Browsing by Author "Cantos Ormaza, Juan Edison"

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Aplicación de la escala de ripasa en historias clínicas de pacientes con diagnóstico de apendicitis aguda. Hospital Homero Castanier Crespo de Azogues, enero a diciembre de 2014
(2016) Bermúdez Álvarez, Pedro Fernando; Berrezueta Córdova, Marco Xavier; Cantos Ormaza, Juan Edison
GENERAL OBJECTIVE: Apply the RIPASA scale (Raja Isteri Pengiran Anak Saleha Appendicitis) in clinical records of patients diagnosed with acute appendicitis in Homero Castanier Crespo Hospital, Azogues from January to December 2014. METHODOLOGY: A descriptive - retrospective study was conducted, whose universe were the medical record of 266 patients with diagnostic of acute appendicitis in Homero Castanier Hospital in 2014. Previously developed forms were applied. Data were analyzed with SPSS 15.0 and Excel programs, using frequency distributions and percentages. RESULTS: In the studied population, 53.8% were women and 46.2% men; 83.5% had a lower age than 40 years. Of the total cases studied, 94.7% had macroscopic diagnosis, and applying RIPASA scale, high probability 157 were cases with 59%, and diagnosis of acute appendicitis was 73 cases 27.4%. CONCLUSIONS: RIPASA proved to be a useful tool that can provide us the diagnosis of acute appendicitis because it has better sensitivity and specificity than other scales, and in our study we observed that the corresponding score high probability and diagnosis of acute appendicitis was 88.49% of the cases with macroscopic diagnosis. We note further that the signs and symptoms investigated varied in frequency compared to other studies, which shows that in this clinical pathology is uncertain and therefore difficult to diagnose, consequently the use of this scale would help to get an accurate diagnosis
Características de las complicaciones por colecistectomía laparoscópica en los pacientes del Hospital Homero Castanier, periodo enero - diciembre 2014
(2016) Berrezueta Córdova, Nataly Carolina; Guzmán Pacheco, Johanna Estefanía; Cantos Ormaza, Juan Edison; Tenezaca Tacuri, Ángel Hipólito
General objective: To determine the characteristics of the complications of laparoscopic cholecystectomy in patients of Homero Castanier Hospital. Period January to December 2014. Methodology: A descriptive and retrospective study was performed, taking as unit of analysis the total of medical records of patients who underwent to laparoscopic cholecystectomy and met the inclusion criteria in Homero Castanier Hospital during the period of January to December 2014. The information was collected on previously prepared forms, the data were analyzed in SPSS 15.0 and Excel program using frequency distributions and percentages. The results were presented in tables and graphs with their respective statistical interpretation. Results: The study population (198 cases) had an age between 14 to 86 years, the mean was 40 years; 81,3% were women and 18,7% men. Of the total cases studied, 8,6% had some type of complication, the most frequent complication was the bile peritoneum with 5,1% (10 cases), less frequently cases of pancreatitis was found (0,5%). The treatment used in most of complications was surgical because they were corrected during the surgery. Conclusions: The cholecystectomized patients had 8,6% of complications from the surgery, which most received surgical treatment
Caracterización de la peritonitis secundaria según el índice de Mannheim en pacientes atendidos en el Hospital Homero Castanier Crespo. Azogues 2010 – 2015
(2017) Neira Quezada, Fernando Andrés; Rodas Flores, Jorge Luis; Cantos Ormaza, Juan Edison; Mosquera Vallejo, Lorena Elizabeth
Background: peritonitis is an important and complicated abdominal event resulting from intra-abdominal and major multisystemic disorders causing high morbidity rates and even more mortality ranging from 8 to 30 %. Prediction systems have been developed that describe the characteristics of secondary peritonitis in a population, such as the Mannheim Index (IM), which facilitates the stratification of patients according to physiological, analytical or clinical parameters. Objective: to determine the characteristics of secondary peritonitis according to the Mannheim Index in patients who were treated at the General Hospital "Homero Castanier Crespo" of Azogues between 2010 and 2015. Methodological design: descriptive, retrospective and cross-sectional study; with review of medical records of 164 patients diagnosed with secondary peritonitis, to whom MI is applied. The results are presented in tables of frequencies with percentages and measures of central tendency. Results: 64% of the studied population had a male premodimance, with a mean age of 34.11 ± 19.29 years; the more common cause of secondary peritonitis was acute appendicitis 70.1%, with a stay time of less than 6 days of 54.3% Mortality was 9.8%; however according to MI in the patients with secondary peritonitis treated in the hospital, there was no mortality in the population with a MI <26 while with a MI ≥26 the mortality was 50%. Conclusions: The Mannheim Index is a useful tool to determine the characteristics of secondary peritonitis in the population
Diez primeras causas de morbilidad en emergencia del Hospital Homero Castanier Crespo en el periodo de octubre a diciembre del 2014. Azogues-Ecuador
(2016) Becerra Palacios, Miryam Cristina; Carpio Bojorque, Andrea Belén; Cantos Ormaza, Juan Edison
Background: It should be mentioned that in Mexico in 2005. Statistics show that the main causes of morbidity in the emergency service were acute respiratory infections (19.4%), injuries, poisoning (18.8 %), and diarrheal diseases (8%). (14). In Peru the leading cause of morbidity due to injuries (12% of the total) followed in second place with asthma (10%) and thirdly by abnormalities and complications of pregnancy, childbirth and postpartum (8% of total). (5) Objective: To determine the 10 leading causes of morbidity in emergency Castanier Crespo Homero Hospital in the period from October to December 2014. Materials and methods: Iindirect observational study by emergency recording of all patients who come to emergency Castanier Homer Crespo Hospital in period from October to November 2014. The instrument used was the data collection form (see Annex 2). Results: the leading cause of morbidity in the emergence of Homer Castenier Crespo Hospital infectious diseases are infectious intestinal diseases, acute tonsillitis with 10.86%. Much of morbidities treated in the emergency 20.85%, are not real emergencies. In pediatric age groups and older adults, the leading cause intestinal infectious diseases were 14.52%, 6.96% respectively, which in this group if they constitute a true emergency. In gynecology: False labor and more than 37 completed weeks of gestation Conclusion: The study shows the main causes of morbidity in Homer Cartanier Crespo Hospital, along with the saturation of the system by the amount of non-emergencies attend in it. Probably the lack of a suitable triage so a curative and preventive care is a recommended
Eficacia de isoflavonas versus venlafaxina para tratamiento de los síntomas vasomotoresdurante el climaterio en las mujeres que asisten a la consulta de la Clínica de Especialidades Medicas de la Ciudad de Azogues, durante el año 2014
(2015) Bustamante Albán, Fabián Alejandro; Pesántez Velepucha, Alba Katherine; Morocho Malla, Manuel Ismael; Cantos Ormaza, Juan Edison
Introduction. The effects that has on women climacteric are of great importance, since it involves changes in the emotional, physical, biological and psychosocial, this deterioration in their performance daily and personal impact. Vasomotor symptoms are frequent and early menopause clinical manifestation and one of the most common reasons for medical consultation, vasomotor symptoms (VSM), and known also as hot flashes. Objective: to evaluate the efficacy of isoflavonas and venlafaxine in the control of vasomotor symptoms in women during the menopause who attend the city of Azogues medical specialties clinic consultation during the year 2014. Methodology: it is a design quasi-experimental, in which isoflavona was used in Group A and venlafaxine in Group B, are mediated treatment outcomes, a month of taken medication and another 3 months. Results: 61% belong to the age group of 45 to 49 years. Occupation, 26.5% have household chores. 33.8% have third level of instruction. By age groups, from 45 to 49 years 38 (27.9%) have been treated with isoflavonas and 45 (33.1%) with venlafaxine. 39.0% were of normal weight who received isoflavonas, normal weight 39.7% receiving venlafaxine. Of the 45 to 49 age group 50.0% were of normal weight and 11.0% were overweight. With venlafaxine unwanted reactions are rare.
Escala BISAP como predictor de mortalidad en pacientes diagnosticados de pancreatitis aguda. Hospital Homero Castanier Crespo. Azogues, enero de 2016 - diciembre de 2017
(2019-04-08) Berrezueta Córdova, Diego Andrés; Jácome Morejón, Pablo Andrés; Cantos Ormaza, Juan Edison
General objective: apply the BISAP scale to the clinical files of patients diagnosed with acute pancreatitis in the Hospital Homero Castanier Crespo, Azogues, from January 2016 to December 2017. Methodology: a quantitative, descriptive - retrospective study was conducted to investigate mortality in the clinical files of patients diagnosed with acute pancreatitis in the Hospital Homero Castanier Crespo from 2016-2017. Pre-prepared forms were applied. The data was analyzed with the SPSS version 20 and Excel programs, using frequency distributions and percentages. Results: 79 cases were studied, finding an average age of presentation at 48.5 years; of the total, 57% corresponded to the female sex. 12.7% of the total cases studied died, but the predominant form of pancreatitis was mild in 79.7%, which presented 0% mortality, contrasting with the severe form that presented a mortality of 62, 5%. Conclusions: the BISAP scale proved to be an effective and useful tool in the prediction of mortality in patients with acute pancreatitis; since it has greater sensitivity and specificity than other scales, and in the present study we observed that the scores 0 to 2 that are grouped within the mild classification, none of the cases died. While score 3 has a mortality of 55%, and scores 4 and 5 have a mortality of 100%. In addition, we appreciate that the parameters that appear on the BISAP scale are accessible and quick to obtain in the health system.
Hepatitis B: detección de antígeno de superficie mediante reacción de hemoaglutinación en el personal que frecuenta los hospitales Cuenca 1988-1989
(1990) Cantos Ormaza, Juan Edison; Cely Holguin, Jorge Enrique; Sempértegui Vega, Julio Cesar
Niveles de Ph en el tubo endotraqueal en pacientes que recibieron anestesia general en el Hospital Homero Castanier Crespo marzo del 2017
(2017) Siguencia Sanmartin, Wilson Leopoldo; Cantos Ormaza, Juan Edison; Sacoto Molina, Adrián Marcelo
BACKGROUND: The WHO establishes an increase in the registry of elective surgeries relating these patients in general anesthesia exposure and endotracheal intubation. OBJECTIVE: To establish pH levels in the endotracheal tube in patients receiving general anesthesia at the Homero Castanier Crespo Hospital, march 2017. METHODS: The research design was descriptive, carried out at the Homero Castanier Crespo Hospital, in the province of Cañar, belonging to Canton Azogues, in a period of 1 months in march 2017. Non-probabilistic sampling was used for convenience Includes all patients undergoing surgery who receive general anesthesia over a period of 31 days, represented by 131 patients. In the present investigation a quantitative method was applied and the interview was used for the data collection. RESULTS: 37.4% were represented by patients aged between 18 and 30 years of age; The female sex predominated over the male with 50.4% and 49.6%, respectively. The potential of Hydrogen (pH) with alkaline level 8 and 9 predominated in both sexes compared to the rest of the indicated pH scale. CONCLUSIONS: 50.4% of the population presented a pH in the endotracheal tube of 9, while 32.1% of the patients had pH 8, despite this there was variation of pH in acid level with 10.6%
Principales indicaciones de colecistectomía laparoscópica, estancia hospitalaria y complicaciones en pacientes internados. Hospital Moreno Vásquez. Gualaceo. Periodo enero 2018-2020
(Universidad de Cuenca, 2021-03-02) Duchimaza Peñaranda, Janneth Valeria; Fajardo Condo, Scarlett Beatriz; Cantos Ormaza, Juan Edison
Introduction: Laparoscopic cholecystectomy is the first choice surgical approach for gallbladder removal due to its minimal aggression accompanied by little pain, short hospitalization period and prompt labor reintegration. The main biliary pathologies that require this treatment are cholelithiasis, cholecystitis, biliary polyp, among others; the most common being cholelithiasis. Biliary pathology is the second most common cause of hospitalizations for gastrointestinal diseases, 10 to 15% of the North American population has cholelithiasis, and 7% require surgical treatment. Objective: to determine the main indications for laparoscopic cholecystectomy, hospitalization time, frequent postoperative complications and mortality in patients admitted at the “Moreno Vasquez” Basic Hospital in Gualaceo during the period January 2018 - January 2020. Methods: It is a descriptive, retrospective, cross-sectional study. The data were obtained by reviewing the medical records of patients undergoing laparoscopic cholecystectomy in the before mentioned health operating unit. The authors designed an instrument for data collection, the same that were processed with the SPSS 20 program and Microsoft Excel 2016. The results are presented using simple and contingency tables. Results: A universe of 295 patients was studied, with a age of 39.1 years and a SD 0.709 and a Ratio of 3.9 women to 1 man. The main surgical indications were cholelithiasis (61.4%), acute cholecystitis (29.2%) and gallbladder polyp (8.1%). The mean hospitalization time was 24.7 hours (SD 0.642), belonging to the range with the highest frequency of 12 to 24 hours (61.7%). The 70.2% did not present postoperative complications and the most frequent complication was postoperative abdominal pain (15.3%). No deaths were recorded. The 67.1% of surgeries were planned. Conclusion: the main indications for cholecystectomy in our environment are cholelithiasis and acute cholecystitis. It is considered a safe surgery since the average hospitalization time is 24.7 hours; and it has a low rate of complications and zero mortality
Relación entre hallazgos ecográficos preoperatorios y quirúrgicos, con la dificultad de la colecistectomía laparoscópica. Hospital Homero Castanier Crespo-Azogues.2014
(2015) Cantos Ormaza, Juan Edison; Villota Cardoso, Pablo Giovanni; Tenezaca Tacuri, Ángel Hipólito
Introduction: Abdominal ultrasound is the main diagnostic aid in the vesicular gallstones. The laparoscopic surgery is the surgical procedure of choice. Technical difficulties involve risks of intra- and postcholecystectomy complications. Objective: To determine the relationship of sonographic classification and surgical findings with technical problems for the prediction of difficult laparoscopic cholecystectomy and risk of perioperative complications. Materials and Methods: An observational, analytical, cross-sectional study was made in patients who were submitted to a laparoscopic surgery from June to September 2014, in the Homero Castanier Crespo Hospital in Azogues city by comparing proportions with p <0.05 as significant. Results: A total of 82 women (76.6%) and 25 men (23.4%) were studied. Their average age was 39.9 years with a SD of 14.74. Ultrasound diagnostic agreement and intraoperative findings was 82.2%. The adhesions to the gallbladder (77.6%), dissection of Calot's triangle (44.9%), dissection of the gallbladder bed (39.3%), they were the major difficulties. In the Braghetto classification, the grades IIA, IIB and III had higher percentage of difficulty. Conclusions: It was demonstrated that the technical difficulty increases progressively in IIA, IIB and III types from the Braghetto classification.
Tipo, sensibilidad y resistencia de bacterias en contenido biliar de pacientes colecistectomizados en el Hospital "Homero Castanier Crespo". Azogues.2014
(2014) Espinosa Díaz, Silvia Verónica; Espinoza Reyes, Ana Virginia; Fajardo Condo, Nancy Jéssica; Cantos Ormaza, Juan Edison; Vanegas Cobeña, Yolanda Guadalupe
Objective: To identify the type, sensitivity and resistance of bacteria in gallbladder bile of cholecystectomy patients. Location: hospital "Homero Castanier Crespo" Azogues city, in the period from February to August 2014. Materials and Methods: A descriptive study in which gallbladder bile samples from 100 patients of both sexes, aged between 0 and 80 years were collected. Measurements of the main results: cultures were performed at each of the samples; thereby determining the frequency of biliary infection, and set specimens frequently sensitivity - specific antibiotic resistance of the agents. Results: Of the samples obtained 77% belonged to the female and the remaining 23% were male, with an average age of 41.25 years. The number of positive results was 10%. The isolated microorganisms were Escherichia coli (50%), Klebsiella pneumoniae (30%) and Enterobacter spp (20%). Sensitive to most antibiotics commonly used in preoperative prophylaxis except Amoxicillin + Clavulanic acid, trimethoprim-sulfamethoxazole, ciprofloxacin and ceftriaxone. Conclusions: bacterial growth in the cultures was relatively low, with the Enterobacteriaceae, Gram negative, the most frequently encountered and although they have good range of sensitivity to antibiotics used in our community, we also show resistance to give us a warning signal to investigate depth and with a more meaningful for daring to suggest an appropriate prophylactic treatment in cases associated with biliary disease universe.
Valor diagnóstico de las enzimas gamma glutamil transpeptidasa y fosfatasa alcalina frente a la ecografía en la detección de coledocolitiasis en el Hospital Vicente Corral Moscoso- Cuenca, enero - junio 2016
(2016) Cabrera Orellana, Boris Gustavo; Caguana Calle, Jennifer Paola; Cantos Ormaza, Juan Edison
Background: elevation of gamma glutamyl transpeptidase and alkaline phosphatase enzymes have been used for diagnosis of choledocholithiasis. There are studies that evaluate its elevation to detect choledocholithiasis have shown inconclusive results. General Objective: determine the diagnostic value of gamma glutamyl transpeptidase enzymes and alkaline phosphatase versus ultrasound in detecting choledocholithiasis in patients with symptoms of obstructive jaundice syndrome at the Vicente Corral Moscoso hospital. Methodology: descriptive study of a diagnostic test 108 medical records of choledocholithiasis were found. Sensitivity, specificity, predictive values were measured: positive, negative likelihood values; positive, negative gamma glutamyl transpeptidase (GGT) and alkaline phosphatase (FA), was compared to standard ultrasound test considered to be the test performed on the reference health center gold. Results. GGT: sensitivity 96.30% (92.27 - 100), specificity 98.98% (97.86 - 100); PPV and NPV of 96.30% (92.27 - 100) 98.98% (97.86 - 100) respectively, the ratio of positive and negative 94.37 (35.57 - 250.36) likelihood, 0.04 (0.01 to 0.1) respectively. FA: sensitivity 93.52% (88.41 - 98.62), specificity 99.74% (99.12 - 100); PPV and NPV of 99.02% (96.62 - 100) 98.24% (96.82 - 99.66) respectively, positive likelihood ratio 366.59 (51.74 - 2597.6), negative likelihood ratio 0.06 (0.03 to 0.13). The combination of both enzymes against ultrasound has sensitivity, specificity: 91.67% (85.99 - 97.34), 99.49% (98.66 - 100) respectively, VPP 98.02% (94.81 - 100). Conclusion: the increased GGT and FA are valid tests for the diagnosis of choledocholithiasis