Browsing by Author "Bermeo Cabrera, Marcia Janneth"

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    Granulomatosis con poliangitis (Wegener) con sangrado gastrointestinal. Reporte de caso
    (2022) Lopez Valencia, Jessica Anabel; Bermeo Cabrera, Marcia Janneth; Sacoto Flores, Goethe Salomon
    Introduction: ANCA-associated vasculitides (AAV) are characterized by inflammation of small caliber blood vessels and a high percentage of positivity for antineutrophil cytoplasmic antibodies (ANCA).Clinical case: It is a case of a 74-year-old mestizo man, with dysphonia, weight loss, superficial erythematous lesions distributed in lower limbs. One week prior to admission, he presented rectal bleeding, diffuse abdominal pain with clinical data of hypovolemic shock, ulcerative colitis was identified (colonoscopy) and positive serology for PR3-ANCA. Immunosuppressive treatment was started with favorable evolution.Conclusion: AAV have variable clinical phenotypes with forms from mild to fulminant, they should be suspected early, treated promptly to favorably influence their prognosis.
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    Intervención educativa en conocimientos actitudes y prácticas sobre retinopatía en pacientes con diabetes mellitus tipo 2 Hospital José Carrasco Arteaga, Cuenca 2011-2012
    (Universidad de Cuenca, 2013-11-11) Bermeo Cabrera, Marcia Janneth; Dután Erráez, Holger Gonzalo; Vintimilla Maldonado, Jaime Rosendo
    OBJECTIVE To evaluate the effectiveness of an educational intervention to increase active participatory knowledge, attitudes and practices in retinopathy in patients with diabetes mellitus type 2 attending at Hospital José Carrasco Arteaga during 2011-2012. Material and methods We conducted a quasi-experimental study in a group of 92 patients, obtained on the basis of the 95% confidence level, statistical power 80% and 40% of knowledge, attitudes and practices (data obtained from a pilot study). The size is calculated using the code for difference of proportions. The educational intervention was conducted in 6 sessions with groups of 15 patients and 60 minutes long. The data were obtained by direct interview. Results The groups were similar in age (p = 0.060), gender (p = 0.055), years of education (p = 0.758), appropriate knowledge, attitudes and practices with p> 0.05 and, body mass index, blood pressure, waist circumference, A1C glycated hemoglobin fraction, total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides (p>0.05). After the educational intervention appropriate knowledge retinopathy increased from 35% to 79.6% (p = 0.00), appropriate attitudes from 51% to 69.8% (p = 0.00) and good practices from 50% to 76.5% (p = 0.00). By contrast the clinical variables described above did not differ significantly (p>0.05). Conclusion The active participatory educational intervention significantly increased knowledge, attitudes and practices.