?

SLATE.com
explainer: Answers to your questions about the news.
By Kara Baskin
Posted Thursday, Dec. 28, 2006, at 6:13 PM ET

Singer James Brown died of congestive heart failure on Monday, a day after being admitted to a Georgia hospital with pneumonia. President Gerald Ford died the day after; he had battled pneumonia earlier this year, and his health then rapidly declined. What makes pneumonia so dangerous for old people?

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Una bocanada de bichos que llevarse a los pulmones

ABC.es > PORTADA > Sociedad > Ciencia
POR ANNA GRAU. SERVICIO ESPECIAL NUEVA YORK.

«Every breathe you take», cada vez que respiras -como dice la canción de The Police- hay hasta 1.800 bacterias y microbios distintos esperando a meterse en tus pulmones; y eso, calculando por lo bajo. Sólo pensar en ello hará que muchos deseen contener el aliento. Vista la imposibilidad de persistir en esta actitud, vale la pena considerar las ventajas del fenómeno. Es lo que han hecho en el laboratorio Lawrence Berkeley de California, donde creen haber descubierto algo muy útil para racionalizar la detección de posibles ataques bioquímicos.

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Children with Severe Malnutrition: Can Those at Highest Risk of Death Be Identified with the WHO Protocol?

PLoS Medicine
Kathryn Maitland1, James A. Berkley1, Mohammed Shebbe1, Norbert Peshu1, Michael English1, Charles R. J. C. Newton

Background

With strict adherence to international recommended treatment guidelines, the case fatality for severe malnutrition ought to be less than 5%. In African hospitals, fatality rates of 20% are common and are often attributed to poor training and faulty case management. Improving outcome will depend upon the identification of those at greatest risk and targeting limited health resources. We retrospectively examined the major risk factors associated with early (<48 h) and late in-hospital death in children with severe malnutrition with the aim of identifying admission features that could distinguish a high-risk group in relation to the World Health Organization (WHO) guidelines.

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Economics discovers its feelings

Happiness and economics
Dec 19th 2006

From The Economist print edition
Not quite as dismal as it was

ECONOMICS is "not a ‘gay science'," wrote Thomas Carlyle in 1849. No, it is "a dreary, desolate, and indeed quite abject and distressing one; what we might call, by way of eminence, the dismal science."

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