- Systemic Sclerosis and Related Diseases
- Rheumatoid Arthritis Research and Therapies
- Autoimmune and Inflammatory Disorders Research
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Dermatologic Treatments and Research
- Bone health and osteoporosis research
- Vitamin D Research Studies
- Vitamin C and Antioxidants Research
- Nutrition and Health in Aging
- Body Composition Measurement Techniques
- Systemic Lupus Erythematosus Research
- Lymphatic System and Diseases
- Musculoskeletal Disorders and Rehabilitation
- Skin Diseases and Diabetes
- COVID-19 Clinical Research Studies
- Healthcare professionals’ stress and burnout
- Folate and B Vitamins Research
- Bone health and treatments
- Esophageal and GI Pathology
- Connective tissue disorders research
- Intestinal Malrotation and Obstruction Disorders
- Autoimmune Bullous Skin Diseases
- Advanced Radiotherapy Techniques
- Radiation Therapy and Dosimetry
- Innovations in Medical Education
Vanderbilt University Medical Center
2024
Loyola Medicine
2021-2023
MacNeal Hospital
2020-2023
Society of Critical Care Medicine
2021
Universidad de Especialidades Espíritu Santo
2016-2020
Instituto Oncológico de Córdoba
2010
To compare the clinical characteristics of a group men and women with rheumatoid arthritis (RA) determine differences between genders.A descriptive comparative cross-sectional study was developed 50 control RA, from rheumatology center in city Guayaquil, Ecuador. Data collected included manifestations, comorbidities, treatment, disease activity. Clinical activity sexes were analyzed.Women more devoted to housework (66%), while consumed tobacco (34%) alcohol (38%). Fatigue (60%), loss...
Abstract Objectives EULAR supports the use of nailfold videocapillaroscopy (NVC) for identifying disease patterns (DPs) associated with SSc and RP. Recently, proposed an easy-to-manage procedure, a so-called Fast Track algorithm, differentiating from non-SSc in NVC specimens. However, subjectivity among capillaroscopists remains limitation. Our aim was to perform software-based analysis peculiarities cohort samples RP patients and, subsequently, build Track–inspired algorithm DPs without...
Introduction . An intimate relationship between osteoporosis and sarcopenia has been established. At present, there are few epidemiological studies about osteosarcopenia due to the recent use of this term, especially in Latin America. Objective To study association determine prevalence patients who attended a rheumatology center Ecuador. Methods A cross-sectional was conducted population had densitometric study. The diagnosis determined by DXA standard gold test, screening, conventional...
Introduction . Vitamin D is a preprohormone known to play key role in phosphocalcic metabolism; its main source comes from the synthesis at skin level by ultraviolet (UV) radiation. Objective The purpose of this study was determine levels vitamin an Ecuadorian population. Materials and Methods Retrospective subjects city Guayaquil, who had initial 25 (OH)-D serum, as indicator status, period 2015-2016. Results A total 269 were analyzed, with mean age 54.73 ± 16.58; 85% (229) females 15% (41)...
To evaluate quality of life in patients with established rheumatoid arthritis (RA) and identify the factors that negatively affect it.This was a cross-sectional study RA from rheumatology center Ecuador. The Quality Life (RAQoL) questionnaire used to assess QoL Health Assessment Questionnaire - disability index (HAQ-DI) for functional capacity. In addition, demographics, clinical characteristics, markers disease activity were included. Data analyzed using SPSS 22.Of 186 patients, 89.8%...
Diabetes mellitus (DM) is a disease process characterized by chronic hyperglycemic milieu that leads to micro and macrovascular complications, including diabetic retinopathy, nephropathy neuropathy. During the last decade, researchers have used nail-fold capillaroscopy study microvascular alterations in rheumatologic diseases; however, technology gaining momentum other processes alter architecture. We observed drastic improvement capillary architecture patient with uncontrolled DM. After...
Rheumatoid arthritis (RA) is a systemic autoimmune inflammatory disease, wherein late diagnosis and treatment leads to deformities disability.The aim of the study was assess describe clinical immunological characteristics, activity status functional capacity in cohort Ecuadorian patients with RA.This cross-sectional, descriptive conducted on population prediagnosed RA from public private rheumatology clinics. This investigated 400 mean age 50 years, 353 (82.25%) which were female.The showed...
Disability in RA is associated with loss of workdays, greater use health resources and a higher prevalence depression. The purpose this study was to determine the functional disability factors it.A cross-sectional carried out during January-June 2019 at rheumatology clinic city Guayaquil. Patients pre-established were included. Functional measured using HAQ-DI. Data analyzed statistical program SPSS v22. We compared characteristics between patients without Student's t-test chi-square. A...
Rheumatology is considered a low-risk specialty, but studies have shown prevalence of burnout between 42% and 51%.The aim was to determine the in rheumatologists Latin America factors associated with it.Cross-sectional study based on survey completed through Google Forms platform that sent by national rheumatology associations America. Burnout assessed Maslach Inventory. Data were analyzed using statistical program SPSS v.22.Two hundred ninety-seven from 15 countries included, mainly...
The adjuvant-induced autoimmune syndrome (ASIA) is associated with a dysregulation of the innate and adaptive immune system after exposure to chemical compounds, including liquid paraffin, silicone gel, acrylamides, hyaluronic acid. Due increase use these compounds in cosmetic procedures, prevalence this increasing. We present first report Ecuador ASIA an elective breast prosthesis procedure, manifested as polyarthralgia, positive antinuclear antibody, anticentromere moderate Sclero-70.
One of the causes congenital incomplete duodenal obstruction is presence membranes. This condition requires a high index suspicion for an early and accurate diagnosis. We present two cases with initial diagnosis foreign bodies that were surgically intervened where membranes incidental finding. The clinical course these patients had different pattern than expected thus, it imperative to use multidisciplinary approach in this group separate them from other subtypes obstruction.