A5014423739- Body Composition Measurement Techniques
- Hemodynamic Monitoring and Therapy
- Electrical and Bioimpedance Tomography
- Dialysis and Renal Disease Management
- COVID-19 Clinical Research Studies
- Peripheral Artery Disease Management
- Frailty in Older Adults
- Organ Donation and Transplantation
- Topic Modeling
- COVID-19 and healthcare impacts
- Natural Language Processing Techniques
- Data Quality and Management
- Geriatric Care and Nursing Homes
- Long-Term Effects of COVID-19
- Cardiovascular Syncope and Autonomic Disorders
- Palliative Care and End-of-Life Issues
- Biomedical Research and Pathophysiology
- Renal Transplantation Outcomes and Treatments
- Patient-Provider Communication in Healthcare
- Sepsis Diagnosis and Treatment
- Healthcare Policy and Management
- Muscle activation and electromyography studies
- Blood Pressure and Hypertension Studies
- Parathyroid Disorders and Treatments
- Renal function and acid-base balance
Hospital Universitario Virgen del Rocío
2018-2025
Universidade Brasil
2025
Universidade de São Paulo
2025
Millennium Institute for Integrative Biology
2024
Pontificia Universidad Católica de Chile
2024
Instituto de Biomedicina de Sevilla
2021-2024
Universidad de Sevilla
2021-2024
Equinor (United Kingdom)
2024
Andalusian Health Service
2022
Johns Hopkins Medicine
1982-2021
Objectives To quantify the prevalence of frailty in adults all ages undergoing chronic hemodialysis, its relationship to comorbidity and disability, association with adverse outcomes mortality hospitalization. Design Prospective cohort study. Setting Single hemodialysis center B altimore, M aryland. Participants One hundred forty‐six individuals enrolled between J anuary 2009 arch 2010 followed through A ugust 2012. Measurements Frailty, comorbidity, disability on enrollment study subsequent...
African Americans have persistently poor access to living donor kidney transplants (LDKT). We conducted a small randomized trial provide preliminary evidence of the effect informational decision support and financial assistance interventions on American hemodialysis patients' pursuit LDKT.Study participants were randomly assigned receive (1) Usual Care; (2) Providing Resources Enhance Patients' Readiness Make Decisions about Kidney Disease (PREPARED); or (3) PREPARED plus program. Our...
Early preparation for renal replacement therapy (RRT) is recommended patients with advanced chronic kidney disease (CKD), yet many initiate RRT urgently and/or are inadequately prepared. We conducted audio-recorded, qualitative, directed telephone interviews of nephrology health care providers (n = 10, nephrologists, physician assistants, and nurses) primary physicians (PCPs, n 4) to identify modifiable challenges optimal inform future interventions. recruited from public safety-net...
Heart failure (HF) is a complex syndrome in which the heart unable to pump enough blood containing oxygen and nutrients meet body's demands. HF leading cause of hospitalization for patients over 65 years age. After patient diagnosed with HF, mortality rate 50% within first 5 years. Presently, there no unanimous diagnostic criteria HF. Bioimpedance (BI) analysis has been proposed recent as technique detect one main symptoms: changes body volume due edema. This research presents portable...
Abstract Background Little is known regarding the types of information African American and non-African patients with chronic kidney disease (CKD) their families need to inform renal replacement therapy (RRT) decisions. Methods In 20 structured group interviews, we elicited views CKD about factors that should be addressed in educational materials informing patients’ RRT selection We asked participants select from a list obtained open-ended feedback. Results Ten groups (5 American, 5...
Abstract Background Nursing homes are highly vulnerable to the occurrence of COVID-19 outbreaks, which result in high lethality rates. Most them not prepared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Method A coordinated on-site medicalization program (MP) response a sizeable outbreak 4 nursing was organized, with objectives improving survival, offering humanistic palliative care residents their natural environment, and reducing hospital referrals. Ten key...
Heart failure (HF) is a severe disease and one of the most important causes death in our society nowadays. A significant percentage patients hospitalized for decompensation heart are readmitted after some weeks or months due to an expected bad uncontrolled HF evolution lack patient supervision real time. Herein presented straightforward electric model useful volume leg section calculus based on bioimpedance test as way assist with acute patient’s supervision. The method has been developed...
To better understand the microbial profile of complicated parapneumonic effusions and empyema, to evaluate whether antimicrobial selection would differ if guided by targeted metagenomic sequencing (tMGS) vs conventional cultures (CCs) alone.We analyzed pleural fluid a cohort 47 patients undergoing thoracentesis from January 1, 2017 August 31, 2019, characterize their profile. All samples underwent 16S ribosomal ribonucleic acid gene polymerase chain reaction, followed tMGS.Pleural space...
The current evaluation of acute heart failure (HF) does not allow an adequate prediction its evolution. electrical bioimpedance (BI) allows knowing the state blood volume, until now only with fixed equipment. We have developed and validated a portable wireless device to measure BI at ankle (IVOL). objective study is know long-term prognostic value point measurement IVOL in patients HF.
Arrhythmia-related complications and sudden death are common in dialysis patients. However, routine cardiac monitoring has so far not been feasible. Miniaturization of implantable monitors offers a new paradigm for detection management arrhythmias The goal our study was to determine the frequency arrhythmia-related symptoms hemodialysis patients assess their willingness undergo implantation monitor.We conducted survey in-center at clinic Baltimore, Maryland. We assessed placement an monitor...
This work presents a procedure to calculate the edema time-evolution in HF patients from bioimpedance (BI) measurements performed their corresponding legs. The data for diagnosis are picked-up using wearable device specifically developed application accuted heart failure context of HF-VOLUM project. main objective project is calculus or volume evaluation legs as consequence liquid accumulation, basically, water, real time supervision patient health. For that, an initial step, calibration...
We have described a case of severe acute hyponatremia developing in patient who had been taking thiazides for the previous eight months without having any electrolyte abnormalities. The onset disturbance coincided with physician-recommended hydration regimen, which we believe unmasked drug-related impairment water excretion. Withdrawal thiazide therapy promptly resulted diuresis and rapid correction hyponatremia.
Heart failure is a severe medical condition with an important worldwide incidence that occurs when the heart unable to efficiently pump patient’s blood throughout body. The monitoring of edema in lower limbs one most efficient ways control evolution condition. Impedance spectroscopy has been proposed as technique monitor body volume patients failure. It necessary research new wearable devices for remote patient monitoring, which can be easily worn by continuous way. In this work, we design...
Despite the high creation cost, annotated corpora are indispensable for robust natural language processing systems. In clinical field, in addition to annotating medical entities, corpus creators must also remove personally identifiable information (PII). This has become increasingly important era of large models where unwanted memorization can occur. paper presents a anonymize 1,787 anamneses work-related accidents and diseases Spanish. Additionally, we applied previously released model...
The current evaluation of acute heart failure (HF) does not allow an adequate prediction its evolution. electrical bioimpedance (BI) allows knowing the state blood volume, until now only with fixed equipment. We have developed and validated a portable wireless device to measure BI at ankle (IVOL). objective study is know long-term prognostic value point measurement IVOL in patients HF. A prospective cohort unselected admitted for HF tertiary hospital. association between different clinical,...