Browsing by Author "Dután Erráez, Holger Gonzalo"
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Item Aplicación del consentimiento informado en cien pacientes quirúrgicos del Hospital Vicente Corral Moscoso en el periodo 1999 - 2000(2000) Rincones Soto, Reyner René; Rodríguez González, Carla Natalia; Rojas González, Janeth Alexandra; Dután Erráez, Holger Gonzalo; Cañizares Aguilar, Aurelio ErnestoItem Asociación de hiperlipidemia y sobrepeso u obesidad con hipertensión plan integral y terapeútico para pacientes con hipertensión diagnosticada(2003) Matute Palacios, Carla Andrea; Méndez Álvarez, María Silvana; Rodríguez Deleg, María Isabel; Dután Erráez, Holger Gonzalo; Flores Durán, Carlos TeodoroHypertension [HTA] is a persistent elevation of one or two blood pressures, systolic or diastolic. The limits for systolic is equal to or greater than 140 mmHg and diastolic pressure equal to or greater than 90 mmHg. The atherogenic risk is presented with a frequency between 2 and 4 times higher in hypertensive patients than in normotensive of the same age and sex. The quantity and quality of the plasma lipoproteins is determinative of the development of the atherosclerotic process and its impact on atherogenesis associated with hypertension. Obesity affects health risk, leading to increased morbidity and mortality of individuals who have it. Lon most commonly used indicators of the degree of obesity is the percentage of current from the ideal weight and body mass index. The study group consisted of the faculty and staff of the University of Cuenca with access to medical clinic. The sample consisted of 50 hypertensive patients who conducted a physical examination, laboratory tests and based on the existence of risk factors [age, sex, smoking and physical inactivity], the association between hyperlipidemia, overweight or obesity was established Arterial hypertension. In the study population, 84 percent of pacintes were males and 16 percent female; 70 percent had acceptable blood pressure levels are recorded and no patients with severe hypertension, 66 percent have normal total cholesterol; 97 percent of men with moderate risk ratio HDL-c, while 75 percent of women have desirable values; which leads to that 84 percent have a negative atherogenic index, indicating adequate control of the disease in the medical clinic. While 92 percent do not have the habit of smoking, but 94 percent lead a sedentary life that 80 percent associated with a BMI above the normal value negatively influences the prognosis of enfemedad. We can conclude that hypertension control is a process that must be inplicados health systems and national, regional and international organizations, intersectoral, multidisciplinary collaboration and community participation is also requiredItem Características de la prescripción de omeprazol y ranitidina, en hospitales públicos de Cuenca, en el año 2012(2013) Cajamarca Reiban, Jenny Carolina; Calderón Goerke, Mónica Patricia; Campoverde Polo, María Belén; Ojeda Orellana, Marco Ribelino; Dután Erráez, Holger GonzaloMethods: Cross-sectional study of prevalence prescription-indication. The information was taken from the medical records, we use statistical measures for tabulation according to the age variables were mean and SD, for sex, diagnosis, type of use, treatment received, route of administration, reason to administered venous dose and frequency analyzed in frequency and percentages are represented through simple tables and double entry.- Results: Of the 2087 hospitalized patients (1138 women, 949 men), a total of 1480 used an inhibitor of gastric acid secretion, which corresponds to 70.92% prevalence of prescription. The mean age was 52.68 years. The 78.63% (1641) belong to HJCA and only 21.3% (446) to HVCM. Omeprazole was used at a frequency of once a day at 88.7% compared to 4.7% of the once daily administration of ranitidine. The most common drug administered during this period was the Ranitidine with 65.3% of patients The kind of use of these drugs in most cases was not justified, since the 66.48% of patients not met any of the indications or for prophylaxis or for treatment. In cases where it was used as prophylaxis, the main reason was to prevent stress ulcers by 61%. As treatment Omeprazole and Ranitidine alone was used in 35 patients, in patients with Upper Gastrointestinal Bleeding was used by 74%.AUItem Composición corporal y somatotipo en deportistas inscritos en la F.D.A. año 1984(1986) Ochoa Parra, Francisco Efraín; Ochoa Molina, Julio César; Reyes Berrezueta, Jaime Rodrigo; Dután Erráez, Holger GonzaloItem La Depresión como factor de riesgo del intento de suicidio en los pacientes que ingresan al departamento de emergencia del Hospital Vicente Corral Moscoso, Cuenca. Agosto 2006-febrero 2007(2007) Alomía Castro, Paúl Esteban; Cañizares Mora, María Fernanda; Dután Erráez, Holger GonzaloDescriptive study in which the existence of the association of suicide with the study variables was established. We have used the observational method, with a source of direct data collection through a structured interview using a scale based on Beck deprecion form. In the results it was evident the significant association of depression with suicide attempt, since all study subjects showed some degree of depression, of which the groups that had more to do with the intendo suicide were males, with an average age of 30 years, primary education, and those who are married cohabiting co vivn. It is believed that in order to reduce the rate of suicide attempts should be treated early stages of depression as an indirect means of prevention, as demonstrated the association between these two variablesItem Derechos de los pacientes en el Hospital Vicente Corral Moscoso 2001- 2002(2003) Piedra Bravo, Luis Mario; Reinoso Barzallo, Darío Aníbal; Romero Peña, Cristian Santiago; Dután Erráez, Holger Gonzalo; Cañizares Aguilar, Aurelio ErnestoItem Detección precoz de factores de riesgo para desarrollo de diabetes mellitus 2 en los choferes profesionales del Azuay(Universidad de Cuenca, 2010-11-11) Muñoz Palomeque, Danilo Gustavo; Dután Erráez, Holger Gonzalo; Vintimilla Maldonado, Jaime RosendoObjective Determine the frequency of risk factor to develop two types of Mellitus Diabetes present in Canton Cuenca’s Professional Drivers, during September 2009, to May 2010. Material and methods A descriptive study was conducted in 485 professional wheel driver’s belonging to Canton Cuenca Union of Professional Drivers. We had been used the Harvard University (United States) call the Health Care Center Siteman, data were obtain by direct interview with aid of SPSS and Excel software. Results The patients analyzed, the average age was 45 years. The overweight was 51.3% and 25% present obesity, the sedentary population reached rate was 45.2%, and family antecedent history of diabetes in relatives of first degree of consanguinity was 37.5%. The 24.98% were classified as very high risk to develop two types of diabetes mellitus, according to the scale of the Siteman Center. Conclusions The moderate and high risk to develop diabetes mellitus classified according to frequency and scale applied. The overweight and the familiar antecedent in relatives of first degree of consanguinity were the main factor of risk with the higher percentage in this study.Item Epidemiología de la hipertensión arterial en la ciudad de Cuenca(1980) Ochoa P., Marcelo; Aguirre T., Miguel; Moscoso P., María Elena; Espinoza Q., Jorge; Dután Erráez, Holger GonzaloItem Estres en el paciente hospitalizado(1988) Nájera Rodríguez, Cecilia Isabel; Ordóñez Alvarez, María Celina; Ortega, Janeth del Rosario; Dután Erráez, Holger GonzaloItem Factores asociados a enfermedad cerebrovascular. Hospital Vicente Corral Moscoso, Cuenca, 2013(2013) Vintimilla Márquez, Max Xavier; Vanegas Cedillo, Pablo Esteban; Dután Erráez, Holger Gonzalo; Morales Sanmartín, Jaime RodrigoObjective: To determine the factors associated with cerebrovascular disease in patients over 40 years, admitted to the Department of Internal Medicine Hospital Vicente Corral Moscoso in 2011.- Materials and Method: We studied 152 cases diagnosed by plain CT and / or skull contrasted ischemic stroke and / or bleeding and 304 controls, matched for sex and age. The sample size was calculated based on 95% confidence, 80% power OR 3 and 5% of type 2 diabetes mellitus (less exposure factor in controls). Data were obtained from medical records and by telephone interview, and analyzed in SPSS software.- Results: 62.5% were female. The age ranged between 40 and 101 years with an average of 72.6 ± 13.3 DS. The 74.6% lived in urban areas. Were similar in sex and age (p = 1.000 and 0.072). The frequency of hypertension and sedentary cases was significantly higher (p = 0.000). The, of type 2 diabetes mellitus, cerebrovascular disease in first-degree relatives and dyslipidemia were similar (p> 0.05). A history of smoking was significantly lower in patients (p = 0.000) and overweight and obesity was significantly higher in controls (p = 0.000).- Conclusion: High blood pressure and physical inactivity are risk factors for cerebrovascular disease and low consumption of alcohol is a protective factor.AUItem Frecuencia y clase de derrame paraneumónico en neumonías adquiridas en la comunidad: hospital Vicente Corral Moscoso 2002-2003(Universidad de Cuenca, 2003-11-11) Lanchi Zúñiga, Víctor Guillermo; Fernández Fárez, Ángel Gustavo; Dután Erráez, Holger Gonzalo; Rojas Reyes, Rosendo IvánItem Impacto de la educación en los conocimientos, actitudes y prácticas de diabéticos que acuden a la fundación DONUM, Cuenca 1999 - 2000(2000) Padilla Espinoza, Diego Fabián; Peralta Beltran, Martha Esther; Pinta Jimenez, Elsa Jayne; Dután Erráez, Holger Gonzalo; Cañizares Aguilar, Aurelio ErnestoItem 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 RosendoOBJECTIVE 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.Item Libros recomendados(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Dután Erráez, Holger GonzaloItem Neumonía adquirida en la comunidad y factores relacionados; Hospital Vicente Corral Moscoso, 2011(Universidad de Cuenca, 2013-11-11) Ochoa Bravo, Andrea Catalina; Dután Erráez, Holger Gonzalo; Vintimilla Maldonado, Jaime RosendoObjective Determine association between community-acquired pneumonia with risk factors in patients older than 20 years old admitted in the Department of Internal Medicine at the Vicente Corral Moscoso Hospital during 2011. Methodology Study was conducted of cases, and controls. Sample size was calculated by the base of 95% of confidence, 80% of statistical power, OR 3, paired 2 controls 1 case, and 4% of prevalent risk factor. Data was collected directly and analyzed with SPSS15 Software. Results Results were similar in age, sex, residency, condition of discharge, and alteration of consciousness with a value of p: ≥ 0.005. Meanwhile results as far as the average of Leukocytes, Creatinine, C-Reactive Protein, and Glucose were greater in the groups of cases than controls with a value of p: ≤ 0.005. Diabetes mellitus type 2, Heart Failure, and Alcoholism were associated with acquired pneumonia within the community with a value of P: 0.000 Conclusion Diabetes Mellitus type 2, Heart Failure, and Alcoholism were related with acquired pneumonia within the community. KEY WORDS: ACQUIRED PNEUMONIA WITHIN THE COMMUNITY, ALCOHOLISM, SMOKING, DIABETES MELLITUS TYPE 2, AND HEART FAILURE, CUENCA UNEVERSITY, CUENCA-AZUAYItem Nivel de conocimiento de los pacientes diabéticos entre las edades de 30 a 89 años sobre el manejo de su condición en el Hospital Regional del IESS José Carrasco Artega, Ciudad de Cuenca 2004-2005(2006) Olughu, Idam Gabriel; Pacheco Merchán, Juan Pablo; Dután Erráez, Holger GonzaloItem El PH en la infección de vías urinarias(1985) Patiño L., Cecilia; Rojas Buri, Julia Mercedes; Dután Erráez, Holger GonzaloItem Práctica médica en el Azuay(1989) Peña Cordero, Susana Janeth; Pinos Neira, Mirian Monserrath; Peña Vásquez, Diego Jacinto; Dután Erráez, Holger Gonzalo; Cañizares Aguilar, Aurelio ErnestoItem La Presión arterial en el indigena y el criterio de los médicos en el diagnóstico y tratamiento de la hipertensión arterial en los indigenas adultos(Universidad de Cuenca, 1995-11-11) Moscoso Nuñez, Susana del Rocío; Portocarrero de la Torre, Miryam; Delgado Vázquez, Bolívar Efraín; Dután Erráez, Holger Gonzalo; Quezada Ramón, AlbertoItem Prevalencia de mortalidad por neumonía adquirida en la comunidad y factores relacionados, Hospital Vicente Corral Moscoso, Cuenca, enero-diciembre 2009(Universidad de Cuenca, 2010-11-11) Álvarez Chapalbay, Carlos Fernando; Dután Erráez, Holger Gonzalo; Vintimilla Maldonado, Jaime RosendoObjective To establish the prevalence of mortality in community-acquired pneumonia and related factors in patients older than 18 years, admitted into the division of Internal Medicine, in the Hospital Vicente Corral Moscoso, in 2009. Material and methods A cross-sectional study was conducted in a group of 159 patients. The data were collected from medical records and analyzed with the aid of Excel and SPSS software. Results 59.7% were female. The minimum age was 18 years, the maximum was 98 years; the average was 55.9 ± 23, 0 and 40.9% were aged 65 years or older. 61% lived in the urban area, 85.6% had primary level of education and higher education and 50.3% were classified, according to CURB-65 scale, as low-risk pneumonia. The mortality rate upon discharge of patients was 15.1% and there was no significant difference in mortality according to sex, age and place of residence. Nor was significant difference between mortality from community-acquired pneumonia with risk factors. Conclusion The prevalence of mortality from community-acquired pneumonia was 15.1% and there was no significant relation between the same with the risk factors.
