I have paid a deposit which was 60% of the total surgical price and even then it was difficult to contact the doctor, but he did give me a date. 82 - 85, Cons. Click on each profile to know all the services offered including the Biopolymer Removal. Specimen from gluteal biopolymer removal, polymethyl methacrylate, and polydimethylsiloxane. In total, 60% of patients tested positive for ANAs, and the most frequent dilution in the ANA tests was 1:160. Then it consists of applying energy by means of ultrasound or laser to break the scar covering the biopolymers in order to remove them by means of suction. I give you my full experience in colombia. Considering the above, it is not possible to conclude a direct association between serological positivity and the amount of product, but it coincides with the response to the product and the autoimmunity mosaic theory described by Schoenfeld.1,10,14,15. This study was considered a risk-free study based on Resolution 8430 of the Ministry of Health of Colombia, which establishes the scientific, technical, and administrative standards for health research in its title II chapter 1 article 11, because it used data from a database and clinical history records; informed consent was obtained from the patients to use their images in scientific publications. Clin Rheumatol. This is done to improve the moisture loss of the plant, increasing the contact surface with the atmosphere (Figure9). 116 - 20, Cons. In Ciruplastia you will find the best treatment to remove biopolymers from your body and start living an experience where your beauty and health are the most important. We have hundreds of cases of successful butt lifts because: We have cutting-edge treatments and equipment that are revolutionizing procedures with and without surgery worldwide, we design unique treatment protocols for your case, integrating experience, technology and well-being. The biopolymers of the plants Melocactus sp., Opuntia sp., Stenocereus griseus, Cereus forbesii, Aloe arborescens, Aloe vera, and Kabuli chickpea (Cicer arietinum L.) can be a viable alternative for the treatment of drinking and residual water, in replacement of sulfate of aluminum, aluminum polychloride, and ferric chloride; decreasing the amounts of dissolved metals in drinking water of humans and animals, especially with the aluminum residues associated with diseases such as autism and Alzheimer [16, 17, 18, 19, 20, 21, 22, 23]. The fate of biopolymers after the adsorption process plays a crucial role in treatment process. Edificio AMC In most cases, presence of biopolymers generates pain in patients. These disposal problems of the sludge, which generally has a high concentration of organic matter, generate environmental impacts when they are discharged into soils or bodies of water, changing the natural microbiota and affecting the species that have contact with high concentrations of aluminum and iron. To perform this surgery and have a proper recovery in patients from abroad, a minimum of 10 days inside city must be scheduled to perform the initial evaluation, anesthesia, examinations, surgery, and the recovery week where post-therapy therapies are performed. This characteristic is based on the solubility of complex organic substances, such as the vascular tissue of these cacti and Aloe plants. In the case of Opuntia sp., they are used to be present in the Colombian regions already named and sufficiently studied, in the same way Aloe vera and Aloe arborescens were selected (Figure3). Additionally, the low cost of this procedure makes it quite attractive and easily accessible to many men and women. Body and Breast Procedures - Dr Camilo Reyes 730 2011;36:48. Bogot, Colombia, $350,000 fee for serviceVIEW PROFILE$350,000 fee for serviceVirtual Guidance, Dermatological consultation, Laser hair removal, Treatment for alopecia or baldness, Facial and body treatment, Hyaluronic acid, Cra. Removal Of Biopolymers in Colombia Home > Removal Of Biopolymers Colombia Find the professionals in health sector in Colombia that offer Removal Of Biopolymers. Plastic and Reconstructive Surgery - Global Open, Get new journal Tables of Contents sent right to your email inbox, Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), https://www.elsevier.com/es-es/connect/medicina/asia,-el-extrano-sindrome-inducido-por-adyuvantes, https://www.minsalud.gov.co/sites/rid/Lists/, BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF, Clinical and Immunological Characteristics of Patients with Biopolymers and Autoimmune Inflammatory Syndrome Induced by Adjuvants, Articles in PubMed by Jaime Eduardo Pachn S, MD, Articles in Google Scholar by Jaime Eduardo Pachn S, MD, Other articles in this journal by Jaime Eduardo Pachn S, MD, A Safe and Effective Lip Augmentation Method: The Step-by-Step (Phi) Technique, Complicated Facial Fillers: Management Algorithm, Consensus Recommendations for Treatment Strategies in Indians Using Botulinum Toxin and Hyaluronic Acid Fillers, Complication Management following Rejuvenation Procedures with Hyaluronic Acid Fillersan Algorithm-based Approach, The Five-step Lower Blepharoplasty Technique Refined, Privacy Policy (Updated December 15, 2022). In both cases the paraclinical results were considered. The plants described in this chapter are Melocactus sp., Opuntia sp., Stenocereus griseus, Cereus forbesii, Aloe arborescens, Aloe vera, and Kabuli chickpea (Cicer arietinum L.), of these plants have been used different parts, either their stems, their fruits, or other parts of the plant that have demonstrated a coagulating or flocculating capacity. Material screening: The material after being macerated is taken to a 1-mm sieve (Figure11), which separates the thick parts that cannot be diluted efficiently in aqueous solution. Autoimmune inflammatory syndrome induced by adjuvants (ASIA) was first described in 2011 by Yehuda Shoenfeld and Nancy Agmon-Levin as a condition characterized by an autoimmune response in humans after exposure to an adjuvant.1 Adjuvants enhance the immune response, but they do not act on their own; they help produce a more relevant reaction against the inoculated antigens. It is a space created with care, safety and quality of service for our patients. Read it very carefully. You may be a good Silicone Removal candidate if: You are not in good physical and psychological health because Silicone in your body. Each case must be analyzed individually, on average they can be reduced by 60% to 80%, this depends on the degree of commitment of vital tissues in the face and body. Biopolymer extraction is a slightly complicated reconstructive surgery. The operations developed to determine the efficiency of each plant extract in the coagulation and flocculation are defined within the established for jar tests and some of them have Z potential measurements (measure of the magnitude of the repulsion or attraction between the particles). Bogot, Colombia, Cra 25 A Nro 1 A Sur 45, Cons. Weighing of the material of interest: The material obtained from the plants Melocactus sp., Opuntia dillenii, Stenocereus griseus, Cereus forbesii, Aloe arborescens, and Aloe vera is weighed to have a reference of its performance in relation to weight to weight, with respect to its use. The list of these substances can be extensive, but the most relevant adjuvants include silica as a structural unit of polydimethylsiloxane, known as silicone, methacrylate compounds, aluminum hydroxide, squalene, oils of vegetable or animal origin, and aluminum salts3 (Figs. Figure5 shows a part of the penca or cladodes of a cactus Opuntia sp., with skin and thorns, but the part to be used is the vascular tissue of the plant, eliminating skin and spines [11]. Biopolymer Removal - Silicone Injection Removal There was a significant decrease in the prevalence of symptoms at the 3-month follow-up. (FUCS), Cra 19 No. The autoimmune/inflammatory syndrome induced by adjuvants (ASIA)/Shoenfelds syndrome: descriptive analysis of 300 patients from the international ASIA syndrome registry. Sort by: Oldest Newest *Treatment results may vary Hi ladies.. Here's an update.. Toggle navigation Portal de salud en Colombia These biopolymers are extremely dangerous and . Perricone C, Colafrancesco S, Mazor RD, et al. I also have no idea what is cancellation and refund requirements are at this time. Biopolymer Removal | Shopping in Colombia Shopping - YouTube Opuntia sp. REMOVAL BY DR. RODRIGUEZ IN CALI, COLOMBIA. Biopolymers can cause many conditions and can eventually spread to areas of the body. Watad A, Quaresma M, Brown S, et al. This study found that the mean time that biopolymers take to produce symptoms after their administration is 10.4 4 years and that patients showed elevated levels of ANA, LDH, complement proteins C3 and C4, and rheumatoid factor preoperatively. Detailing the exact area where you have this material, and with pleasure I can give more specific information. Barranquilla, Colombia, Rhinomodelation, Lip augmentation, Facial shaping, Threads, Facial fillers, Laser hair removal, Cellulite treatment, Treatment for acne, blemishes, dark circles, Cra 2 No. Please enable scripts and reload this page. Barranquilla, Colombia, Ultra HIFU Rejuvenation, Laser Hair Removal, Cryolipolysis Fat Freeze, Body Shaping, LIPOX 360, Cellulite Removal, Wonder Medical, Platelet Rich Plasma, Botulinum Toxin, PDO Collagen Threads, Ultr, Cra 30 corredor universitario no 1 - 850 , Cons. Piso 1 Clasificacin y tratamiento de la enfermedad mamaria por modelantes. Sort by: Oldest Newest *Treatment results may vary Silicone removal NY No visible and traumatic scars (each case is different and must be evaluated individually). Biopolymers are usually used by unscrupulous persons, they vary from liquid silicone, liquid Vaseline, paraffin, nonmedical forms of vitamin E, to vegetable or industrial oil. The Biopolymers can produce reactions and side effects. Contact our London head office or media team here. Wolters Kluwer Health, Inc. All rights reserved. The pH results are shown in Graph 1, showing that the coagulant that most affected the final pH was the biopolymer of Melocactus sp., which brought the pH up to 6.2. The suspension was gently stirred for 1h on a magnetic stirrer in order to achieve a uniform dispersion of the clay particles. Barranquilla, Colombia, General surgery, advanced laparoscopic surgery, bariatric surgery, obesity surgery, digestive tract endoscopy, Cra 49C No. Silicone injections can often introduce dangerous foreign substances to the inside of the body. 200 sieve to obtain a very fine powder for storage in plastic containers to avoid hydration and subsequent use in the preparation of the solutions of the coagulant. 519 The work cannot be changed in any way or used commercially without permission from the journal. Edificio San Sebastian del Country We have hundreds of cases of successful butt lifts because: Wolters Kluwer Health
; the others lowered the pH moderately to values of 7 or 6.8. 303 Centro Mdico Dali To achieve good results it is necessary to have first class professionals and cutting-edge equipment to obtain the desired results. Revista Colombiana de Ciruga Plstica y Reconstructiva. Goren I, Segal G, Shoenfeld Y. Autoimmune/inflammatory syndrome induced by adjuvant (ASIA) evolution after silicone implants. An advantage to using this quick and efficient method of injection removal is that it results in a minimum scarring, so that your appearance will not undergo any additional damage. Centro de Ciruga Plstica y esttica Remember that if you have any doubts about your case, the best thing to do is to consult your doctor. Pachn S, Jaime Eduardo MD*; Salazar, Marcela C. MD; Pores, Adriana M. MD; Rizo, Victor Z. MD, From the *Plastic and Reconstructive Surgery, Microsurgery Centro Medico Almirante Colon, Bogot, Colombia, Physician Private Practice, Bogot, Colombia, Occupational Medicine, Private Practice, Bogot, Colombia. 2019;37:537547. 2018:16. 8. Miami Cosmetic Surgeon | Breast, Face & Body Surgery: HD Esthetique In order to remove the biopolymers you must undergo some tests that Dr. Monroy will recommend to verify that you have no abnormalities and no alterations in the coagulation. 80 - 55 , Cons. Some of the consequences generated by biopolymers are changes in skin color, infections, abscesses, migration of the biopolymers to other areas. Bogot, Colombia, Avenida San Martin No 4 - 66, Local 7 Moreover, there was an association between LDH positivity and disease severity (odds ratio: 4.1, 95% confidence interval: 1.948.92). Source: authors. The extractions are segregated into two types: the plants that are used in all their foliage are Melocactus sp. Torre Mdica del Mar Bogot, Colombia, Laser Hair Removal, Tattoo Removal, PDO Threads, Face Lift, Lip Filler, Face Filler, Rhinomodelation, Serum Therapy, Botulinum Toxin, Cra 55 No. How? Resolucin 8430 DE 1993 Por la cual se establecen las normas cientficas, tcnicas y administrativas para la investigacin en salud. J Autoimmun. To control the efficiency of coagulation and flocculation as a function of pH, the pH was taken after coagulation, taking into account that the initial pH of the water is 7.2. This study aimed to evaluate the clinical and immunological characteristics of patients with ASIA treated at a private plastic surgery clinic in Bogot, Colombia from 2017 to 2020 to provide scientific evidence regarding avoiding adjuvant use and facilitating a timely diagnosis. For Dr. Monroy the most important thing is your health. Plastic Surgery SEO & Web Design by TraffiCosmetic, 305.668.2853 Autoimmune/inflammatory syndrome induced by adjuvants (ASIA) 2013: Unveiling the pathogenic, clinical and diagnostic aspects. Barranquilla, Colombia, $280,000 fee for serviceVIEW PROFILE$280,000 fee for service, Dermatology consultation, Clinical dermatology, Surgical dermatology, Aesthetic dermatology, Laser dermatology, Cra. Sincelejo, Colombia, $120,000 fee for serviceVIEW PROFILE$120,000 fee for service, Mammoplasty, Rhinoplasty, Abdominoplasty, Facial rejuvenation, Botulinum toxin, Lip design, Calle 87 No. I ended up injecting myself with a substance called biopolymers (plastic), which are incompatible with the body. Human adjuvant-related syndrome or autoimmune/inflammatory syndrome induced by adjuvants. They have been associated with autoimmune inflammatory syndrome induced by adjuvants, as described by Yehuda Shoenfeld and Nancy Agmon-Levin. 4. Medelln, Colombia, Calle 127 No.19A - 44 , Cons. Unicentro Torre Panamericana Maxillofacial and pediatric surgery atChildren's Hospital Alabama (United States). This technological alternative transforms water treatment into a less aggressive process with the environment, taking into account that most of the waste generated in drinking water and domestic waste treatment is sludge. MedicosDoc.com | Barranquilla, Colombia | Tel: 305 337 7860, Doctors Barranquilla | Doctors Cartagena | Doctors Cali | Doctors Santa Marta | Doctors Bogot, Outpatient consultation in general medicine, Resections of tumors of the parotid mouth and larynx, Artificial insemination. We invite you to have your assessment consultation at Ciruplastia, which has one of the best specialists in Colombia. Instituto Quirrgico del Norte 5 Princes Gate Court, Open Access is an initiative that aims to make scientific research freely available to all. iprdb.com This chapter is distributed under the terms of the Creative Commons Attribution 3.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Patients were not administered any intervention before inclusion in the study.13 Qualitative variables are presented as frequencies and percentages, and quantitative variables are presented as measures of central tendency and dispersion. Barranquilla, Colombia, Facial rejuvenation, botulinum toxin, hyaluronic acid, Laser hair removal, Serotherapy, Calle 134 No. In Ciruplastia we are leaders and pioneers in the Safe Patient Culture created by our surgeon Dr. Monroy. Therefore, this condition should be known as human adjuvant disease caused by biopolymers. Further, this condition mimics autoimmune diseases, with clinical and paraclinical manifestations that improve biopolymer removal. Los campos obligatorios estn marcados con, Benefits for the circulatory system and tissues, 1 to 3 hours in surgery time depending on each case. It is the extraction of biopolymers via open approach with a reduced scar on the area of the buttocks. . 84 - 131 Acomdica II The type of surgery you need and the results that we are going to get before and after the biopolymers removal in buttocks. Scanzi F, Andreoli L, Martinelli M, et al. 30 corredor universitario no 1-850 , Cons. Learn about the treatment for Biopolymers Removal Miami FL in men and women in body and face. Bogot, Colombia, Cra 7Bis No. Biopolymer Removal Miami Cost: If you are interested in consulting the treatment and perform the Biopolymer Removal New Miami please send a message by clicking HERE WhatsApp +573115777719 . There was a similar decrease in the postoperative monitoring of lactate dehydrogenase (LDH), lupus anticoagulant, complement proteins C3 and C4, and rheumatoid factor (Table 3). Biopolymer Removal | Shopping in Colombia Shopping - YouTube 0:00 / 16:56 picking up food Biopolymer Removal | Shopping in Colombia Shopping 7,527 views Aug 28, 2021 Follow my. Improve your online presence and get more national and international patients. Open technique: The open method is used when there are many infections or damage such as granulomas or abscesses. 706 Evidence refuting the existence of autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA). The procedure consists of removing the material with Liposuction or surgery. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Depending on the location and quantity of these substances, surgery is performed under local or general anesthesia. Vera-Lastra O, Medina G, Cruz-Domnguez MP, et al. (Figure4), Opuntia dillenii (Figure5) [9], Stenocereus griseus, Cereus forbesii, being belonging to the family Cactaceae and the other part corresponds to Aloe arborescens and Aloe vera, belonging to the Xanthorrhoeaceae family, with superior Aloe classification. ASIA syndrome symptoms induced by gluteal biopolymer injections: Case Books > Based on these findings, this condition is believed to mimic . This shows the possibility of isolating the crystals of the plant. Generating spots, hardening, inflammation and even infection capable of staying years. 49C - 64 Barranquilla, Colombia, Cra 49C No. 45 - 18 Esquina Plastic surgery in Colombia.Biopolymer removal in Bogot 84A - 09, Cons. It is occasionally impossible to identify the substance used in cosmetic procedures. Hematol Oncol. Laser hair removal, Calle 85 No. Stenocereus griseus. The biopolymers are dissolved with a special laser instrument and then extracted from the body. The removal capacity of these operations is effective and with a speed that could have been used, especially with waters that have high concentrations of organic matter, for this purpose, reagents have been used such as aluminum sulfate, which is usually obtained from the reaction of aluminum hydroxide with sulfuric acid [1]. It was a lie. Review on biopolymers and composites - ScienceDirect 7. The clinical and paraclinical parameters were measured preoperatively, when the diagnosis of autoimmune inflammatory syndrome induced by adjuvants and the need for material removal were established, and postoperatively after 3 months. Associated member of the International Society of Aesthetic Plastic Surgery (ISAPS). The control parameters normally used in the efficiency of a coagulant are pH, turbidity, and color, which are governed by standardized methodologies [13], which determine the ability to remove solids from water based on their behavior, pH, and with its spectrophotometric absorbance, turbidity and color at different wavelengths. By Clint Sutherland, Abeni Marcano and Beverly Chittoo. 9 No. Jaime Eduardo Pachn Surez, MD, Admiral Columbus Medical Center, Carrera 16 #84-09, Bogot, Colombia, E-mail: [emailprotected]. Clnica Portoazul Torre Mdica The surgeon has a book on Amazon about the biopolymer removal surgery. Barranquilla, Colombia, Cra 52 No. 2013;19:2838. All the extracts showed turbidity and color removal, with efficiencies higher than 88%, which indicates that the extraction methodologies conserve the coagulant and flocculant capacity of each plant. Physician - Surgeon Universidad Javeriana, Bogot. 124 - 26, Cons. B, The patient reported improvement of symptoms and diminished inflammatory involvement at the 1-month postoperative follow-up after an open Meticulous Approach Safer and Keeper surgery. 608 Watad A, Quaresma M, Bragazzi NL, et al. Practice physical exercise until determined by the surgeon specialized in biopolymers. Washed: The seeds selected without evidence of the presence of fungi or yeasts were washed with large amounts of water to eliminate impurities related to bulk handling and then in their fractionation and packaging that can take other materials such as small sand stones or other grain waste. 1D The goal is always to extract as much as possible , but it is never possible to withdraw them in their entirety. 602 [10]. Source: http://www.fichas.suculentas.es/Almacenfichas/903/903.html. Sjgrens syndrome: another facet of the autoimmune/inflammatory syndrome induced by adjuvants (ASIA). Cereus forbesii. 2015;59:7784. The allogeneic materials can act as superantigens and favor cellular reactions and, to a greater extent, the antigen-antibody and granulomatous response, which leads to myalgia, arthralgia, asthenia, adynamia, memory loss, dry eyes, dry mouth, photophobia, hyperacusis, abdominal distension, neuropathic pain, headache, and hair loss. 908 However, after removal of the biopolymer, there was a decrease in positivity or conversion to a negative status of paraclinical tests. Autoimmune/inflammatory syndrome induced by adjuvants (Shoenfelds syndrome): clinical and immunological spectrum. Graph 1 shows that the only one that did not affect the pH in the jar test was Stenocereus spp. GIAO Estetica & Spa Moreover, there was an association between LDH positivity and disease severity (odds ratio: 4.1, 95% confidence interval: 1.94-8.92). Biopolymer Removal Cost: If you are interested in consulting the treatment and perform the biopolymer removal please send a message by clicking HERE WhatsApp +573115777719 . Clin Rheumatol. Click on each profile to know all the services offered including the Removal Of Biopolymers. Barranquilla, Colombia, Smile design, Veneers, Implants, Crowns, Dental tourism, Calle 7 No. 304 Therefore, Here we will provide you with a guide to best prepare for your aesthetic procedure, and how to find the most qualified plastic surgeon. The procedure cannot be performed in pregnant or breastfeeding women, Patients with cardiovascular or healing problems should perform additional examinations and consultations. To have a better selection, we reviewed the massive presence of these plants and that they were not part of the list of plants in danger of extinction, to be able to access their manipulation. Ameratunga R, Gillis D, Gold M, et al. Biopolymer Removal Miami - Specialists Medical Center - Centro Medico Toggle navigation. Medelln, Colombia, Gynecology, laser vaginal plastic surgery, advanced laparoscopic surgery, 3D / 4D ultrasound, Cra 2 No. Biopolymers Removal in buttocks: These substances that are infiltrated under the skin of the face or body in order to improve wrinkles, expression lines or increase the volume of certain areas such as hips, breasts, thighs, buttocks and legs, the body encapsulates them in an inflammatory tissue giving rise to granulomas that manifest as bulges and deformities that can be treated by treatment or surgical procedure. The signs and symptoms of the disease and the results of laboratory tests, including the immunological profile, were assessed. We are much more than a plastic surgery clinic and a center that specializes in buttock augmentation in Colombia. Plants with the capacity to generate biopolymers with coagulant and flocculant uses have been under study during the last decades, especially Moringa oleifera, Opuntia spp., Cicer arietinum [5], and others that have demonstrated coagulant capacity, as part of the traditional empirical knowledge of indigenous communities [6]. Hawkes D, Benhamu J, Sidwell T, et al. By Clint Sutherland, Abeni Marcano and Beverly Chitto By Germn Eduardo Dvora-Isiordia, Mara del Rosario By Hisham A. Maddah and Mohammed A. Shihon, IntechOpen Limited Since these chemicals do not belong in the body, they can cause serious health problems, ranging from rashes and skin hardening, to necrosis and acute pain. Call us today about silicone injection removal from Medellin, Cali, Bogota, Barranquilla and Cartagena let us know how we can help you. This study included 190 patients with biopolymers in their buttocks who were diagnosed with ASIA and underwent a surgical procedure. The removal of biopolymers using an open surgical technique in symptomatic or asymptomatic patients is crucial for functional and reconstructive purposes and to improve the quality of life. Cheeks and cheekbones if injected into the face, hips, back, thighs and calves if placed in buttocks. 5 shows the relationship between N/C ratios for the biopolymer peaks and removal of biopolymers by coagulation. If you are looking for Biopolymer Removal in Colombia find a complete list of specialists offering Biopolymer Removal in Colombia. and Kabuli chickpea (Cicer arietinum L.), which showed turbidity removals greater than 95 and 97%, respectively. In that sense, as an advisor and pioneer in the country in a Culture of Safe Patient in Plastic Surgery, I have been involved in the creation, design and implementation of strict protocols for care and intervention and care of our patients in the pre, intra and post -operative, since this goes far beyond a slogan, it is a pattern of behavior that determines each of our day-to-day activities, procedures and treatments. The problems with biopolymers may appear years after your injection. 909 As evidenced by the results, LDH is positive when the patient presents with severe disease. In order to rid the body of harmful substances, HD Esthetique uses Cool Laser technology. The sludge derived from the coagulation and flocculation processes with plant extracts has a completely organic composition, which means that they can be digested by microorganisms and transformed into carbon, nitrogen, and phosphorus substances that can be incorporated into the corresponding biogeochemical cycles, with absence of toxic metals for the soil [4], or with safe concentrations for this vital resource. 50 $. Received for publication April 30, 2021; accepted June 29, 2021. Publishing on IntechOpen allows authors to earn citations and find new collaborators, meaning more people see your work not only from your own field of study, but from other related fields too. Results of the pH test for studied coagulants. We are a community of more than 103,000 authors and editors from 3,291 institutions spanning 160 countries, including Nobel Prize winners and some of the worlds most-cited researchers. From the * Plastic and Reconstructive Surgery, Microsurgery Centro Medico Almirante Colon, Bogot, Colombia .