- Pregnancy and preeclampsia studies
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- COVID-19 Impact on Reproduction
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Birth, Development, and Health
- Surgical site infection prevention
- Anesthesia and Pain Management
- Assisted Reproductive Technology and Twin Pregnancy
- Ultrasound in Clinical Applications
- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy and Medication Impact
- Neonatal Respiratory Health Research
- Healthcare Systems and Technology
- Cancer Risks and Factors
- Gestational Diabetes Research and Management
- Clinical practice guidelines implementation
- Trauma and Emergency Care Studies
- Telemedicine and Telehealth Implementation
- Fatty Acid Research and Health
- Airway Management and Intubation Techniques
- Congenital Diaphragmatic Hernia Studies
- Congenital Anomalies and Fetal Surgery
- Sports Performance and Training
Universidad Peruana Cayetano Heredia
2007-2024
Pennsylvania Hospital
2015-2024
The University of Texas Medical Branch at Galveston
2018-2022
Hospital Británico
2021
Amerikan Hastanesi
2021
University Physicians
2021
Oregon Health & Science University
2019
Galveston College
2016-2018
Ochsner Health System
2018
Intermountain Healthcare
2018
There are few cases of pregnant women with novel corona virus 2019 (COVID-19) in the literature, most them a mild illness course. is limited evidence about utero infection and early positive neonatal testing. A 41-year-old G3P2 history previous cesarean deliveries diabetes mellitus presented 4-day malaise, low-grade fever, progressive shortness breath. nasopharyngeal swab was for COVID-19, COVID-19 serology negative. The patient developed respiratory failure requiring mechanical ventilation...
Motivation for the study. There is a gap in knowledge about vertical transmission of SARS- CoV-2 and its implications maternal neonatal health, despite evidence multisystem involvement pregnant women with COVID-19. Main findings. The study results suggest low incidence during pregnancy, only one PCR-positive case placenta asymptomatic neonate. Implications. Our can inform strategies prevention management COVID-19 women, as well guide development health policies aimed at protecting pandemic....
The mechanical efficiency of positive work was studied in six subjects performing three different types exercises. On the first occasion ran on a motor‐driven treadmill at 3.33 m s ‐1 ;the second and third exercises consisted rhythmical vertical jumps for 1 min both rebound (RJ) no‐rebound (NRJ) conditions. calculated NRJ, which reflects only conversion biochemical energy into work, found to be lower than corresponding observation RJ, 17.2 vs . 27.8% ( P < 0.001), respectively. These...
The normal physiologic changes during pregnancy contribute to nutritional, metabolic, and immunologic adjustments, which can have an impact on the presentation of several diseases. New onset seizures postpartum be attributed etiologies. Patient demographic data as well personal social histories are key in determining etiology new seizures. Neurocysticercosis (NCC), a commonly overlooked etiology, must included differential diagnosis patients with coming from NCC endemic areas. is based...
To evaluate the association of institutional protocols for vaginal preparation with antiseptic solution and surgical site infection rate in women undergoing cesarean delivery during labor.This is a secondary analysis multicenter randomized controlled trial adjunctive azithromycin prophylaxis performed laboring patients viable pregnancies. The primary outcome this was superficial or deep within 6 weeks postpartum, as per Centers Disease Control Prevention criteria. Maternal outcomes included...
Objective Hospital readmissions are increasingly tracked and assessed for value-based compensation. Our objective was to determine the incidence risk factors associated with post-cesarean delivery (CD) or unexpected visits, defined as office emergency room visits. Study Design This is a secondary analysis of multicenter randomized controlled trial adjunctive azithromycin prophylaxis CD performed in laboring patients viable pregnancies. Patients were followed up 6 weeks postpartum. primary...
Murine typhus is a flea-borne disease of worldwide distribution with recent reemergence in the United States America. There are limited data about presentation, treatment, and outcomes pregnant population. We report on two cases murine during pregnancy review literature to compile previously reported cases. A comprehensive search was performed via PubMed database for published articles between 1990 2020. Seven met criteria symptomatic infection. total 37 patients were identified. Patients...
Objective Wearing a white coat (WC) has been associated with risk of colonization and transmission resistant pathogens. Also, studies have shown that physicians' attire in general affects patients' confidence their physician the patient–physician relationship. Our objective is to evaluate hypothesis not wearing WC during postpartum rounds does affect communication scores. Materials Methods This an unblinded, randomized, parallel arms, controlled trial women at single university hospital....
Abstract With brown adipose tissue (BAT) becoming a possible therapeutic target to counteract obesity, the prenatal environment could represent critical window modify BAT function and browning of white AT. We investigated if levels uncoupling protein 1 (UCP1) UCP1-mediated thermogenesis are altered in offspring exposed obesity. Female CD-1 mice were fed high-fat (HF) or standard-fat (SF) diet for 3 months before breeding. After weaning, all pups placed on SF. UCP1 mRNA quantified using...
Introduction: COVID-19 has impacted obstetric field, affecting pregnant women with risks such as preterm birth, preeclampsia, and perinatal complications. Objective: To describe the characteristics of a population infection, their newborns, outcomes at National Hospital Edgardo Rebagliati between March June 2020, Lima, Peru. Materials methods: Observational cross-sectional study, from to 2020. All who arrived obstetricemergency were hospitalized included underwent an immunochromatography...
Background: The global issue of greenhouse gas emissions has significant implications for the environment and human health. Telemedicine provides a valuable tool delivering healthcare while reducing by limiting need patient travel. However, environmental effects telemedicine in high-risk pregnancy populations remain unassessed. Objective: aim this study was to estimate economic impact an outpatient teleMFM program. Study Design: This retrospective cohort examined all visits at 3 clinics more...
INTRODUCTION: Videoconference interviewing (VCI) has been associated with efficiency, cost savings, and lack of interference clinical responsibilities compared to traditional on-site interviews. Our objective was evaluate the acceptability impact VCI for 2018-2019 Maternal Fetal Medicine fellowship match. METHODS: Prior interviews candidates were provided a link power-point presentation virtual campus tour. Candidates interviewed by panel five interviewers offered contact information...
Pulmonary embolism during and after pregnancy remains a significant contributor to maternal morbidity mortality. Symptoms that would be clear indicator of pulmonary embolus in the nonpregnant population can masked by its routine pregnancy-related symptoms. To affect reduction this severe mortality indicator, physicians need maintain high degree suspicion coupled with expedient testing.