The wedding of the dying man

The wedding of the dying man

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A few months ago a colleague asked me to accompany him to the hospital to attend a sick, apparently terminal, could not express verbally, and his way of interacting with people, was very limited, wanted to make a will. When we arrived, the lawyer who had called the partner, said: “It is very serious, but understands and wants everything. What is clear is that he wants to get married. ” The companion and I looked at each other.  Holding a wedding, moreover, involves processing a marriage record.

To contract marriage entails rights and obligations. It has inheritance and succession consequences. It is something that we have clarified in other entries.

Notaries, we do not officiate weddings, but we often go to the Hospital (or where we are needed), to authorize wills. They imply a rigorous control of the capacity of the people at that moment. Capacity is more than just signing on paper or putting the mark. The head, the will, must accompany the mechanical act of signing. Signing implies assuming something as own and nothing assumes as own the signature blank or without knowing what it signs. That is why we speak of informed consent when the will is declared before the Notary.

Yesterday, a kind follower reported to us a news of a marriage that had been officiated in the hospital. It appears that one of the contracting parties was terminally ill. Shortly before dying, the councilman appears in the hospital and celebrates the marriage. The process of registration is paralyzed at the request of the children of the contractor who shortly thereafter dies. Marriage is not registered in the Civil Registry, it is questioned the ability to want the marriage at the time of the celebration.

Precisely, the Notary, what evaluates is the capacity of the person. On the other hand, the difference between dying married or single is not trivial. The new wife has some rights by law and the testator, who is going to die, has more limits when it comes to testing. As a reflex effect, the eventual rights of the children are lessened by the concurrence, by law, in the inheritance, the wife.

Personally, regardless of the performance of the officiant of the ceremony, I think that life, even short, is long enough not to wait to marry at the time of death. Apart from romanticism, marriage implies a project of life, there is no project when there is no expectation of living.

The news, to which we link you , for me, I consider, reflects the crisis of the system. It is frequent the concurrence of third parties that try to manipulate the will of the testator, in this case, of the contracting party or wedding photo booth sydney, for his own benefit. Notarial intervention is a guarantee of impartiality. As you see?

Locksmith service 24h Hospital

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In this way any locksmith service you may require can consult it here and have it. In the subject of services we are the most complete. The locksmiths of our company will move where indicated to see what you need on the site and at the moment we can make a budget without any commitment.

We have been operating for more than 22 years not only in Hospital but in all surrounding towns and given the great demand of our work we have added professional locksmiths giving them a bigger training to be able to cover the 24h guard service because a service of this nature Requires several shifts to be able to perform without interruption.

We are a company nationwide with years of experience.

The locksmiths of 24H Hospital are accredited to perform services such as the opening of keyless doors that are more difficult than in case of being placed, we even provide services to various businesses, we  repair metallic shutters and other closures like scissors or extensible grilles that They are also quite widespread.

Our office service at the moment of receiving an alert looks for the locksmith in your immediate area and sends it immediately so the response time is approximately 20 minutes and the urgent locksmith comes out with his vehicle full of tools and Bulbs for when it arrives to be able to make the repair in situ without waits nor delays.

We have a division of locksmiths Hospital dedicated to the blinds that take years of experience knowing all the classes and models as each one of our locksmiths of Hospital that collaborate with us, must meet the strictest norms of the company since Locksmith Hospital we do not admit people who are not ready to surpass and to form day by day. Therefore in the case of 24h emergency we can provide solutions very quickly and with the best finishes even in emergency service where rush primes. We left everything spotless.

In order for you to know each of our locksmith work we are going to leave you a link that explains in detail our locksmith work.

Locksmiths Hospital with its good assistance as an urgent locksmith in Hospital has shown that we are fast and cheap even in these actions that by default an urgent locksmithdoubles or triples the rate with which we are against those practices that damage the image Of the professionals of the sector and we believe that the best form of fidelizar it is with an excellent quality of the materials and a suitable action.

Therefore, despite the many locksmiths 24 hours Hospital that we are, we are the most recommended for the class price and good provision in addition we are the ones of always the one of greater confidence.

locksmith melbourne always fulfills what it advertises not like other companies that advertise in google and Bing that promise much however they are not accredited technicians and they end up leaving the works to review or with finishes that leave much to be desired, for us to leave the Things better than they were when we started a job is one of the important parts because it shows the quality of each of the jobs for which they hire us making things last much longer thanks to the smooth operation and completion of the work.

The Hospital of locksmiths are the most professional not only to fix the blinds and motors if not to an excellent maintenance because this way hardly will produce costly failures rather their 24HORAS repairs cheap because we prevent further deterioration even happen, Thanks to the prevention and maintenance, we touch all the blinds of shell, stamped, micro perforated, blind and of materials like galvanized sheet, aluminum, stainless steel, etc. We are professionals in motor repair and automation of blinds and garage doors.

Moosejaw develops an application of X-rays that allows to see under the clothes

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The clothing maker  has launched an augmented reality application for the iPhone, iPad and Android devices that allows users to see through the clothing that is featured in their winter catalog.

11There has always been the fantasy of being able to see through clothing with some kind of special glasses.Now, thanks to XRAY, in a way it can be done.The clothing manufacturer website has released an application for iPhone, iPad and Android that is based on augmented reality and allows you to see beyond the clothes of the models in the winter catalogs of this firm.

The catalog has two versions, one printed with the pictures and the models (boys and girls) with street clothes, and another digital, with underwear or bath.When you run the application and then position the device on the model of the catalog, the magic starts, and if we focus on a specific page, we will see the same version of the photo, with a “cooler” wardrobe.

This type of applications, based on augmented reality, are effective and interesting tools to use in the marketing of products and others.

The Health Technology extends services with a medical center for private consultations

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The Health Technology Park (PTS) in Granada continues to expand services and look for new avenues of business. In this case related to the care activity, which will have its main axis in the opening of the new hospital. But there is also room for private activity, which they also want to encourage. Thus, the Park is constructing a new Medical Center, a building that will offer consultations in rent to doctors and sanitary specialists to develop their private work.

The objective, for example, is that doctors, dentists, psychologists or therapists, among others, can open their private consultation in the Park in a building that will bring together all this activity and that can come into operation in the first half of 2016. “Equal Which have consultations in flats for rent in the center of the city, the intention is that they come here to a specific building much more comfortable in which they can have their consultation and will have common services as reception, secretarial, cleaning and waiting rooms ” , Said the manager of the Park Foundation, Jesús Quero.

The medical center is already built next to the new business center that will open before the end of the year. The latter will locate technology-based companies, End of tenancy cleaning melbourne and complementary services to the Park and the city of Granada has already been asked to license the first occupation with the aim of opening in the last quarter of the year. And it seems to be successful since it has 50% of the space already pre-booked.

A few months after opening the business center, the medical center will start operating, with the same philosophy of modular spaces for rent but instead for companies, for doctors and professionals of the health branch.

It has 2,431 square meters built and will have 49 modules of queries between 25 and 49 square meters. As modular spaces can be rented one or more, depending on the need. They will have part of office and part of assistance with stretcher or the instruments that the doctor needs. All but the operating room and radiological area.

In addition, it will have a shared reception that will manage all the appointments and the agenda of the day of each consultation; Common waiting room and services included as cleaning.

It is almost finished on the outside and the details are missing inside. The total construction will be completed by the end of the year so that it can enter into operation next year during the first months.

The project has already been presented to the College of Physicians of Granada and will make after the summer vacation a formal presentation to the members so they know the service, in addition to other professional groups.

With this new project, the Technology Park expands its offer of services and approaches private medical care. There was already a construction company that projected a similar idea but the lack of financing thwarted its execution. With this will be added new offers of assistance, which will be completed with the future International Center of Phlebology Dr. Juan Cabrera.

The Health House “vacuum cleaner”

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The Health House is doing well and growing in power. This medical center includes many general practitioners, specialists and paramedics.

The Maison de Santé d’Argenton has undergone a great evolution since its creation in November 2012. According to Dr. Chevet, president of the healthcare professionals, who was involved in the project from the start, “the House is like a best affordable vacuum cleaner New applications. With this grouping, we not only reassured the patients, who were wondering about the future of care in our region, but we attracted new ones, from around, who appreciate the care we offer, with our offer Of multiple care. In addition, our organization ensures that external appointments are made directly with specialists, avoiding long delays. “

Reference Pole in Boischaut-Sud

This cluster brings together many general practitioners, specialists and paramedics. It has allowed six professionals to settle in physiotherapy (two), dietetics, tobacco, dermatology, midwifery. A decentralization of care has been implemented on Argenton, carried out so far in the hospital in gastroenterology, cardiology, doppler and pneumology in particular.
The cluster will also offer another specialty in radiology after the completion of an operational unit next to the nursing home by the end of 2016. Eventually , “we will also have consultations in orthopedics and rheumatology, And new possibilities with the creation of a technical platform with the financial assistance of the Regional Health Agency, Observation of the retina of diabetic patients, ” adds Dr. Chevet. The activity grows by more than 15% annually for this unit.
The success of the project refers to the ability of the actors to organize themselves and to establish the links necessary for the proper functioning of the Maison de santé. The rigorous follow-up conducted by Dr. Quinet, with the hospital center of Chateauroux; The arrival of new trainee doctors, some of whom choose to settle in rural areas, and  organized consultation with stakeholders (the College of Physicians, Hospitals and Health Professionals) pave the way for the transformation, over time, Of this unit in reference medical center in Boischaut-Sud.

Activity grows by more than 15% annually for this unit. The success of the project refers to the ability of the actors to organize themselves and to establish the links necessary for the proper functioning of the Maison de santé. The rigorous follow-up conducted by Dr. Quinet, with the hospital center of Chateauroux; The arrival of new trainee doctors, some of whom choose to settle in rural areas, and organized consultation with stakeholders (the College of Physicians, Hospitals and Health Professionals) pave the way for the transformation, over time, Of this unit in reference medical center in Boischaut-Sud. Activity grows by more than 15% annually for this unit.

The success of the project refers to the ability of the actors to organize themselves and to establish the links necessary for the proper functioning of the Maison de santé. The rigorous follow-up conducted by Dr. Quinet, with the hospital center of Chateauroux; The arrival of new trainee doctors, some of whom choose to settle in rural areas, and organized consultation with stakeholders (the College of Physicians, Hospitals and Health Professionals) pave the way for the transformation, over time, Of this unit in reference medical center in Boischaut-Sud.

Organize and establish the links necessary for the proper functioning of the Maison de Santé. The rigorous follow-up conducted by Dr. Quinet, with the hospital center of Chateauroux; The arrival of new trainee doctors, some of whom choose to settle in rural areas, and organized consultation with stakeholders (the College of Physicians, Hospitals and Health Professionals) pave the way for the transformation, over time, Of this unit in reference medical center in Boischaut-Sud.

Organize and establish the links necessary for the proper functioning of the Maison de Santé. The rigorous follow-up conducted by Dr. Quinet, with the hospital center of Chateauroux; The arrival of new trainee doctors, some of whom choose to settle in rural areas, and organized consultation with stakeholders (the College of Physicians, Hospitals and Health Professionals) pave the way for the transformation, over time, Of this unit in reference medical center in Boischaut-Sud.

Funeral Management and Embalming

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The professional prepared in this program will be able to perform in the field of the mortuary sciences. This program will enable the student to intervene in the disinfection, preservation and restoration of the corpse. Develop managerial and marketing skills for funeral management.

The goals of the program are:

  1. Develop Embalming Technicians aware of their responsibilities in the disinfection, preservation and restoration of the deceased.
  2. Develop a professional capable of interacting in an integrated and effective way with the relatives and work team of the funeral home.
  3. Develop Embalming Technicians who possess the knowledge and skills necessary for the execution of the profession complying with the state and federal regulations of the Department of Health and other regulatory agencies.
  4. Develop a professional sensitive to the needs of the family of the deceased and aware of the importance of effective administration of a funeral home.

At the end of the training program, program school graduates will be prepared to:

  1. Demonstrate mastery of the techniques of disinfection, preservation and restoration of the corpse.
  2. To know and apply the basic principles of OSHA and the regulation of disposition of biomedical waste that apply to the field of the mortuary sciences.
  3. Demonstrate knowledge and skills to carry out the duties of a embalmer.
  4. Know and apply safe methods to handle contagious and infectious cases in the process of embalming.
  5. Know the body changes caused by the physical death of the body and how they affect the process of embalming.
  6. Identify, know the uses and be able to use the instruments, materials, equipment and chemicals used in the embalming process.
  7. Know and be able to complete the document to request death certificates.
  8. To know and apply the principles of administration and marketing related to the operation of funeral homes.
  9. Interacting in an integrated and effective way with the relatives of the deceased and with the work team of the funeral home.

At the end of the program, graduates of the program will be prepared to:

  1. Employing or self-employment in start positions as Embalming Technician.
  2. The graduate may serve as a licensed embalmer, administrator or funeral director, funeral home owner, funeral director, owner of embalming laboratory, assistant in forensic medicine or may possess a morgue, crematorium and cemetery franchise.

The Funeral Management and Embalming Program consists of 61 credits (1260 hours), 690 hours of theory, 210 hours of laboratory and 360 hours of external practice. Full-time students will complete in 17 months and part time in approximately 21 months.

What is Chiropractic?

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Chiropractic is the health profession that deals with the diagnosis, treatment and prevention of disorders of the musculoskeletal system, and the effects of these disorders on the nervous system and general health, with an emphasis on manual treatment, including handling.

The word chiropractic comes from the Greek praxis which means “practice or treatment” andcheir which means “hand or hand.” In Spanish, the proper term is chiropractic and not of chiropractic , which is derived from the French “chiropraxie”. Doctors in chiropractic always use the term chiropractic and not chiropractic, which is often used erroneously by people outside the profession or intrusive. The chiropractors near me receives the title of “Doctor in Chiropractic” after completing a career of a minimum of 6 years in the university.

The chiropractic profession was founded in 1895 in the USA. And is now established in 70 countries. The national chiropractic associations of these countries are members of the World Federation of Chiropractic (WFC) in official relationship with the World Health Organization.

Because of its spectacular growth, in 1997 the chiropractic profession had become the third health profession primary care (doctors) in the Western world, after a degree in medicine and dentist (1). There are approximately 71,000 chiropractors in North America and 90,000 internationally, and it is estimated that in 2010 they will be 100,000 and 150,000 respectively (1). As early as 1993, the British Medical Association cited the chiropractic profession as the best example of a new profession that provided a framework for research and scientific studies of good quality to establish its effectiveness and safety (2).

Chiropractic is regulated by the governments of Canada, Costa Rica, Mexico, Panama, Belgium, Denmark, Finland, Norway, Sweden, Switzerland, United Kingdom, Australia, Hong Kong, New Zealand, Cyprus, Iran, Saudi Arabia Saudi Arabia, Nigeria, South Africa and Zimbabwe. In the most advanced of these, chiropractic services are included in national public and private health systems. In many other countries it is simply legalized and recognized without specific regulation yet, but the list grows as governments update their health legislation.

Unfortunately, in Spain, legislation is still behind schedule and does not specifically regulate the chiropractic profession. The European Parliament in 1997 adopted the Lannoye report which recommends and encourages its member countries, which have not yet done so, to update their legislation and regulate the profession for the good of its citizens.

In the most advanced countries chiropractic is already fully integrated in society and in cooperation with other health professions, mainly medicine. Already in 1987 the American College of Surgeons made public its policy on chiropractic stating: ” There is no ethical or collective impediments to full professional cooperation between chiropractic and medical doctors “; such cooperation should include ” referrals, clinical work partners, participation in health systems, treatment and hospital services, participation in student exchange programs between universities and medical chiropractic, and cooperation in research and graduate programs.
The American College of Radiology meanwhile said publicly that” must be no impediment to inter-professional association and cooperation between Doctors of Chiropractic and Medical specialists in radiology in any situation in which this partnership can be, as in A hospital, private consultation, research, education, treatment of patients or any other legal arrangement.
The American Hospital Association also formally stated:” The American Hospital Association (AHA) has no objection to granting hospital privileges to Doctors of Chiropractic for the purpose of administering chiropractic treatment, extend education and clinical training of Doctors of Chiropractic , Or perform X-rays, clinical tests or other tests for Chiropractic Doctors and their patients and / or make available X-rays and clinical tests with the patient’s authorization.

A study by the Medical Faculty of Toronto in Canada revealed that as early as 1989, 62% of doctors referred patients to Chiropractic Doctors for spinal manipulation, and 10% of family physicians were patients of a Chiropractic Doctor (3). In 1990 a study in the city of Saskatoon, 20% of the patients of the Chiropractic Doctors were referred by physicians (4). More than 20 million Americans will go to a Chiropractic Doctor this year (5).

Currently, in Spain, there are approximately 100 doctors in chiropractic, who belong to the Spanish Association of Chiropractic founded in 1986 and legalized the same year by the Ministry of the Interior with the approval of the Ministry of Health.

Tips for removing blackheads from your Doctor

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The black spots emerge when the pores of the skin are covered with a combination of dead skin, oil and bacteria. When these covered pores or pimples are kept open on the surface of the skin, a reaction with the air causes them to turn a dark color. Removing blackheads with pilaten mask usually includes a combination of proper skin care and over-the-counter medications. Severe cases may require professional treatment from a dermatologist.

Smooths with steam

Taking a shower or holding your face over a pot of boiling water can help soften the blackheads to make their removal easier. The steam also helps open the pores, facilitating a deeper cleaning of your face to prevent additional black spots from forming. Be careful when applying vapor to your face, as close contact can cause skin irritation or burns. Gently exfoliating your face after steam could also help loosen and remove blackheads.

Avoid touching and rubbing it

Vigorous rubbing of your face will not help remove blackheads; In fact, irritating the skin with aggressive cleansing can make blackheads and acne worse. Wash your face using detergent and warm water twice a day and keep your hands away from your face as much as possible. Avoid tightening the blackheads. Doing so can lead to irritation and inflammation and increase your risk of infections, according to the Mayo Clinic website.

Uses OTC products

Over-the-Counter (OTC) products can remove blackheads by drying the excess oil, killing the bacteria responsible for the acne outflows and encouraging the replacement of dead skin in the open pores. These lotions are widely available and include products with sulfur, resorcinol, lactic acid, benzoate peroxide and salicylic acid. Tools to remove blackheads and pore strips can also help remove blackheads, but these products can cause damage and slight skin irritation if you do not use them properly. Therefore, the Amercan Academy of Dermatology claims against the use of these products without professional supervision.

Try prescription drugs

Blackheads that do not respond to over-the-counter treatments can be removed using prescribed medications. A topical application of vitamin A derivatives such as tretinoin and tazarotene works to unclog pores and treat blackheads. Severe cases of black spots, especially when inflammation is also present, may respond to treatment with oral antibiotics. As hormonal imbalances play a role in the development of blackheads and acne, starting or stopping oral contraceptives can also eliminate blackheads for some women according to the Mayo Clinic site.

Talk to your doctor

If home treatment and proper skin care do not successfully remove blackheads, consult your doctor for other treatments. Chemical treatments and microdermabrasion can remove the top layer of your skin, removing blackheads with it. This treatment is usually reserved only for severe cases, as they can cause significant side effects and is usually very costly.

Tools and methods for radiodiagnosis training

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Training the best radiologist is the tutor’s aim. Considering both residents features -whose intention is becoming to radiologist- and the trainer profile, the method simultaneously combines the most suitable tools, in order to reach the aim.

The method knowledge and the available tools facilitate the tutor planning and his cooperation in the whole resident learning process.

Can you be an ear radiologist? Is it possible to practice the profession of radiologist only with the knowledge learned by ear and with the skills and attitudes acquired by imitation of the teachers and tutors? Of course not. So the next task of the tutor is to instill in the resident the need for personal study as the first tool for acquiring knowledge.

In order to support the personal study, it is useful to plan by theme the study and the carrying out of oral or written exams that stimulate the resident. Whenever possible, the themes will be consistent with the area of rotation of the resident.

Other tools to support the study are undoubtedly the sessions: monographic, update, morbi-mortality and bibliographies, among others, which will be elaborated by the resident as a function of their progression. A good way to finish a rotation is to prepare one or two sessions on a topic of interest, which will serve, on the one hand, to establish knowledge and, on the other, to evaluate the resident (communication skills, oral presentations , Ability in the search and selection of bibliography).

As for monographs and update sessions given by teachers attached or guardians should not be an example of expository teaching method ( Table 3 ), which is boring and uninspiring for both the resident and teacher. They can raise interactively, if known before the contents, so as to allow the resident the previous study of the subject and its subsequent participation, which can give an unexpected twist to the exhibition.

Theoretical classes can be enlivened by the use of audiovisual elements, such as slide shows, which may include images or videos. Currently, whiteboards are being used with great success by students, allowing more dynamic exhibitions, with participation of students in May .

The exhibitions can be converted to electronic format and used in computer-aided teaching, both in linear programs (programmed teaching) and branched programs of the type of tutorials, such as the following, which can be found on the Internet:

  • 1. : introductory course in radiology, which organizes the content on the main page.

  • 2. : courses classified by status.

  • 3. : pediatric radiology courses organized by organ systems with pre-course and repeat questions later questions.

Such tools can be used on-line or off-line and allows students to control their rate of progress 2.6 .

Conferences online with or without audio, which can be found on the Internet, are a key teaching tool that can be found as part of virtual conferences, such as those found in the scientific agencies led by the American College of Radiology in July , which Consists of a virtual campus, courses for the acquisition of basic skills such as effective presentations and bibliographic searches, a search engine for lectures with audio classified by organs and systems, or portals such as containing cases of the day and presentations without organized audio system organ 8 .

Examples of resources off-line invaluable for learning radiology are the album radiological signs designed by Drs. Navarro and Sendra, of the University of Malaga in September , the atlas of anatomy by Dr. Sempere sectional image Durá University Rovira i Virgili 10 , or the functional anatomy atlas designed by Dr. Valdivia, Faculty of Sciences of Physical Activity and Sport, Granada 11 .

These resources can be used to perform practical examinations on radiological anatomy (depending on the year of residence, can be chosen from simple radiology to resonance) or to evaluate knowledge about classic or pathognomonic radiological signs.

Audio presentations can be archived in the service (only a microphone is needed for presentations in the most usual programs), which will serve as proof of their performance and, on the other hand, for further study by teachers or residents 6 .

Videoconferencing is another educational tool that removes the barriers of space, allowing interaction between teacher and resident, such as organized by several European and American universities for teaching practice evidence – based 12 .

Attending training courses, scientific meetings and conferences stimulates learning. The training courses allow to acquire knowledge about a specific area of the specialty, resulting in greater usefulness to the residents of lower year.

The congresses update knowledge, foster relationships between residents and adjuncts of different centers, give a view of what is done in other centers, stimulating the acquisition of new practical skills, which is why it is recommended for senior residents.

It is advisable for the resident to prepare a summary session of the course, which will serve on one side to update the rest of the components of the service and on the other to settle the knowledge acquired.

The active participation in scientific meetings and congresses allows to train and to evaluate the abilities acquired by the resident in the accomplishment of scientific works, collection of cases and exhibition of these.

Skills and values

At the same time that the resident acquires knowledge, he supervises supervised care according to the degree of responsibility, which allows him to acquire the necessary skills for future professional performance.

In the daily work we use the demonstrative educational method ( Table 3 ). The teacher, in a first phase, teaches how to perform a procedure and the resident in a second phase imitates the teacher. This method is especially useful for the development of certain manual skills and encourages resident participation, making the active learning 4 . With the demonstration method, values such as the humanistic aspects of medical care and effective communication with patients, relatives and the rest of the hospital professionals are transmitted, important aspects in the training, given the imbalance that has occurred in our society between technology and art of communication 13 .

This method is used in the teaching practice of numerous skills, both information and techniques: bibliographic searches, use of audiovisual media, use of biopsy needles, drainage systems, handling of complicated devices, reading of plaques etc. In Table 4 you can see an example of practical designed. To be considered a real practice, three quarters of the time spent on it should correspond to uptime resident 4 .

Table 4.

Sample designed practice

Objective “To learn how to guide the BAAG ultrasound with a transducer of the abdomen” ActivitiesN: 1Profile group: Residents with basic experience in ultrasound Product Made by the student: obtaining 5 cylinders of oliveVideo of the BAAG
Time (min) Method Teaching roles Role of students Org. student Material resources Phase evaluation feed back
5 Expository Explain what practice is Hear Individual Attention
3 The olives are introduced to different depths inside the liver Absent Individual Pork liverAceitunasEchograph
5 Discovery Notes Look for the olives with the abdomen transducer Individual Pork liverAceitunasEchograph Find the olives at the indicated time. Image Capture
30 Discovery Orient, view, edit, capture images With a BAAG needle of 22 G and guided by the ultrasound, try to reach the soft part of the oliveManage the biopsy needle Individual BAAG 22G Needle It arrives with the needle to the soft part of the olive It is able to orient the needle towards the olive It is able to take the path of the needle in the image It holds cylinders of olive It is collected in video and images
5 Interrogative Listen and ask It exposes the problems that arise in practice Individual Paper and pencil Problems enumeration
5 Expository Clarifies doubts and problems about practice Listen and ask Individual Enumeration of solutions
5 Synthesis Listen out Explain how to practice Correct explanation
Total Time: 58 min Active student time: 50 min

For the acquisition of technical skills, which pose a risk to the patient, new training tools, such as simulators, are being evaluated and designed, which allow the acquisition of skills necessary for daily practice without putting patients at risk. Some examples of simulators:

  • Models to train visceral artery catheterization before performing angiography in patients 14 .

  • Simulator that evaluates the performance of residents to adverse reactions to contrast 15 .

  • Simulator integrated into the PACS, to help residents cope with the guards 16 .

A step further is creating virtual hospitals, which may be useful for the acquisition of skills covered by cross – training plans 17 . As an example, the virtual hospital Adolfo Varona, created in the Hospital of Basurto (Bilbao).

Care work

The interrogative method ( Table 3 ) is primarily used for learning in the performance of the work of resident care. The teacher or tutor contributes questions to reach a diagnostic approach. When the resident asks about something he should know, it is advisable for the resident himself to seek the answer and expose it.

It is also used in cases reading sessions, fundamental tool in the training of the resident, which pursue questions arise radiological logical reasoning 2 . Classically, an x-ray was hung on a negatoscope and the responsible radiologist was finger-tapping one of the residents, who began with reading, differential diagnosis and diagnostic approach, submitting to the questions raised by everyone present. Subsequently, visual media were added, such as the overhead projector, Beamer Test fürs Heimkino, the slide projector and computer projectors.

Some collections of cases on the Internet use the interrogative method to facilitate reading, for example:

  • 1. , RSNA, use the interrogative method for diagnosis.

  • 2. , ACR, use the interrogative method for reading and diagnosis of cases.

  • 3. , Essentials of Pediatric Radiology: it has been ordered by pathologies, using interrogative method.

Some of these collections contain an evaluation system that allows to evaluate the knowledge on each case.

Dr. Fernández Ollera, a tutor at the Virgen Macarena University Hospital in Seville, has created a blog or blog for the teaching of radiology residents, which contains a collection of resolved cases and non-audio presentations, prepared by residents, classified by dates and topics 18 . More rudimentary is the formula that we use in our service to encourage the participation of all residents of the hospital: “cases to plank”. These are cases taken from daily work that pursue the acquisition of basic knowledge. They contain a minimal clinical information and radiological images and the resident is asked to enumerate the radiological findings, to make a differential diagnosis and a diagnostic approach. These cases are emailed to all hospital residents with a one-week notice. Residents are asked to mail their opinions and participate in the reading by one of them, supervised by the specialists. During the reading session, questions arise that should be answered by residents at the next session. At the end of the reading, the presentation of the session is sent by email, as well as the questions raised that must be resolved. With this system we are getting more residents to participate than with the mere invitation to the sessions of the service.

Level of responsibility

As the resident is settled and expand their knowledge, skills and values, it is often used educational method discovery ( Table 3 ), in which the teacher or tutor provides resources and means to motivate, encourage and lead to residents The resolution of problems or coping with specific situations. Residents take a more active role, which is more creative, increases self – esteem and self – efficacy, and facilitates the lasting acquisition of knowledge, skills, changing attitudes, beliefs and values 4 .

We see examples of this method in the case study, developing case files, the radiopatológicas correlations, research, communications or articles and problem – based learning, which can be protected or not 19 .

Problem-based learning uses appropriate problems to increase knowledge and understanding. In this method, students use the “triggering elements” of the problem case or scenario to define their own learning objectives. They then study independently, before returning to the group to discuss and refine their knowledge.

For example, there may be problems regarding the choice of the most appropriate radiological test depending on the clinical data provided, taking into account variables such as the age of the patient and the means available. Another example may be to list symptoms of an allergic reaction to contrast and the resident to diagnose the degree of reaction and appropriate treatment. Choosing the pathway for a drainage, choosing between FNA and BAG, or selecting the appropriate material for performing an angiographic test are other examples.

Group learning facilitates the acquisition not only of knowledge but also of skills and attitudes such as: communicative skills, teamwork, problem solving, independent responsibility in learning, dissemination of information and respect for others.

One of the tasks of the tutor is to look for innovative teaching strategies that are adapted to the needs of the resident, focused on the learner, and one of them is the use of tools based on information and communication technologies, coordinating their efforts through collaborative networks, whose purpose is to autonomous learning approach, which allows the resident utilize the resources that new technologies offer 20 .

We must not forget that the new educational techniques are not an end in itself, but a means that allows us to reach the established goal. The media can influence the message and even make the stronger and clearer message, but can never replace the message.

Guarantee Radiology and cleanliness at the Regional Hospital

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The director of the hospital, confirmed the entry of 20 people to the cleaning sector and Monthly Wages radiology professionals who depended on PROSATE .

11At a press conference, the director of the Regional Hospital of Comodoro Rivadavia, Alicia Sampaolesi, confirmed the admission of 20 people to the cleaning sector in addition to the 55 who already perform tasks in the hospital. In addition, the professional guaranteed the provision of the radiology service.

“With regard to the professional cleaning service sector, today the 20 revenues were effective, only the type of cleaning and shifts remain scheduled,” said Sampaolesi, adding that “they enter into a modality of agents that we have in Article 16 Of the Collective Labor Agreement “.

In this sense, the head of the Regional Hospital said that the 20 entrants “will be for a year hired and that way they will have to do a course where they will be evaluated; Those who pass this course and are efficient in the task will enter a permanent plant “.

Sampaolesi said that “I could not say why the measures of forces, because I explained clearly that on April 1 were to enter 20 people,” according to the claim they made from the sector. Radiology   Moreover, the director of the Regional Hospital, referred to the answer given to the radiologic technologists who served through PROSATE. Sampaolesi confirmed that the professionals were monthly, depending on the provincial health ministry.

These are “Technicians Radiologists who have long been contracted by PROSATE to work in the Regional Hospital, since it no longer works in Commodore, was made the postulation for the month of the same for the guard. That is why it was authorized as of March 27, which has been informed to professionals, “he concluded.

“The pattern, radiograph of a crime” was named best movie in the Silver Condor

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The event began with a tribute to tango, with projections as “The Day You Love Me” by Carlos Gardel (1935) or “South” with interpretation of’Polaco’ Roberto Goyeneche, which gave him a good air Buenos Aires at the beginning of the evening.

black dress and neckline, winning brand of Hugo, Ana Fontan, became owner of the stage and performed a medley of tangos with pieces like “is said of me” or “I do not know what I have done your eyes , ” accompanied on piano by Diego Vila.

despite this beginning to pure music, it was a gala that was taken by long speeches and small numbers of entertainment, which allowed the maelstrom of the 21 prizes will succeed one another in the night that “Eva does not sleep” by Pablo Aguero, took first place on the podium with five statuettes, including Best director.

Informal, President of the National Institute of Cinema and Audiovisual Arts (INCAA), Alejandro Cacetta, took the stage to recognize not only the task of the chroniclers, but also the momentum of the local box office, the once he said that there is a “diversity” of movies that receive recognition at international festivals.

“it is a great moment of cinema not only for the local market, but there are films that are making awards and have outside a large diversity “Cacetta said, who presented the new plan to promote the Incaa last week and was recognized by the secretary General of ACCA, Claudio Minghetti.

just Minghetti, that strict and flirty frac contrasted with little formality of the rest of the chroniclers and guests, greeted the Jewish community for the new year and requested that the condor, which gives its name to the prizes, “never be used to irrigate blood the continent.”

“We achieved the support of many agencies State and have had immediate, very fruitful, answers to see that in Argentina you can build on the built and not to involve politics in some subjects. Is a virtue that development plans are presented because it serves to Argentine cinema keeps growing , “said journalist Telam.

The manager of ACCA also said that” it is a key and special national cinema moment and we must insist that there is no ability to go back “after acknowledge the support of the Public TV, which broadcast the gala, Minister Hernán Lombardi and Incaa.

they Nonetheless, among the winners there were some complaints or criticisms as the winner for Best photography for his work on “Eva does not sleep , ” Ivan Gierasinchuk, who started the applause of the audience to blurt: “no offense to anyone, do not want more governments like that today governs us because it brings ideas that fall behind.”

Paola Barrientos, upon receiving the award for Revelation Female for her role in “Natural Sciences”, left in the air the few spaces for projections beyond the acknowledgments: “I think that neither my old came to go to the cinema to see the movie” he said about something that Cacetta himself acknowledged in interviews as soon took over.

in that line the winner was located at the Department of Art, Mariela Rípodas ( “Eva does not sleep”): “I always have a lot of work and this year there were very few films, I do not know why , “he said in clear reference to the low alleged in local productions.

the moment human rights that all awards has been in charge of Joaquin Furriel, winner for Best Actor for his starring role in” the pattern … “who represented a semi slave of a butcher who ended up killing, by the poor condition of the goods, a number of people.

” the award was especially dedicated to Victor Saldivar, the real Hermogenes (the protagonist) . We need to avoid these situations. The ILO chose this film as an example.Denounce if we see patterns bastards “like the film, Furriel. Said

As in previous editions of the Condor, there was also time for various tributes, as they were on the path to Hugo Arana and Norma Aleandro, or Alejandro Agresti by . “The act in question”

were also recognized “Adiós Sui Generis” Bebe Kamin and produced by Leopoldo Torre Nilsson in 1976, during the military repression; Oscar Barney Fynn 50 years of his first film, “The Ballad of return”, and the researcher Roberto Blanco Pazos.

A hoarse and almost inaudibly Arana, who was shooting all night, said that Argentina is “a country of largest film harvest “with” genres full of nuances , “while asked the media to give more space to the good news” as these awards. ”

the most emotional speeches put them Monica Lairana, winning a best supporting actress by “the pattern, radiograph of a crime”, who thanked his mother “despite” carried badly, and Alejandro Carrillo, for editing in “the Clan”, the film by Pablo Trapero, who acknowledged that without the breadwinners could not work in cinema.

there was also a tribute performed by the author of soundtracks Paul Hall, next to Gloria Pankaeva and Gaston Frosio, to deceased artists such as Ricardo Dupont, Irma Roy, Hugo Castro, Mariano Mores, director Juan Pablo Laplace, Horacio Salgán, screenwriter Placido Donado or cameraman Diego Triviño.

“film is contributing to television, not only with people in front and behind the camera, but with an aesthetic that enriches” Radice said in announcing the first installment for Best Audiovisual Work Platforms Digital, which took him “Story of a clan , ” Luis Ortega.

Dolores Fonzi, who could not be present at the gala, the Condor for Best Actress was with a role not only it was recognized locally, but last July, won the Platinum Award, the award celebrating Latin American Cinema.

So passed a new installment of the Silver Condor Awards, with a roster that did not show a clear winner, beyond the five statuettes for “Eva does not sleep , ” because the main, as Film and Actor, went to “the pattern …” and actress Dolores Fonzi for that sum awards in a year in which the Argentine cinema did the same in Venice, San Sebastian and Biarritz. You can watch it on couchtuner.

What they have in common photography and radiology?

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Since the days of the old darkroom in the 17th century and the daguerreotype and calotype of the 19th century, until the industrial production of photographic plates and the invention of the portable first camera with roll of photos, improvements in procedures that precede were introduced to contemporary photography.

The 19th century was characterized by the interest in the study of the image acquisition and improvement in physical and chemical procedures to achieve this. As it happened with photography, image with x-ray production was the result of the combination of different discoveries that have been perfected over time, as well as the development of new technologies, which has finally led to the scanned images.

New photography

In 1895, the physicist Wilhelm Conrad Röntgen, studied cathode rays and x-rays discovered. He noted that it is locking radiation capable of traversing different materials and, to prove it, it was worth of photographic plates.

It was then that he made the first human x-ray, with the hand of his wife as a model, and thus marking the start of the incorporation of various techniques of physics to medical science for the diagnosis and treatment of diseases. Thanks to this important discovery, the scientist received the Nobel Prize in Physics in 1901.

Wilhelm ConradRöntgen discovered in 1995 rays X. source:

First x-ray, by Wilhelm ConradRöntgen. Source:

For that time, photography, was already quite developed since in 1888 is launched to the market the first camera with rolls of 100 photos, so the discovery of Röntgen was seen as a “new photography”.

First Kodak camera, with rolls of 100 photos. Source:

Röntgen was an amateur photographer and for that reason had Instagram Printer Photo Booth in his laboratory, which helped him in his experiments with radiation. But it wasn’t the only radiologist fond of photography.

In 1914 the British radiologist John Hall-Edwards, pioneered the clinical use of x-rays in the United Kingdom, made reproductions of images with x-rays, technical that even today used it artists of the image as Nick Veasey. And it is that, at that time, the production of good quality radiographs had a directly proportional relationship to the photographic knowledge of the radiographer.

“The Radiography of flowers”, 1914.Imagen of John Hall – Edwards obtained with x-ray British Institute of Radiology. Source:

20th century: digital image plates

The original photographic plates used on radiographs were those designed for ordinary photography and the results were not satisfactory, so that new materials and photosensitive chemicals were introduced to improve the image.

Like the old photograph, x-ray images passed through use of plates of glass, paper and film, though at a later date.

In terms of chemical processes, Thomas Edison demonstrated that the crystallized calcium tungstate gave better results than the platinocyanide of barium discovered by Röntgen as fluorescent compound to produce x-rays.

Thomas Edison. Source:

In 1914, when the first world war, broke out grew demand plates for x-ray, so it began to market an adaptation of the basis of cellulose nitrate of photographic, emulsion coated on one side only, films that had greater sensitivity than any plate made so far.

In terms of what was the best support, in those days being discussed about whether the film is crinkled and did lose the sharpness of the image, or if the glass plates had the disadvantage of easily break.However, it was not until 1918 when it launched to the market a film emulsion-coated on both sides: was so successful, that in 1930 there was no radiologist able to use plates, but the cellulose nitrate used in the manufacture of films was highly flammable, so in later years, he was replaced by cellulose acetate.

In a next installment I will discuss more about the innovations that were introduced during the twentieth century in the field of the photographic image and the radiological image, until the emergence of the digital image.

Systems of protection and shielding against radiation from antennas

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We supply materials for shielding and protection systems for shielding the electromagnetic radiation emitted by the antennas of mobile phone, wifi, wimax base stations.

In addition to shielding materials used to protect vital spaces of high frequency electromagnetic pollution, suminsitramos a range of items of protective clothing, and protective covers mobile that reduce radiation absorbed by his head while talking by mobile phone.

To see our full range of protection products, please visit our online store. Here are the most used products to inhibit high-frequency electromagnetic pollution, both to the principle of prudent avoidance front exposures, as to relieve the symptoms of electrosensibility.

YSHIELD HSF54 shielding paint

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The best solution for shielding the interiors against radio pollution is to use a conductive paint specifically designed for shielding space radiation microwave that comes from mobile phone antennas. We recommend painting of armor YSHIELD HSF54, that consists of particles of carbon contained in a high quality pure acrylic emulsion. Paint is used to isolate both interiors and exteriors, the frequencies of mobile telephony has a shield of 37 dB (reduction by 99.98%) efficiency in a hand, and 44 DB (99.996%) in both hands. Applies on the walls as a normal plastic paint. Then, you can paint above the layer of YSHIELD HFS54 with a decorative plastic paint.

  • View more information about HSF54 painting
  • Ask the HSF54 and other paintings of shielding in our online shop
  • Contact with an expert in electromagnetic shielding

Shielding fabrics for curtains

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Dining room with curtains shielding

Usually, much of the radiation from antennas enters through the windows and that is very important to shield these sensitive points. Shielding against radiation windows, normally use a special fabric fabric – we recommend the New DayLite – or sheer fabrics to make curtains or drapes. These fabrics are also used to make nets and skies of bed.Inhibiting New Daylite and Voile, without surface conductivity, and character textile fabrics are washable (30 ° C, without using dryer), incorporate thin copper wires covered with a layer of lacquer that provides electromagnetic radiation shielding properties. DayLite and sheer fabrics have a high shielding efficiency on all ranges of frequencies used by mobile phone networks.

  • See more information about the Voile fabric
  • View more information about Daylite fabric
  • Ask inhibitory fabrics in our online shop
  • contact with an expert in electromagnetic shielding

Conductive foils for windows

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Shielding EN50 Folio

If your windows have aluminum frame, as an alternative to conductive fabric curtains, you can install a conductive sheet of paper in the window pane. The folios are semi-transparent and allow the entrance of light, contain several thin metal layers to provide a surface conductivity and therefore possess characteristics of microwave radiation shielding. Please note that it is not advisable to install pages in frames of PVC Windows, given that radiation enters through frames with greater ease than by the glass windows.

  • Ask folios of shielding in our online shop
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Shield for outdoor and construction mesh

New constructions or renovations a conductive mesh ถุง พลาสติก can incorporate the work for shielding electromagnetic radiation. This mesh can be fixed to structures and barriers of balconies or terraces for shielding outdoor spaces.

We have various types of protective mesh:

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50m mesh A2000 + roll

A2000 + is a mesh of stainless steel fibres interwoven with a layer of conductive, easy to apply, foldable, resistant to rot and frost, therefore, is very suitable for outdoor applications. You can be installed inside walls and concrete structures, and it can also replace the normal reinforcement mesh.

HEG10 is a semi-transparent mesh of stainless steel of high efficiency to isolate high-frequency radiation, and electric fields of low frequency (with Earth). It can be used both indoors and outdoors. You can install the mesh between two structures of plasterboard or plaster, or directly attach it to the wall using any mode of fastening.

  • View more information about the mesh A2000 +
  • View more information about the HEG10 mesh
  • Ask meshes anti-radiation in our online shop
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Meshes and shielding of very high eficica felts

In applications such as insulation against electromagnetic interference, safety issues, and other demanding applications, you need to install very high eficicia materials. The most suitable materials are HNG100 and HNG80 compact screens. The HNG100 is a compact metallic Polyester mesh due to its high metallic content, its high efficiency (100 dB) even at high frequencies of several GHz. It is an ideal material to construct Faraday cages. Attaches directly to the surface to shielding by a queue of dispersion or other form of attachment according to the needs of the project.

This is the best way to lose weight (as an outstanding scientist of the year)

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We have constantly repeated that diet and sport must go hand in hand to achieve weight loss effectively. But it’s true?
Photo: There is a key strategy for losing weight and not exercising. (IStock)

There is a key strategy for losing weight and not exercising. (IStock)



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With the arrival of the New Year come good intentions, offers gyms , with a great price for you notes for 12 months and only go in January- and salads. We all want tolose weight, but with the amount of information around us do not have very clear what is the best way to achieve this .

In the end, we follow the mantra of life: “less dish and more shoe”. Or, what it is the same, eat less and exercise more. Not surprisingly, we have constantly repeated that diet and sport must go hand in hand to achieve weight loss effectively. But it’s true? Are they equally effective strategies?

It is the question that Erin Bordwin of ‘Business Insider’ has made  the renowned professor of exercise science Philip Stanforth, executive director of the Fitness Institute at the University of Texas. And his answer could not be clearer: “Studies show that in terms of weight loss, diet plays a much more important role than exercise.”

Eating better is the only way out

No one should be surprised this information, but has insisted so much on the importance of stopping the sedentary lifestyle that many people have come to think that going to the gym every day, you can eat whatever he wants. This is not true and is also an idea that may discourage many people. If we want to lose weight, dieting is a much more effective and easy strategy to follow than jogging.

The practice of physical exercise requires much time and effort and a long period needed to observe the results. In general, we all thought that sport burns a lot more calories than actually burning. Few imagine that energy to burn containing two cans of soda (500 Kcal.) Is necessary to walk nearly 10 kilometers, it explained a recent US study, website is

Principles and techniques of dental radiography

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Principles and techniques of dental radiography

A dental radiography can be performed by various techniques.

Radiography is to produce of X – rays of the and oral structures for the detection of diseases, according to “Dental X – Ray :. Principles and Techniques”. Attendees (those who complete a year of diploma or a two – year associate degree) must be certified to take X – rays in some states. Dental hygienists, who can complete an associate degree or four – year programs for a degree in this field, must be licensed in all states to practice dental hygiene and dental x – rays, according to the Madison NJ Dentist. These professionals must master several techniques to succeed in this field.


Dental radiography can be performed using a traditional film or digital devices. When working with a traditional film, machines intraoral dental X-rays are used to those films placed inside the mouth, while extraoral machines are used for films outside the mouth. Dental radiographs can use a film holder for holding an intraoral film inside the mouth. It can also use a beam alignment device to help position the cone intraoral X-ray machine, also called the position indication device, in relation to the tooth and the film.

When a traditional film is used, X-rays interact with the film layer called the film emulsion containing silver halide crystals absorb radiation. The crystals produce a latent image of a tooth and its surrounding structures, which becomes a visible image once the film is chemically processed. Furthermore, digital radiography involves using an intraoral sensor instead of a film to capture an image of a tooth. Once the X-rays hit the sensor, the electronic charge produced on the sensor is converted into digital form and then the image is visible on a computer. When performing a digital radiography, dental radiographers can still use the traditional X-ray machine dental intraoral.

Film Types

Three types of intraoral film there, periapical, bite-wing, and occlusal. The periapical film is used to view an entire tooth, including the root and the crown of the tooth and the bone supporting the tooth. Meanwhile, the film bite wing is used to view the crowns of the upper and lower teeth in a single film. This type of film is especially important for detecting cavities or other conditions between teeth. Occlusal film is used to examine large areas of the upper or lower jaw.

A panoramic radiograph, which is a type of extraoral film, offers a wide view of the upper and lower jaws in a single film. A cephalometric film, other extraoral film, is used to examine the bone and soft tissues of the face.



Dental radiographers can expose X-ray films using two techniques, parallel technique and technique of bisection. The parallel technique involves placing a film in the mouth intraoral parallel to the longitudinal axis of the tooth, the imaginary line dividing a tooth longitudinally into two equal halves. The central ray of an X-ray beam then is directed perpendicularly to the film and the longitudinal axis of the tooth.

Furthermore, the bisection technique involves placing a film along the surface of the tongue side of a tooth and displays the angle between the film plane and the longitudinal axis of the tooth. The dental technician then you should see the line dividing this angle by half. Then you must direct the perpendicular central ray of an X-ray beam to this line to successfully capture the image of the tooth.


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New research suggests that the dodo ( dodo) an extinct bird whose name has entered the popular culture as a symbol of stupidity, was actually quite intelligent.The work,  published today in the  Zoological Journal of the Linnean Society , believes that the overall size of the brain of the dodo in relation to their body mass was on par with its closest living relatives: pigeons, birds whose ability to be trained implies a moderate level of intelligence. The researchers also found that the dodo had an olfactory bulb (the part of the brain responsible for the sense of smell) pretty big, something strange birds, which usually focus on their ability view.
The dodo was a flightless bird of about one meter tall, endemic to the island ofMauritius in the Indian Ocean. They were last seen in 1662. “When the island was discovered in late 1500, the dodos had no fear of humans and were taken to the boats to be used as fresh meat for sailors – explains  Eugenia Gold University Stony Brook and lead author of the article -. Because of this passive behavior and invasive species that arrived on the island, the dodo disappeared less than 100 years after the arrival of humans. Today, they are almost exclusively known for their disappearance, and I think that’s why we’ve given this reputation of fools. “From Alice in Wonderland to Ice Age, there are numerous examples of this unique bird related to her stupidity , although most aspects of their biology and behavior are unknown.
Gold therefore proposed attempt to answer that mystery. He located a well -preserved dodo skull collections of Natural History Museum and underwent high -resolution computed tomography (CT). Then he compared the image with skulls of seven species of pigeons (from the most common and street to the most exotic) and that of the closest of the dodo relative, the lone Rodrigues ( Rodrigues Solitaire , a bird that also inhabited islands of villas in mauritius ). With all molds built virtual brains and comparing their sizes, found that the brain of the dodo “was not bigger or smaller – Gold points – but exactly the predictable size for their body size. So if we consider the size of the brain as a substitute for intelligence, dodos probably had a similar level of intelligence pigeons. Of course, there is more to intelligence than just the total size of the brain, but this gives us a basic measure “.
The study also revealed that both the dodo and Rodrigues Solitaire (also extinct by human activity), had large olfactory bulbs. The authors suggest that both species were terrestrial, were based on smell to find food.
“It’s really amazing what new technologies can bring to museum specimens – concludes co-author  Mark Norell Macaulay  -. This highlights the need to maintain and increase natural history collections in museums, since it is not known what the next discovery. “
The researchers also found an unusual curvature of the semicircular canal of the dodo – the balance organs located in the ear. However, so far, there’s a good hypothesis for this atypical feature.

Diet Pills Based On Medical Proven Male And Female Plants To Reduce Weight

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The problem of obesity or overweight in the body has been categorized in obesity overweight, grade, obesity grade II and grade III obesity degree. Grade level III is used for people who are morbidly obese and overweight means is a real threat to the life of the person. The number of people (above the age of 16 years) who were obese in England in 2010 was 26.1 percent, and the percentage of people who either overweight or obese was 62.8. There are many ways in which fat is deposited in the abdomen, such as calorie intake by sugary drink containing sodium, muffins, sweets and donuts that can be added to the fat which is highly dangerous for people with overweight diet pills herbal to reduce weight provides a true and proven method to help men and women who want the Pastillas para Bajar de Peso Rapido naturally without regulating their lifestyle factors.

There are many factors that cause weight gain and control many factors at once to regulate weight and get a slimmer and more youthful appearance, diet pills herbal weight to reduce Figure capsule can be taken. Increasing obesity and risk factors: The rate of obesity is increasing and this is becoming a global trend where more and more people have difficulty controlling weight gain. In the UK, more than 22 percent of men and 24 percent of women suffer high BMI that is considered to be high enough to increase the risk of health problems related to obesity. Increased body fat is not only a health problem that raises the cost of medical care for people who have excess gain.The level of glucose tolerance is reduced body weight when body weight is high. People who reduce weight successfully are able to reduce the level of cholesterol in the body by more than 10 percent. WFP reduced by 15 percent and HDC rises 8 percent.

The mortality rate also improved because people who are obese have a higher risk of fatal diseases due to diabetes and obesity diet pills herbal to reduce weight provides one of the best way to reduce weight, because it contains many powerful herbs. The herbs in the remedy have many properties that imparts many benefits to the body. It reduces the impact of aging, reduces the level of toxins in the body and improves metabolism. Haritaki is one of the herbs found in diet pills herbal to reduce weight. Saponins contains alkaloids, tannins, phytosterols, gallic acid and various other bio-active compounds that make it effective to provide hypolipidemic effect to the body.Lowers bad cholesterol and improves the level of good cholesterol in the body to increase the body’s ability. The endocrine system is balanced and the person feels more relaxed and have a stress-free life like grass controls the secretion of chemicals that cause pain. There are many other unique herbs found in Figure capsule that can control the synthesis of fatty acids to control weight gain, diet pills and herbal to reduce weight also helps in reducing appetite Read on Washington DC personal trainer. Also know weight loss supplements herbal.

HEALTH-Mauritius: Death comes with the rains

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Until a few months ago, the average inhabitant of Mauritius remained unanswered if he was asked what was the “chikungunya”, but is now a familiar word for majority.

It is a disease transmitted by mosquitoes, which spread rapidly during the current rainy season throughout this African island country in the Indian Ocean.

Some 157,000 of the 1.1 million inhabitants of Mauritius would be infected by the virus, which has killed 77 people in the town of Réunion, according to the World Health Organization (WHO).

Now, the rate of infection is increasing daily. Health authorities confirmed 1,322 new cases on Thursday.

The outbreak is concentrated in Mahebourg, a village in the south of the island, from where the disease spread to the northern town of Triolet.

IPS visited several patients at a hospital in Mahebourg fighting against chikungunya, a Swahili word meaning “to walk hunched over.”

Patients suffering from chikungunya fever, head stitches and severe pain in the joints of the ankles and wrists, forcing them to adopt a stooped posture when walking.

“I suffer from vomiting, and it hurts the whole body. I do not know what’s happening to me”, shouted in the hospital a young woman, Karuna Lalchand, while a man who also had great difficulty breathing infected.

Several nurses in Mahebourg also infected. “Many of my colleagues are sick and stayed home. Not enough staff to meet the nearly 400 people who call the hospital every day because they have a fever,” said one of the workers health.

The situation is similar in other health centers in the country, where there are no more beds for patients of chikungunya.

Moreover, hundreds of people, fearful of contracting the disease, go to the doctors to consult at the slightest symptom.

Cases of chikungunya are typical in the rainy season, as currently facing Mauritius as transmitting mosquitoes breed in standing water.

With a brief visit to the marshy village of Triolet one can understand why the disease spreads so fast. There abound dumpsters and abandoned plastic bags, all rainwater receptacles, which also accumulates on the roof of the houses, generally poorly designed.

“Never dry the water” ceilings, admitted Ramesh Pandit, a resident of Triolet.

The disease progressed despite a government campaign to combat it, which follows the same guidelines of an initiative against malaria in the 70’s.

Throughout the island, health workers advise citizens and teach them to clean rivers and abandoned lands, while carrying out a massive task of spraying insecticide in areas at risk.

The media, particularly radio, devote much space to information on the chikungunya, while local councils, such as the northern town of Montagne-Longue and East Saint Julien d’Hotman distribute pamphlets with information about the virus and its prevention.

One of the directors, Maudhoo Ramesh said that both the authorities and citizens were responsible for the spread of the disease.

“The first not provided sufficient services for the disposal of garbage, and the second transformed derelict land, roads and river banks in landfills,” he said.

Meanwhile, the elders of the worst affected areas fleeing to other parts of the island to avoid exposure to mosquitoes.

The sale of repellent products soared in recent months, from creams to electronic vaporizers and mosquito nets.

One company said it sold eight times more of these products in February than during the entire 2005 summer season, which lasts about six months.

Dozens of people go to pharmacies looking for some type of drug against the disease. However, it still has not created any treatment to cure or prevent it. Patients were simply given drugs to reduce fever and pain.

Despite concerns over evil, WHO has not ordered travel restrictions Mauritius luxury villas, which has an important tourist industry.

Interventional radiology is cheaper and less invasive

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The new applications allow interventional radiology minimally invasive interventions have less impact on health care costs and therefore reduce surgical waiting lists – according to Bookkeeper Coogee

For this reason, more than 2,000 Spanish and Latin American radiologists will meet in Bilbao between 19 and 23 May to discuss this medical specialty that has increased in recent years and has been instrumental in emergency care such as bleeding.

Interventional radiology “is present throughout the process of patient care, from prevention to treatment of diseases through monitoring results at different stages,” stressed the president of the Spanish Society of Medical Radiology (SERAM ), Jose Luis del Cura.

This technique “allows us to use the image of the devices as a GPS to treat as close to some diseases, today we can open a vein or artery from the inside, treat fibroid or varicose veins without having to operate without scar, or delete a kidney or lung tumor through a hole in the skin of just 2 mm, “stated the voice of radiology congress SERAM, Fernando Lopez Zarraga.

Among the main issues to be discussed at the conference also they highlighted issues related to pediatrics and radiological protection of patients. The possibility of implementing screening systems were lung cancer.

Finally, there will be an exhibition of old X-ray equipment on the occasion of the commemoration of the centenary of the foundation.

The development of hip dysplasia. X-ray or ultrasound? Who and when?

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The development of hips (DDC) dysplasia is a condition that can develop in the period prenatal or after the birth. It is determined largely by mechanical factors acting on the hip and its apparatus of BRA, which can be normal or present increased laxity, which can lead to instability articulate and eventually permanent, passing through all the intermediate ranks dislocation. In this way, the morphological changes of the femoral head and the acetabulum would be secondary and would be developed over the course of time. The evidence point toward this etiology. Some authors have suggested that the primary factor of the DDC would be signs of canine hip dysplasia, but it has been shown that this is rather a consequence and not a causal factor of this pathology.

Barlow described the frequent finding of unstable hips at physical birth and arriving at a near two-week period to stabilize. This is probably due to the presence of circulating hormones that are transferred by the mother and whose effect is to relax the muscles, such as relaxin and others, which produce a physiological instability.

The term DDC has been almost universally accepted and has been replaced by terms such as congenital Dysplasia of the hips, dislocation of the hips, Dysplasia of hips, etc. luxante, and includes unstable hips or luxables, hip dislocation and acetabular dysplasia.

The risk factors for the development of DDC includes a narrow or constricted fetal environment as in the oligohidroamnios. Similarly, an anomalous position in the womb causing the extension of the hips and the action of the adductor muscles is also predisposing DDC, as it happens in breech presentation. There is also a higher prevalence in direct descent, especially in what refers to parents and siblings, in such a way that a family history of DDC is another factor to consider.

Other elements that have been associated with DDC include orthopedic anomalies of limbs, especially foot bot.Congenital muscular torticollis also partnered to DDC.

Considering that the DDC is an evolutionary disease at the time, which may develop in the first months of postnatal life, a normal test both the intrauterine period in the period of immediate born does not rule out the presence of this disease. However, most occurs in the neonatal period and only occasionally manifests itself in late. You must also be considered that examination may be ambiguity in DDC detection, even in experienced hands.

It is also clear that the DDC depends mainly of the precocity of diagnosis and treatment.

Is it necessary to carry out screening with methods of images?

This is an issue on which there is a unanimous opinion. In some countries, like the United States, we advise you to usual clinical screening and only study with some method of images to those children in whom a DDC, is suspected based on the concept that a careful clinical examination can detect a DDC in all cases.

Others argue that all children should be subjected to screening mass with a method of images, either with (Rx) x-ray of pelvis or ultrasonography (US) of hips, based on the fact that clinical examination can be negative in cases of DDC, especially considering that in countries such as ours the clinical screening often is carried out by medical or paramedical personnel not experienced and also by a cost-benefit ratio, since it would be cheaper to do mass screening with images and precociously detect those abnormal hips to undergo treatment in a timely manner and, therefore, shorter duration and much better prognosis, with significant reduction in the amount of sequels. Not making radiological screening would lead to late detection of some of the cases of DDC, that would require a more prolonged treatment, much higher cost and with a greater number of sequels.

Based on our experience, we dare to recommend that in our midst all children undergo screening with the most appropriate method of images, as the case may be.


Rx of pelvis

The radiological examination allows us to study bone structures and alterations that occur on them. As it is a morphologic and static test does not determine the first changes, which are dynamic alterations and initially only affecting the cartilaginous and ligamentous structures. The first changes on bone structures occur after four to six weeks of manifested laxity articulate. This is his best performance is achieved when it is obtained after 2 months of age.

It has the great advantage of being a test of simple, easy to obtain in most hospitals or health centers in our country, does not require sophisticated equipment and is virtually harmless, since the doses of radiation used is negligible. It is also cheap and can be interpreted by any physician trained or experienced. Unfortunately, there is tendency among medical radiologists and orthopedic surgeons to over-diagnosis and therefore to the overtreatment by mistake in the interpretation of the x-ray study. On the other hand, at least in our country, this radiological screening allows detecting and treating early cases of DDC and thus most cases of late submission are very uncommon.

It must also be taken into account that a radiological examination technically deficient can lead to errors of interpretation with misdiagnosis, especially in Rx rotated or basculadas in the axial plane.


The US is very appropriate in the first months of life and is superior to the Rx of pelvis, enabling you to visualize the cartilaginous femoral head and the acetabulum, also allows us to study dynamically hips and his sensitivity in the detection of DDC skirt 100%. There are two aspects that stability must be considered joint and acetabular morphology,

In 1980, Graf introduced technique and proposed a method which assesses only the morphology of the hip in a single cut crowns and drew up a classification with therapeutic implications according to the measurement of angles of descent of the bony acetabulum and the angle of the fibrocartilaginous labrum (static method).Subsequent studies have shown that using only this test methodology leads in many cases to an overdiagnosis, and therefore to an overtreatment. On the other hand, being this a static technique, not allows to detect the anatomically normal and unstable hips.

Subsequently, Harcke (1984) introduced the technical dynamic that virtually reproduces the physical examination during the procedure, introducing cuts at levels crowns and cross and the use of stress maneuvers.

In our experience, which coincides with other authors, a combined technique, using simultaneously static and dynamic methods, is most appropriate and most comprehensive method to evaluate the hip of (RN and the infant.)

Probably the US constitutes the ideal method of study in the DDC detection. Unfortunately, requires equipment that is not available in all centres of health in our environment, and is also a method strongly operador-dependiente, that requires an experienced observer. It is because of this that use this technique as part of a massive screening implies greater efficiency in the detection of DDC, but at the same time cost wholesale and retail availability with respect to the Rx of pelvis.

The US carried out in the immediate neonatal period detected in a significant number of children, a physiological instability of hips, meaningless pathological in the vast majority of cases, as it was already mentioned, which can lead to undergo these babies to unnecessary treatment.

When you apply for study by images? X-ray of pelvis or hips US?

According to the earlier referred, and based on the national, international and personal experience, we consider that in our half of the recommendations should be as follows, depending on the clinical situation:

  1. Newborn with some of the predisposing factors of DDC mentioned above, but with negative physical examination: US’s hips between two and three weeks of life.

  2. Newborn with or without predisposing factors and altered physical examination: hips birth US.

  3. Newborn without predisposing factors and with negative physical exam, both in the neonatal period and in the subsequent clinical tests: Rx of pelvis at 3 months.

A relative indication of US of hips is the presence of a Rx of pelvis doubtful or technically deficient before a patient with a negative physical, on who you want to know the real relationship of femoral head cartilage with the acetabulum.

The scalability of the DDC, must take into account at all times so that a negative US during the first month of life does not absolutely rule out the possibility that this disease occurs later. For this reason, in patients with predisposing factors or altered physical examination and normal US during this period, it is advisable to check with Rx of pelvis at 3 months of age.

In general, the screening Imaging is a good complement to the physical examination. But it will be the clinical follow-up, with a meticulous examination of the hips during routine well-child visits, in the first year of life, which will allow an adequate control of the development of hips.

1. radiology, clinical Santa Maria and Dávila, José Joaquín Aguirre Hospital service.
2 Department of Radiology, Hospital Clínico Pontificia Universidad Católica de Chile.

Principles and techniques of dental radiography

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Principles and techniques of dental radiography

A dental radiography can be performed by various techniques. (X-ray dentist 01 image by Dragan Bombek from

Radiography is to produce of X – rays of the and oral structures for the detection of diseases, according to “Dental X – Ray :. Principles and Techniques”. Attendees  (those who complete a year of diploma or a two – year associate degree) must be certified to take X – rays in some states. Dental hygienists, who can complete an associate degree or four – year programs for a degree in this field, must be licensed in all states to practice dental hygiene and dental x – rays, according to the Freedom Dental Melbourne. These professionals must master several techniques to succeed in this field.


Dental radiography can be performed using a traditional film or digital devices. When working with a traditional film, machines intraoral dental X-rays are used to those films placed inside the mouth, while extraoral machines are used for films outside the mouth. Dental radiographs can use a film holder for holding an intraoral film inside the mouth. It can also use a beam alignment device to help position the cone intraoral X-ray machine, also called the position indication device, in relation to the tooth and the film.

When a traditional film is used, X-rays interact with the film layer called the film emulsion containing silver halide crystals absorb radiation. The crystals produce a latent image of a tooth and its surrounding structures, which becomes a visible image once the film is chemically processed. Furthermore, digital radiography involves using an intraoral sensor instead of a film to capture an image of a tooth. Once the X-rays hit the sensor, the electronic charge produced on the sensor is converted into digital form and then the image is visible on a computer. When performing a digital radiography, dental radiographers can still use the traditional X-ray machine dental intraoral.

Film Types

Three types of intraoral film there, periapical, bite-wing, and occlusal. The periapical film is used to view an entire tooth, including the root and the crown of the tooth and the bone supporting the tooth. Meanwhile, the film bite wing is used to view the crowns of the upper and lower teeth in a single film. This type of film is especially important for detecting cavities or other conditions between teeth. Occlusal film is used to examine large areas of the upper or lower jaw.

A panoramic radiograph, which is a type of extraoral film, offers a wide view of the upper and lower jaws in a single film. A cephalometric film, other extraoral film, is used to examine the bone and soft tissues of the face.


Science-fiction: ‘The Man with X-ray eyes’ Roger Corman

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The recent post in this cycle of science fiction on one of the films of the Corman factory, ‘The Magnificent 7 Space’ ( ‘Battle Beyond the Stars’, 1980), a film in which the legendary director made work behind the camera next to Jimmy T. Murakami , he reminded me of everything that contributed to Roger Corman film history, especially in the genres of science fiction and fantasy. ‘man with X – ray eyes’ (‘ X ‘, 1963) is one of those contributions, one of the undisputed classics of the genre, to enjoy this movie, please visit Movie25.

It was made at the time of greater apogee of its director, where among other things he made a series of films adapting the works of the famousEdgar Allan Poe -to which they devote special conclusion as that of Alfred Hitchcock -. It is well known that Corman received money to finance the filming of a movie, and with that money he filmed three showing numerous times that the budget is not an obstacle to film a good film. Or you have talent or you do not, and he had plenty Corman everywhere.


The film tells the story of Dr. James Xavier, who with his experiments trying to prove that the eyes could see beyond what lies ahead, that is, X-ray An idea on paper can be a bit stupid and laughable, but in the hands of Corman acquires terrifying possibilities. When the experiment is slipping from their hands, to use their discoveries in excess, the world becomes a horrible place to Xavier, a world in which end seeing nothing because his view naughty absolutely everything.

This fantastic idea is shown by Corman through an absolutely intoxicating dramatic crescendo, in a film that does not reach the hour and a half, proving once again how good he was director of Detroit with the synthesis, especially in the start scene.When the doctor is subjected to the test of taking a eyedrops, Corman presents a film about Ray Milland , with whom he worked on ‘Obsession’ ( ‘Premature Burial’, 1962) – to get behind her head, and into it up to his eyes.


The doctor who played at being God

That motion camera makes it no longer the person who has the point of view at all times, but the viewer, who will give you the opportunity to see what Xavier sees but from our perspective, decision as risky, and in any case, anecdotal. Thus we are witnessing sequences like the party, in which the protagonist discovers, not without humor, the possibilities of his invention, filming one of the most subtle orgies of history, one of the triggers of Xavier to continue using the drops.

And what initially seems like an allegory about drug use and its consequences , not inconsiderable given the time in which the film was shot, he is turning into tale pure and simple terror, even surpassing the possibilities of the premise whether.Xavier, fleeing a murder, and to keep experimenting, first guess things about people in a kind of circus, in which the forced Dick Miller star in a comic number. Then he will team up with a sleazy hustler to set up a business in which Xavier diseases can see people and warn them before it is too late.

But the weight of justice, by the fact that it is a scientist who has dared to play at being God , one of the signs of identity of a lot of science-fiction previos- years, and must pay for it, will be crucial in the agonizing final stretch, with Xavier losing control. Filmed where Steven Spielberg will shoot years later his impressive ‘Duel’( ‘Duel’, 1971), Corman gives her child a clear and at the same time ironic fate. The easiest solution for -ve suffering continuously despite having eyes closed and beyond any human being – is in front of your eyes, and only realizes thanks to a biblical quote.

The placing many radiographs is it dangerous?

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Let us first recall that the radiographs use of X-rays . The X-rays are invisible radiation able to penetrate the human body that stops partially. This radiation attenuation caused by the different components of the human body (bone, fat, muscle, water, air, vessels …) allows radiology to perform a diagnostic image.

Ionizing radiation in high doses can cause many side effects known as “radiation dermatitis”. These doses are not reached in the context of diagnostic imaging. However, side effects of low doses are much less known, especially the appearance of genetic mutations and cancer because they can occur long after exposure and are indistinguishable from natural affections. However, there is no evidence that diagnostic imaging tests can be at the origin of cancers. Because of this uncertainty, international and national agencies use the “precautionary principle” to establish the regulation, as if there were, even at low doses, a linear relationship between dose and risk. When the benefit outweighs the risk

To understand the complexity of the problem, be aware that medical imaging is not the only source of exposure to ionizing radiation. We are exposed daily to low doses of ionizing radiation from many sources: the air we breathe, soil, cosmic radiation, building materials, water, food … This radiation exposure natural is estimated on average in France to 2.5 millisieverts (mSv) per year. In comparison, a chest X-ray delivers between 0.005 and 0.01 mSv is equivalent to one to two days of exposure to natural radiation. A radiograph of the abdomen delivers approximately 0.4 mSv almost two months of exposure to natural radiation. A barium enema is about 2.5 mSv a year of exposure to natural radiation. Skull CT about 2 mSv or 10 months of exposure to natural radiation. An abdominal CT 5 10 mSv is two to four years of exposure to natural radiation.

Radiation protection refers to all the measures taken to ensure the protection of man and his environment against the harmful effects of ionizing radiation. All radiologists and their staff receive initial and ongoing training mandatory in radiation protection. The two main radiation protection rules, justification and optimization are implemented daily by professionals. The justification lies in the fact that, as with any medical procedure, the benefit must be greater than the risk.

While the risk of low doses is not shown, prudence requires that we consider its potential liability. This requires that the indication of a review exposure to ionizing radiation is well considered and weighed. It is your radiologist to confirm the indication of the review requested by your doctor, or even propose another examination to answer the question that arises. It is thus sometimes possible to replace an examination using X-rays with an examination does not use, such as ultrasound or magnetic resonance imaging (MRI).

The French Society of Radiology has developed the guide appropriate use of imaging tests to enable all doctors to know the exam that best meet the clinical condition of their patient.

Optimization of doses is the responsibility of radiologists and radiographers who used to use the minimum necessary ray obtaining an examination to answer the questions. These measures are taken for all patients, but are reinforced for examinations performed in children with sensitivity to ionizing radiation is larger and in patients with a chronic disease requiring repeated examinations.

If the risk of ionizing radiation should not be underestimated, it should not be the fear of never proven side effects is responsible for a loss of opportunity for patients and make you forget the important benefits of the imaging ill. Through these tests, radiologists are making fast and accurate diagnoses that can treat patients faster and to monitor the effectiveness of their treatment.

CT or MRI, is it the same?

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and MRI have a number of important commonalities. They also have fundamental differences in the origin of specific indications that the patient’s age, the anatomical region being explored or pathological condition sought.
In both cases the patient is placed in a tunnel but that of the MRI is much longer, which may cause discomfort for claustrophobic patients. The duration of the exam is also longer in MRI (about 30 minutes), that scanner (about 5-10 minutes).
In both cases, the images are acquired in cuts, from which numerous reconstructions can be made in two or three dimensions, in all planes of space. Both methods follow the same course: an acquisition time achieved by the following manipulator strict protocols developed by the French Society of Radiology, an image working time: measuring the density scanner or signal in MRI , multiplanar reconstruction, quantification of stenosis … and above all, an interpretation made by the radiologist time researching and analyzing anomalies and integrating them in the clinical setting to provide a diagnostic or assumptions scans r and MRI often require the use of contrast media injected intravenously circulating in vessels and in parenchyma; these contrast media allow, for example, diagnose a narrowing or blockage of a vessel or to better identify and characterize tumors.
Data acquired in scanner as MRI are digital data transmitted and archived. This allows to compare exams, which is essential to review images in light of new information or to benefit from the advice of an expert radiologist in particular very specific area.
Finally, the scanner and MRI are imaging equipment whose installation is subject to authorization by the government, therefore quotas equipment, which may explain delays in appointments too long for a decision in optimal management; This is especially true in IRM for which the existing fleet assessed number of machines / 100000 ranks us in very bad European students with a rate of 8.7 MRI / 100,000 population versus 15.6 for the European average.
If the commonalities between scanner and MRI are many physical principle is totally different: the scanner based on a specific X-ray absorption by various tissues. It causes a X-ray exposure and its indication should be reflected, especially in pregnant women, children and the young. The scannerhas excellent spatial resolution and allows you to view inframillimetric structures.
The MRI, in turn, is based on the property of certain atomic nuclei to emit signals detectable when placed in a magnetic field and subjected to a particular radio frequency, able to do resonate. The exam is prohibited individuals with a pacemaker or intraocular foreign bodies. The MRI has excellent contrast resolution and allows to better differentiate the different composition of tissues, is the preferred imaging in the study of parenchyma, brain first, but also liver, breast or prostate. The MRI allows an anatomical approach not only functional but also of various organs and, thereby, diagnose cerebral ischemia very early, the only way to make curable, or to approach the biochemical composition of a tumor . However, it requires around the patient material (infusion tube, ventilator …) insensitive to the magnetic field. This explains that the scanner is always preferred to the MRI in certain situations: emergency outside the brain imaging in critically ill patients or in achieving gestures guided by imaging whether diagnostic or therapeutic .
CT and MRI are certainly imaging modalities that have received the greatest technological advances over the past decade with the development of new application areas such as imaging of the heart and coronary and rather than oppose them, you have the seen as complementary as evidenced imaging merger, promising a great development because it will merge the information provided by CT and MRI .