{"id":36205,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reevaluacion-antropometrica-y-hormonal-en-la-edad-adulta-de-ninos-diagnosticados-de-deficit-de-gh-y-tratados-con-gh-biosintetica\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"reevaluacion-antropometrica-y-hormonal-en-la-edad-adulta-de-ninos-diagnosticados-de-deficit-de-gh-y-tratados-con-gh-biosintetica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/reevaluacion-antropometrica-y-hormonal-en-la-edad-adulta-de-ninos-diagnosticados-de-deficit-de-gh-y-tratados-con-gh-biosintetica\/","title":{"rendered":"Reevaluacion antropometrica y hormonal en la edad adulta de ni\u00f1os diagnosticados de deficit de gh y tratados con gh biosintetica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Agueda Quadrado Mercadal <\/strong><\/h2>\n<p>Objetivos: 1.- Evaluaci\u00f3n de la talla adulta alcanzada en pacientes diagnosticados de d\u00e9ficit idiop\u00e1tico de hormona de crecimiento (dgh), tratados durante la infancia. 2.- reevaluaci\u00f3n de la secreci\u00f3n de gh en la edad adulta, para determinar candidatos potenciales a continuar con dicho tratamiento. 3.- Analizar los cambios evolutivos de la producci\u00f3n de gh en cada paciente, para as\u00ed reconsiderar la validez de las pruebas de estudio\/diagn\u00f3stico.  criterios de inclusi\u00f3n: -pacientes diagnosticados de d\u00e9ficit idiop\u00e1tico de gh en la infancia-adolescencia.  -tratados con id\u00e9ntica hormona biosint\u00e9tica (saizenr) un per\u00edodo m\u00ednimo de dos a\u00f1os. -Llevar, al menos un a\u00f1o sin tratamiento. -Haber alcanzado la talla adulta definitiva o cercana a ella. -Aceptaci\u00f3n voluntaria a la realizaci\u00f3n del estudio.  material y m\u00e9todo: se seleccionaron 30 pacientes (11 varones y 19 mujeres), de edades adultas (17-21 a\u00f1os), que en la infancia 6 presentaban d\u00e9ficit total de gh, 14 d\u00e9ficit total y 10 disfunci\u00f3n neurosecretora. Los par\u00e1metros antropom\u00e9tricos: peso, talla, \u00edndice de masa corporal y velocidad de crecimiento se analizaron en la infancia, durante el tratamiento y en la \u00e9poca adulta. El desarrollo puberal distribuy\u00f3 a la poblaci\u00f3n, en la infancia, por el m\u00e9todo de tanner. Las edades \u00f3seas, en la infancia y en el adulto se valoraron por el m\u00e9todo de tw2 y greulich-pyle. La predicci\u00f3n de talla adulta en la infancia y durante el tratamiento se analizaron por el m\u00e9todo de bayley-pinneau, tw2 y talla diana. La secreci\u00f3n de gh al diagn\u00f3stico se valor\u00f3 por el test de clonidina, secreci\u00f3n nocturna de gh de 12 horas y el test de ghrh y en la reevaluaci\u00f3n por el test de cloninina, el de insulina y el de secreci\u00f3n nocturna de gh de 12 horas de duraci\u00f3n. Se valor\u00f3 tambi\u00e9n la igf-i, estradiol y testosterona al diagn\u00f3stico y la igfbp3 e igf-i en la reevaluaci\u00f3n. Los criterios para clasificar a los pacientes en la re<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Reevaluacion antropometrica y hormonal en la edad adulta de ni\u00f1os diagnosticados de deficit de gh y tratados con gh biosintetica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Reevaluacion antropometrica y hormonal en la edad adulta de ni\u00f1os diagnosticados de deficit de gh y tratados con gh biosintetica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Agueda Quadrado Mercadal <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Jes\u00fas Mar\u00eda Garagorri Otero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Manuel Bueno Sanchez <\/li>\n<li>Antonio Sarria Chueca (vocal)<\/li>\n<li>Francisco Rodriguez Hierro (vocal)<\/li>\n<li>Gertrudis Juste Rullo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Agueda Quadrado Mercadal Objetivos: 1.- Evaluaci\u00f3n de la talla adulta alcanzada en pacientes diagnosticados de d\u00e9ficit idiop\u00e1tico [&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 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