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Analysis of Hydrodynamic Patterns and Suspended Sediment Transport in the Virrilá Estuary-Peru IQ

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dc.contributor.advisor Gamboa Rosa
dc.contributor.advisor Piero Reyes Sosa
dc.contributor.author Hu, Guo-Huang
dc.contributor.author Duan, Lian
dc.contributor.author Jiang, Meng
dc.contributor.author Zhang, Cheng-Liang
dc.contributor.author Duan, Yan-Ying
dc.contributor.corporatename Consejo Nacional de Ciencia Tecnología e Innovación IQ
dc.contributor.corporatename Pontificia Universidad Católica del Perú IQ
dc.contributor.editor Juan Pérez IQ
dc.contributor.editorou Universidad del Peru IQ
dc.contributor.editorou Pontificia Universidad Católica del Perú IQ
dc.date.accessioned 2025-03-18T15:01:48Z
dc.date.available 2025-03-18T15:01:48Z
dc.date.issued 2018-11-01T05:00:00Z
dc.description.abstract The association between poor intraoperative glycemic control and postoperative acute kidney injury (AKI) in adult cardiac surgery has been observed, but data in the pediatrics remain unknown. We performed a hypothesis that intraoperative hyperglycemia and/or wider glycemic fluctuation were associated with the incidence of postoperative AKI in pediatric cardiac surgery.
dc.description.abstract A retrospective study was performed in pediatrics who underwent cardiac surgery from 2013 to 2016. Perioperative glycemic data up to 48 hours after surgery were collected and analyzed. Patients with AKI were matched 1:1 with patients without AKI by a propensity score. Variables of demographic data, preoperative renal function and glycemic level, perioperative cardiac condition were matched.
dc.description.abstract The incidence of AKI was 11.5% (118/1026), with 53.4% (63/118), 30.5% (36/118), and 16.1% (19/118) categorized as AKIN stages I, II, and III, respectively. Children who experienced AKI were younger and cyanotic, underwent more complex surgeries, had higher peak intraoperative glucose levels, wider intraoperative glycemic fluctuation, greater inotropic scores and more transfusions, and poor outcomes (all p < .05). After matching, the AKI group had significantly wider intraoperative glycemic fluctuation (p < .05). Logistic regression showed intraoperative glycemic fluctuation was one of the risk factors for AKI (p = .033) and degree of AKI severity stage increased when the glycemic fluctuation increased (p < .01).
dc.description.abstract Wider intraoperative glycemic fluctuation, but not hyperglycemia, was associated with an increased incidence of postoperative AKI after pediatric cardiac surgery.
dc.description.sponsorship This work is part of the Treatment/remediation and recovery of bays project using innovative procedures project led by CITBM and funded by the National Science, Technology and Technological Innovation Council (CONCYTEC in spanish) through the program CIENCIACTIVA.
dc.description.sponsorship Thanks to Water Research Center CITA-UTEC for the support with the instrumentation for the measurements campaign; Tobias Bleninger and Julio Werner for background and feedback, Carlos Landauro, Justiniano Quispe and César Aguirre for the administrative and logistical support in the measurements. Thanks to Hugo Montoro, Tania Rojas, Mishel Meléndez, and Sofía Valdivia for the support with information processing. Thanks to Herver Caruzo, Elivorio Castillo for the support in the measurements and the transportation of equipment.
dc.identifier.doi 10.1080/0886022X.2018.1532908
dc.identifier.isbn 9780784481417
dc.identifier.isbn 9780784481400
dc.identifier.issn 0040-1007
dc.identifier.issn 0040-1008
dc.identifier.issn 0040-1009
dc.identifier.pmid 30396300
dc.identifier.pmid 30396400
dc.identifier.uri https://dev2-repositorio.concytec.gob.pe/handle/123456789/3844
dc.language.iso en_US
dc.language.iso es
dc.relation.ispartof Renal failure
dc.relation.issn 1525-6049
dc.rights http://purl.org/coar/access_right/c_abf2
dc.rights.uri https://creativecommons.org/licenses/by/3.0/
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.source World Environmental IQ
dc.source Water Resources Congress 2018 IQ
dc.subject Acute kidney injury
dc.subject cardiac surgery
dc.subject glycemic fluctuation
dc.subject intraoperative
dc.subject pediatric
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.12
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.00
dc.title Analysis of Hydrodynamic Patterns and Suspended Sediment Transport in the Virrilá Estuary-Peru IQ
dc.title.alternative Analysis of Hydrodynamic Patterns IQ
dc.type http://purl.org/coar/resource_type/R60J-J5BD
dspace.entity.type Publication
oaire.citation.endPage 91
oaire.citation.issue 1
oaire.citation.number 4
oaire.citation.startPage 81
oaire.citation.volume 40
oaire.version http://purl.org/coar/version/c_970fb48d4fbd8a85
oairecerif.access.embargoEnd 2025-05-25
oairecerif.editor.affiliation Universidad del Peru
perucris.advisor.dni 10102020
perucris.advisor.dni 20304050
perucris.advisor.orcid https://orcid.org/0000-0003-0511-267X
perucris.advisor.orcid https://orcid.org/0000-0003-0520-999X
perucris.editor.dni 39205200
perucris.editor.orcid https://orcid.org/0000-0001-8247 8975
renati.discipline Maestría 2025 IQ
renati.discipline Maestría 2025 IQ 2
renati.juror Gustavo Andrade IQ
renati.juror Paul Velásquez IQ
renati.level https://purl.org/pe-repo/renati/nivel#bachiller
renati.type https://purl.org/pe-repo/renati/type#trabajoDeInvestigacion
thesis.degree.discipline Programa de Maestría 2025 IQ
thesis.degree.discipline Programa de Maestría 2025 IQ 2
thesis.degree.grantor Pontificia Universidad Católica del Perú IQ
thesis.degree.name Grado de Maestría IQ
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