Browsing by Author "Mora Robles, Lupe Nataly"

Now showing 1 - 3 of 3

Complications and neurologic deterioration after bilateral decompressive craniectomy in gunshot penetrating brain injury in children
(2022) Domínguez Rojas, Jesús Ángel; Caqui Vilca, Patricio; Aguilera Avendaño, Vladimir; Mora Robles, Lupe Nataly
Introduction: Penetrating skull injuries in pediatrics (TPC) occupy a special place due to their rarity. The aim is to provide an overview of the current evidence on decompressive craniectomy in children, to describe the indications and to detail the complications. Reporte case: We present the case of a 12-year-old boy who suffered a TPC by a projectile that perforated his head, causing multiple brain injuries, and underwent early bilateral decompressive craniectomy, presenting the complications and neurological disabilities typical of the injury and surgery, with a reserved evolution and prognosis. Conclusions: Pediatric penetrating skull injuries should be of individualized management, type of injury and disease, experience of the treatment team, and the decision should always be consensual in front of the benefits and risks in the short and long term.
Prevalencia de hiperactividad y factores asociados en escolares Cuenca, 2011
(Universidad de Cuenca, 2011-11-11) Mora Robles, Lupe Nataly; Pinos Abad, Guido Marcelo; Encalada Torres, Lorena Esperanza
Objectives: To determine the prevalence and the factors associated with hyperactivity in scholars of Cuenca 2011. Methodology: Transversal study of 1000 students between the ages of 5 and 12 in the urban schools of Cuenca, (2011), was held through systematic random sampling. The diagnosis was based on the criterion of the DSM IV through tests directed towards their parents or representatives. The cause of prevalence (RP) with IC 95%, and ‘Chi-cuadrado’, were used to find an association between overcrowding, migration of parents, family functionality, childhood abuse, and family alcoholism, consumption of alcohol and tobacco as well as HTA during pregnancy and perinatal hipnoxia, as factors associated with hyperactivity. Results: The prevalence of hyperactivity found reached 10.6%. The group with highest hyperactivity was found to be between the ages of 6 and 8 years old, females were more affected, also children who live in urban areas, who showed factors such as: family dysfunction, overcrowding, domestic usage of alcohol, childhood abuse, background or perinatal hypoxia, and alcohol consumption and HTA during pregnancy, showed prevalence of hyperactivity. Conclusion: There were proven risk factors to show hyperactivity, family dysfunction (RP 3.13), childhood abuse (RP 4.3), perinatal hypoxia (RP 2.01), alcoholism (RP 2.05)
Validez del índice de mortalidad pediátrica - PIM2 - en el paciente crítico. Hospital José Carrasco Arteaga, Cuenca junio 2018 – mayo 2019. Estudio de test diagnóstico
(Universidad de Cuenca, 2020-02-20) Mora Orellana, Estrella Janeth; Mora Robles, Lupe Nataly
Introduction The Pediatric Index of Mortality (PIM2) is a scale that predicts the risk of death in children with information collected in the first hour of admission to the Intensive Care Unit. Objective Determine the validity of the pediatric mortality index, PIM2, in the critical patient admitted to the José Carrasco Arteaga Hospital, in the period June 2018 - May 2019. Method Observational study of diagnostic test validation. In 138 patients admitted to the Pediatric Intensive Care Unit in period June 2018 to May 2019, PIM2 scale was applied according to the established theoretical guidelines. With the data obtained, the appropriate cut-off point for the best sensitivity and specificity, was identified, and the predictive capacity of PIM2 was established through Hosmer-Lemeshow test and the Standardized Mortality Ratio. Results Mortality was 13,04%. The sensitivity of PIM2 was 88,9 (95% CI 71,59-100,00); specificity 64,17 (95% CI 55,17 – 73,16); PPV 27,12 (95% CI 14,93-39,91); NPV 97,47 (95% CI 93,37-100,00); positive probability coefficient 2,48 (95% CI 1,86-3,31); negative probability coefficient 0,17 (95% CI 0,05-0,64). The cut-off point that best approximated the sensitivity and ideal specificity was 15,57. The Hosmer Lemeshow test, no found significant differences between observed / expected in modeling of PIM2 (p 0,59). The Standardized Mortality Ratio was 100,03 (95% CI 53,82 – 146,24; p 0,59). Conclusions The predictive capacity of the PIM2, in the sample and service studied, was adequate.