- Ectopic Pregnancy Diagnosis and Management
- COVID-19 Clinical Research Studies
- Renal Diseases and Glomerulopathies
- Intestinal and Peritoneal Adhesions
- Appendicitis Diagnosis and Management
- Prenatal Screening and Diagnostics
- Assisted Reproductive Technology and Twin Pregnancy
- Urological Disorders and Treatments
- Tuberous Sclerosis Complex Research
- Maternal and fetal healthcare
- Complement system in diseases
- Parathyroid Disorders and Treatments
- Vector-borne infectious diseases
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Genetic and Kidney Cyst Diseases
- Maternal and Neonatal Healthcare
- Genetic Syndromes and Imprinting
- Celiac Disease Research and Management
- Kidney Stones and Urolithiasis Treatments
- Chronic Kidney Disease and Diabetes
- Gestational Trophoblastic Disease Studies
- Long-Term Effects of COVID-19
- Esophageal and GI Pathology
- Cardiac Arrest and Resuscitation
- Head and Neck Anomalies
Aventura Hospital and Medical Center
2025
Honduras Foundation for Agricultural Research
2021-2024
Universidad Católica de Honduras Nuestra Señora Reina de la Paz
2018-2024
Hospital San Pedro
2024
Departamento de Epidemiología
2024
Hospital Estadual Mário Covas
2021-2023
Tesla (United States)
2022
Objective This study aims to assess the impact of tracheal visualization on weaning success among tracheostomized patients in skilled and long-term care facilities, highlighting its role reducing complications enhancing clinical outcomes. Methods A retrospective observational was conducted residing nursing homes Florida between 2018 2023. The included individuals aged 18 years or older with established tracheostomies. Routine techniques were used confirm tube placement, evaluate health,...
Abdominal ectopic pregnancy (AEP) occurs within the peritoneal cavity, outside genital organs (uterus, tubes, ovaries). It is an unusual condition with incidence that varies from 1:10,000 to 1:30,000 of all pregnancies worldwide. A 38-year-old primigravid patient was diagnosed in second trimester AEP. Pregnancy reached 35.6 gestational weeks, and underwent surgery via laparotomy for extraction live fetus. Complete removal placenta performed without maternal or fetal complications. AEP...
Abstract Background Anaplastic thyroid carcinoma is a rare, rapidly progressive, and highly aggressive tumor. It has global annual incidence of 1–2 per million people. mostly affects older adults women. The median survival duration after diagnosis does not exceed 6–8 months. Case presentation A 60-year-old female patient mixed race (Honduran) presented to the local medical service with dysphonia that had started approximately 2 months earlier, accompanied by orthopnea 1 month earlier. On...
Abstract Tuberous sclerosis complex (TSC) is an autosomal dominant genetic disorder. TSC consists of a wide variety clinical manifestations, with neurological and dermatological symptoms being the most frequent. This study aims to describe characteristics management pregnant patient incidentally diagnosed TSC.
Según la cultura popular latinoamericana, el empacho es una enfermedad intestinal causada por ingesta excesiva de alimentos, fríos o mal cocidos. La manipulación abdominal “sobada” uno los tratamientos populares utilizados para y consiste en un masaje abdominal, donde se frota, estira piel aplica presión sobre abdomen.Objetivos: Caracterizar evolución clínica las complicaciones secundarias al retraso diagnóstico, pacientes pediátricos con apendicitis aguda, antecedente abdominal.Pacientes...
BackgroundThe COVID-19 pandemic has had a severe impact on the Latin American subcontinent, particularly in areas with limited hospital resources and restricted Intensive Care Unit (ICU) capacity. This study aimed to provide comprehensive description of clinical characteristics, outcomes, factors associated survival hospitalized patients Honduras.Research questionWhat were characteristics outcomes large referral center Honduras?Study design methodsThis employed retrospective cohort conducted...
Abstract Background Bladder lithiasis comprises 5% of urological lithiasis. Large bladder stones associated with vesicovaginal fistulas are rare, and the risk factors not an isolated process. There metabolic comorbidities this pathology, including diabetes mellitus. Case presentation A 70-year-old Mestizo patient is presented, reporting dysuria, pollakiuria, abdominal pain 4 months evolution, located in hypogastric region, also a sensation foreign body vaginal introitus. In her pathological...
Thrombotic Thrombocytopenic Purpura (TTP) is rare and potentially life-threatening thrombotic microangiopathy (TMA) caused by acquired immune-mediated or congenital deficiency of the von Willebrand factor regulatory enzyme, a Disintegrin And Metalloproteinase with Thrombospondin Type 1 motif, member 13 (ADAMTS13) which cause microthrombi to form occlude microvasculature. The occurrence acute kidney injury (AKI) in TTP often underestimated due confusion hemolytic uremic syndrome (HUS). A...
This study aimed to identify, evaluate, and rank suitable safety innovations developed during the COVID-19 pandemic in Latin American Caribbean (LAC) radiation oncology centers.
Iris epithelial cysts are rare, spontaneous, epithelium-lined spaces that arise from the iris-pigmented layer and ciliary body can cause a narrowing of anterior chamber angle leading to pseudo-plateau iris configuration (PPI). We present case an 80-year-old female patient with history decreased visual acuity, diagnosed bilateral cataracts secondary multiple peripheral pigment cysts. This report describes detection process, management strategy course treatment who underwent cataract surgery...
To compare the effect of intraumbilical vein oxytocin injection with standard management in reducing blood loss during third and fourth stages labor. Acute complications threaten mother's life The most common complication is postpartum hemorrhage, which remains a leading cause maternal mortality, particularly developing countries.A randomized controlled trial was conducted Gynecology Obstetrics Department Leonardo Martínez Valenzuela Hospital from January to June 2021. A probabilistic sample...
Introduction A number of parenteral infections in third-world countries are caused by blood transfusions. Our objective was to determine the prevalence and factors associated with infected obtained Honduran Red Cross through donations, ensure safety donated blood. Materials methods This study used a cross-sectional analytical design based on secondary analysis data. Information donors from San Pedro Sula, Honduras, between 2014 2016 were database Cross. Data performed two phases. The first...
Objetivo: Identificar la presencia de infección sitio quirúrgico y factores riesgo en pacientes sometidas a cirugías Gineco-Obstétricas forma programada o urgencia un hospital II nivel atención Honduras.
Antecedentes: El hiperparatiroidismo primario, tercer trastorno metabólico más común a nivel mundial, provoca un aumento del calcio sérico y de la hormona paratiroidea, causado por una hiperactividad las gláansd puaratiroideas. En el 85% los casos, se debe adenoma paratiroideo. Es predominantemente asintomático (>80%), pero sus manifestaciones pueden ser musculo-esqueléticas, neurológicas, psiquiátricas, renales, cardiovasculares, gastrointestinales. Descripción Caso Clínico: Paciente...
Li–Fraumeni syndrome is an inherited, autosomal dominant disease. It categorized as a rare disease caused by mutations of the TP53 gene, which causes increased susceptibility patients and their children to many types cancer. Choroid plexus tumor rare, occurs in 0.3 cases per 1,000,000 people, 40% turn out be carcinomas. We present 12-year-old boy with history worsening headaches more than one month, gait disturbance, projectile vomiting, right hemiparesis. An intraventricular was identified...
El Hospital Nacional Dr. Mario Catarino Rivas (hospital de segundo nivel atención), sirve como centro atención para embarazos alto riesgo la zona noroccidental Honduras; reportó 1,702 casos trastornos hipertensivos del embarazo en 2017 y 2,070 2018. Se caracterizó pacientes con signos síntomas agrupadas desde un punto vista obstétrico, epidemiológico clínico. realizó estudio, descriptivo corte transversal gestantes que presentaron cefalea, cifras tensionales elevadas (≥ 140/90mmHg);...
In children, acute appendicitis (AA) is usually mistaken for empacho, which, according to popular belief, caused by the ingestion of undercooked or cold food causing gastrointestinal symptoms. The empirical treatment abdominal manipulation, consisting massages with different maneuvers on wall, accompanied home remedies. effect these therapies in presence AA unknown.To determine association between manipulation and complicated pediatric patients.Case-control study a population under 18 years...
Introducción. Streptococcus agalactiae, conocido actualmente como estreptococo delgrupo B (EGB), es el principal microorganismo que coloniza tracto genitourinarioen pacientes gestantes, llegando a causar consecuencias graves en neonato,como sepsis neonatal, neumonía y meningitis. Objetivo. Determinar la prevalenciade EGB mujeres gestantes del Hospital Nacional Dr. Mario Catarino Rivas, enHonduras. Materiales métodos. Estudio descriptivo, prospectivo, transversal. Seutilizó un muestreo por...
La enfermedad de Lyme es la infección transmitida por garrapatas más común en Norteamérica y Europa. Sin embargo, América Latina se han reportado pocos datos. Borrelia burgdorferi capaz invadir el sistema nervioso central causando neuroborreliosis Lyme. Se comunica caso una mujer joven con encefalitis sÃndrome cerebeloso, presentación poco frecuente, que manifestó cefalea, marcha atáxica, nistagmo ptosis palpebral. realizó diagnóstico serologÃa positiva Western blot para suero....
RESUMENConcepto: El adenocarcinoma de trompa Falopio es una neoplasia poco frecuente que afecta a mujeres entre 50 y 70 anos.Caso: Paciente 39 anos se presenta consulta por molestias urinarias inespecificas persistentes. Despues realizar un ultrasonido transvaginal, encontro masa en el anexo izquierdo. Se le indico la realizacion laparotomia exploratoria cual extirpo tumor 8 cm izquierda ademas apendice. informe histopatologico manifesto trataba carcinoma seroso papilar uterina.Conclusion:...
Abstract Background: To solve infertility, modern science has promoted assisted reproduction techniques such as in vitro fertilization, ovulation induction, and artificial insemination. Quadruple-type multiple pregnancies occur 1 of every 500,000 pregnancies, it is estimated that 90% due to reproductive techniques, which often lead numerous complications. Case presentation: Here we present a case 33-year-old woman, who desired pregnancy, but had history primary infertility diagnosed by...