Browsing by Author "Guevara Pacheco, Sergio Vicente"

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Actividad de la enfermedad relacionada con calidad de vida y adherencia al tratamiento en pacientes con artritis reumatoide. Hospital IESS-Cuenca, 2019
(Universidad de Cuenca, 2020-06-01) Cáceres Gutiérrez, Jennifer Alexandra; Cando Sánchez, Karina Marisol; Guevara Pacheco, Sergio Vicente
Background: rheumatoid arthritis is a chronic inflammatory disease that causes joint destruction, negatively impacting quality of life. Periodic evaluation of disease activity determines prognosis and therapeutic success. Due to the aforementioned, it is necessary to evaluate the quality of life and in a complementary way the adherence to treatment as fundamental pillars in the control of the disease. General objective: to determine the activity of the disease and its relationship with quality of life and adherence to treatment in patients with rheumatoid arthritis at the IESS-Cuenca Hospital, 2019. Methodology: analytical, observational, cross-sectional study in 265 patients who attended the rheumatology outpatient clinic of the IESS-Cuenca Hospital. Prior to signing the informed consent, sociodemographic information, time of illness and comorbidities were collected on a registration form prepared by the authors. In addition, validated questionnaires were applied for health-related quality of life and adherence to treatment. The data obtained was analyzed in the SPSS version 12.0 software. Results: 83.8% of the study population corresponded to the female gender. The average age was 55.8 ± 12.8 years. Regarding disease activity, 45.3% were in remission and 4.5% in high activity. Quality of life had an average score of 6.89 and was rated as good in 86.8% of cases. Treatment adherence was 67.9%. A significant association was found between disease activity and quality of life (p = 0.001). Conclusion: The study evidenced an association between disease activity and quality of life, whereas, no significant association of disease activity with treatment adherence was found
Adherencia terapéutica farmacológica en pacientes hipertensos del Hospital José Carrasco Arteaga del Instituto Ecuatoriano de Seguridad Social, Cuenca-Ecuador 2007
(2007) Martínez Reyes, Fray Cleiton; Cárdenas Herrera, Oswaldo José; Guevara Pacheco, Sergio Vicente
Alteraciones radiológicas en la columna dorso lumbar en pacientes diagnosticadas de osteoporosis atendidas en los hospitales Vicente Corral Moscoso y José Carrasco Arteaga de la ciudad de Cuenca 2010-2011
(2011) Terreros Cárdenas, María Belén; Vargas Saquicela, Sandra Paola; Ochoa Crespo, María Teresa; Guevara Pacheco, Sergio Vicente; Alvarez Serrano, Marlene Elizabeth
To determine radiological alterations in column dorsolumbar in patients diagnosed of osteoporosis between 50 and 65 years attended in the hospitals Vicente Corral Moscoso and Jose Carrasco Arteaga and to put in consideration doctors and public in general of his importance for the opportune prevention and treatment. MATERIAL AND METHODS.- In this study there take part 100 patients shortlisted with diagnosis of osteoporosis by means of densitometria, considering variables as: age, density, trabecularización, thickness cortical, vertebral saucers, vertebral height, vertebral deformities, degree of vertebral compression,- RESULTS 34% of the participants present some type of deformity to column level dorsolumbar: 21 persons present wedge, 10 biconcave, 2 combination of wedge and biconcave and 1 person presents crushing. CONCLUSIONS.- The study determines that the visualization of the vertebra has narrow relation with the variables aspect, trabecularizacion, aspect of trabeculas, vertebral saucers, thickness of corticals and height.- The most frequent age of vertebral deformity in the current study the deformities place in 60-61 years of age.
Anticuerpos antipéptido citruliano en pacientes con artritis reumatoide (Cuenca-Ecuador 2008)
(2008) Pacheco Coronel, Esteban Reinaldo; Pacheco Coronel, María Verónica; Jara Villacís, Javier Alfredo; Guevara Pacheco, Sergio Vicente; Ortiz Segarra, José Ignacio
Antígenos HLA de clase II en pacientes con artritis reumatoide ecuatorianos y asociación con el factor reumatoide, anticuerpos anti-citrulinados y nódulos reumatoides
(2014) Vintimilla Ugalde, Jaime Fernando
Objective To determine Class II antigens in 52 patients with rheumatoid arthritis (RA) and 52 controls and establish the association of Class II antigens DRB1* with rheumatoid anti- cyclic citrullinated peptide (anti-CCP) rheumatoid factor (RF), and antibodies rheumatoid nodules. Methods and Materials Case and control study in patients from the Hospital Vicente Corral Moscoso and José Carrasco Arteaga of Cuenca-Ecuador; 52 patients with rheumatoid arthritis who satisfy the criteria of ACR-American College of Rheumatology and 52 healthy patients. The different types of HLA from each 52 patients with rheumatoid arthritis and controls were identified through PCR - Polymerase Chain Reaction. Association of HLA-DR1* with rheumatoid arthritis and rheumatoid factor, anti-citrullinated and rheumatoid nodules. The statistical analysis was done by the OR (IC 95%) and 2 of Pearson with Fisher correction and the information was processed in SPSS v15. Results The most frequency alleles were HLA-DRB1*09 (17,3%) OR 3,42 (IC95% 1,21 – 10,14) and HLADRB1* 04 (32,7%) OR 1,81 (IC95% 0,93 – 3,55). The rheumatoid factor and anti-cyclic citrullinated peptide antibodies were presented in 82,7% of patients with rheumatoid arthritis and rheumatoid nodules was detected in the 19.2% of patients with rheumatoid arthritis . An association between rheumatoid nodules with high values of rheumatoid factor and anti-ccp and these in turn with HLA-DRB1*14 y HLA-DRB1*04 alleles were found. The majority of patients with HLA-DRB1*09 alleles with heterozygote predomination had positive anti-ccp and rheumatoid factor. Conclusion The presence of HLA-DRB1*04 and HLA-DRB1*09 alleles is related with the susceptibility of present rheumatoid arthritis in Ecuadorian patients, and it is related with higher values of rheumatoid factor and anti-cyclic citrullinated peptide.
Aplicación de la escala National Institutes of Health Stroke Scale (NIHSS) en pacientes ingresados en el Hospital Vicente Corral Moscoso con diagnóstico de enfermedad cerebrovascular isquémica, enero-diciembre de 2004, Cuenca-Ecuador
(Universidad de Cuenca, 2007-11-11) Hernández Toledo, Diego Mauricio; Ortíz Calle, Ernán; Díaz Heredia, Favian Eduardo; Guevara Pacheco, Sergio Vicente
Calidad de atención en el departamento de medicina interna del Hospital Vicente Corral Moscoso de la ciudad de Cuenca 2004
(2005) Gallegos Lima, Camilo Xavier; González Loyola, Felipe Estuado; González Ortega, Alvaro Fernando; Guevara Pacheco, Sergio Vicente; Flores Durán, Carlos Teodoro
The quality of care in a hospital service is a subject of much controversy, criticism, comments and discrepancies between health workers and users, hence this research work attempts to address it from the point of view of the patients and their families, in the department of Internal Medicine Vicente Corral Moscoso Hospital of Cuenca, during the months of April, May and June 2004. The objective was to analyze the problems affecting the quality of care provided to external users and is based on the satisfaction of the same. To carry out this research we use methods such as direct observation and surveys of patients and their families that assess the quality of care from their point of view, because they are involved in direct or indirect form respectively. The results were duly tabulated, analyzed and interpreted using charts and graphs. Therefore the quality of care in many of these aspects, such as humane treatment, attention to time due information about their condition, etc, are not met, then there is a clear dissatisfaction by external users; if we talk about infrastructure and basic quipo hospital, especially for such an important department as Internal Medicine, it concludes that there is an unquestionable deterioration and even obsolete objects that do not provide the necessary guarantees for the patient
Caracaterísticas clínicas en fibromialgia en pacientes de consulta externa del Hospital Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca en los meses de noviembre de 2000 a marzo de 2001
(2001) Espinoza Peña, Andrea Paulina; Ochoa B., Marcela; Ochoa Ramírez, Christian Gustavo; Zaputt Cabrera, Sayonara del Rocío; Guevara Pacheco, Sergio Vicente; Cañizares Aguilar, Aurelio Ernesto
A descriptive epidemiological study, whose universe was composed of all patients rheumatology hospitals Vicente Corral and Jose Carrasco integrated sample to those based on the criteria of the American College of Rhematology were diagnostidados Fibromyalgia was performed. We excluded those patients in which the entity was secondary to another rheumatic disease. They were requested blood counts and acute phase reactants
Características clínicas e inmunológicas de los pacientes diagnosticados de Lupus eritematoso sistémico, atendidos en los servicios de medicina interna y reumatología de los hospitales Vicente Corral Moscoso y José Carrasco Arteaga de la ciudad de Cuenca, durante el período comprendido entre octubre de 1993 a octubre de 2003
(Universidad de Cuenca, 2004-11-11) Siavichay Vélez, Lucía Ximena; Guevara Pacheco, Sergio Vicente; Pinos Abad, Guido Marcelo
Características de la esclerosis sistémica, en pacientes de los hospitales Vicente Corral Moscoso y José Carrasco Arteaga durante el período enero 2008 – junio 2015
(2016) Carrasco Encalada, Cinthya Elizabeth; Delgado Pinos, Valeria Estefanía; Guevara Pacheco, Sergio Vicente; García Alvear, Jorge Luis
Background: Systemic sclerosis is a chronic, rare connective tissue disease of unknown etiology that primarily affects females. The disease is characterized by having vascular disease, autoimmunity and fibrosis. Produced multiple organ damage, generates significant social and health impacts and to date there is no cure. Objective: To determine the characteristics of the Systemic Sclerosis patients at the Hospital Vicente Corral Moscoso and José Carrasco Arteaga. Methods and Materials: It is a quantitative, descriptive and retrospective study. The universe is comprised of patients diagnosed with systemic sclerosis in both hospitals. The information was collected from medical records and analyzed in Microsoft Excel 2013 and SPSS 19. Quantitative and qualitative variables were used, showing through frequencies and percentages. A level of statistical association for p < 0.05 was considered. Results: Systemic sclerosis is more common in women. The limited form is predominant. The most common clinical manifestations are skin, followed by musculoskeletal and Raynaud's Syndrome. The group of 50-64 years is showing greater degree of general involvement; in younger people skin and musculoskeletal affectations are more frequent. Antinuclear antibodies were the best diagnostic value, being positive in more than 70 % of patients. The most common treatments are based on controlling symptoms, paracetamol being the most used (80.4 %). Conclusions: Systemic sclerosis affects more women than men; the most common age group is between 25-64 years. The limited form prevails over the diffuse. Its main clinical manifestations are skin.
Características socio-demográficas asociadas a la presencia de dolor músculo-esqueletico, en Cuenca-Ecuador
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-06) Guevara Pacheco, Sergio Vicente; Feicán Alvarado, Elsa Astrid; Peláez Ballestas, Ingris; Guevara Mosquera, Daniel
OBJECTIVE: To determine the socio-demographic characteristics associated with the presence of musculoskeletal pain (MSK) in people over 18 years who are living in Cuenca. PATIENTS AND METHODS An analytical cross-sectional study was conducted in subjects of rural and urban areas, who are over 18 years, using the methodology COPCORD (Community Oriented Program for the Control of Rheumatic Diseases) adapted to Ecuador. We identified individuals with rheumatic symptoms, house by house. The revision to confirm the diagnosis was made by a rheumatologist. The statistical analysis was univariate and multivariate. RESULTS A total of 2500 people were surveyed. The 59.6% were female, with an average age of 42.8 years, the 25.5% of participants performed domestic activities. The MSK pain occurred in 32.2% of people, which was significantly associated with living in rural areas, have lower education, lower income to $ 340, increased physical load of 8 pounds, more functional disability, and cooking with firewood in the rural area. CONCLUSION The MSK pain has a high prevalence in the population of Cuenca, Ecuador; producing disability especially in rural areas. It is associated with lower levels of education, lower income and increased physical load
Características socio-demográficas asociadas a la presencia de dolor músculo-esquelético, en Cuenca-Ecuador.
(2015) Pelaez Ballestas, Ingris
To determine the socio-demographic characteritics associated with the precence of musculoskeletal pain (MSK)in people over 18 years who are Living en Cuenca.
Caso clínico 1: miopatía inflamatoria idiopática. Reporte de caso, Caso clínico 2: disección de aorta. Reporte de caso
(Universidad de Cuenca, 2023-09-04) Ortega Nivelo, Italo Ismael; Guevara Pacheco, Sergio Vicente
Background: Idiopathic inflammatory myopathies (IIM) are a group of diseases characterized by muscle weakness and inflammatory infiltrates in muscle tissue, which can affect different organs. Clinical case: a 40-year-old female patient who presented with musculoskeletal pain and muscle weakness in the upper limbs accompanied by scaly papular lesions on the back of the hands and erythema on the eyelids, with increased serum muscle enzymes, suspected IIM, and a muscle biopsy was performed. Reporting perivascular infiltrate, with abnormal electromyography, the Bohan and Peter criteria are applied with a diagnosis of dermatomyositis; Immunosuppressive treatment was started with favorable clinical evolution, medical discharge and outpatient follow-up were decided Clinical case: A 40-year-old female patient who attended for musculoskeletal pain and muscle weakness in the upper limbs accompanied by scaly papular lesions on the back of the hands and erythema at the level of the eyelids, with increased serum muscle enzymes, suspected IIM, a muscle biopsy was performed reporting perivascular infiltrate , with abnormal electromyography, the Bohan and Peter criteria are applied with a diagnosis of dermatomyositis; Immunosuppressive treatment was started with favorable clinical evolution, medical discharge and outpatient follow-up were decided Conclusions: In patients presenting with musculoskeletal pain and muscle weakness associated with skin lesions, IM should be clinically suspected, so the Bohan and Peter criteria should be applied to define the diagnosis. Introducción: la disección de aorta (DA) consiste en una rotura de la capa íntima de la pared del vaso permitiendo el paso de sangre a la capa media separando la luz verdadera de la falsa, es una patología poco frecuente, que puede presentarse en pacientes con antecedentes de traumatismo torácico. Caso clínico: paciente masculino de 35 años, con antecedente de accidente en vehículo motorizado hace 18 meses, acude al servicio de emergencia por un cuadro de hemiparesia derecha más disartria de 4 horas de evolución, se realiza tomografía de cráneo sin encontrarse lesión, catalogándose como evento cerebrovascular isquémico, con recuperación neurológica espontánea, posterior presenta disnea de grandes esfuerzos, se realiza ecocardiograma reportando DA ascendente más aneurisma, se instaura tratamiento mediante medidas de soporte, con derivación para cirugía cardiotorácica. Conclusión: en pacientes con antecedentes de traumatismo torácico, debe realizárseles valoración cardiológica temprana, para detectar cuadros de DA.
Comparación de los diferentes esquemas de tratamiento de artritis reumatoide con fármacos de segunda línea en los pacientes del los hospitales José Carrasco Arteaga (IESS-Cuenca) y Vicente Corral Moscoso. Cuenca 2000-2001
(Universidad de Cuenca, 2000-11-11) Malla López, Ruth Cecilia; Vanegas Bravo, Marcia Alexandra; Guevara Pacheco, Sergio Vicente; Ochoa Palacios, María Del Carmen; Morales Sanmartín, Jaime Rodrigo
Detección de mycobacterium tuberculosis mediante la reacción en cadena de la polimerasa en sintomáticos respiratorios, Cuenca 2009: detectar mycobacterium tuberculosis en pacientes sintomáticos respiratorios mediante PCR
(2009) Llerena Gómez, Pedro Andrés; Manosalvas Durán, Daniel Paúl; Ordóñez Ugalde, Andrés Esteban; Guevara Pacheco, Sergio Vicente
Determinación temprana de pérdida de masa ósea en mujeres postmenopáusicas mediante densitometría ósea periférica, en los hospitales Vicente Corral Moscoso, Militar y José Carrasco del IESS, Cuenca 2000
(2001-11-11) Encalada Torres, Lorena Esperanza; Rodríguez G., Gabriel; Guevara Pacheco, Sergio Vicente; Cañizares Aguilar, Aurelio Ernesto
Diagnóstico de las enfermedades reumáticas mediante el estudio del líquido sinovial Cuenca 1998
(1999) Gomezcoello Salinas, Fanny Patricia; López Quizhpi, Tania Lorena; Guevara Pacheco, Sergio Vicente; Cañizares Aguilar, Aurelio Ernesto
The work that follows is a study of synovial fluid, which is an extension of the clinical examination of patients with inflammatory joint disease, and contributes significantly to diangóstico of rheumatic diseases. This research is descriptive, is to study and classify the object synovial fluid according to their macroscopic and microscopic findings crystal characteristics, as well as related diagnostic variables age and sex. We worked with hospitalized patients with synovitis and outpatient Vicente Corral Moscoso Hospital and Social Security of Cuenca, in 1998. 72 liquid were studied, 34.7 percent of patients with rheumatoid arthritis, 20.8 percent with arthritis, 13.9 percent drop and the remainder from diseases such as osteoarthritis, septic arthritis, systemic lupus erythematosus; being the most affected sex male 59.7 percent and the most prevalent age 50 to 69 years followed by 30 and 39. In most arthropathy examination findings of sinnovial fluid may indicate the intensity of joint inflammation, crystals of monosodium urate and increased white blood cell count to fifty thousand per milliliter help the clinician to confirm the diagnosis of gout and septic arthritis respectively.
Disfunción diastólica en pacientes con hipertensión arterial grado I - II Hospital José Carrasco Arteaga, Cuenca 2006
(Universidad de Cuenca, 2007-11-11) Morales Alvarado, Mónica Rocío; Arteaga Mora, Luz Elina; Delgado Vázquez, Bolívar Efraín; Guevara Pacheco, Sergio Vicente
Estandarización de estudios de sangre periférica para reevaluar resultados de biometrías automatizadas y concordancia en dos laboratorios
(2008) Moreno Aguilar, Jaime Miguel Guillermo; Guevara Pacheco, Sergio Vicente; Orellana Cabrera, Iván Eladio
Estudio descriptivo: detección del dolor músculo - esquelético y enfermedades reumáticas aplicando el COPCORD en la población indígena de Saraguro - Ecuador
(2018) Pelaez Ballestas, Ingris
DESCRIPTIVE RESEARCH: PAIN MUSCLE – ESQUELECTIC DETECCTION AND COPCORD APLICATION REUMATICS COPCORD REUMATICS ILLNESS IN INDIGENA POPULATION OF THE SARAGURO - ECUADOR BACKGROUND: The COPCORD instrument allows the identification of musculoskeletal pain and rheumatic diseases such as osteoarthritis, rheumatoid arthritis, low back pain. The aim of this research is to validate and cross-culturally adapt the COPCORD instrument in the indigenous population as a screening test for the detection of these diseases. METHODS: It is a descriptive study, the universe of 210 indigenous people over 18 years residing in Saraguro - Loja, Ecuador. During the period from December 1, 2016 to January 30, 2017. The COPCORD was adjusted to the Spanish language, a transcultural adaptation and validation was made to the context of the indigenous group. The information was entered into the statistical program of Stata Version 11, analyzed: Cronbach's alpha, correlation matrixes with the Spearman test. The variables were correlated with the diagnosis established by the rheumatologist. RESULTS: The average age was 46.1 years, 64.7 % of the female gender, the screening test to detect a rheumatic disease has sensitivity of 92.3 % and specificity of 57.9 %. The internal consistency of the questionnaire presented a dimensionality in the biomechanical load and functional capacity sections; and multidimensionality in the path of musculoskeletal pain and comorbidities. Significant correlations of the COPCORD were observed compared with the rheumatologist's evaluation. CONCLUSIONS: By carrying out the cross-cultural validation and adaptation of the COPCORD questionnaire, its usefulness could be demonstrated as a screening test for the detection of musculoskeletal pain and rheumatic diseases in the population of Saraguro.of approach including the laparoscopic approach