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Browsing by Author "Astudillo Peralta, Carlos Fernando"

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    Hallazgos ultrasonográficos en hepatopatías de niños y adolescentes en el Hospital José Carrasco Arteaga. Cuenca, 2016-2019
    (2024-09-10) Brito Tola, María Auxiliadora; Astudillo Peralta, Carlos Fernando
    Background: Childhood liver diseases are diverse. An important point mentioned in the literature regarding treatment is that it will differ between diseases, but its main basis is the performance of liver transplant in 60 to 80% of patients who develop the disease in early childhood. Liver diseases depending on the duration of their evolution, can be acute and chronic, with infectious hepatitis being the most common in the first group and hepatic steatosis in the second. Its incidence is expected to increase over time, generating greater morbidity and mortality, as well as future complications. Objetive: to determine the ultrasonographic findings in liver disease of children and adolescents treated at José Carrasco Arteaga Hospital. Cuenca, from to 2016-2019. Methods: descriptive, cross-sectional study. Was analized the clinical history of 220 patients between 5 to 19 years of age, who underwent an abdominal ultrasound in the period 2016-2019, once de inclusion criteria were met, a form was prepared with the sociodemographic variables (age, sex, nutritional status calculated using the BMI and the qualitative variables resulting from the abdominal ultrasound (parenchyma echogenicity, hepatomegaly, portal wall hyperechogenicity, ascites, thickening of the gallbladder wall). The statistical analysis was carried using the SPSS program and Microsoft Excel 2010. Frequencies and percentages were used for the qualitative variables and mean, standard deviation, asymmetry, kurtosis and the Kolmogórov-Smirnov test for the quantitative ones. Conclusions: the prevalence of liver disease was 39,10%.
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    Prevalencia del neumococo y sensibilidad a la penicilina en preescolares de 3 a 6 años del cantón Cuenca 2005
    (2005) Arias Chuchuca, María Augusta; Arias Jaramillo, Paúl Fabricio; Astudillo Peralta, Carlos Fernando; Bernal Estrada, Fernanda Patricia; Galindo Banegas, Telmo Benjamín
    This work was performed in order to determine the prevalence of pneumococcal and sensitivity to penicillin in preschoolers 3-6 years old in our midst. For this was taken as universe a population of 35,109 children between 3-6 years of age; for calculation shows the total employed 1of the universe to be studied, resulting in 351 random samples from different kindergartens and schools, both urban and rural areas and to meet the requirements, like children who do not show pathology pharyngotonsillar and who are not receiving antibiotics at the time of sample collection treatment; it should be emphasized that the taking of the samples were performed under aseptic standards, in order not to influence the outcome of the study. After obtaining the samples was carried out a culture based on blood and suspect colonies they are replanted Agar and later identification test was applied based optochin, which was positive when the colonies had a alo greater inhibition 12 mm, which indicated to us the presence of S. pneumoniae. Finally test conducted sensitivity to penicillin (oxacillin). As a result of our study, the prevalence of pneumococcus in our country was 11.4, compared to 20 to 40señalado in international medical literature. Pneumococcus showed sensitivity to penicillin by 35, while the 65no showed sensitivity to the drug.

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