{"id":89524,"date":"2018-03-10T00:14:41","date_gmt":"2018-03-10T00:14:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eje-adrenocortical-gonadotropo-y-enfermedad-aguda-grave-su-valor-predictivo-de-mortalidad\/"},"modified":"2018-03-10T00:14:41","modified_gmt":"2018-03-10T00:14:41","slug":"eje-adrenocortical-gonadotropo-y-enfermedad-aguda-grave-su-valor-predictivo-de-mortalidad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/eje-adrenocortical-gonadotropo-y-enfermedad-aguda-grave-su-valor-predictivo-de-mortalidad\/","title":{"rendered":"Eje adrenocortical-gonadotropo y enfermedad aguda-grave. su valor predictivo de mortalidad."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Araceli M\u00e1laga L\u00f3pez <\/strong><\/h2>\n<p>Se dise\u00f1\u00f3 un estudio de cohortes para conocer la evoluci\u00f3n de las hormonas adrenocorticales y gonadropos en la enfermedad aguda-grave, y as\u00ed determinar un valor predictivo de la mortalidad. Los objetivos del estudio fueron:  1,- demostrar la existencia de alteraciones de las hormonas de los ejes adrenocortical y gonadotropo en la enfermedad.  2,- describir su evoluci\u00f3n temporal, y su relaci\u00f3n con el curso cl\u00ednico de la enfermedad.  3,- establecer seg\u00fan los valores iniciales de cada hormona, su posible asociaci\u00f3n con variables cl\u00ednicas tales como severidad y\/o mortalidad.  4,- definir el rango de niveles cortisolemina, tanto en supervivientes como en fallecidos, en una poblaci\u00f3n de cuidados intensivos.  5,- mediante un an\u00e1lisis multivariable, establecer si es posible un valor predictivo del cortisol independiente de mortalidad.  6,- estudiar el papel de algunos f\u00e1rmacos utilizados en uci, como modificadores de los valores hormonales.  se recogieron un total de 74 enfermos, ingresados en uci, bajo 3 diagn\u00f3sticos: infarto agudo de miocardio, patolog\u00eda m\u00e9idca y psotquir\u00fargicos. Se realizaron determinaciones seriadas al ingreso, 1\u00c2\u00ba,3\u00c2\u00ba y 7\u00c2\u00ba d\u00eda; los par\u00e1metros analizados fueron: cortisol al ingreso; cortisol 8:00 h y 23:00 h (cortisolemia media). a las 8:00h: dhca-s,fsu; lh, gasometr\u00eda, bioqu\u00edmica, hemograma y cortisoluria de 24h. Para analizar la variaci\u00f3n relativa de dhea-s respecto al cortisol se determinaron las ratios dhea-s\/cortisol. Escala de severidad apache-ii. las t\u00e9cnicas de laboratorio para las determinaciones hormonales fueron inmunoquimioluminiscencia directa e indirecta. Se realiz\u00f3 un an\u00e1lisis descriptivo para ver la evoluci\u00f3n temporal de las distintas variables analizadas. Se hicieron 2 grupos de diferente severidad, as\u00ed como vivos-muertos, para poder establcer las comparaciones oportunas. Se analizaron asimismo el papel de confusi\u00f3n de los f\u00e1rmacos usados en uci. Las variables asociadas a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eje adrenocortical-gonadotropo y enfermedad aguda-grave. su valor predictivo de mortalidad.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eje adrenocortical-gonadotropo y enfermedad aguda-grave. su valor predictivo de mortalidad. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Araceli M\u00e1laga L\u00f3pez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/03\/2001<\/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>Antonio Hern\u00e1ndez Mijares<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Ascaso gimeno Juan  fco. <\/li>\n<li>jaiver Teba mago (vocal)<\/li>\n<li>guillermo Saez torno (vocal)<\/li>\n<li>Antonio  Miguel Pico alfonso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Araceli M\u00e1laga L\u00f3pez Se dise\u00f1\u00f3 un estudio de cohortes para conocer la evoluci\u00f3n de las hormonas adrenocorticales [&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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