Browsing by Author "Cevallos Guamancela, Alvaro Javier"

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    Características epidemiológicas, clínicas, endoscópicas en pacientes con hemorragia digestiva alta. Área de clínica del Hospital Vicente Corral Moscoso 2014-2016
    (2018) Cevallos Guamancela, Alvaro Javier; Cisneros Salinas, Valeria Lorena; Calderón Machuca, Julio Cesar; Mosquera Vallejo, Lorena Elizabeth
    Background: Upper gastrointestinal bleeding (UGIB) is the most frequent gastroenterological emergency. General objective: To determine the epidemiological, clinical, and endoscopic characteristics in patients with upper gastrointestinal bleeding in the clinical area of Hospital Vicente Corral Moscoso, 2014-2016. Methodology: Descriptive-quantitative study, the population of 272 patients with UGIB, the collection is expected by form. SPSS version V.23 was used for the analysis, qualitative variables are presented with percentages and percentages; the quantitative variables with mean and standard deviation. Results: We reviewed 272 clinical records that met the inclusion criteria. In non-variceal HDA the masculine sex was predominant 59%, the age of presentation was 64 years in 58%, 17% recurred and the mortality of 7%. Heart disease was the most frequent comorbidity 36%, peptic ulcer was the main endoscopic finding 66%. The score Rockall from 0 to 2 in 50% and Glasgow Blatchford ≥12 55%. HDA variceal presented 64% in males, age was 44 to 64 years 49%, 38% recurred and mortality 16%. Hepatopathy was the most frequent comorbidity 72%, the main endoscopic finding was esophageal varices 66%; the score Rockall from 2 to 4 at 50% and Glasgow Blatchford ≥12 55%. Conclusions: The annual frequency of HDA was 6%, of which 4% and 2% corresponded to non-variceal and variceal HDA, respectively.
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    Impacto del aprendizaje del inglés sobre los procesos cognitivos en adultos mayores. Un estudio preliminar en Cuenca
    (2015) Webster Cordero, Felipe Edmundo
    A descriptive exploratory study, before and after a six-month english learning course for seniors is conducted to evaluate the cognitive effect of learning another language in this age group in the city of Cuenca. Materials and Methods: 80 adults of average age 70.48 ± 4.9 years (31 men, 19 women) were included; who underwent neurological and neuropsychological evaluation at baseline, six and twelve months after the course; including tests for executive function (working memory and attention processes). Results: Data show significant statistical association between impaired olfactory perception related to age. Neuropsychological tests show interesting data relating cognitive maintenance and even improvement in the Performance Testing Direct and inverse series (Wais III) and Symbol Digital Modality Test (SMDT) six and twelve months after initiating a learning course of English. Conclusion: The study suggests that learning English, even without functional objective of a new language, may have protective effect on the executive functions and neuronal brain networks are claimed the first findings in patients with cognitive impairment. We suggest perform this follow up long term in time to find strongest evidence, related to international bibliography.