{"id":27621,"date":"2018-03-09T09:19:58","date_gmt":"2018-03-09T09:19:58","guid":{"rendered":""},"modified":"2018-03-09T09:19:58","modified_gmt":"2018-03-09T09:19:58","slug":"aportaciones-al-estudio-del-efecto-de-la-dialisis-adecuada-en-la-resistencia-a-la-insulina-y-su-relacion-de-otros-marcadores-de-riesgo-cardiovascular-en-enfermos-con-insuficiencia-renal-cronica-termin","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cadiz\/aportaciones-al-estudio-del-efecto-de-la-dialisis-adecuada-en-la-resistencia-a-la-insulina-y-su-relacion-de-otros-marcadores-de-riesgo-cardiovascular-en-enfermos-con-insuficiencia-renal-cronica-termin\/","title":{"rendered":"Aportaciones al estudio del efecto de la di\u00e1lisis adecuada en la resistencia a la insulina y su relaci\u00f3n de otros marcadores de riesgo cardiovascular en enfermos con insuficiencia renal cr\u00f3nica terminal en programa de hemodi\u00e1lisis periodica"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Minguez Ma\u00f1anes M. Carmen <\/strong><\/h2>\n<p>La insuficiencia renal es la p\u00e9rdida progresiva de nefronas funcionantes que lleva al descenso del aclaramiento de creatinina.  la di\u00e1lisis adecuada es el conjunto de medidas para disminuir la morbilidad y mejorar la calidad de vida; se mide mediante el aclaramiento fraccionado de urea o kt\/v. Se recomienda un valor m\u00ednimo de kt\/v = 1,2. Los sujetos son insuficiencia renal cr\u00f3nica terminal tienen elevada preValencia de factores de riesgo cardiovascular, destacando la resistencia a la insulina, hallazgo casi universal en enfermos con irct y predictora independiente de mortalidad cardiovascular en enfremos en hemodi\u00e1lisis.  objetivos  1,- establecer la asociaci\u00f3n entre resistencia a la insulina y kt\/v.  2,- establecer la asociaci\u00f3n entre la resistencia a la insulina y otros factores de riesgo cardiovascular.  metodolog\u00eda  se incluyen enfermos con irct en hemodi\u00e1lisis peri\u00f3dica mayores de edad; se excluyen diab\u00e9ticos o con tratamiento esteroideo.  variables a analizar  kt\/v seg\u00fan la formula de daugirdas 2\u00c2\u00ba generaci\u00f3n; resistencia a la insulina, seg\u00fan el m\u00e9todo homa; presencia de factores de riesgo cardiovascular: tabaco, hta, s\u00edndrome metab\u00f3lico;presencia de complicaciones cardiovasculares: cerebrovascular, anteriopat\u00eda perif\u00e9rica y coronariopat\u00eda.  anal\u00edtica  hemograma, determinaci\u00f3n s\u00e9rica de urea, creatinina, \u00e1cido \u00farico, calcio, f\u00f3sforo, alb\u00famina, colesterol total, hdl-c, ldl-c, triglic\u00e9ridos, prote\u00edna c reactiva, pth-i, glucosa e insulina.  resultados  47 enfermos, edad 59,3+-13 a\u00f1os, 31 h\/16 m.Kt\/v 1,4+-0,24; el 23% ten\u00edan kt\/v menor 1,2. Eventos cardiovasculares en 27,7%, 8,5% neurol\u00f3gico, 8,5% cardiol\u00f3gico y 23,4% claudicaci\u00f3n intermitente. Factores de reisgo cardiovasculares: hta en 61,7%, s\u00edndrome metab\u00f3lico en 42,6%.  resistencia a la insulina  glucosa 84,5+-11,7 mg\/dl, insulina 5,3 uu\/ml (2,6-22,5)  homa 1,16 (0,53-5,77); el homa fue significativamente m\u00e1s elevado en sujetos<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aportaciones al estudio del efecto de la di\u00e1lisis adecuada en la resistencia a la insulina y su relaci\u00f3n de otros marcadores de riesgo cardiovascular en enfermos con insuficiencia renal cr\u00f3nica terminal en programa de hemodi\u00e1lisis periodica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aportaciones al estudio del efecto de la di\u00e1lisis adecuada en la resistencia a la insulina y su relaci\u00f3n de otros marcadores de riesgo cardiovascular en enfermos con insuficiencia renal cr\u00f3nica terminal en programa de hemodi\u00e1lisis periodica <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Minguez Ma\u00f1anes M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/12\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Antonio Gir\u00f3n Gonz\u00e1lez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Milla n\u00fa\u00f1ez-cortes <\/li>\n<li>alfonso Palma alvarez (vocal)<\/li>\n<li> Fern\u00e1ndez ruiz evaristo Jos\u00e9 (vocal)<\/li>\n<li>Jos\u00e9 Luis Rocha castilla (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Minguez Ma\u00f1anes M. Carmen La insuficiencia renal es la p\u00e9rdida progresiva de nefronas funcionantes que lleva al [&hellip;]<\/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":[1506],"tags":[20952,53295,79180,10865,60423,79179],"class_list":["post-27621","post","type-post","status-publish","format-standard","hentry","category-cadiz","tag-alfonso-palma-alvarez","tag-fernandez-ruiz-evaristo-jose","tag-jesus-milla-nunez-cortes","tag-jose-antonio-giron-gonzalez","tag-jose-luis-rocha-castilla","tag-minguez-mananes-m-carmen"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/27621","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=27621"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/27621\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=27621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=27621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=27621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}