{"id":100275,"date":"2018-03-11T10:21:41","date_gmt":"2018-03-11T10:21:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/perinatal-and-neurodevelopmental-outcome-of-late-onset-growth-restricted-fetuses\/"},"modified":"2018-03-11T10:21:41","modified_gmt":"2018-03-11T10:21:41","slug":"perinatal-and-neurodevelopmental-outcome-of-late-onset-growth-restricted-fetuses","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ginecologia\/perinatal-and-neurodevelopmental-outcome-of-late-onset-growth-restricted-fetuses\/","title":{"rendered":"Perinatal and neurodevelopmental outcome of late-onset growth restricted fetuses."},"content":{"rendered":"

Tesis doctoral de Daniel Or\u00f3s L\u00f3pez <\/strong><\/h2>\n

Actualmente se define retraso de crecimiento intrauterino (rciu) como un peso fetal estimado por debajo del percentil 10 con signos de insuficiencia placentaria (doppler alterado de la arteria umbilical (au)). Por otro lado, los fetos peque\u00f1os con doppler de la au normal se consideran constitucionalmente peque\u00f1os, defini\u00e9ndose como fetos peque\u00f1os para edad gestacional (peg) normales. No obstante, nuevas evidencias han puesto en duda que los peg sean fetos completamente normales: presentan resultado perinatal sub\u00f3ptimo, as\u00ed como una mayor incidencia de un amplio espectro de alteraciones sutiles del desarrollo cerebral. Adem\u00e1s de la arteria umbilical, el estudio de otros territorios placentarios, como las arterias uterinas (aut), podr\u00eda permitir identificar a los fetos peg en riesgo de resultado adverso. De la misma manera, el estudio de la circulaci\u00f3n cerebral fetal mediante doppler de la arteria cerebral anterior (aca) o media (acm) podr\u00eda mejorar tambi\u00e9n esta predicci\u00f3n. hip\u00f3tesis en la secuencia de deterioro de los fetos peg, la alteraci\u00f3n de la circulaci\u00f3n cerebral es m\u00e1s temprana y prevalente que la de los par\u00e1metros doppler placentarios. Los fetos peque\u00f1os para edad gestacional (peg) con signos de redistribuci\u00f3n hemodin\u00e1mica cerebral presentan peor resultado perinatal, as\u00ed como alteraciones neurol\u00f3gicas que afectan la neuroconducta neonatal. objetivos evaluar en fetos peg la evoluci\u00f3n temporal de los par\u00e1metros doppler de circulaci\u00f3n placentaria y cerebral durante el tercer trimestre. Establecer en estos fetos la asociaci\u00f3n entre la redistribuci\u00f3n cerebral con el resultado perinatal y la neuroconducta neonatal. metodolog\u00eda estudio de cohortes longitudinal prospectivo, que se desarrolla el servicio de medicina materno fetal del hospital cl\u00ednic de barcelona. Cohorte de casos ( a) gestaciones \u00fanicas; b) fetos con peso fetal estimado p10, b)gestaciones \u00fanicas. resultados en la secuencia de deterioro de los fetos peg, la alteraci\u00f3n de la circulaci\u00f3n cerebral es un signo m\u00e1s temprano que la alteraci\u00f3n de la circulaci\u00f3n placentaria. En el \u00faltimo examen antes del parto, la proporci\u00f3n de ua anormal es significativamente inferior a la proporci\u00f3n anormal de ip acm (2,9% vs 13,3%; p<0,01) y del rcp anormal (2,9% vs 23,1%;p<0,001). Los fetos peg presentan disrupciones neuroconductuales para las \u00e1reas de atenci\u00f3n, habituaci\u00f3n, motor, social interactivo, y la regulaci\u00f3n del estado. El \u00e1rea bajo la curva roc de la acm y aca para la predicci\u00f3n de resultados adversos es de 0.72 (0.61-0.82 y 0.71 (ic 0.6-0.81).\n\n\n\n \n\n\n

Datos acad\u00e9micos de la tesis doctoral \u00abPerinatal and neurodevelopmental outcome of late-onset growth restricted fetuses.<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Perinatal and neurodevelopmental outcome of late-onset growth restricted fetuses. <\/li>\n
  • Autor:<\/strong>\u00a0 Daniel Or\u00f3s L\u00f3pez <\/li>\n
  • Universidad:<\/strong>\u00a0 Barcelona<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 15\/04\/2010<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Francesc Figueras Retuerta<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: ernesto Fabr\u00e9 gonz\u00e1lez <\/li>\n
        • sicco Sherjon (vocal)<\/li>\n
        • (vocal)<\/li>\n
        • (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Daniel Or\u00f3s L\u00f3pez Actualmente se define retraso de crecimiento intrauterino (rciu) como un peso fetal estimado por […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[951,135,161],"tags":[204300,1370,52732,204301],"class_list":["post-100275","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ginecologia","category-pediatria","tag-daniel-oros-lopez","tag-ernesto-fabre-gonzalez","tag-francesc-figueras-retuerta","tag-sicco-sherjon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/100275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=100275"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/100275\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=100275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=100275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=100275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}