Browsing by Author "Aguirre Ponce, Silvia Marcela"

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Alteraciones analíticas relacionadas con el uso de medicamentos antirretrovirales en pacientes con VIH con tratamiento en la unidad de infectología del Hospital José Carrasco Arteaga. Durante el período 2018 – 2019
(Universidad de Cuenca, 2021-04-09) Sánchez Jara, Pamela Carolina; Vallejo Ramón, Arturo Fernando; Aguirre Ponce, Silvia Marcela
General objective: to determine the analytical abnormalities related with the use of antiretroviral drugs in people who lives with HIV treated in the José Carrasco Arteaga Hospital during the period 2018 – 2019. Methodology: a descriptive, retrospective study, carried out; it was supported by the review of digital clinical histories from 233 patients diagnosed with HIV (PVV), who were hospitalized in the infectology area at the José Carrasco Arteaga Hospital. The evaluated variables were age, gender, treatment scheme, lymphocytes, hemoglobin, triglycerides, glucose, neutrophils, transaminases, bilirubins, creatinine, urea, lactic acid; for the analysis, descriptive statistics’ techniques were used. Results: the majority of patients were male, representing 86.69%, of which 33.9% where between the ages of 30 to 29 with majority of patients with 32 years old. The most used antiretroviral therapy was "Tenofovir + Emtricitabine + Efavirenz", with a frequency of 57.9%. The most common analytic abnormality, in all treatment regimens, was hypertriglyceridemia, in 25.8% of patients. The scheme that caused the greatest analytical alteration was “Tenofovir + Emtricitabine + Efavirenz”, causing hypertriglyceridemia, in 25.92%. 24.46% of patients did not present any analytical abnormality. Conclutions: the majority of patients hospitalized during the 2018-2019 period, due to HIV, at the José Carrasco Arteaga hospital, were men between 30 and 39 years old. The most widely used treatment scheme was "Tenofovir + Emtricitabine + Efavirenz", causing analytic abnormalities in most of the patients, of which hypertriglyceridemia occurred in most of them. There is also a large number of patients who did not present any abnormality.
Cuidados paliativos en pacientes oncológicos terminales en la Fundación al Servicio del Enfermo con Cáncer 2017 – 2018
(Universidad de Cuenca, 2021-07-01) Quinde Pulla, Daniela Alexandra; Sarmiento Guamán, Fernanda del Rocío; Aguirre Ponce, Silvia Marcela
Background: Palliative care is presented as a cornerstone in the treatment of patients with terminal cancer, trying to reduce suffering to a minimum and trying to improve the quality of life of the patient. Objective: The objective of the proposed research is to identify the palliative care that is carried out in the Foundation for the Service of the Patient with Cancer (FASEC) in the period January - December 2018. Method: The study is quantitative, descriptive, retrospective. Supported by the review of digital medical records of 256 terminal cancer patients hospitalized at FASEC receiving palliative therapy. The variables evaluated were age, gender, civil status, length of hospital stay, supportive therapies, drugs used, and type of treatment. Descriptive statistical techniques were used for the analysis. Results: 38.3% of patients were between 63 and 77 years old; the distribution between men and women is similar (46.1% and 53.9%); 41.4% were hospitalized between 16 to 45 days; 96.1% of patients received gastrointestinal drugs followed by non-steroidal anti-inflammatory drugs and antibiotics; 71.1% required assistance for their activities. 64.5% used drug therapy followed by surgery with 56.6%. 78.5% needed psychological support therapies. Conclusions: pharmacotherapy was the most applied treatment, followed by surgery; psychological support therapies were support measures provided more frequently in the patients studied.
Frecuencia de lesiones interpersonales en razón de su gravedad en la Unidad de Atención de Peritaje Integral de la Fiscalía Provincial del Azuay en el período enero-diciembre 2021
(Universidad de Cuenca, 2025-06-23) Méndez Abril, Benjamín Andrés; Aguirre Ponce, Silvia Marcela
Background: In Ecuador, the violent homicide rate per 100,000 inhabitants has surged over the past five years, rising from 5.84% in 2018 to 42.6% in 2023. In the province of Azuay, the reported interpersonal injury rate stands at 68.2%, with 93 complaints of interpersonal violence recorded in 2019, according to the Citizen Security Council. Despite these figures, no prior study has examined the prevalence of interpersonal injuries by severity in this region. Addressing this gap is crucial for improving the application of Ecuador’s Comprehensive Criminal Code. Objective: To determine the prevalence of interpersonal injuries by severity in the Comprehensive Forensic Evaluation Unit (UAPI) of Azuay’s Provincial Prosecutor’s Office from January to December 2021. Methodology: A descriptive, cross-sectional study was conducted based on medical-legal reports from individuals evaluated at the UAPI in 2021. The universe comprised 654 reports, from which a sample of 243 was selected using the Fisher and Navarro formula. Data was collected using a form designed by the author, aligned with the study’s objectives. Data were processed using SPSS software, version 24, and results were presented through frequency tables and graphs. Results: Of the total injuries, 49.4% were classified as minor, 45.7% as serious, and 4.9% as very serious. Blunt objects were the primary mechanism of aggression (81.1%), and the most frequently affected anatomical regions were the face and head. A statistically significant relationship was found between injury severity and recovery time (p < 0.001).
Frecuencia del dolor y analgésicos utilizados en pacientes oncológicos. Hospital José Carrasco Arteaga. Periodo julio a diciembre del 2019
(Universidad de Cuenca, 2020-12-15) Tenecora Quito, Juan Carlos; Aguirre Ponce, Silvia Marcela
General objective: to determine the frequency of the pain in oncological patients treated during the period July to December of 2019 at the hospital Jose Carrasco Arteaga. Methodology: a descriptive, retrospective, and transversal study was carried out; it was supported by the review of digital clinical histories from 188 patients diagnosed with different types of cancer, who were hospitalized in the oncology area at the hospital José Carrasco Arteaga. The variables evaluated were age, gender, diagnosis, presence or absence of pain, and the analgesic or analgesics received; for the analysis, descriptive statistics’ techniques were used. Results: the majority of patients were female 56.9%, the predominant age was between 60 - 69 years with an average of 60 years. The frequency of pain found was 70.7%, the main cancer involved in the production of pain was the malignant breast tumor 17.3%, and the drug most used for pain was paracetamol 52.6%. The cancer that most used double analgesic for pain control was breast cancer 3.8%. Conclusions: The frequency of pain was high in cancer patients, especially on patients with malignant breast tumors. The main drugs used for pain control were paracetamol and tramadol. Breast cancer was the neoplasm that used double analgesic to control pain, being paracetamol the most used in drug combinations.
Frecuencia del dolor y uso de analgésicos en pacientes postquirúrgicos en el área de cirugía del Hospital Vicente Corral Moscoso. 2022.
(Universidad de Cuenca, 2022-11-23) Aguilar González, Ana Cristina; Bermeo Jiménez, Ximena Mariela; Aguirre Ponce, Silvia Marcela
BACKGROUND: post-surgical pain is the pain suffered by the patient after surgery or its complications, so the use of adequate analgesia is essential for full recovery. OBJECTIVE: to determine the frequency of pain and the use of analgesics in post-surgical patients in the surgical area of the Vicente Corral Moscoso Hospital in 2022. MATERIALS AND METHODS: it is a descriptive cross-sectional study. Data were collected from the directed interview and clinical records of patients in the surgery area of the Vicente Corral Moscoso Hospital during August and September 2022. The variables studied were age, sex, pain intensity, type and duration of surgery, analgesics and combined therapy. The database was elaborated in Microsoft Excel and analyzed in SPSS v21 with license. RESULTS: a total of 264 post-surgical patients were studied, the mean age was 42 years; more than half (54.5%) were men. The frequency of pain was 75%. The most commonly used therapy was paracetamol plus tramadol (59.2%), mainly in moderate pain (65.2%). Both in general surgery and in surgeries lasting 1 to 3 hours, paracetamol plus tramadol was applied more frequently (49.5% and 82%, respectively). CONCLUSION: post-surgical pain affects young adult men, the most used drug was paracetamol and in combination paracetamol plus tramadol, the latter being the most used in general surgery. In comparison with other studies, there is evidence of similarity of percentage in combined therapy; however, NSAID are the most used.
Frecuencia y gravedad del trauma cráneo encefálico por accidentes en motocicleta en el área de emergencia del Hospital Vicente Corral Moscoso. Cuenca, 2015-2020
(Universidad de Cuenca, 2022-11-29) Pesántez Jara, María José; Aguirre Ponce, Silvia Marcela
Background: Encephalo-cranial trauma (ECT) is a frequent patalogy in traffic accidents worldwide, motorcycles are the most involved vehicles; reporting as the second leading cause of death in underdeveloped countries. Depending on the severity of the injury and the Glasgow Scale score, the patient's mortality or sequelae are determined. General goal: to determinate the frequency, and severity od the cranial brain trauma cause by motorcycle accidents in the ER from Vicente Corral Moscoso Hospital. Cuenca (HVCM), 2015-2020. Materials and methods: transversal, descriptive, retrospective studies, where diagnostic sheets of the cranial brain trauma, caused by motorcycle traffic accidents were included. The studied variables were sociodemographic characterization, hospitals, and legal doctors. The information was recolected by the statistics services from Vicente Corral Moscoso Hospital, and the data was analyzed and presented in frequency and percentage charts for the qualitative, quantitative, and standar deviation variables. Results: male gender predominated (93.2%), young adult (86.3%), urbane area (55.9%), with high school studies (46.6%). The cranial brain trauma was mild (44.1%), predominating the subdural hematoma (26.8%). It came with the cranial brain trauma the maxillofacial as well (19.4%). People who did not wear a helmet were 38.5%. On a Sunday (30.4%), and on nigh time (28.6%). Neurosurgical surgery was necessary (31.1%). Mortality of a 18%. Conclusions: The cranial brain trauma was mild the most common injury in young male adults, with a mortality of 18%, and more frequently in 2019.
Nivel de conocimiento sobre prevención del cáncer gástrico en estudiantes de noveno y décimo ciclo de la carrera de Medicina de la Universidad de Cuenca, periodo septiembre 2022 – febrero 2023
(Universidad de Cuenca, 2022-11-24) Durán Sarmiento, Diego Fabián; Tenemea Sanmartín, Jefferson Oswaldo; Aguirre Ponce, Silvia Marcela
Background: According to the World Health Organization, cancer is the leading cause of death worldwide, gastric cancer ranks fourth among the most incident cancers and the third with the highest mortality. According to the National Institute of Statistics and Censuses, mortality from this pathology represented 3% of all deaths in 2019. General objective: Determine the level of knowledge about gastric cancer prevention in ninth and tenth cycle students of Medicine career at the University of Cuenca. Methodology: A descriptive, cross-sectional study was carried out. The sample consisted of 189 students in the ninth and tenth cycle of the Medicine career. A survey was applied. The data was processed in a database developed in SPSS version 20, and analyzed using frequency and percentage tables. Results: The predominant age was 23-25 years; 60.8% of the sample was made up of women. The high level of knowledge for genetic factors was 67.7%; biological factors 50.8%; environmental factors of 62.4%; and early detection of 45%. Conclusions: The level of knowledge in the 3 areas: genetic, biological, environmental factors, was acceptable. 45% of participants had high levels of knowledge in prevention, it is expected that students improve in this area to be able to apply it in their practical year.
Prevalencia de la erotofóbia/erotofilia y factores asociados en estudiantes de la Universidad Autónoma de los Andes (UNIANDES) Sede Santo Domingo 2023
(Universidad de Cuenca, 2024-05-08) Valverde Culqui, Diana de Lourdes; Aguirre Ponce, Silvia Marcela
Sexuality topics have been considered taboo and little explored due to social, cultural and religious problems; This research focused on the study of attitudes towards sexuality and eroticism in a positive way, erotophilia and emotions, attitudes of displeasure or disgust (erotophobia) (1). The objective of this research is to determine the prevalence of erotophobia/erotophilia and associated factors in students at the Universidad Autónoma de los Andes, Santo Domingo 2023, being a cross-sectional analytical research using a random sample in the medical career. Data collection was through sociodemographic questionnaires and associated factors. To measure erotophobia/erotophilia, a validated survey on Sexual Opinion (EROS) was used (1, 2). The information collected from the 320 students was processed and analyzed with the SPSS program, two-by-two tables, chi square, Odds Radio., 95% confidence interval for statistical significance where a prevalence of the erotophilia variable is determined with 53.3% over the erotophobics with 46.6% and within the erotophilic category the female sex predominates, in age it corresponds to those under 19 years of age, no exists predominate in Catholics, nor heterosexuals. The results indicate the prevalence of erototophilia over erotophobia, there is no association between erotophilia/erotophobia and the associated factors that determine the attitude towards sexuality. The results of the sociodemographic characteristics and associated factors are similar values in both erotophiles and eterophobics
Prevalencia y caracterización de los accidentes de tránsito en motocicletas. Cuenca, periodo 2018-2020
(Universidad de Cuenca, 2022-11-14) Salto Ortiz, Tatiana Estefanía; Aguirre Ponce, Silvia Marcela
Background: traffic accidents had been increased worldwide, being the bikers, motorcyclists, and pedestrians the more affected, because of the direct body exposure. Objective: to determinate the prevalence and characterization of the traffic accidents in motorcycles. Cuenca, 2018-2020 period. Methodology: observational, descriptive and transversal study. The data included all the traffic accidents expedient registered on the EMOV EP system (Empresa Pública Municipal de Movilidad, Tránsito y Transporte) from Cuenca. Sociodemographic variables and study variables (individual, environmental and road variables) were collected. The data were processed in the SPSS program evaluation version, the data are presented in tables, using frequencies, percentages, standard deviation and arithmetic average. Results: motorcycle accidents occurred more frequently in men (96%) between 20-39 years of age (82.7%), with the most frequent type of accident being a crash (68%); these accidents predominated on weekdays (67.4%), in a good road condition 94.8%. Of the motorcycle drivers, 86.7% were only injured and only 16.7% were drinking alcohol at the time of the accident. Conclusions: the most number of motorcycle accidents happened in men between 20-39 years old, between Monday to Friday working hours, with a minimum of deads; this accidents were not related with road conditions nor weather conditions.
Prevalencia y factores de riesgo de violencia de género en estudiantes de 9no y 10mo ciclo de la carrera de Medicina de la Universidad de Cuenca. Junio – noviembre 2024
(Universidad de Cuenca, 2024-11-13) Buestán Alama, Oliver Abimael; Jaramillo Nivicela, Mario Alfonso; Aguirre Ponce, Silvia Marcela
Background: gender-based violence is a global social problem that affects millions of people, transcending geographical, cultural and socioeconomic boundaries. Objective: to determine the prevalence and risk factors of gender-based violence among 9th and 10th cycle medical students at the Universidad de Cuenca. Methods: A quantitative, analytical and crosssectional study was carried out with 51 participants. The survey conducted by the authors and the Women Abuse Screening Tool (WAST) questionnaire were applied. The data were handled with complete confidentiality, analyzed in the SPSS statistical program and interpreted using percentages and frequencies. The Chi-square test was not applied due to the small sample size, but 95% confidence intervals were applied. Results: The average age was 23 years. Ninety-eight percent were single, 74.5% were in the tenth grade, 100% were of mixed race and 80.4% resided in urban areas. The prevalence of gender violence was 80.39%. Risk factors for gender violence were identified as being from rural areas, alcohol consumption, lack of emotional control and belonging to violent or gender violence-tolerant communities, both in the victim and in her partner. A total of 33.3% of the participants experienced gender-based violence in their intimate partner relationships. Conclusion: the prevalence of gender-based violence was high, highlighting both psychological and physical violence