Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

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Browsing Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca by Author "Alemán Iñiguez, Juan Miguel"

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    Coexistencia de micosis pulmonar mixta en paciente inmunocompetente. Primer reporte de caso, revisión y actualidad.
    (Universidad de Cuenca, 2018-11) Alemán Iñiguez, Juan Miguel; Parra Coronel, Pablo
    Mixed pulmonary mycosis is a very rare entity, even more so in patients without immunosuppression, then the epidemiological and clinical findings explain the massive mycotic invasion in a normal immune state. Case Summary: This case is about a female patient, adult, with medical background, who debuted with acute respiratory failure and hemoptysis, the imaging and microbiological evidence allowed the diagnosis of pulmonary angio-invasive aspergillosis coexisting with pulmonary candidiasis; Antifungal therapy was used to solve the infection Conclusion: A mixed pulmonary mycosis depends on the exposure of the source of infection and can coexist in immunocompetence due to the exfoliative action of the pathogens and the substrates that the host produces.
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    Medicina del futuro en los venenos de animales. Ecuador como fuente importante de investigación
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-12) Alemán Iñiguez, Juan Miguel; Mora Bravo, Franklin Geovany
    The evolution has allowed that several animals produce secretions for their survival: poisons, those that are harmful and lethal when they exert their effects on the body, altering the normal responses such as the coagulation and the inflammatory process. An updated literature review of poisons is presented which can be employed to explain how these substances can represent a future therapy; in the same way our country situation is described because it could be a source of research on this topic
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    Situación de salud del adulto mayor en el sector Tomebamba de la parroquia Monay febrero-marzo 2015
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-05) Alemán Iñiguez, Juan Miguel; Alemán Iñiguez, Pedro José
    Background: The elderly population is in progressive growth, however there is no information about the individual, family, community situation and health care for older people in Monay. Objective: The purpose of this study was to conduct a diagnosis of the elderly´s situation in an urban area in Cuenca. Methods: It is a cross-sectional study in a selective sample represented by female elderly, who were attending to the Tomebamba geriatric center ( Monay, Cuenca), with the prior informed consent of each of the participants and their families consent, and the approval of the leader of this organized group. The variables were: age, sex, marital status, comorbidities, monitoring of nutritional status, mental state and functionality through geriatric scales and home records. Results: About 24 older adults and their families were studied. The most frequent age range was 60-69 years (54.17%), the 66.67% married; the presence of overweight and malnutrition was found in 75% of the population; moderate depression was evident in 45.83%; in terms of dependence, 58.33% needed help in their activities, the 75% had moderate sensory disturbances and 50% exhibited moderate risk tofalls; in terms of biological hazards in the family, a 68.87% members with impact diseases were found; on health risks, everybody had animals at home; on socio-economic risks, about 30.91% in poor housing conditions was observed, the 66.67% had low risk family, and 45.83% moderate family dysfunction. In terms of community diagnosis, the problem attributable to higher general dissatisfaction was overweight-obesity, the major cause mentioned was the ignorance of healthy lifestyles; as to the factors of weak local health care was evident: time to care for elderly, lack of professionals in nutrition and physical activity, and the absence of information aimed to the prevention of overweight and obesity. Conclusion: The main individual problems were the presence of overweight-obesity and moderate dependence to perform daily activities; regarding to the family situation deficiencies in socio-economic conditions and family dysfunction were noted; the health service still has weaknesses in providing services to the elderly population, whose problem was attributable to the lack of promotion of healthy lifestyles in nutrition and physical activity specifically