- Dialysis and Renal Disease Management
- Rheumatoid Arthritis Research and Therapies
- Central Venous Catheters and Hemodialysis
- Blood Pressure and Hypertension Studies
- Parathyroid Disorders and Treatments
- Biosimilars and Bioanalytical Methods
- Vascular Procedures and Complications
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Heart Failure Treatment and Management
- Diet and metabolism studies
- Hormonal Regulation and Hypertension
- Renal and Vascular Pathologies
- Public Health in Brazil
- Potassium and Related Disorders
- Heart Rate Variability and Autonomic Control
- Renal Diseases and Glomerulopathies
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Renal function and acid-base balance
- Multiple Myeloma Research and Treatments
- Maternal and Neonatal Healthcare
- Vascular anomalies and interventions
- Therapeutic Uses of Natural Elements
- Lymphoma Diagnosis and Treatment
- Healthcare Regulation
- Vitamin C and Antioxidants Research
Hospital Base Guillermo Almenara Irigoyen
2018-2024
Universidad Ricardo Palma
2016-2024
Revista Conamed
2019-2021
Medico
2019-2021
Fundacion Instituto de Reumatologia Fernando Chalem
2019
Center for Rheumatology
2019
Sociedad Española de Nefrología
2018
EsSALUD
2011-2014
Hospital de Cruces
2014
Universidade de Brasília
2000
Promover la investigación en estudiantes de Medicina y elevar producción científica las universidades del Perú Latinoamérica es una prioridad necesidad. Describir el diseño aplicación curso taller titulación por tesis pregrado su eficacia tesis. Estudio descriptivo, comparativo, con componentes analíticos, que incluyó a Facultad Humana Universidad Ricardo Palma, durante los años 2015, 2016 2017. Se tomaron como indicadores curso: número proyectos aprobados, sustentadas manuscritos artículos...
Abstract Treating adolescent sex offenders before they become adults is important in preventing future sexual offenses against children. Denial for and their families often overlooked as a treatment dynamic to focus upon. The authors urge that the use of familial context offender necessary direction take when treating this denial suppression. In particular, can contribute or refuse support which exists many these adolescents. How therapist manages intervenes within family crucial decreasing...
Vitamin C has been widely studied in medicine and although the importance of its deficiency with scurvy was recognized, optimization use as a therapeutic resource not included protocols or clinical practice guidelines. The pharmacokinetics biology vitamin indicates systemic effects it has, based on it, research developed recent years that supports parenteral some diseases. available evidence benefit does extend to several diseases but such cancer, whose preliminary report is promising,...
Doze pacientes com idades entre 7 a 12 anos, na forma indeterminada da doença de Chagas, sorologia e xenodiagnóstico positivos, receberam tratamento específico. Dois tomaram 7mg/kg nifurtimox durante 60 90 dias 10 usaram 5-7mg/kg benznidazol dias. A evolução clínica foi verificada através exame clínico, eletrocardiograma, radiológico contrastado do esôfago. Após o somente uma (8,3%) paciente apresentou todos os exames negativos. Oito deles foram avaliados após oito anos 4 acompanhados 20...
Introducción: la pericarditis bacteriana es una manifestación infrecuente que debe ser considerada en el espectro de las potenciales complicaciones un paciente con bacteriemia asociada al catéter venoso central. Objetivo: realizar rápido reconocimiento y manejo para evitar potencialmente fatales. Presentación del caso: caso clínico paciente, sexo femenino 50 años, por Aeromonas hydrophila contexto a central hemodiálisis, requirió pericardiocentesis. Discusión conclusión: revisión este...
Nowadays, rheumatologists face challenges in finding an effective method to classify and treat patients with undifferentiated arthritis (UA). There is a need for new tools that could ensure accurate characterization of inflammatory processes these patients.The aim this study was investigate if UA using ultrasound (US) may help fulfill the 2010 American College Rheumatology/European League Against Rheumatism (ACR/EULAR) rheumatoid (RA) classification criteria real-life cohort.We conducted...
The European Renal Best Practice Guidelines and National Kidney Foundation recommend using a graft to create dialysis vascular access if an autogenous (native) arteriovenous fistula (AVF) cannot be created. Besides prosthetic graft, the greater saphenous vein translocation or cadaver/non-cadaver homologous are other possible options. In 2018, Society for Vascular Surgery suggested biological over especially in case of infection.
In many countries as Peru, there is a high prevalence of central venous catheter (CVC) use with complications associated. this report, it was reviewed the gap between demand and supply on vascular access (VA) regarding CKD prevalence, health systems, availability workforce, multidisciplinary equipment. Data from Peru compared to Latin America because an effort improve care VA in country. hemodialysis, HD (85.9%) predominant renal replacement modality.
<b><i>Introduction:</i></b> The effect of clothing on the recording blood pressure in a normotensive and hypertensive population remains essential to diagnosing managing. <b><i>Methods:</i></b> This is cross-sectional study measure using validated oscillometric sphygmomanometer two populations. records were made over thicker sleeve arm non-sleeved (either bare or indicating removal outermost garment). Clothing was categorized according how...
Contexto: actualmente, uno de cada diez adultos en el mundo tiene enfermedad renal crónica (ERC), Perú 19.197 pacientes tienen ERC etapa terminal y necesitan terapia remplazo sostenida (TRS). Objetivo: analizar la asociación entre satisfacción del acceso vascular, calidad vida tipo vascular Unidad Hemodiálisis Hospital Nacional Guillermo Almenara Irigoyen periodo 2021, Lima, Perú. Metodología: estudio transversal analítico observacional, cual se utilizaron dos instrumentos, SF-VAQ SF-36, 122...
Amyloidosis constitutes a differential diagnosis in patient with nephrotic syndrome. The presence of systemic and evolutive manifestations supports the possibility primary amyloidosis. A review clinical is presented relation to case.
Introduction: Malnutrition in hemodialysis patients is a consequence of various deficiency andhypercatabolic factors and constitutes risk factor for morbidity mortality. Objective: Determinethe association between hypoalbuminemia hypophosphatemia with the Subjective globalassessment (SGA) C chronic renal disease on hemodialysis. Methods: Analytical cross-sectional study. Patients from service Hospital Guillermo Almenara werestudied. The Kruskal-Wallis test multiple comparisons were used...
Seronegative rheumatoid arthritis (SRA) is a condition that not well understood and difficult to confirm by conventional diagnostic process. We aimed quantify the potential cost-savings of an alternative process (ADP) imaging-based, for patients with presumptive SRA from everyday clinical practice.We performed retrospective analysis who tested negative both factor anti-cyclic citrullinated peptide antibodies, through ADP standard practice in our center. After we confirmed diagnosis or...
Para el logro de un óptimo control la hipertensión arterial, además entender adecuadamente su base fisiopatológica, clínica, terapéutica, se requiere conocer sustento que poseen las recomendaciones sobre los objetivos tratamiento, así como beneficios y riesgos del mismo. En este sentido, una consecuencia descrita asociada al manejo antihipertensivo es presencia curva J, decir aumento riesgo cardiovascular asociado a reducción presión diastólica. Si bien esta ha sido debatida por muchos años,...
Background: Cancer antigen 125 (CA-125) serves as a nonspecific test for the diagnosis of several pathologic conditions involving compromised mesothelium resulting from inflammatory processes. This investigation reports association CA-125 with severe nephrotic syndrome caused by primary glomerulopathy, which often coexists inflammation. Methods: levels, clinical data and isolated ultrafiltration therapy were assessed syndrome. Nineteen patients recruited glomerulopathy. Of these, seven had...
La respuesta natriurética y la hemodinámica glomerular dependen de diversos sistemas regulación intrarrenal; sin embargo, mayoría ellos posee algún grado dependencia del sistema renina angiotensina. distribución tisular el efecto hemodinámico este son vital importancia para entendimiento filtrado en diversas enfermedades que se caracterizan por desregulación equilibrio sodio o glomerular, tales como síndrome nefrótico, falla renal aguda crónica e hipertensión arterial.
Objetivos: Las citokinas poseen una acción pleiotrópica que intervienen tanto en la salud como enfermedad, es mediado por respuesta linfocitaria T helper. Existe interacción no excluyente entre Th efectora/reguladora, de cual depende el éxito procesos fsiológicos y fsiopatológicos su disregulación. En esta revisión, mencionaremos algunos ejemplos representativos disregulación Th. embarazo recae inicial mediada Th1, defecto ocurren mecanismos relacionados a preeclampsia. Un disbalance con...