Browsing by Author "Martínez Gaona, Karla del Cisne"

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    Concordancia de la escala de Randhawa aplicada en adultos mayores en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso, 2019 - 2020
    (Universidad de Cuenca, 2021-05-11) Martínez Gaona, Karla del Cisne; Aguilar Gaibor, Carlos Iván
    Background: 30% of laparoscopic cholecystectomies are performed in older adults, presenting difficulties due to the severity of the cholecystitis or the patient's comorbidities. The Randhawa scale developed in 2009 to predict a difficult laparoscopic cholecystectomy allowing a more adequate therapeutic projection according to the surgeon's criteria. Objective: to describe the concordance of the Randhawa scale applied to older adults in the José Carrasco Arteaga and Vicente Corral Moscoso hospitals, 2019-2020. Material and methods: a descriptive concordance study was carried out applying the Randhawa scale to patients who meet the inclusion criteria, in the emergency surgery service of the José Carrasco Arteaga and Vicente Corral Moscoso hospitals. Surgical time was taken as a gold test. The Kappa index was calculated using the SPSS version 15 software. A p ≤0.05 was accepted for statistical significance. Results: The level of concordance between the Randhawa scale and the surgical time of laparoscopic cholecystectomies was very weak with a Kappa index of 0.139 and p of 0.166, which is not statistically significant. The history of previous hospitalization is the only variable with good agreement with a Kappa index of 0.66 and p of 0.000. Conclusion: There is a very low concordance without statistical relevance of the Randhawa scale applied to the elderly at the José Carrasco Arteaga and Vicente Corral Moscoso hospitals.
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    Conocimientos, actitudes y prácticas sobre el papanicolaou en mujeres de edad fértil que acuden al servicio de Ginecología en el Subcentro de Salud de la Parroquia El Valle-Cuenca-2014.
    (2015) Martínez Gaona, Karla del Cisne; Méndez Orellana, Mágnum Alonso; Ramón Brito, Cristian Mauricio; Vega Crespo, Bernardo José; Parra Parra, Jorge Leonidas
    Background The cervical cancer (CC) is an important cause of morbidity and mortality in women aged 15-44 years. Annually around 1,000 women die due to this neoplasia; the Papanicolaou (PAP) is the main tool for the screening of cervical cancer, but mistaken beliefs coverage is not desired. Target Set the knowledge, attitudes and practices against the Pap of women of childbearing age who come to Subcentro Health parish Valley. Methodology A descriptive study whose universe were women attending the service of Gynecology Health Subcentro Parish Valley was performed. The data were obtained through a survey of every woman; the tabulation was conducted in EpiInfo program and analysis measures of central tendency, percentages and frequencies are used, which are themselves represented in tables. Results The average age of female respondents was 26 years (Standard Deviation 6.9). They are engaged in domestic activity, a 62.66%, 14.29% are students and farmers 0.97%. According to his statement the 32.47% had completed primary, secondary 32.14% and 0.97% have a degree or studies the fourth level of education. 49.35% were married and the 28,90% free union. Knowledge levels were low the 48.38% 34.42% the intermediate and high el17.21%, attitudes were the 75.65% unfavorable and favorable el24.25%. The practices were correct and incorrect the 43.83% 56.17%.