
Gilma HernandezUniversity of Antioquia | UdeA · Instituto de Investigaciones Médicas
Gilma Hernandez
Magister
About
36
Publications
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393
Citations
Introduction
Skills and Expertise
Additional affiliations
August 2012 - present
January 2011 - February 2016
Publications
Publications (36)
Background
Posttransplantation diabetes mellitus (PTDM) is a serious complication of solid organ transplantation. It is associated with major adverse cardiovascular events, which are a leading cause of morbidity and mortality in transplant patients. This study aimed to develop and validate a score to predict the risk of PTDM in kidney transplant re...
Introducción: el uso temprano de antibióticos para el tratamiento de los episodios febriles durante un trasplante alogénico (TPH) se ha asociado a un aumento de la incidencia de enfermedad injerto contra huésped (EICH) y de la mortalidad relacionada con el trasplante (MRT). Sin embargo, existen factores de confusión: edad, tipo de donante y acondic...
Introducción:
Para el caso de infección urinaria adquirida en la comunidad la identificación de enterobacterias con β-lactamasas de espectro extendido (BLEE) puede optimizar las estrategias de tratamiento, control y seguimiento; sin embargo, el efecto de prevalencias variables de este patrón de resistencia ha afectado la validez externa de este tip...
Introducción: Para el caso de infección urinaria adquirida en la comunidad la identificación de enterobacterias con β-lactamasas de espectro extendido (BLEE) puede optimizar las estrategias de tratamiento, control y seguimiento; sin embargo, el efecto de prevalencias
variables de este patrón de resistencia ha afectado la validez externa de este tip...
Identification of filamentous fungi by conventional phenotypic methods are time-consuming, and a correct identification at the species level is prone to errors. Therefore, a more accurate and faster time-to-results, and cost-effective technique, is required, such as the Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (M...
Objetivo: establecer la asociación entre el retraso en el diagnóstico de cáncer de mama con un estadio clínico avanzado y explorar factores que influyen en dicho retraso. Materiales y métodos: estudio de corte transversal con mujeres mayores de 18 años con cáncer de mama que consultaron en cuatro centros oncológicos de Medellín, Colombia, en 2017....
Background:
The best scientific evidence is required to design effective Non-pharmaceutical interventions to help policymakers to contain COVID-19.
Aim:
To describe which Non-pharmaceutical interventions used different countries and a when they use them. It also explores how Non-pharmaceutical interventions impact the number of cases, the mortalit...
Esta síntesis de evidencia aborda las siguientes preguntas:
¿Qué intervenciones no farmacológicas (INFs) han adoptado diferentes países para la contención, la mitigación o la supresión de la pandemia por COVID-19?
¿En qué momento, después de identificar el primer caso, han implementado las INFs?
¿Cuál es el impacto de las INFs en la contención, la...
Resumen
Introducción
la estimación temprana del riesgo en falla cardiaca aguda puede ayudar en la toma de decisiones clínicas.
Objetivo
identificar los factores de riesgo asociados a mortalidad intrahospitalaria en pacientes con falla cardiaca aguda.
Métodos
análisis de una cohorte retrospectiva de pacientes mayores de 18 años ingresados a hospi...
Background: Porcine epidemic diarrhea (PED) is an infectious disease that mainly affects neonatal piglets with a morbidity rate of 80%–100% and a mortality rate of 50%–90%. Prior to March 2014, PED was an exotic disease in Colombia with no historical epidemiological data and this study was conducted at the beginning of the spread of the virus in th...
Porcine epidemic diarrhea virus (PEDV) causes acute diarrhea, dehydration, and high mortality in newborn piglets and has caused high economic impact in the swine industry in the United States and Asia. Until March 2014, PED was an exotic disease in Colombia. This study was carried out at the beginning of the spread of PEDV in the country, and its m...
Introduction: Every day, 3 400 people are killed in road traffic accidents (RTA) in the world; thousands are injured or disabled each year from the same cause. In Colombia, a rate of 92.8 injured and 14.9 deaths per 100 000 inhabitants was reported in 2016.
Objective: To describe the characteristics of RTA, clinical care and quality of life of peop...
Lesiones graves y moderadas por accidentes de tránsito en mayores de 60 años. Medellín, Colombia Severe and moderate injuries in people over 60 years of age caused in traffic accidents in Medellin, Colombia INVESTIGACIÓN ORIGINAL | Resumen | Introducción. Cada día, 3 400 personas mueren en el mundo por un accidente de tránsito (AT); miles sufren le...
Background
Capsular contracture (CC) has remained an unresolved issue throughout history. Strong evidence focuses on bacterial biofilm as its main source. A literature review revealed that more than 90% of bacteria found in capsules and implants removed from patients with Baker grade III-IV CC belong to the resident skin microbiome (S. epidermidis,...
Introducción. Cada día, 3 400 personas mueren en el mundo por un accidente de tránsito (AT); miles sufren lesiones o adquieren una discapacidad cada año por la misma causa. En Colombia, en 2016 se registró una tasa de 92.8 heridos y 14.9 muertes por cada 100 000 habitantes. Objetivo. Describir las características de los AT y el entorno de su atenci...
Introduction/Background
In Colombia, the mortality rate per 100,000 inhabitants due to road accidents was 19.98 between 18 and 39 years and 33.11 over 65 and non-fatal injuries was 142.08 (18-39 y) and 80 over 65. In the world 23% of injuries involve a motorcycle and in Colombia more than 50% of deaths and injuries are related to motorcycles. Rates...
Introduction/Background
Traffic accidents (TA) are increasing problem worldwide, affecting this population's health, disability, quality of life and the health care system's budget, being this population the most vulnerable regarding frequency, severity and mortality. In 71,2% of the cases the injured were pedestrians. Aim: evaluate the quality of...
Introduction
Photodynamic therapy (PDT) involves the combination of a light source and a photosensitizing agent to induce tissue damage via the generation of singlet oxygen. Although topical PDT has been approved for other indications, its use in facial photodamage is uncertain.
Aims
To assess the efficacy and safety of PDT in facial skin photoagi...
Objetivo:
validar y comparar las escalas de riesgo de sangrado CRUSADE y ACTION en pacientes con síndrome coronario agudo sin elevación del segmento ST (SCASEST) llevados a estratificación coronaria invasiva temprana en un centro de alta complejidad.
Métodos:
estudio de tipo observacional, analítico y prospectivo, de validación de escalas en una c...
Introduction:
Photodynamic therapy (PDT) involves the combination of a light source and a photosensitizing agent to induce tissue damage via the generation of singlet oxygen. Although topical PDT has been approved for other indications, its use in facial photodamage is uncertain.
Aims:
To assess the efficacy and safety of PDT in facial skin phot...
Introduction
To date, no formal study has been published regarding how Colombian patients with skin disorders could be affected according to their perception of disease.
Objective
To determine the impact in quality of life of skin diseases in a Colombian population.
Methods
This multicenter study included patients with skin disease from almost th...
The presence of missing data in collected variables is common in health surveys, but the subsequent imputation thereof at the time of analysis is not. Working with imputed data may have certain benefits regarding the precision of the estimators and the unbiased identification of associations between variables. The imputation process is probably sti...
La analgesia intravenosa de rescate en la unidad de cuidados postanestésicos (UCPA) es la forma más efectiva de reducir el dolor postoperatorio (POP) cuando la analgesia multimodal perioperatoria falla en controlarlo. Una adecuada analgesia en las primeras horas previene la morbilidad asociada al dolor.
Introduction Intravenous rescue analgesia in the postoperative anesthesia care unit (PACU) is the most effective method for reducing postoperative pain (POP) when perioperative multimodal analgesia fails to control it. Appropriate analgesia during these first postoperative hours may prevent morbidity associated with pain. Objective To compare the e...
Introduction:
To date, no formal study has been published regarding how Colombian patients with skin disorders could be affected according to their perception of disease.
Objective:
To determine the impact in quality of life of skin diseases in a Colombian population.
Methods:
This multicenter study included patients with skin disease from alm...
Introducción: La validación y comparación de los modelos de predicción clínica es recomendable puesto que pueden tener diferente desempeño en las poblaciones de acuerdo con características étnicas, socio-demográficas, genéticas, culturales o idiosincráticas.
Metodología: Estudio de validación y comparación de dos escalas de pronóstico en una cohort...
Background: Daylight PDT (dPDT) is easy to use and does not require light equipment. Such therapy has been exhaustively proved to be successful in the treatment of actinic keratosis, but its use in skin photodamage remains unclear. Objective: To evaluate dPDT's efficacy in skin facial photodamage. Patients and methods: This was a parallel-group dou...
Background
Acute diarrhea and acute gastroenteritis (AD/AGE) are common among children in low- and middle-income countries (LMIC) and high-income countries (HIC). Supportive therapy including maintaining feeding, prevention of dehydration, and use of oral rehydration solution (ORS), is the mainstay of treatment in all children. Several additional t...
Background:
Daylight PDT (dPDT) is easy to use and does not require light equipment. Such therapy has been exhaustively proved to be successful in the treatment of actinic keratosis, but its use in skin photodamage remains unclear.
Objective:
To evaluate dPDT's efficacy in skin facial photodamage.
Patients and methods:
This was a parallel-grou...
Background and OBJECTIVE: Colombia is a country of diverse geographic regions, some with mountainous terrain that can make access to urban areas difficult for individuals who live in remote areas. In 2005, a program was initiated to establish remote peritoneal dialysis (PD) centers in Colombia to improve access to PD for patients with end-stage ren...
This article presents the development of an analytic model of variation of power or energy in function of the band width of the IEEE 802.15.4a UWB channel. This analytic model characterizes the fade depth of the channel UWB IEEE 802.15.4a, also shows that the power in the frequency domain of the UWB channel follows a Gamma statistical distribution....
The goal of the Dialysis Outcomes in Colombia (DOC) study was to compare the survival of patients on hemodialysis (HD) vs peritoneal dialysis (PD) in a network of renal units in Colombia. The DOC study examined a historical cohort of incident patients starting dialysis therapy between 1 January 2001 and 1 December 2003 and followed until 1 December...