Browsing by Author "Alvarado Vintimilla, Andrea Elizabeth"

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    Conocimientos, actitudes y prácticas sobre prevención de embarazo en las estudiantes de la Escuela de Medicina de la Facultad de Ciencias Médicas de la Universidad de Cuenca, año 2010
    (2011) Alvarado Vintimilla, Andrea Elizabeth; Idrovo Idrovo, María José; Manzano Cárdenas, Paúl Andrés; Vega Crespo, Bernardo José
    Background: Urinary Incontinence (UI) is a common disease among the population over 65 years, which affects their quality of life significantly. In our country there are no studies about revealing their real prevalence and associated risk factors, in addition to a condition considered usual for their age, because of embarrassment or prejudice in their acceptance, is undervalued. Methods:In this Transversal – Prevalence study participated65 seniors attending IESS Social Services September 2010 to April 2011, who after training on the subject consented to fill out forms for collecting validated data on prevalence of urinary incontinence and risk factors related to present development. The analysis was performed with the intention of determining the magnitude, through of statistics procedures as prevalence rate, confidence interval, p value. Results: Global prevalence of I.U. was 68.13% in females (75.28%) and male (42.86%). Risk Factors that were associated with his presentation were: Nutritional status of risk (obesity, overweight and malnutrition; 71.43%), ITU (72.77%), Pelvic surgery (72.91%), Hypertension (82.65%), Diabetes (85.1%), Dementia (100%), Parkinson (100%). While factors such as age, age over 70 years (63.68%), prostate disease (47.92%), multiparity (2 or more children, 75.58%), neoplasms (42.85%), diseases Rheumatic (71.05%) and thyroid diseases (64.29%), were not associated with UI
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    Sensibilidad y especificidad de la colangioresonancia magnética para el diagnóstico de coledocolitiasis. Hospital José Carrasco Arteaga. Cuenca
    (2018) Alvarado Vintimilla, Andrea Elizabeth; Llivisaca Tacuri, José Enrique; Sacoto Molina, Adrián Marcelo
    Background: the American Gastrointestinal Endoscopy Society suggests classifying patients for risk of choledocholithiasis according to clinical, laboratory and ultrasound predictors. Despite this, the specificity is low, so studies suggest including other diagnostic imaging methods to avoid the performance of unnecessary endoscopic retrograde cholangiopancreatography. Objective: to establish sensitivity and specificity of magnetic resonance imaging for diagnosis of choledocholithiasis at the José Carrasco Arteaga Hospital, Cuenca. Methodology: a diagnostic test validation study was carried out, with 278 patients. All patients aged 18 years or older, without gender distinction, with suspected choledocholithiasis, were included, in whom has been performed magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography. The information was processed in PSPP version 0.10.1, EPIDAT 3.1 and EPI INFO determining the specific statistical tests. Results: the mean age of the patients was 62,53 ± 17,89 years. The distribution by sex showed a mild female predominance (52,2%). Among the non-cholecystectomized patients, the majority had gallbladder lithiasis (59,3%). In magnetic resonance cholangiopancreatography 54% of participants presented dilation of the common bile duct. After choledocholithiasis, odditis was the most frequent diagnosis (9%). Magnetic resonance cholangiopancreatography sensitivity was 79,86%, specificity 94,24%, PPV 0,93, NPV 0,82 and accuracy of 87,05% for the detection of choledocholithiasis. Conclusion: in this study, the magnetic resonance cholangiopancreatography obtained a high percentage for the diagnosis of choledocholithiasis compared with ERCP. However, this diagnosis method is not frequently required