Browsing by Author "Díaz Granda, Ruth Cumanda"
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Item Complicaciones neurológicas en prematuros(1985) Díaz Granda, Ruth Cumanda; Martínez Iglesias, Carmen Adela; Carpio Rodas, Luis ArturoItem Factores asociados a primera crisis epilétptica en niños/as menores de 16 años Hospital Vicente Corral Moscoso, año 2000-2001(2010) Díaz Granda, Ruth CumandaItem Factores de riesgo en primera crisis convulsiva en menores de 16 años: Hospital Vicente Corral Moscoso 2000-2001(Universidad de Cuenca, 2003-11-11) Díaz Granda, Ruth Cumanda; Carpio Rodas, Luis ArturoItem La Prematuridad, retardo del crecimiento intrauterino y asfixia neonatal como factores de riesgo asociados a retraso del desarrollo psicomotor en niños/as menores de seis meses de vida, Fundación Pablo Jaramillo Crespo, 2007(2007) Díaz Granda, Ruth Cumanda; Quito Riera, Lauro BolívarItem Validación de curvas antropométricas de crecimiento intrauterino: Hospital Vicente Corral, Cuenca, Ecuador, 2013(Universidad de Cuenca, 2016-06) Díaz Granda, Lourdes Elizabeth; Díaz Granda, Ruth Cumandacross-sectional study was conducted at the Vicente Corral Hospital of Cuenca (Ecuador) in February-August 2013 to assess the intrauterine growth curves according to the Latin American Center for Perinatal Care (CLAP), Olsen, Alarcon-Pittaluga, Battaglia-Lubchenco, Babson-Benda with the objective of identifying the most appropriate anthropometric pattern of fetal growth for the classification of newborns until Ecuador possesses its own patterns. The sample was composed of newborns whose mothers were under age 21. The inclusion criteria were children born alive, with gestational age between 22 and 42 weeks, meeting all anthropometric measures. Children with congenital malformations were disregarded. The sensitivity, specificity and Cohen kappa index of the studied anthropometric curves as weight, height, head circumference and sex of the newborn were evaluated. The curves of CLAP (36.6 to 43.5%) and Olsen’s (37 to 40.9%) identified similar percentages of PEG. Babson-Benda curves detected very few PEG (1.3-2.8%). For the variable weight: Olsen’s curves showed good sensitivity (81.8-97.6%), very good specificity (91.8-97.5%) and kappa index (0.807-0.873). The Alarcon-Pittaluga curve showed very good sensitivity (98.2-99.5%); goodspecificity (74.9-77.9%) and kappa index (0.707-0.717). The Battaglia-Lubchenco curve showed low sensitivity (40.0-42.8%), very good specificity (99.3-100.0%) and moderate kappa index (0.449-458). Babson-Benda curve presented very low sensitivity (3.5-6.4%), very good specificity (100.0%) and poor kappa index (0.044-0.072). In summary, the anthropometric Olsen’s curves seem to be most adequate and recommended to be used as standard until Ecuador possesses its own curves. It is recommended neither to use the Babson-Benda nor the Battaglia-Lubchenco curves.
