<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492019000100025</article-id>
<article-id pub-id-type="doi">10.18004/anales/2019.052(01)25-032</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico de madurez pulmonar fetal por velocímetro doppler]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnosis of fetal pulmonary maturity by doppler flow assessment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mascareño]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piris]]></surname>
<given-names><![CDATA[Maria Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Petronilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Sanatorio Internacional Fundación Fetosur Unidad de Diagnóstico Avanzado y Cirugía Fetal]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Venezolano de Investigaciones Científicas (IVIC)  ]]></institution>
<addr-line><![CDATA[Altos de Pipe ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Central de Venezuela Hospital Universitario de Caracas Unidad de Perinatología]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Sanatorio Internacional Fundación Fetosur Unidad de Diagnóstico Avanzado y Cirugía]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional del Este Facultad de Ciencias de la Salud Centro de Investigación Médica]]></institution>
<addr-line><![CDATA[Minga Guazú ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>52</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492019000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492019000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492019000100025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Establecer la relación entre la edad gestacional y la velocidad máxima del ductus arterioso (VmxDA), y determinar si es posible predecir la madurez pulmonar fetal con flujometría Doppler de la VmxDA.  Diseño del estudio:  Se realizó un estudio de cohortes, prospectivo, con muestreo no probabilístico donde se tomó como población a pacientes sanos que cumplan los criterios de inclusión. Se valoró la velocidad máxima del ductus arterioso. Se estimaron los valores paramétricos y se evaluó el coeficiente regresión y correlación, sensibilidad y especificidad, con la edad gestacional. Se utilizó un intervalo de confianza del 95%, se obtuvo las diferentes velocidades máximas del ductus arterioso según edad gestacional, y su respectivo error estándar junto con sus desviaciones estándar y se correlacionaron con la edad gestacional, para determinar la posibilidad de predecir la madurez pulmonar por flujometría Doppler.  Resultados:  Se evaluó un total de 824 pacientes donde se evidenció un aumento de la velocidad máxima del ductus arterioso a medida que avanza la edad gestacional. Se encontró dos puntos de inflexión en la curva de la VmxDA a las 28 semanas y a las 35 semanas. Se obtuvo un coeficiente de correlación de 0.97 con un nivel de probabilidad menor de 0.0001. Los valores de sensibilidad y especificidad para predecir madurez pulmonar fueron de 83.9% y 100% para 95 cm/s y 91.5% y 100% para 98 cm/s, con un VPP del 0.709 y un VPN del 1.0. La variabilidad interobservador fue menor de 5% para la VmxDA.  Conclusiones:  Existe una relación directa entre la edad gestacional y la velocidad máxima del ductus arterioso, pudiendo ser utilizado como un buen predictor de madurez pulmonar fetal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To establish the relationship between the gestational age and the maximum velocity of the ductus arteriosus (VmxDA), and to determine if it is possible to predict the fetal lung maturity with Doppler flow assessment of the VmxDA.  Study design:  A prospective, cohort study was conducted with non-probabilistic sampling where healthy patients who met the inclusion criteria were taken as a population. The maximum velocity of the ductus arteriosus was evaluated. Parametric values were estimated and the coefficient of regression and correlation, sensitivity and specificity was evaluated with gestational age. A 95% confidence interval was used, the different maximum ductus arteriosus velocities were obtained according to gestational age, and their respective standard error along with their standard deviations and they were correlated with gestational age, to determine the possibility of predicting lung maturity by flow assessment of the VmxDA.  Results:  824 patients were evaluated where it was evidenced an increase in the maximum velocity of the ductus arteriosus was observed as gestational age progressed. Two inflection points were found in the VmxDA curve at 28 weeks and at 35 weeks. A correlation coefficient of 0.97 was obtained with a probability level of less than 0.0001. The values of sensitivity and specificity to predict lung maturity were 83.9% and 100% for 95 cm / s and 91.5% and 100% for 98 cm / s, with a PPV of 0.709 and a NPV of 1.0. The interobserver variability was less than 5% for the VmxDA.  Conclusions:  There is a direct relationship between gestational age and the maximum velocity of the ductus arteriosus, which can be used as a good predictor of fetal lung maturity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Velocidad máxima]]></kwd>
<kwd lng="es"><![CDATA[Ductus arterioso]]></kwd>
<kwd lng="es"><![CDATA[Maduración pulmonar]]></kwd>
<kwd lng="es"><![CDATA[Bienestar fetal]]></kwd>
<kwd lng="en"><![CDATA[Maximum speed]]></kwd>
<kwd lng="en"><![CDATA[Ductus arteriosus]]></kwd>
<kwd lng="en"><![CDATA[pulmonary maturation]]></kwd>
<kwd lng="en"><![CDATA[fetal well-being.]]></kwd>
</kwd-group>
</article-meta>
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