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    Entidades de la gestación imitadoras de preeclampsia: revisión narrativa
    (Sociedad de Obstetricia y Ginecología de Venezuela, 2025)
    Santiago-Sanabria, Leopoldo
    ;
    Gal Or , Ory
    ;
    Sanabria-Villegas, Luz del Carmen
    ;
    Paz-Carranza, Julio César
    ;
    Hernández-Angulo, Gerlin Eduardo
    Los desórdenes hipertensivos del embarazo continúan siendo un problema de salud pública a nivel global, causando secuelas a largo plazo, tanto en la madre como en el recién nacido. Sin embargo, existe un grupo de entidades que pueden imitar preeclampsia, eclampsia y síndrome HELLP (hemólisis, enzimas hepáticas elevadas, trombocitopenia), dado que comparten similitudes en su fisiopatología, como la presencia de vasoespasmo, activación o destrucción plaquetaria, trombosis microvascular, disfunción endotelial o perfusión tisular disminuida. La mayoría de estas son consideradas potencialmente emergencias obstétricas que pueden desarrollarse o exacerbarse durante la gestación o en el periodo posparto. El objetivo de la presente revisión es describir estos desórdenes, haciendo énfasis en las características clínicas que permitan realizar un adecuado diagnóstico diferencial con la preeclampsia, síndrome HELLP y eclampsia, ya que es imprescindible para brindar un tratamiento oportuno y dirigido del cual se obtenga un impacto positivo para la madre y el recién nacido. ©Los autores © Revista de Obstetricia y Ginecología de Venezuela © Sociedad de Obstetricia y Ginecología de Venezuela. Hypertensive disorders of pregnancy continue to be a global public health problem, causing long-term consequences for both mother and newborn. However, there are a group of conditions that can mimic preeclampsia, eclampsia, and HELLP (hemolysis, elevated liver enzymes, thrombocytopenia) syndrome, given that they share similarities in their pathophysiology, such as vasospasm, platelet activation or destruction, microvascular thrombosis, endothelial dysfunction, or decreased tissue perfusion. Most of these are considered potential obstetric emergencies that can develop or exacerbate during pregnancy or in the postpartum period. The objective of this review is to describe these disorders, emphasizing the clinical characteristics that allow for an adequate differential diagnosis with preeclampsia, HELLP syndrome, and eclampsia, as this is essential for providing timely and targeted treatment that has a positive impact on the mother and newborn. ©The authors © Revista de Obstetricia y Ginecología de Venezuela © Sociedad de Obstetricia y Ginecología de Venezuela.
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    Experiencias en la docencia de historia de la educación, en la Facultad de Pedagogía de la Universidad Panamericana
    (Universidad Panamericana, Escuela de Pedagogía, 2017-11-11)
    Moreno Valle Suárez, Lucina
    ;
    Universidad Panamericana. Campus Ciudad de México. Escuela de Pedagogía
    History’s teaching must answer to future pedagogue’s necessity. He should have to make himself the question: What is the interest for bachelor’s degree students to dedicate time to education history? This question has been proposed many times through nineteen years long of docent work and especially when they review the studies plan. Finally, it is possible to conclude that a pedagogue needs to know the history for the integer and effective diagnosis according to reality into he is immersed. Is a common phrase between pedagogues to say that history serves for «they do not pull someone’s leg», since «there is not new something below the sun» as the folk wisdom says, inspired in written documents previous to Christ (Eclesiastés 1, 9-11).
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    An Explainable Tool to Support Age-related Macular Degeneration Diagnosis
    (2022)
    ;
    Miralles-Pechuán, Luis
    ;
    ;
    Artificial intelligence and deep learning, in particu-lar, have gained large attention in the ophthalmology community due to the possibility of processing large amounts of data and dig-itized ocular images. Intelligent systems are developed to support the diagnosis and treatment of a number of ophthalmic diseases such as age-related macular degeneration (AMD), glaucoma and retinopathy of prematurity. Hence, explainability is necessary to gain trust and therefore the adoption of these critical decision support systems. Visual explanations have been proposed for AMD diagnosis only when optical coherence tomography (OCT) images are used, but interpretability using other inputs (i.e. data point-based features) for AMD diagnosis is rather limited. In this paper, we propose a practical tool to support AMD diagnosis based on Artificial Hydrocarbon Networks (AHN) with different kinds of input data such as demographic characteristics, features known as risk factors for AMD, and genetic variants obtained from DNA genotyping. The proposed explainer, namely eXplainable Artificial Hydrocarbon Networks (XAHN) is able to get global and local interpretations of the AHN model. An explainability assessment of the XAHN explainer was applied to clinicians for getting feedback from the tool. We consider the XAHN explainer tool will be beneficial to support expert clinicians in AMD diagnosis, especially where input data are not visual. © 2022 IEEE.
    Scopus© Citations 4  19  1
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    Longitudinal Analysis of Participants in The KEEP Mexico's Chronic Kidney Disease Screening Program
    (2013)
    ;
    Olvera, Nadia
    ;
    Gutiérrez, Verónica
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    Contreras, Daniela
    ;
    Reyes, Rebeca
    Background and aims: The Kidney Early Evaluation Program (KEEP) is a free screening and educational program aimed at detecting chronic kidney disease (CKD) among adult individuals who are at high-risk (those with diabetes, hypertension, or family history of these conditions or CKD). Confirmation of CKD diagnosis requires persistence of albuminuria or estimated GFR <60 mL/min for at least 3 months. We undertook this study to determine in a follow-up KEEP done at least 1 year after a baseline KEEP the following: 1) CKD incidence among individuals who initially tested negative for CKD, 2) transitions between CKD stages among individuals who initially tested positive for CKD. Methods: A random sample of KEEP participants was invited to participate in a follow-up KEEP between 2008 and 2010. Paired analyses were conducted to compare CKD stages between baseline and follow-up KEEP. Copyright © 2013 IMSS. Published by Elsevier Inc. All rights reserved.
    Scopus© Citations 10  49  2