Browsing by Author "Abad Amoroso, Ariana Graciela"

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Situación individual, familiar y social del personal de salud durante la pandemia por COVID-19. Cuenca – Ecuador, 2020
(Universidad de Cuenca, 2021-08-17) Abad Amoroso, Ariana Graciela; Sigüencia Sánchez, Priscila Elizabeth; Vega Crespo, Bernardo José
Background: In February 2020, a new coronavirus was identified as SARS-CoV2, the etiologic agent of Coronavirus Disease 2019 (COVID-19). On March 11 of the same year, the World Health Organization declared this disease as a pandemic. From this date on, the participation of health personnel in Ecuador has been key to face the health emergency. General objective: To analyze the individual, family and social situation of health personnel during the COVID-19 pandemic, Cuenca - Ecuador. September 2020. Methodology: A descriptive cross-sectional study was carried out, using the database of the second round of surveys of the International Citizen Project Covid 19 (ICPCovid), collected through an electronic form sent to institutional emails of 1697 participants from universities and the municipal corporation. The results were processed in SPSS 15.0, using frequency distribution, measures of central tendency (mean) and dispersion (standard deviation), this are presented in tables. Parameters such as adaptation were classified as low (0 - 1), moderate (2-3), high, (more than 4). Results: Health personnel have gone through situations of discrimination and aggression due to their professional condition; they have difficulty getting food because did not have money and they have also presented a high adaptability to the measures implemented by the government. Conclusion: The health personnel of Cuenca - Ecuador present a complex individual, family and social situation as they are first line of defense of the COVID-19 pandemic. More studies are required related to their situation and the relationship with the current pandemic.
Tratamiento y evolución clínica de un paciente con diagnóstico presuntivo de síndrome antifosfolipídico catastrófico
(2022) Aguirre Bermeo, Hernan Marcelo
The catastrophic antiphospholipid syndrome represents less than 1% of cases registered worldwide, the multi-organ involvement develops in a period of less than a week, with very high mortality. We report the case of a patient with history of varicose veins and family history of antiphospholipid syndrome and systemic lupus erythematosus. The clinical condition began with a thrombotic storm after an aneurysmectomy, in the context of undiagnosed antiphospholipid syndrome. The sudden symptoms required management in intensive care unit and treatment with methylprednisolone and infliximab. The patient's evolution was not favorable and she died due to probable disseminated intravascular coagulation associated with catastrophic antiphospholipid syndrome. The case highlights the importance of the clinical method in the early diagnosis and treatment of rare diseases.