A5021699102- Fungal Infections and Studies
- Gallbladder and Bile Duct Disorders
- Inflammatory Bowel Disease
- Autoimmune and Inflammatory Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Biliary and Gastrointestinal Fistulas
- Syphilis Diagnosis and Treatment
- Antifungal resistance and susceptibility
- Microscopic Colitis
- Intestinal Malrotation and Obstruction Disorders
- Electronic Health Records Systems
- Gastrointestinal disorders and treatments
- T-cell and Retrovirus Studies
- T-cell and B-cell Immunology
- Lymphoma Diagnosis and Treatment
- Gastrointestinal Tumor Research and Treatment
- Systemic Lupus Erythematosus Research
- Gastrointestinal motility and disorders
- Diabetes Treatment and Management
- Monoclonal and Polyclonal Antibodies Research
- Reproductive tract infections research
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Health and Risk Factors
- HIV/AIDS oral health manifestations
- Mobile Health and mHealth Applications
Brigham and Women's Hospital
2023-2025
Antenor Orrego Private University
2016-2024
Private University of Trujillo
2022-2024
Mass General Brigham
2023
Fundación Valle del Lili
2017
Hospital Nacional Cayetano Heredia
2017
Icesi University
2017
Abstract Background Remote hypertension management programs have emerged as potential solutions to improve poor rates of blood pressure (BP) control. The Continual Versus Occasional Blood Pressure (COOL-BP) Study investigated the feasibility and efficacy using a cuffless wrist BP monitor in remote (HTN) program. Methods COOL-BP was prospective single-arm study within larger HTN program at Mass General Brigham (MGB). Participants had uncontrolled HTN, were already engaged MGB Hypertension...
Several SGLT2i (sodium-glucose transport protein 2 inhibitors) and GLP1-RA (glucagon-like peptide-1 receptor agonists) reduce cardiovascular events improve kidney outcomes in patients with type diabetes; however, utilization remains low despite guideline recommendations.
Background/Objectives: Remote clinical studies offer new outreach opportunities, but recruitment remains challenging. We report our experience in identifying potential participants from diverse sources and adopting various methods. Methods: utilized multiple screening methods to identify enroll patients into an implementation study for guideline-directed care with T2D at high risk of cardio-renal complications within the Mass General Brigham health network. Patients were identified by...
Objetivos: El acceso biliar refractario a las técnicas convencionales de canulación es un escenario clínico desafiante para la mayoría endoscopistas, técnica rendezvous endoscópico-percutáneo una óptima alternativa con altas tasas éxito y bajas complicaciones en manos expertas, sin embargo, su uso rutinario Occidente principalmente Latinoamérica aún limitado. objetivo nuestro estudio fue evaluar factibilidad, eficacia seguridad del el manejo vía difícil centro endoscópico Perú. Materiales...
Introduction: Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP-1 RA) offer cardiovascular (CV) kidney protective effects in patients with Type 2 DM (T2DM). Despite the benefits, these medications are underutilized due to various barriers. Remote management programs present a scalable solution improve uptake of accordance guidelines. However, safety concerns may limit adoption such programs. We report adverse (AEs) outcomes participants who...
Background: Despite well-established benefits on morbidity and mortality, implementation of guideline-directed medical therapy (GDMT) in heart failure (HF) population remains suboptimal. Quality improvement interventions to improve GDMT uptake often necessitate labor-intensive manual chart reviews identify eligible patients. To automate this process, we implemented evaluated a Rule-Based System (RBS) designed HF patients for remote medication optimization program. Methods: symptomatic...
A majority of patients with heart failure (HF) do not receive adequate medical therapy as recommended by clinical guidelines. One major obstacle encountered population health management (PHM) programs to improve medication usage is the substantial burden placed on staff who must manually sift through electronic records (EHRs) ascertain patients' eligibility for As a potential solution, study team developed rule-based system (RBS) that automatically parses EHR identifying HF may be eligible...
Se reporto un caso de varon 52 anos con historia 3 meses caracterizada por pujo, tenesmo, hematoquezia, dolor al defecar, disminucion 18 kg peso, fiebre, secrecion fecaloidea y purulenta a traves orificio perianal. A la colonoscopia se evidencian multiples ulceras en colon ascendente, transverso descendente. Tambien recto aprecia lesion elevada aproximadamente 5 cm. Las biopsias dichas lesiones fueron coloreadas hematoxilina-eosina tincion Gomori- Grocott demostrando macrogafos conteniendo...
La paracoccidioidomicosis es la micosis mas prevalente de Sudamerica. En nuestro medio afectacion mucocutanea y linfatica suele ser mayor prevalencia, siendo el compromiso intestinal pocas veces reportado. Se reportan 4 casos colonica con manifestacion dolor abdominal, diarrea cronica disminucion peso en los cuales diagnostico se realizo a traves anatomia patologica tincion Gomori. edad promedio fue 29 anos. colonoscopia revelo presencia multiples ulceras colon ileon distal. Como...
Background: Innovative BP measurement technology with cuffless devices has the potential to enhance HTN control, especially remote management. Methods: Patients uncontrolled at Mass General Brigham were managed by navigators and pharmacists in a digital management program, based on home monitoring (HBPM) digitally-connected arm cuffs. A subset was enrolled into 6-month COntinual vs OccasionaL (COOL-BP) study, testing wrist device (Aktiia SA, Switzerland). Asynchronous daytime weekly averages...
Background: Cuffless BP devices can potentially enhance hypertension management and remote monitoring. Patient experience with these is a key driver of their acceptability uptake. Methods: We implemented program within the Mass General Brigham health system using traditional home monitoring to adjust medications. Selected patients in this were enrolled an ancillary study where was also measured via cuffless wrist monitor (Aktiia SA, Switzerland). analyzed patient surveys all who successfully...