Browsing by Author "Estevez Abad, Rene Fernando"

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Cerebellum: not just motor function. About a case
(2020) Estevez Abad, Rene Fernando; Webster Cordero, Felipe Edmundo; Piedra Carrion, Maria Jose
The cerebellum constitutes a nervous structure with multiple bidirectional connections with the prefrontal cortex. This relationship allows us to understand its importance on neurocognitive processes. Multidisciplinary evaluation of neurological conditions allows us to study in depth its impact on the emotional and cognitive sphere. Present case study aims to analyze the neurological and neuropsychological characteristics of a 64-year-old patient with cerebellar degeneration (novo progressive cerebellar atrophy), which has 15 years of evolution but evaluated by the neuropsychology area the last four years. After clinical evaluation carried out in two stages, and after check standardized neurocognitive tests, significant qualitative data are observed. A progressive decline in the patient's neurocognitive sphere is evident, mainly in executive processes, such as bradypsychia, attention deficit, cognitive rigidity, foresight deficit, and categorical evocation. The results suggest deterioration evidenced probably related to underlying cerebellar disorder, and evidence of cortex-cerebellar circuits, such dysfunction will influence on neurocognitive processes of executive type.
Effective communication in health: evaluation of a teaching experience in Medicine School of Cuenca, Ecuador
(2021) Estevez Abad, Rene Fernando; Estevez Velez, Andrea Fernanda
Introduction: Communication within the medical field is essential to obtain good results from the consultation. This skill must be learned throughout the career and not assumed to be innate. After a systematic review of teaching methodology in Ecuador and the little development it has had within medical schools, we carried out an observational study evaluating communication skills of medical students. Methodology: One hundred final-year students working at the Vicente Corral Moscoso Hospital were included. Direct observation interviews were assessed using a checklist tool supported by the Calgary-Cambridge Guide. Data were analyzed looking for statistical significance. Results: There was no statistical significance between groups. Mean score was 13.96 out of 23 skills evaluated. Two groups were randomized: students who had training in medical communication (19) and those who had none (81). Students with communication training developed empathic interviews, effective listening, respect for patient expectations and were capable to summarize findings for effective communication outcomes. Conclusion: There are some differences between both groups comparable with international studies. Ecuadorian Medical Schools are encouraged to establish a formal curriculum in learning and training communication skills. The objective is to humanize communication and to promote better relationship between doctor and patient.
Hematomas en el traumatismo encefalo craneano, estudio sobre la frecuencia, causas, diagnóstico y evolución en el hospital Vicente Corral Moscoso. Cuenca abril 1990 - marzo 1995
(1995) Estevez Abad, Rene Fernando; Erazo Córdova, Daniel Marcelo; Díaz Loor, Carlos Luis; Cañizares Yanni, Diego Geovanny; Díaz Heredia, Favian Eduardo; Flores Durán, Carlos Teodoro
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.
Parental perception in children with executive deficits who have learning difficulties in mathemathics
(2019) Webster Cordero, Felipe Edmundo; Piedra Carrion, Maria Jose; Estevez Abad, Rene Fernando
The main objective of this research is to describe the executive deficits of children with learning difficulties in mathematics and their relationship with parental perceptions. A sample of 30 children with difficulties in mathematics at ages between 9 and 12 years was studied, they underwent Tower of London test, and to the parents the Children's Inventory of Executive Functions (CHEXI) was studied. According to the applied tests, the results showed difficulties in working memory, planning, regulation and inhibition. The results showed no correlation between the executive deficits evidenced in children and the perception of parents. However, there is a positive relationship between the perception of parents in the area of working memory and poor academic performance. The results are discussed by the complexity of the evaluated construct and the multiple variables involved at the time of its clinical assessment. © 2019 Fundacion para la difusion neurologica en Ecuador - FUNDINE. All rights reserved.