Carlos Bermudez

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OBJECTIVE Intrauterine fetal death of one or both twins after laser therapy (selective photocoagulation of communicating vessels) may occur, in part, from insufficient individual placental mass. The objective of this study was to assess the percentage of individual placental mass (individual placental territory) that is associated with fetal survival in(More)
This ethnographic qualitative study explored the needs of transgender people of color, including biological transitioning issues, gender and group membership identity formation, HIV, and other health issues. The sample consisted of transgender youth and adults of color in San Francisco (N = 43). Data were collected from in-depth interviews with 20 youth and(More)
OBJECTIVE To investigate the role of Doppler studies in predicting individual fetal demise in patients scheduled for selective laser photocoagulation of communicating vessels (SLPCV) for twin-twin transfusion syndrome (TTTS). METHODS Doppler studies of the umbilical artery, umbilical vein, ductus venosus, tricuspid valve regurgitation and middle cerebral(More)
Vascular access is emerging as a critical issue for hemodialysis patients in Puerto Rico. In more than 50% of the hemodialysis patients, tunneled hemodialysis catheters are the sole access for providing dialysis therapy. Most disturbing is the fact that a significant number of these catheters are nontunneled temporary catheters, sometimes placed in the(More)
Deep arteriovenous placental anastomoses in monochorionic placentas have been considered an essential etiological factor in twin-twin transfusion syndrome (TTTS). Moreover, some investigators have suggested that superficial anastomoses have a protective role. We report on confirmed cases of TTTS with only superficial anastomoses.
The Vehicle Routing Problem (VRP) deals with the assignment of a set of transportation orders to a fleet of vehicles, and the sequencing of stops for each vehicle to minimize transportation costs. In this paper we study the Capacitated VRP (CVRP), which is mainly characterized by using vehicles of the same capacity. Taking a basic GA to solve the CVRP, we(More)
Implantable medical devices, such as stents, have to be inspected 100% so no defective ones are implanted into a human body. In this paper, a novel optical stent inspection system is presented. By the combination of a high numerical aperture microscope, a triple illumination system, a rotational stage, and a CMOS camera, unrolled sections of the outer and(More)
OBJECTIVE Fetal lower urinary tract obstruction occurs in approximately 1:3000 pregnancies. Standard vesicoamniotic shunting is fraught with malfunctioning in upto 60% of cases. We hereby report the development and application of a novel and reliable shunt. MATERIALS AND METHODS Patients with lower urinary tract obstruction were offered the novel shunt(More)