Browsing by Author "Barros Angulo, Viviana Ivanova"

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Actitudes y afrontamiento hacia la muerte en estudiantes de medicina de la Facultad de Ciencias Médicas de la Universidad de Cuenca. Año 2018.
(2019-03-08) Chacho Amay, Freddy Mauricio; Yaguachi Gonzalez, Beatriz Cecilia; Barros Angulo, Viviana Ivanova
Background: nowadays death tends to be seen as an objective, biological and individual data, whose conception is strongly linked to medical advances and the modernization around health and disease. Objective: to determine the attitudes and coping towards death in medical students of the Faculty of Medical Sciences of the University of Cuenca, year 2018. Methodology: observational, quantitative, descriptive, transverse cohort study. A data collection form was applied to 648 students who met the inclusion criteria. Data were presented using custom tables, frequencies, percentages, and percentiles were applied. Results: 648 students participated, with ages between 18 and 22 years in 67.4%, 61.4% were women, 93.8% single, 94.8% Mestizo, 88.3% residents in urban areas, 74.5% were Catholics, 26.7% were in their third year of medicine. As for attitudes, 75.2% had acceptance of approach, 14.7% neutral, 7.7% showed fear of death and less often were evidenced attitudes of avoidance and escape with 1.4% and 1.1% respectively. With respect to coping 31% showed a bad coping with death, while in 37.8% was neutral and in 31.2% good coping. Conclusion: the approach to death was the predominant attitude, however, the majority of participants had a neutral coping with death
Caracterización de las muertes violentas registradas en el Servicio Nacional de Investigación y Ciencias Forenses de la ciudad de Cuenca durante el año 2018
(Universidad de Cuenca, 2021-06-03) Guaillas Morocho, Pablo Israel; Lema Morocho, Juan Carlos; Barros Angulo, Viviana Ivanova
BACKGROUND: Violent death is the one that is not caused by a pathology or disease and that statistically ranks as one of the 10 leading causes of death worldwide, nationally and locally. This raises concerns both for the annual increase in its prevalence, and for the seriousness of the consequences for their families, community and society. There are few local studies on the subject that can help the competent authorities to act in a timely manner. OBJECTIVE: To characterize the violent deaths registered in the general death forms of the National Research and Forensic Sciences Service of the city of Cuenca during 2018. MATERIAL AND METHODS: This is a descriptive cross-sectional study in which the types of violent death registered in the National Research and Forensic Sciences Service of the city of Cuenca were characterized, during the period January-December 2018. The variables studied were: age, sex, origin, marital status, education, type of violent death, causal agent. We worked with the total of archived forms. The collected data were entered into an Excel designed database and subsequently analyzed in the SPSS version 22.0 program through frequency and percentage tables. RESULTS: Violent deaths occurred mainly in males (74.0%), in the age group between 21 and 30 years (22.1%), people of urban origin (66.6%) and in the single population (58.9%). The most frequent type was accidental death (73.0%) and the main causative agents were traffic accidents and mechanical asphyxia. CONCLUSIONS: It is concluded that in 2018, the majority of violent deaths registered in Azuay were accidental deaths due to traffic accidents. A lower proportion represented suicide by mechanical asphyxia, which was followed by homicide where the causal agent white arm is especially important.
Lesiones neurológicas por accidentes de tránsito en vehículos de dos ruedas. Servicio de emergencia. Hospital Vicente Corral Moscoso. Cuenca- Ecuador. 2014 –2018
(Universidad de Cuenca, 2020-06-01) Cárdenas Gómez, Juan Carlos; Marcillo Pintado, Jorge Patricio; Barros Angulo, Viviana Ivanova
Background: traffic accidents are serious public health problems worldwide, with high economic and social costs. Recreational cyclists between 5 and 14 years old (75% of users are children in the US), competitive cyclists from 20 to 39 years old (1) (2), and young adult male motorcyclists at productive ages and under the influence of alcohol and drugs, are users of remarkably vulnerable two-wheelers on the tracks (3). Objective: to determine the frequency of neurological injuries caused by traffic accidents in users of 2 wheelers users treated after trauma in the emergency service of Vicente Corral Moscoso Hospital in Cuenca, Ecuador, period 2014 January – 2018 December. Methodology: a retrospective, observational, descriptive study was carried out, using as a tool the review of medical records of the Vicente Corral Moscoso Hospital, using a form previously designed for research. The data was processed using the SPSS V. 20 program using simple and multiple frequency tables Results: in the present study, the prevalence of two-wheeler accidents with neurological injuries was 21.31%. Cranioencephalic trauma occurred in 75%, with mild ECT (70.4% n = 293) the most frequent, mostly diffuse intracranial lesions (43.1% n = 177), concussions being the most frequent (86.4% n = 154). Spinal cord lesions occurred in 17%, 97.5% (n = 80) classified as normal ASIA E, located more frequently in the cervical region (56.5% n = 48). Peripheral nerve injuries occurred in 8% (n = 41), most were neuropraxies (97.5% n = 40), located in the lower extremities (53.7% n = 22), the most affected nerve was N. sciatic (50% n = 11). The motorcycle was involved 89.7% and the bicycle in 10.3% of cases. Accidents occurred mostly in the urban area (60.1%), in the morning (34.9%), on weekends, male users (80.5%), young adults aged 20-39 years (56.3%) are mostly affected , with secondary education (50.5%), urban residence (59.95%), the majority were hospitalized less than 1 day (69.2% n = 288), with 89.2% (n = 257) motorcyclists and 10.8% (n = 31) cyclists. 2.9% (n = 12) graduated dead, being 91.7% (n = 11) motorcyclists where 81.8% were drivers (n = 9), on the other hand, 8.3% were cyclists (n = 1).
Lesiones por violencia física atendidas en el servicio de emergencia del Hospital José Carrasco Arteaga en el periodo enero – diciembre del 2019
(Universidad de Cuenca, 2021-02-21) Loor Martínez, Leyda Coralía; Moncada Albarracín, Isabel Carolina; Barros Angulo, Viviana Ivanova
Background: Today, injuries in general affect a considerable number of people worldwide, due to acts of violence caused by different events, groups, another individual and even by the same subject. Objective: To determine the injuries due to physical violence treated in the Emergency service of the “José Carrasco Arteaga” hospital in the period January - December 2019. Methodology: A descriptive, cross-sectional, retrospective study was carried out in the Emergency Service of the José Carrasco Arteaga Hospital through the complete review of 350 random medical records in the AS400 System and the elaboration of a structured questionnaire. The analysis was carried out with Excel and SPSS software version 23. Results: The most frequent injuries were in the upper limbs (50.3%), followed by the head (31.4%), closed fractures / deformity (35.1%) and non-penetrating wounds (31.1%) predominated. The mean age was 37 years; the most frequent gender was male with 71.4%. Regarding the type of medical care, the majority received outpatient care with 53.10%, the sociodemographic variables were not found statistically associated with the types of injuries reported. Conclusion: the most frequent injuries in this analysis are compared with those obtained in other regions in Latin America, which shows that it is a situation that continues to put the population at risk and that they should be considered when evaluating patients in emergencies.
Prevalencia y caracterización de la violencia en los internos rotativos de medicina. Hospital Vicente Corral Moscoso. Cuenca, 2019
(Universidad de Cuenca, 2020-05-05) Alvarado Vintimilla, Gabriela Cristina; Perlaza Flores, Katherine Elizabeth; Barros Angulo, Viviana Ivanova
Background: violence is a frequent social problem that involves the deliberate use of physical force or intimidation on a person, whose repercussions can be trauma, psychological injury, developmental difficulties or death of the victim. Objective: to determine the prevalence and characterize the violence perceived by the rotating medical interns during their care-teaching practices at the Vicente Corral Moscoso Hospital (HVCM), 2019. Methodology: observational and descriptive study carried out in rotating internships of cohort medicine September 2018 - August 2019 and May 2019 - April 2020 with their teaching assistance practices at the HVCM. For the data collection, the survey “Workplace Violence In The Health Sector Country Case Studies Research Instruments Survey Questionnaire 2003” was used, modified to be applied to the group of interns, validated by experts and through a pilot test at Homero Castanier Hospital. The information was analyzed using the IBM SPSS Statistics 22.0 program. Results: the majority of participants are between 22 and 24 years old (70.8%), the women occupy the 59.6%. The prevalence of violence in rotating interns reaches 59% of which 45% was experienced in the clinic service, the psychological violence was the highest (87.37%) mainly by nursing staff (32.24). Despite this, 73.3% of participants admitted not knowing about policies to deal with violence. Conclusions: the prevalence of violence in rotating medical interns is high, with a higher percentage of psychological violence, similar to other studies.
Prevalencia, caracterización y métodos de suicidio registrados en la Fiscalía General del Estado de Cuenca, años 2017-2021
(Universidad de Cuenca, 2022-12-05) Moncayo Gaibor, Ximena Elizabeth; Barros Angulo, Viviana Ivanova
Background: Suicide is the third leading cause of death in young people between 15 and 19 years of age; and has been increasing in recent years, which is why it is considered a public health problem. General objective: To determine the prevalence, characterization and methods of suicide registered in the General Prosecutor's Office of the State of Cuenca, years 2017-2021. Method: It is a quantitative, observational, descriptive, cross-sectional and retrospective study. It includes all the medical-legal reports of suicides registered in the Prosecutor's Office, during the period January 2017 to December 2021. The information was recorded in a data collection form prepared by the author. The analysis was performed using the statistical program SPSS version 15, where the qualitative and quantitative variables were recorded in frequencies and percentages and their graphic representation. This investigation was approved by the Bioethics Commission of the University, and had the authorization of the Prosecutor's Office. Results: The prevalence in 2017 was 6.9%, in 2018 it was 6.5%, subsequently increasing to 8.3% in 2020 and 9.7% in 2021. Men represent 73% of the suicide cases. The ages between 20-39 years constitute 49% of the cases. Single people were 62%. People with an education level up to high school were 51%. The most used method of suicide is hanging (81.5%). Suffering from some psychiatric illness is the most frequent pathological antecedent. Conclusions: The prevalence of suicide in Cuenca increased during the pandemic. Men, single and high school students are the characteristics with the highest frequency of suicide. The most used method of choice is hanging.
Recomendaciones relevantes para cirugía ortopédica y traumatología durante la pandemia de COVID -19
(Universidad del Azuay, 2020) Barros Angulo, Viviana Ivanova
Testimonios y prácticas tradicionales sobre la muerte materna e infantil en la población Kichwa de la comunidad de Suscal, Cañar Ecuador 2003-2005
(2006) Barros Angulo, Viviana Ivanova; Bustos Cabrera, Alicia del Rocío; Cabrera Riofrío, Yessenia Amparo; Bravo, Lorena; Ortiz Segarra, José Ignacio
In order to know the customs, knowledge, practices, traditions, meanings and perspectives of the Kichwa Canari, represented in the community of Suscal, address maternal and infant death, and determine how the health team influences the attitude and thinking of that population. "Grounded theory", semi-structured interviews with key informants are used. The results are analyzed, the atlas you with three stages: catgorización information, structuring networks of relationships, concept mapping and theorizing. The variables were: historical, political and socio-cultural background, location, geographic, demographic, housing, roads and media, family composition, socio-cultural and economic characteristics, health, protective and destructive processes. The conclusions and relevant results are related to maternal death psychologically affects the family structure; There disorganization, form another home husband and children have difficulty in social adapatación. The funeral of the mother, is the same as any member of the community, that of a child is different, placed flowers and papers with the names of children who died before as a sign of remembrance, there is music and dancing to thank God