Browsing by Author "Morales Ayora, Xavier Santiago"

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Actualización de hemorragia posparto. Revisión sistemática
(Universidad de Cuenca, 2021-05-31) Morales Ayora, Xavier Santiago; Matute Ortega, Viviana Soledad; Salazar Torres, Zoila Katherine
Background: Postpartum hemorrhage (PPH) is an obstetric complication with high morbidity and mortality, a problem that is accentuated in developing countries, due to its repercussions, timely identification and management is a priority. General objective: to determine the prevalence, causes, risk factors and effectiveness of the medical and / or surgical treatment of PPH. Methodology: systematic review. Controlled, randomized clinical trials, analytical, descriptive studies, published in the last 5 years, without language discrimination, were included. The search was carried out in electronic databases such as Cochrane Library Plus, Embase, Pubmed and Lilacs. The information was synthesized in personalized tables. Results: the prevalence of PPH fluctuates between 2.1% and 79.6%. Uterine atony was the most common cause of PPH, followed by trauma. Age ≥ 35 years, nulliparity, history of PPH, hypertensive disorders of pregnancy, longer duration of the third stage of labor, instrumental deliveries, and perineal tears were considered as risk factors. Hayman suture showed effectiveness between 87 and 95.1% and hydrostatic balloon tamponade between 91 and 96% in the PPH control. Conclusions: the prevalence varies according to access to health, uterine atony was the most frequent cause, nulliparity was the factor most commonly associated with PPH. The Hayman suture and hydrostatic tamponade showed high effectiveness in the management of PPH. Limitations: restriction on access to information by economic category, in addition, limited studies with representative samples that evaluated the effectiveness in the management of PPH.
Tendencias de investigación de los trabajos de titulación en la escuela de medicina de la facultad de ciencias médicas universidad de Cuenca 2007-2012
(2014) Astudillo Herrera, Johanna Marcela; Campoverde Lupercio, Ana Belén; Morales Ayora, Xavier Santiago; Mosquera Vallejo, Lorena Elizabeth
Background: Research is an achievement and a need, so that educational institutions should encourage the development and research to contribute to scientific progress conglomerate. This paper aims to learn your tendencies and establish a baseline for future research. Objective: To determine trends in research work degree at the School of Medicine at the Faculty of Medical Sciences at the University of Cuenca. Methodology: Quantitative descriptive observational study, the research presented in the undergraduate School of Medicine, University of Basin 2007-2012 were reviewed, applied inclusion criteria, we collected data using a form; information is validated, processed and tabulated data in SPSS. The data analysis was made using descriptive statistics and the results are presented. Results: 298 papers were identified titling, most production was in 2009 with 30.2% l; was 60.7% by 3 authors. The main research site was the Hospital with 47%; quantitative research represent 97.7%. 98.7% of cases are observational; descriptive studies accounted for 81.44%; specialties related jobs accounted for 44% and 99.3% of the works meet the standards of Vancouver. Conclusions: Work degrees at the School of Medicine are mostly descriptive, subtracting quality undergraduate these conditions and the lack of production and publication of studies at national and international level. KEYWORDS: RESEARCH, DESIGN, ANALYTICAL, DESCRIPTIVE, NORMA