Browsing by Author "Mora Bravo, Franklin Geovany"

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Atypical low back pain by solitary plasmacytoma bone coexisiting with psoas abscess: 2 different entities in a same location. The first case report [Lumbalgia atípica por plasmocitoma óseo solitario coexistente con absceso de psoas: 2 entidades distintas en una misma localización. Reporte del primer caso]
(MASSON-DOYMA MEXICO S.A., 2014-07-01) Aleman Iñiguez, Juan Miguel; Alemán-Iñiguez, P.J; Mora Bravo, Franklin Geovany
The solitary bone plasmacytoma (SBP) is the least common of the plasma cell neoplasms, most often appears in the fifth decade of life, and their symptoms are related to chronic bone pain. We present the first case report in the literature of a rare coexistence of an infiltrating spinal injury by a solitary plasmacytoma with an abscess in the psoas muscle; we characterize this coincidence that confuses the diagnosis of SBP. 1665-9201
Calidad de vida de pacientes trasplantados renales atendidos en el Hospital José Carrasco Arteaga 2007-2016, Cuenca Ecuador
(2017) Portilla Merino, Paola Patricia; Preciado Vásquez, Jimmy Vinicio; Mora Bravo, Franklin Geovany
Objective: Determine the quality of life of renal transplant patients treated at the José Carrasco Arteaga Hospital from 2007-2016 in Cuenca, Ecuador. Background: CRF affects the health status just as much as the economic, emotional and social environment of the patient. Renal transplantation is the treatment of choice since it significantly improves the quality of life (CV). In Ecuador, 139 kidney transplants (TR) were performed in the year 2016 alone. Methods and materials: A cross-sectional observational study was performed. The SF-36 form was used to determine CV, the Social Stratification Survey of the INEC and a questionnaire for sociodemographic data were applied. The analysis was performed in Microsoft Excel and SPSS 19.0. Averages and standard deviations are reported. Results: Included were 89 patients with a mean age of 46.62 ± 13.71 years, 61 cases with male patients (68.5%), from urban areas 62 (69.7%). With> 5 years of transplantation, 46 patients (51.6%). Principal cause of CNS nephrosclerosis in 32 cases (36%). The average socioeconomic level in 43 people (48.3%). CV in Mental Health 75.10 ± 1.94. CV in Body Pain 73.68 ± 6.63. CV in Physical Role 58.99 ± 3.24 and CV in General Health 58.43 ± 3.45. Conclusion: The CV of the TR population is very good, mental health has a quality of life of 75.1. The patients reported feeling SOMEWHAT BETTER than the previous year and this in the majority of patients with> 5 years of TR.
Calidad de vida en pacientes con enfermedad renal crónica sometidos a hemodiálisis y hemodiafiltración en las unidades de diálisis de la ciudad, Cuenca. 2016
(2016) Jerves Coello, Fernando Xavier; López Domínguez, Guillermo Estuardo; Mora Bravo, Franklin Geovany
Background. - Hemodialysis (HD) and hemodiafiltration (HDF) represent an alternative therapy in patients with end stage chronic kidney disease. Those are becoming more common. Those as all medical treatments affect the quality of life of its patients. Objective. - Determine the quality of life in patients undergoing hemodialysis or hemodiafiltration at the dialysis units of the city Cuenca, 2016. Material and methods. - This is descriptive prospective research study. It evaluates patients undergoing HD or HDF. Non-probabilistic for convenience sample of patients who were older than 18 y/o and met the inclusion criteria. Quality Of Life Short Form 36 Form (QOL-SF36) and the Karnofsky Performance Scale (KPS) collected the data using a validated form. SPSSv21.0 and Microsoft Excel analyzed the information was by using statistical as frequencies, percentages and averages. Results. – It studied 73 patients, 52% were male, 56% lived in urban area, 69% were married and 73% suffered arterial hypertension. Most had received renal replacement therapy for a period  3 years. 53.5% of patients had good quality of life. Most of them were male. The physical role was the most affected in both sexes. 54.2% of  65 y/o patients had bad quality of life. Good quality of life had a relationship with a greater KPS. Conclusions. - Most of the studied patients had good quality of life. A greater male population presented good quality of life than female population
Características de la enfermedad renal crónica en el Ecuador desde el año 2009 hasta el año 2012
(2014) Abril Piedra, Jorge Ramiro; Sánchez Pulla, José Andrés; Mora Bravo, Franklin Geovany
Background: The ERC has become very important in the country; the number of people who enroll in programs hemodialysis or peritoneal dialysis ever increasing, this chronic problems such as hypertension and diabetes, which were not treated properly and that impact over time on renal function, and the absence of adequate maintenance treatment, no condition on the renal circulation and filtration functions. That is why we have thought proper to conduct this study. Objective: Determine the characteristics of the Chronic Kidney Disease 5d in Ecuador from 2009 to 2012 Method: The study was conducted descriptive quantitative retrospective where they were investigated and characteristics of chronic kidney disease as well as its distribution and its impact on Ecuador described the universe are all CKD patients registered at the the branches of health and the IESS in the area of nephrology. Data collection was done through visiting records Branches for health data collection. Results • The average age of the population undergoing dialysis (HD. CPAD. APD) was 54.24 years in 2009 and 69.75 years in 2011 which are the limits of patient age. • Hemodialysis treatment was the most common, with an average of 6013 procedures in 2012 at national level; CPAD 219 428 APD processes and processes • The number of processes of dialysis was higher in 2012 with 72158 nationwide. • The annual rate of hospitalization in hemodialysis Guayas with 888 patients per million population, with 225 CAPD patients per million population Azuay however recorded the highest rate of income APD with 185 patients per million population. • The overall mortality rate in the country (per million population) was 92.23 for hemodialysis; CAPD and APD 69.43 39.80 Conclusions Chronic kidney disease is quite prevalent pathology in our environment, which can be prevented and thus also of early diagnosis, its varied etiology makes a constant long-term problem with certain pathologies, diabetes and hypertension among the most ERC common cause, which is why before the appearance of CKD dialysis treatment in its different types, is the choice for supervicencia of sufferers.
Correlación entre el flujo de la fístula arterio-venosa con el flujo extracorpóreo. Hospital José Carrasco Arteaga, Cuenca 2016.
(2017) Mora Bravo, Franklin Geovany; Rivera González, Sonia Catalina
Correlation between Access Blood Flow and Extracorporeal Flow. Introduction: Access Blood Flow (Qa) measurement is a patient hemodialysis care recommendation. The aim of this study was to determine whether extracorporeal flow (Qb) is in correlation on Qa in patients undergoing hemodialysis. Methods: This is a correlation study. Measurements were performed since September 29, 2016 to January 30, 2017 in the hemodialysis center of “José Carrasco Arteaga” Hospital. Cuenca-Ecuador. Sample calculation was 41 cases. We included chronic renal failure patients over 17 years old with arteriovenous fistula. Participants signed informed consent. This study was approved by Universidad San Francisco de Quito ethics committee. The variables were population descriptive, Qa and Qb. Qa measurement was performed with a Transonic (r) monitor. Qb measurement was performed with following pressures in arterial line: -60, -100, -160 and -200 mmHg. Spearman Coeficient correlation between Qa, and Qb standardized to a Dynamic Arterial Line Pressure (DALP). SPSS 22.0 was used statistics analysis. The hypothesis was rxy ≠ 0. Results: A total of 57 patients, age 62.9 ± 12.7 years, with 29.4 ± 33 months on hemodialysis participated in the study. 23 women (40.3%). (45.6%) had Diabetic Nephropathy. The presence of fistulas were 40 cases in the upper left limb (70.2%) and 17 (29.8%) in the upper right limb. The prevalence of aneurysms was 10.5%. In the studied group the 50th percentile of Qb was 415 mL / min with a DALP of -200 mmHg. The average access flow was 1516 ± 878 ml / min. The correlation between Qb and Qa is statistically more significant when DALP was -200 mmHg. The association has a coefficient Rs = 0.643 (IC 0.453 to 0.771) P <0.0001. The estimated flow of the access Qae = (pump Qb DALP -200 mmHg (mL / min) * 16.63) - 5449.71. Conclusion: The research hypothesis is accepted since the relationship between Qa and Qb is greater than zero with a statistically significant value
Determinación de la frecuencia del funcionamiento del acceso vascular mediante la curva de contractilidad en pacientes hemodializados en el Hospital José Carrasco Arteaga, Cuenca-Ecuador, 2012
(2014) Pesántez Coronel, David Santiago; Mora Bravo, Franklin Geovany
Antecedent: Vascular access is a common practice used among patients suffering from renal insufficiency. Its use has been established according to clear and scientifically proven evidence. However, unknown in our operating frequency of the different types of vascular access. Objective: To utilize the contractility curve in order to determine the frequency the performance of the vascular access. It’s functionality was assessed by measuring extracorporeal flow in patients undergoing hemodialysis. The analysis was performed at José Carrasco Arteaga Hospital in Cuenca city in 2013. Methodology Design: The is study characterized as descriptive. It was performed during the month from November 2012 to May 2013. The sample population consisted of 74 patients undergoing hemodialysis treatment at the José Carrasco Arteaga Hospital. Variables such as vascular access types, its locations, complications and measurement of extracorporeal flows in the arterial and venous lines were considered in the study. The data utilized was extracted from the observational registry and entered in the system for further analysis with SPSS and Excel programs. Results: The mean age was 56.80 years. The distribution was 50-50 ratio for both sexes. In 50% of the population the vascular access was a fistula. In this sample population, a total of 31,1 % of cases the main location of vascular access in the upper distal extremity. The Intradialytic extracorporeal flows to the 50th percentile were, DALP-60mmHg 126 ml/min; DALP -100mmHg 182 ml/min, DALP- 160mmHg 243ml/min; DALP-200mmHg 283 ml/min and DALP -260mmHg 328 ml/min. The arterio-venous catheters in comparison to the extracorporeal flows presented better extracorporeal flows. The operating frequency of complications of vascular access was 6.8% of total patients. Conclusion: The contractile curve in patients undergoing hemodialysis is an accurate method to determine the performance of vascular access. KEY WORDS: VASCULAR ACCESS, FISTULA, CATHETERS, CONTRACTILE CURVE
Efectividad del tratamiento con hemodiálisis y diálisis peritoneal en pacientes mayores de 15 años con enfermedad renal terminal: Hospital José Carrasco Arteaga, Cuenca 2012
(Universidad de Cuenca, 2013-11-11) González Ortega, Alvaro Fernando; Mora Bravo, Franklin Geovany; Vintimilla Maldonado, Jaime Rosendo
Objective: Determine the effectiveness of hemodialysis and peritoneal dialysis in patients over 15 years old with End Stage Renal Disease (ESRD) in the hospital José Carrasco Arteaga during 2012. Materials and methods: A cross study was carried out in José Carrasco Arteaga Hospital during 2012 with a population of patients with ESRD whose age was over 15 years old consisting of 340, peritoneal dialysis performed 41 and 44 on hemodialysis who were randomly obtained, was compared according to the clinical laboratory and quality of life were collected and analyzed with the help of SPSS. Results: The two groups had similar traits in average age, sex ratio, residence, comorbidity and quality of life.Besides, there was a significant difference in favor of hemodialysis versus peritoneal dialysis reduction values of blood pressure: Systolic 7 to 4 mmHg (p 0.009), diastolic 6 vs. 3 mmHg (p 0.014), the weight reduction was 2 compared with 1 kg (p 0.000). Laboratory were significant reductions for hemodialysis versus peritoneal dialysis: 25.27 glycemia versus 9.58 mg / dL (p 0.008) 95.59 urea versus 11.9 mg / dL (p 0.000) and creatinine 2.8 versus 1.1 mg / dL (p 0.000). Conclusions: Patients who were treated with hemodialysis showed better clinical and laboratory values than those who received peritoneal dialysis by reducing blood pressure, weight, glucose, urea and creatinine. As to quality of life, no difference was found. DeCS: KIDNEY FAILURE CHRONIC, RENAL DIALYSIS, PERITONEAL DIALYSIS, QUALITY OF LIFE, RENAL REPLACEMENT THERAPY
Factores de riesgo asociados a nefropatía diabética estadios IV y V en el Hospital José Carrasco Arteaga. Cuenca, 2018-2019
(Universidad de Cuenca, 2021-05-25) Gutama Gutama, Cristina Maricela; Mora Bravo, Franklin Geovany
Background: The correct detection and intervention of diabetic nephropathy (ND) by identifying factors that affect its progression is crucial to reduce its morbidity and mortality. Objective: To determine the risk factors for deterioration of kidney function in patients with stage IV and V diabetic nephropathy, at the José Carrasco Arteaga Hospital, Cuenca 2018-2019. Methodology: An analytical study of cases and controls was carried out, with the medical records of 462 patients seen from 2018 to 2019 in the outpatient Nephrology and Endocrinology consultation of the José Carrasco Arteaga Hospital, with the approval of the Bioethics Committee. The data were collected in a form designed for this purpose and analyzed with SPSS version 15.0. Simple, double-entry tables and the statistician (OR) were used to measure the relationship between the presence of diabetic nephropathy and risk factors. Results: The mean age was 66.95 years, predominating men and older adults, mixed ethnicity (98.3%), basic level of education (51.5%) and married (67.7%). Risk factors such as secondary hyperparathyroidism, arterial hypertension (HTA), hyperphosphatemia, hyperuricemia, smoking, obesity, poor metabolic control, and hypocalcemia are risk factors for DN in the study patients, while dyslipidemia, the absence of statin and ARM use are not presented as risk factors for ND. Conclusions: Biochemical indicators are more altered in patients with DN; bad habits (smoking); chronic pathologies (hypertension, obesity) and poor metabolic control lead to deterioration of kidney function.
Impaired reconversion of bone marrow in nuclear magnetic resonance in patients with chronic renal disease
(2021) Mora Bravo, Franklin Geovany; Muñoz, Javier
BACKGROUND: Anemia is one of the main consequences of Chronic Kidney Disease (CKD), which causes a bone marrow response determined by Magnetic Resonance Imaging. OBJECTIVE: The objective of this study was to identify Bone Marrow Reconversion (BMR) by nuclear magnetic resonance imaging in patients with CKD. METHODS: A descriptive study was carried in "José Carrasco Arteaga" Hospital, Cuenca-Ecuador. Images of the femurs of patients diagnosed with CKD were acquired by magnetic resonance imaging. Several variables, including age, sex, CKD stage, anemia and BMR, were taken into account. Groups are analyzed according to the stages CKD with the Anova test and logistic regression is obtained for the BMR event with the study variables. RESULTS: Two hundred sixteen patients were included in this analysis. Prevalences of Anemia were 2/40 (5%) in Group 1, 3/35 (8.6%) in group 2, 17/56 (30.4%) in group 3, 23/46 (50%) in group 4 and 25/39 (64.1%) in group 5, Anova P<0.0001. BMR in Group 1 was 12 cases (30%), in group 2: 4 cases (11.4%), in group 3: 18 cases (32.1%), in group 4: 13 cases (28.3%), and group 5: 17 cases (43.6%). P=0.51. Regression equation for BMR were significant with sex (male) OR 0.193 (CI95% 0.092-0.405) P<0.0001, CKD Stage 1 OR 0.195 (0.057-0.668) P=0.009, Stage 2 OR 0.082 (0.020-0.329). Other variables were not significant. CONCLUSION: In this study, we describe that there is an impaired Reconversion of Bone Marrow in Nuclear Magnetic Resonance Imaging in Patients with Chronic Renal Disease in stages 3, 4 and 5, despite the progressive presence of anemia. The female sex is associated with the presence of bone marrow reconversion. No statistical dependence was observed between anemia and the reconversion of bone marrow.
Manejo emergente del paciente con fractura en extremidades
(1998) López Macas, Luis Vinicio; Mora Bravo, Franklin Geovany; Palacios Quezada, Marco Vinicio; Salinas Sacoto, Bolívar Fernando
This thesis is a retrospective and prospective study of the management of patients with limb fractures that have gone to the emergency room of Vicente Corral Moscoso Hospital in the period to January 1990 until 31 December 1997. It describes the variables each individual patient and the management that has been given, according to data obtained suggest a guide emerging management for these patients
Medicina del futuro en los venenos de animales. Ecuador como fuente importante de investigación
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-12) Alemán Iñiguez, Juan Miguel; Mora Bravo, Franklin Geovany
The evolution has allowed that several animals produce secretions for their survival: poisons, those that are harmful and lethal when they exert their effects on the body, altering the normal responses such as the coagulation and the inflammatory process. An updated literature review of poisons is presented which can be employed to explain how these substances can represent a future therapy; in the same way our country situation is described because it could be a source of research on this topic
Neuropatía diabética en pacientes con o sin hiperparatiroidismo secundario, atendidos en el servicio de nefrología del Hospital José Carrasco Arteaga de marzo a diciembre del 2014, Cuenca, Ecuador.
(2015) Arízaga Idrovo, Valeria Carolina; Alemán Iñiguez, Juan Miguel; Mora Bravo, Franklin Geovany
Introduction: Diabetic neuropathy is common in diabetic nephropathy patients (DNP), however there is no information if secondary hyperparathyroidism increase Diabetic Neuropathy frequency. Objective: The aim of this study was to determine if there is a higher incidence of symptoms and signs of neuropathy in a group of DNP with hyperparathyroidism, compared with a control group. Methods: This prospective observational case control study consisted of DNP with parathyroid hormone (PTH) levels <60 pg/ml, called control group (CG). The group of hyperparathyroidism (GH) was formed by DNP and PTH levels ≥60 pg/ml. Variables were: body mass index, duration of diabetes, presence of signs and symptoms of diabetic neuropathy measured by the Michigan University Test. Minimum sample was 60 cases in each group. The scale variables were compared with Student t test and the percentages with Chi2. Results: There were 60 cases in each group, 35 men in CG (58.3%) versus 33 (55.0%) in the GH (P = 0.713). GC age was 67 ± 11.0 vs 72 ± 11 years of GH (P = 0.009); Glomerular filtration rate in GC 53.82 ± 25.13 and 35.34 ± 18.43 GH ml / min / 1.73m2 (P <0.001). PTH in the GC 38.02 ± 15.32 pg / ml in the GH 119.07 ± 84.33 pg / ml (P <0.001). GC neuropathy symptoms in 28.3%, 36.6% in the GH (P = 0.330). It neuropathy signs on the GC was 38.3% and 83.3% GH (P <0.001). Odds Ratio for GH to present signs neuropathy was 8.044 (95% CI 3.42 - 18.92). Conclusion: In this group of patients, diabetic neuropathy was more prevalent in the group with secondary hyperparathyroidism.
Predictive equation of metastasis in patients with malignant ovarian epithelial tumors with the Ca-125 marker
(2018) Sanchez Vega, Juan Fernando; Murillo Bacilio, Magdali Del rocio; Vintimilla Condoy, Adrian Santiago; Palta Gonzalez, Araceli Miroslava; Crespo Astudillo, Jose Alfredo; Mora Bravo, Franklin Geovany
Background: Cancer antigen (CA) 125 (CA-125) is used in ovarian cancer detection and monitoring, whose serum level has a positive correlation with tumor stage. The aim of this study was to obtain a prediction metastasis equation in a group of patients with ovarian cancer based on Ca-125. Methods: A 2-group comparative observational study was conducted at a single oncologic institution (SOLCA) in Cuenca-Ecuador. All patients who were diagnosed with ovarian cancer between January 1996 and December 2016 were included in the current study. Group 1 (G1) patients with the I and II International Federation of Gynecology and Obstetrics (FIGO) stage and Metastasis Group (MG), with III and IV stage, were subdivided. A logistic regression equation was performed to predict metastasis based on Logarithm of serum Ca-125 levels. Results: We included 85 cases in G1 and 64 patients in MG, with 47.8 plusmn; 15 years (G1) and 57.5 ± 13.6 years (MG) of age (P < 0.001). Mortality in G1 was 2 cases (3.1%) and 53 cases (62.4%) in MG (P < 0.001). The CA-125 serum level was 163.5 ± 236 in G1 and 1220.9 ± 1940 u / ml in MG (P < 0.001). The equation to predict metastasis = (Age*0.053) + [(Logarithm Ca-125 value) * 1.078] -8.163 with an OR 2.940 (CI 95% 2.046-4.223) P < 0.001. The sensitivity of the equation was 82.4% and the specificity was 79.7%. Conclusions: It is possible to predict the presence of metastasis in a group of patients with ovarian cancer based on Ca-125. © 2018 The Author(s).
Prevalencia y factores asociados a enfermedad renal crónica: Hospital José Carrasco Arteaga 2011-2012
(Universidad de Cuenca, 2013-11-11) Guzmán Guillén, Karol Andrea; Mora Bravo, Franklin Geovany; Vintimilla Maldonado, Jaime Rosendo
Main objective To determine the prevalence and factors associated with chronic kidney disease in patients who attend the outpatient clinic at José Carrasco Arteaga Hospital, from October 2011 to June 2012. Materials and methods We performed across-sectional study. The sample was selected by sequential allocation. The size was calculated on the basis of the95% confidence level, 3% error of inference and 8% prevalence of the risk factor flower frequency. Data were obtained by a direct interview and they were analyzed using SPSS software. Results A total of 500 patients were included in this review, mean age 57 ±9 years, 62.2% were women. The prevalence of the chronic kidney disease was 10.6%(CI95% 7.9 -13.3), 10.6% (CI95% 6.2 -15)in menand10.6% (CI 95%7.2 -14.0)in women. The association between chronic kidney disease with hypertension provided RP: 2.21, CI95% 1.25 -3.90 and p=0.006, with type 2 diabetes mellitus RP: 2.7, CI95% 1.50-4.85and p=0.001, with RP autoimmune diseases: 2.59, CI 95% 1.00-6.74and p= 0.044, overweight, obesity RP: 0.58, CI 95% 0.32- 1.04and p= 0.063, and a family history of chronic kidney disease PR: 1.78, CI 95% 0.82 -3.89p= 0.141. Conclusion The prevalence of chronic kidney disease was 10.6% (95% CI7.9 -13.3) and it was significantly associated with hypertension and type 2diabetes mellitus.
Prevalencia y factores asociados a síndrome metabólico en pacientes entre 20 y 45 años, Hospital José Carrasco Arteaga, 2013
(Universidad de Cuenca, 2014-11-11) Cuenca Cuenca, Luis Floresmilo; Mora Bravo, Franklin Geovany; Vintimilla Maldonado, Jaime Rosendo
Objective To determine the prevalence and factors associated with metabolic syndrome in patients 20 to 45 years attending outpatient Carrasco José Arteaga Hospital during 2013. Material and methods A cross-sectional study was conducted among a random and representative sample, whose size is calculated based on 95% confidence, 18% smoking prevalence and 5% inference error. Data were collected and analyzed directly in the software SPSS version 15. Results 290 patients aged between 20 and 45 years and a median of 40 was studied. 52.0% were men, 77.9% lived in urban areas, 44.2% were classified with medium and low socioeconomic level and 41.4% had less than 8 years of study. The point prevalence of metabolic syndrome was 57.2% (95% CI: 51.5-62.9) in men 53.9% (95% CI: 46.0-61.8) in women of 60.9% (95% CI: 52.8-69.0), between 20 and 29 years of 48.3% (95% CI 35.4-61.2), while between 30 and 45 years of 59.5% (95% CI: 53.2-65.8) was significantly associated with overweight (OR 1.384 95% CI : 1144-1673, p-value = 0.002) and obesity (OR 1.522, 95% CI: 1270-1825, p value = 0.000). Conclusion The prevalence of metabolic syndrome is high, with similar distribution by sex and age group and is positively associated with overweight and obesity. Keywords METABOLIC SYNDROME PREVALENC, ASSOCIATED FACTORS.
Quality of the academic research of a postgraduate degree in surgery from a public university in Ecuador
(2022) Mora Bravo, Franklin Geovany
Introduction: The lack of solidity of educational research (ER) in a high percentage and the loss of integrity in the methodology have been reported. The objective of the present study was to determine the quality of the ERs of postgraduate surgery at a public university in Ecuador. We hypothesize that the acceptable theses are equal to 70%. Methods: The present study reviewed the thesis of surgery at the University of Cuenca from January 2010 to November 2019. The probabilistic sample selection was 48 cases. A 51-question EI quality test was used. The values of each variable were homologated as a percentage. A single sample T-test was performed, and bivariate correlations were determined using the Spearman coefficient. Significant values were R> 0.5 and P <0.01. The hypothesis test was performed with Chi square. Results: Of 48 randomized theses, the lowest average was in the “Hypothesis” sections (41.6% [35.3-47.8]), and the highest was in the “Results” sections (93.5% [91.4-95.7]). The relevance was 97.9% (93.7-102.1). 35 theses (72.9%) were rated as “Acceptable”. The Hypothesis and References sections were rated as “Not acceptable” in 70.8% and 79.2%, respectively. The “results” section obtained the rating of “Excellent” in 93.8%. The hypothesis was accepted, and the group had an acceptable quality equal to 70%”, Chi2 = 0.2208, P = 0.64. Conclusion: The quality of educational research is equal to the 70% raised in the hypothesis, which highlights a minimum sufficiency rating for the educational research studied in this work.
Relación entre anemia del paciente con nefropatía diabética y hemoglobina glicosilada en el Hospital José Carrasco Arteaga. Cuenca – 2013
(2014) Jara Gómez, Jennifer Tatiana; Jiménez Balarezo, María Moraima del Carmen; Martínez Álvarez, María Gabriela; Mora Bravo, Franklin Geovany
Background: glycosylated hemoglobin is a test often used in the evaluation of diabetes mellitus. It is not known what would be the effectiveness of the test in patients with diabetic nephropathy and chronic kidney disease (CKD) who have anemia. Objective: to determinate relationship between the presence of anemia and glycosylated hemoglobin valuesin patients with diabetic nephropathy and CKD in José Carrasco Arteaga Hospital of Cuenca in 2013. Methodological design: this is an analytical, quantitative, cohort study. The sample was composed with 135 patients, 41 had anemia (exposed cohort) and 94 without anemia (unexposed cohort) . The main variables analyzed were the presence of anemia and levels of glycosylated hemoglobin. The data was obtained through an interview with the patients and their digital clinical history, based on which, a form is filled, after the information was transferred to the computer for further analysis with Excel Microsoft , SPSS, Minitab15 programs. Results: the mean value of the glycosylated hemoglobin was 8.3 % in the total number of individuals included in the study, whereas in the group with anemia was 7.4 % and in the group without anemia turned 8, 7%, a difference that was statistically significant ( p < 0.05 ) , in addition to also establish a cause- effect , patients with anemia have most likely lower glycosylated Hb values compared to patients without anemia ( RR > 1 CI 1.02 to 6.73 , p < 0.05). The validity of the glycosylated hemoglobin test, used to monitor the control of diabetes mellitus and CKD may be diminished if a patient develops anemia Conclusion: it was determined that patients with anemia have lower glycosylated hemoglobin values. The utility of this test may be decreased in controlling the anemic patient with diabetes mellitus and CKD. KEY WORDS: GLYCOSYLATED HEMOGLOBIN A, CHRONIC KIDNEY FAILURE, DIABETES MELLITUS, ANEMIA, DIABETIC NEPHROPATHY.
Sobrevida y complicaciones del paciente con injerto renal de donante cadavérico vs. donante vivo, controlados en el hospital "José Carrasco Arteaga" (IESS). Cuenca. 2007 marzo 2012
(2012) Carrión Monsalve, Diego Marcelo; Espinoza Manzano, Carlos David; Flores Enderica, Carlos Gabriel; Mora Bravo, Franklin Geovany
INTRODUCTION: The present descriptive study has as objective to determine the survival and complications presented among the patients that received a renal transplant and have been controlled in the “José Carrasco Arteaga” Hospital (IESS) in the city of Cuenca, between the years 2007 and 2012. METHODS: The recollection of the information of the patients was realized by reviewing the medical records and analyzing them using a database made in SPSS v. 15.0. An analysis of the cause of chronic renal failure, complications, rejection and loss of graft function related with the characteristics of the recipient and proceeding of the graft was made. For the study of the general characteristics of the patients we used the descriptive statistic method, and for the survival study we used Kaplan Meier survival curves. RESULTS: 83 patients receptors of kidney graft were studied, the etiology is specified in 42.2% of them. Hypertension and diabetes were the 13.3% and 10.8%, respectively. Grafts proceeding from cadaveric donor were 59%, and from live donor 41%. 71.1% of patients did not present any complications related with the surgery. Six months after transplant, 59.6% of patients did not present rejection, 31% presented at least one rejection, and 12% presented two or more rejections. Loss of graft reached 19.3% of patients. 9.6% of patients died, and among these, 75% died in the first month, 12.5% in the second month, and one six years later. CONCLUSIONS: The causes of chronic renal disease are not well established in the majority of cases. There is important number of patients that received a kidney graft from a living donor. Survival does not seem to be affected by variables such as sex, proceeding of graft, age, and dialysis time. Main complications are related with the surgical act.
Supervivencia del injerto renal en el Hospital de Especialidades José Carrasco Arteaga en el período 2007-2018
(Universidad de Cuenca, 2020-04-27) García Paguay, Natalia Adela; Solano Sánchez, Daniela Bernarda; Mora Bravo, Franklin Geovany
Background: kidney transplantation is the most effective replacement therapy for patients with end-stage chronic kidney disease. There are multiple sociodemographic and clinical factors involved in transplant survival and function, therefore, it is important to know the impact of these factors to improve the survival of the kidney graft. Objective: to determine the survival time of the renal graft in the patients of the José Carrasco Arteaga Specialty Hospital in the period 2007-2018. Material and Method: survival study, the sample was obtained from kidney transplant recipients who attended regular check-ups. The data was collected in forms previously developed, processed and analyzed in the IBM SPSS 25.0 statistical package for Windows. Results: of the 142 patients who received a kidney transplant, 41 patients lost the kidney graft, with a mean follow-up of 43 months, the overall survival was 8.5 years (95% CI: 7.5-9.4). Cold ischemia time greater than 18 hours, delayed graft function, acute rejection, chronic graft nephropathy, surgical wound infection, septic shock, and vascular thrombosis are risk factors associated with graft survival and function. Conclusion: the survival time of the renal graft in the group of patients who received a transplant at the José Carrasco Arteaga Specialty Hospital. revealed optimal results. Knowing the risk factors associated with graft survival will help us to intervene in a timely manner.