Browsing by Author "Barahona Ulloa, Wilson Fabricio"
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Item Adenomas hipofisarios: características sociodemográficas, clínicas y terapéuticas de 250 casos(2021) Barahona Ulloa, Wilson FabricioIntroduction and objective: Pituitary adenomas are present in 23% of the general population, being mainly small and asymptomatic. Despite the existence of global and regional data, in Ecuador there are no large-scale records on this pathology. The objective of this study is to descriptive diagnosed pituitary tumors ́socio-demography, clinical, and therapeutic features over a 5-years period in one of the most important specialty hospitals in the country. Materials and methods: An observational study with descriptive design was performed. Data from clinical records of patients with a definitive diagnosis of pituitary adenoma that have been treated from January 1, 2012 to December 31, 2016 were collected at the specialty hospital José Carrasco Arteaga. Results: There were 250 cases with pituitary adenomas, 179 women (71,6%), 126 (50,4%), adults. The most frequent diagnostic age was between 20 and 39 years. The microadenoma was observed in 164 times (65,6%). The clinical presentation was mostly symptomatic in 225 people (90%). Excess hormonal production was detected in 176 patients (70,4%). Prolactinoma was the most common subtype, 146 (58,4%). The most used treatment was pharmacological, in 200 cases (80%). Conclusions: The results are similar to the literature reviewed, although in this study the symptomatic presentation prevailed mostly over the incidental form and the percentage difference between female and male was greater, especially among non-functioning subtypes.Item Características de adenomas hipofisarios en el Hospital José Carrasco Arteaga”. Cuenca, 2012-2016.(2018) García Iñiguez, Juan Diego; Barahona Ulloa, Wilson Fabricio; Jiménez Encalada, Marcia GabrielaBackground: Pituitary adenomas are present in up to 25% of the general population, being mainly benign and asymptomatic. Objective: To determine the characteristics of pituitary adenomas at the José Carrasco Arteaga hospital from January 1, 2012 to December 31, 2016. Methodology: A descriptive study was conducted. Data was collected from medical records with a definitive diagnosis of pituitary adenoma. The variables studied were demographic, subtype of adenoma and chosen treatment. For the processing of results, descriptive statistics were used by means of PSPP software. Results: There were 250 cases with pituitary adenomas, 179 women (71.6%), 126 (50.4%), adults. The most frequent diagnosis age was between 20 and 39 years. The microadenoma was the most frequent type with 164 cases (65.6%). The clinical presentation was symptomatic in 225 cases (90%). 176 (70.4%) adenomas detected showed excess hormonal production. Prolactinoma was the most common subtype 146 (58.4%). The most used treatment was pharmacological, in 200 patients (80%). Conclusions: The results are similar to the literature reviewed, although in this study the symptomatic presentation predominated over the incidental form and the percentage difference between female and male was greater, especially among the non-functioning subtypes.Item Psicología clínica(Universidad de Cuenca, 2018) Jaramillo Oyervide, Julio Alfredo; Barahona Ulloa, Wilson Fabricio; Villacis Vasquez, Maria Rosa; Tenorio Bravo, Katherine AlexandraThis work is evidence of collective participation with a holistic view of the mind and human behavior; so, it includes the importance that Psychology plays both in the medical field and in everyday life. One of the purposes of this work is to allow the reader to understand more cognitively a scenario little diffused by Medicine, despite its importance in both individual and collective health. For all this, we invoke a creative Psychology, in search of the performance of a social and ethical commitment from a human perspective, which covers the levels of promotion, prevention, assistance and rehabilitation.Item