Browsing by Author "Guallpa Guallpa, Edison Patricio"

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    Conocimientos actitudes y prácticas sobre el control prenatal, embarazadas que acuden a consulta externa del Hospital José Carrasco Arteaga, mayo- julio 2012
    (2013) Guallpa Guallpa, Edison Patricio; Siguenza Ortiz, Cristina Elizabeth; Ñauta Baculima, Manuel Jaime; Ñauta Baculima, Manuel Jaime
    Background: prenatal care is considered to be the cornerstone that allows the prevention and control of morbidity and perinatal causes of death, based on the detection and prevention of maternal health problems.- Objective: To determine the knowledge, attitudes and practices of prenatal care in pregnant women attending ‘Hospital José Carrasco Arteaga´s’ external consultation, May-July 2012.- Material and Methods: A cross-sectional descriptive study, where the instrument of survey was used through a previously designed form. Results and Conclusions: A total of 400 pregnant women were registered, with a mean age of 28.2 years, 69.5% married, 79.5% living in urban areas, 54.3% using a private occupancy, 51.7% multiparous with a 46.8% gestational age between 25-36 weeks.- Lack of knowledge of prenatal care was observed in 24.6% of the pregnant women, the deficiency of information on vaccines in 47.8%, 64.8% exercise, 56% travel, 44.8% dental care and personal hygiene in 16.8%. 41.8% were unaware that headaches are a sign of alarm, as well as 35.8% ignored swelling in the feet as another one. It was found that 4% expected to see the warning signs to wear off.- 1.3% disagreed on genetic diseases, and 5% on sexual intercourse. Practices are not efficient; 5.8% of women did not attend to prenatal control on time, 39.3% did not receive immunizations, 74.8% did not perform physical exercise, 6.8% received no nutritional supplements or vitamins and 46.3% did not receive dental care.- Conclusion: Women’s practices regarding prenatal care are poor and not related/based on knowledge, attitudes are good.AU
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    Validación de escalas RIPASA y Alvarado Modificada para diagnóstico de apendicitis aguda. Hospital Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca 2017
    (2019) Guallpa Guallpa, Edison Patricio; Reinoso Barzallo, Darío Aníbal; Álvarez Serrano, Marlene Elizabeth
    Objective: To determine which diagnostic scale between RIPASA and modified Alvarado is more effective in the diagnosis of acute appendicitis. Method and materials: A validation study of diagnostic tests was carried out that compared the scales of RIPASA and Modified Alvarado, with the histopathological result as a gold test. The sample consisted of 201 patients who attended the emergency service of surgery of the Hospitals José Carrasco Arteaga and Vicente Corral Moscoso with a diagnosis of acute appendicitis and who underwent surgery. The analysis was performed using Excel software, R program for Windows version 1.0.3 and the SPSS program version 25 Results: The RIPASA scale obtained a sensitivity and specificity of 98.34% and 75%, respectively, compared to 93.92% and 85% for the Modified Alvarado scale. The diagnostic accuracy was 96.02% for RIPASA and 93.03% for the Modified Alvarado score, showing a difference of 2.99% statistically significant (p 0.006). However, the areas under the curve of the two tests are similar (RIPASA 0.963, Alvarado modified 0.964). Conclusions: The scales of RIPASA and Alvarado Modified have a high sensitivity, specificity and diagnostic precision for acute appendicitis and could be a useful tool, decreasing the use of complementary tests and facilitating decision making in our population