2024-03-28T13:55:03Zhttp://dspace.ucuenca.edu.ec/oai/requestoai:dspace.ucuenca.edu.ec:123456789/200452020-07-31T21:56:52Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Salinas Pozo, María Victoria
Escalante Canto, Paúl
Saeteros, Xavier
2014-08-06T13:29:18Z
2014-08-06T13:29:18Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20045
For the few reports in the literature, this
case is done with clinical and epidemiological
diagnostic of the hemorrhagic chickenpox
which was treated with antiviral,
immunoglobulins and antibiotics (for over
infection), with positive evolution. Chickenpox
is a virus primary infection VZV (varicella-
zoster) that generates a febrile illness
accompanied by a generalized rash.
Epidemic form occurs mainly in children
aged from 2 to 10 years, it is transmitted by
drops that come from the nasopharynx,
with a benign course. If there is immune
deficiency, the clinical form of hemorrhagic
varicella can occur with an unfavorable
outcome.
spa
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Varicela
Diagnostico Clinico
Virus Varicela Zoster
Niño
Varicela Hemorrágica
Article
oai:dspace.ucuenca.edu.ec:123456789/200382020-07-31T21:56:58Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Cárdenas Herrera, Oswaldo José
Cabrera Vicuña, José Antonio
Campoverde Cisneros, Manuel Alfredo
2014-08-05T16:23:06Z
2014-08-05T16:23:06Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20038
OBJECTIVES. To determine the prevalence
of papilloma virus genotypes of
high and low oncogenic grade, to relate
to age groups, with genotypes that
avoid both existing vaccines and the
risk factors for uterine cervical cancer.
METHODS. Epidemiological, observational,
cross-sectional study. The random
sample was 500 women from the urban
area of Cuenca city. Two samples of the
cervix were taken. Polimeraza chain reaction
method and cytopathology Papanicolaou
study were used.
RESULTS. The prevalence of papilloma
virus genotypes of high oncogenic grade
was 35,9% and 14,3% low oncogenic
grade. The prevalence of cytologic
abnormalities, Papanicolaou, was 16%.
This prevalence was more frequent
in the group of 30-39 years, and 40-50
years.
By inference, the coverage of the Cervarix
vaccine would be 8% and 13%
for Gardasil. Risk factors were related
to the number and frequency of intercourse
and number of sexual partners.
CONCLUSION. The prevalence of genotypes
was high and the vaccine coverage
was low.
spa
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openAccess
Papiloma Virus Humano
Genotipo
Virus Oncogenicos
Vacunas Contra Virus Papiloma Virus Humano
Prevalencia
Prevalencia de genotípos del papiloma virus en mujeres de Cuenca
Article
oai:dspace.ucuenca.edu.ec:123456789/200412020-07-31T21:57:03Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Ojeda Orellana, Marco Ribelino
2014-08-05T18:35:13Z
2014-08-05T18:35:13Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20041
To evaluate a virtual educational program
for rural doctors in the provinces of Azuay,
Cañar, Loja and Morona Santiago to improve
knowledge and prescription of antibiotics
in pharyngitis, urinary tract infection, infectious
diarrhea and pyoderma.
METHODOLOGY
A random experimental double-blind study
was made, in which 102 rural doctors from
the provinces mentioned before attended
during the period February-October 2011.
Through the virtual platform MOODLE a course
of antibiotics based on OPS, Sandford and
from MSP was applied to 53 doctors in the
intervention group, and on another platform,
a course about “Critical analysis of pharmaceutical
promotion” was applied to 49 physicians
in the control group. They were evaluated
with a questionnaire applied before
and after the new knowledge acquired and
the quality of prescriptions before and after
the course.
RESULTS
The virtual course improved significantly, the
average score of the questionnaire was 7.5 /
10 to 8.07 / 10 (p = 0.037) in the intervention
group, as well as the score of the recipes in
all diagnoses. The relative risk of the intervention
on the presence of a bad prescription
was 0.53 (p = 0.0) and about bad questionnaire’s
grade was 0.78 (p = 0.0).
CONCLUSIONS
The virtual education program improved significantly
the knowledge and the quality of
outpatient prescriptions for pharyngitis, urinary
tract infection, infectious diarrhea and
pyoderma
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Interfaz
Educacion
Recursos Humanos
Prescripcion Medica
Antibacterianos
Administracion
Infecciones Frecuentes
Atencion Primaria
Dosificacion Medica
Programa educativo virtual para mejorar la prescripción antibiótica en médicos rurales
Article
oai:dspace.ucuenca.edu.ec:123456789/200462020-07-31T21:57:08Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Calle Ulloa, Boris Eduardo
Calle S., Angel
Quito C., Paúl
Chasi P., María
Hurtado M., Johanna
2014-08-06T14:17:07Z
2014-08-06T14:17:07Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20046
Phenylketonuria (PKU) is a congenital
autosomal recessive disease in which
there is a shortage of the enzyme
phenylalanine hydroxylase, which produces
an injury to the central nervous
system (CNS). The global incidence is
about 1:20,000 live newborns. (1.2) The
treatment is based on phenylalanine
restricted diet which should be maintained
for lifelong to prevent intellectual
impairment.
OBJECTIVE: To identify neurological manifestations
of pediatric patients with
PKU.
METHODOLOGY: A review of the literature
on the neurological manifestations
for PKU by searching several electronic
databases (MEDLINE , EMBASE, Cochrane
, LILACS , PubMed) with English and
Spanish limits from January 1970-2012.
RESULTS: One cross-sectional study, one
clinical case, three narrative reviews in
pediatric populations and one clinical
case combine children and adults. Intellectual
disability is the main neurological
manifestation; the primary diagnostic
criterion was the serum level of
phenylalanine. There are 29 different
classifications on the cutoff to hyperphenylalaninemia
and 23 for phenylketonuria.
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Fenilcetonurias
Manifestaciones Neurologicas
Bases De Datos Bibliograficas
Niño
Manifestaciones neurológicas en pacientes pediátricos con fenilcetonuria. Revisión bibliográfica
Article
oai:dspace.ucuenca.edu.ec:123456789/200432020-07-31T21:57:12Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Peñafiel Martínez, Eulalia Cumandá
2014-08-05T18:58:14Z
2014-08-05T18:58:14Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20043
OBJECTIVE: To compare the frequency of
NEC in preterm infants who are receiving
probiotics plus conventional therapy in
2012 with patients who received conventional
therapy in the neonatal unit of the
Vicente Corral Moscoso Hospital in 2011.
METHODOLOGY: A cohort study with two
groups of 113 premature children in each
one. The intervention group received 1g
of VSL#3 probiotic in 2012 once daily until
discharge, with a maximum of 14 days. During
the administration, some cases of NEC
were recorded according to the criteria of
Bell, and they were compared with the frequency
of 113 preterm ECN presented in
2011.
RESULTS: In 2011 22.1% of NEC was observed
while children who received probiotics
showed 10.6%. The groups who represented
a statistically significant reduction
were the preterm with low weight and moderate
preterm (p < 0.05). A smaller percentage
(7.5%) of NEC was observed in
male infants in relation to females (13.3%)
with the administration of VSL # 3. The percentage
of NEC was 20% and 25% in male
and female respectively who received
probiotics.
CONCLUSIONS: The VSL # 3 probiotic reduced
the frequency of NEC in the preterm
neonatal service from the Vicente Corral
Moscoso Hospital during 2012, with a relative
risk reduction (RRR) of 52%.
spa
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Enterocolitis Necrotizante
Prematuro
Recien Nacido
Probióticos en la prevención de enterocolitis necronizante en neonatos pretérminos del servicio de neonatología del Hospital Vicente Corral Moscoso. Cuenca, 2012
Article
oai:dspace.ucuenca.edu.ec:123456789/200402020-07-31T21:57:17Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Alvear Quito, Nataly Mireya
Martínez, Patricio
Salamea Molina, Juan Carlos
Padilla ZHucuzhañay, Marcia Alexandra
2014-08-05T18:22:34Z
2014-08-05T18:22:34Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20040
INTRODUCTION: The aim of this study is to observe the
frequency of positive elementary microscopic examination
of urine (EMO) in regard to acute appendicitis
appendiceal phase, and at the same time to
determinate the sensitivity of the EMO to determine
the infectious appendix phase.
MATERIALS AND METHODS: We performed a prospective
comparative study, which evaluated the sensitivity
of the positivity of the EMO, the appendix phase
and the urinary symptoms seen in these patients. We
included 100 patients (64 women and 46 men) with
an average age of 60.
RESULTS: From the patients operated on and with
histological test, positive signs and symptoms were
showed which were obtained in pre-surgical clinical
assessment in the Vicente Corral Moscoso Hospital.
EMO was considered positive when leukocytes per
field exceeded 8, and presence of red cells per field
larger than 4. Of the 48 cases (48%) of Suppurative
Appendicitis phase only 12 of them (12%) showed
positivity to make the EMO, followed in frequency
by the inflammatory phase in which inside these 32
cases (32%) only 7 (7% ) of them have to do the EMO
positivity. A 100% of patients with acute appendicitis
suffer pain at the right fist percussion and 98% of
them did not have urinary frequency.
CONCLUSIONS: The positive EMO has low sensitivity
to determine the appendix phase and it is higher in
the gangrenous stage. EMO can be positive in patients
with acute appendicitis 4-1 Patients with acute
appendicitis may present positive urinary symptoms
including right fist percussion and middle ureteral
points.
spa
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Apendicitis
Complicaciones
Toma De Muestras De Orina
Efectos Adversos
Tecnicas Y Procedimientos Diagnosticos
Utilidad de examen de orina en apendicitis aguda
Article
oai:dspace.ucuenca.edu.ec:123456789/200392020-07-31T21:57:22Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Arévalo Peñafiel, María Elisa
2014-08-05T16:38:17Z
2014-08-05T16:38:17Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20039
OBJECTIVE: To determine the risk factors associated
with congenital hip dislocation in children
from 0 to 9 years who are attending to the
Provincial Center for Integrative Neurodevelopment
(CEPRONDI).
METHODS: A case-control study was made; the
universe consisted of 1200 children from 0 to 9
years of congenital hip dislocation (LCC), who
are attending to the Provincial Center for Integrative
Neurodevelopment (CEPRONDI).
The total sample size was 310 children (155 with
congenital hip dislocation and 155 without congenital
hip dislocation); they were calculated
with confidence interval criteria of 95% and significance
level of 0.05 %. We identified the congenital
hip dislocation in children according
to the family history, breech presentation and
pelvic-fetal disproportion. Data were analyzed
using SPSS v.20, Excel and Minitab v.15. For the
description of qualitative variables, frequencies
and percentages were calculated, and
for the inferential analysis we used chi -square
test to contrast and also multiple proportions to
identify the main causes of this problem.
RESULTS: The incidence of LCC in children with
developmental disorders in the CEPRONDI
is about 18.10%; we showed that the risk factors
are related to the LCC family history, birth
weight and multiple pregnancy because they
had higher statistical significance with a p_value
of 0,000 the first two and 0,003 the last;
however it was shown that the pelvic disproportion
- fetal and sex have a lower statistical
significance.
CONCLUSIONS: The percentage (18.10%) of
LCC which was found in CEPRONDI is very alarming
because it exceeds the figures in comparison
with other countries and even with the
global prevalence that is 3%.
spa
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Luxacion Cogenita De Cadera
Luxacion De Cadera
Niño
Factores Epidemiologicos
Diagnostico
Factores de riesgo de la luxación congénita de cadera en niños/as de 0 a 9 años del Centro Provincial de de Neurodesarrollo Integral Cuenca, 2012
Article
oai:dspace.ucuenca.edu.ec:123456789/200472020-07-31T21:57:27Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Comisión de Publicaciones
2014-08-06T14:32:46Z
2014-08-06T14:32:46Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20047
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openAccess
Publicaciones Cientificas Y Tecnicas
Normas para la publicación de artículos científicos en la Revista de la Facultad
Article
oai:dspace.ucuenca.edu.ec:123456789/200422020-07-31T21:57:32Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898
Cazar Ruiz, Jorge Vicente
Ochoa Gavilanes, Eddy Rodrigo
2014-08-05T18:47:47Z
2014-08-05T18:47:47Z
2014-04
http://dspace.ucuenca.edu.ec/handle/123456789/20042
The diaphragmatic eventration is a rare
anomaly, which is characterized by an abnormal
elevation of the diaphragm muscle,
can be congenital or acquired.
The affected diaphragm displays paradoxical
mobility, with respiratory insufficiency
of variable intensity; it has been considered
as a cause of the defect of a failure in
the process of muscularization of the embryonic
diaphragm.
This is the case of a newly born, without obstetric
history of importance, who presented
mild respiratory symptoms from birth; in this
case, the diagnosis was performed with an
X-ray and CT scan of the chest. The surgical
resolution was through a technique of
diaphragmatic plication.
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Hernia Diafragmatica
Congenito
Recien Nacido
Anomalias Congenitas
Estudios De Casos Y Controles
Eventración congénita de diafragma, a propósito de un caso
Article
oai:dspace.ucuenca.edu.ec:123456789/200442023-02-13T17:29:29Zcom_123456789_19890com_123456789_34569com_123456789_33353col_123456789_19898