Browsing by Author "Morocho Malla, Manuel Ismael"

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Accidentes y enfermedades en el proceso industrial de Cuenca-1997
(1997) Montoya Hernández, José Rodrigo; Morocho Malla, Manuel Ismael; Orellana Orellana, Moisés Adalberto; Cañizares Aguilar, Aurelio Ernesto
Acoso laboral en internos de medicina de la cohorte septiembre 2022 – agosto 2023 de la Universidad de Cuenca, 2023
(Universidad de Cuenca, 2024-03-01) Loján Sanmartin, Daniela Michelle; Uzhca Guzhñay, Marina Elizabeth; Morocho Malla, Manuel Ismael
Background: the International Labor Organization (ILO) recognizes workplace harassment as a risk that arises in modern employment conditions, the implications of which are associated with costs for organizations and increased mental health of inmates. Among the health workers who are victims of harassment, rotating medical interns stand out, where nearly 20% suffer from workplace harassment (1). Goals: determine the frequency and characteristics of workplace bullying in medical interns at the University of Cuenca from the September 2022-August 2023 cohort. Methods: descriptive study, cross-sectional, it was carried out at the Faculty of Medical Sciences of the University of Cuenca with 122 medical interns who carry out pre-professional practices in hospitals in zone 6 in the period September 2022 - August 2023. Workplace harassment It was evaluated through the application of the CISNEROS Barometer survey. Results: 55% of the sample of medical interns perceive that in the last 6 months they were victims of harassment with a frequency of more than a week. A higher prevalence of workplace harassment is identified in women (36.89%) and in certain rotation areas such as gynecology (17.21%) and internal medicine (16.39%). While the actions that are frequently repeated are biased evaluation (8%) and absurd work (8%). Conclusions: the rotating medical interns at the University of Cuenca face working conditions that include harassment; the prevalence of female victims is notable.
Apendicectomías no enfermas en el Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga, Cuenca 2014
(2016) Montero Tapia, Edgar Paúl; Pino Andrade, Raúl Haldo; Morocho Malla, Manuel Ismael
General Objective: To determine the incident of not sick appendectomies in the surgery service of the Vicente Corral Moscoso (HVCM) and Jose Carrasco Arteaga(HJCA) hospitals during the year of 2014. Method: Analytical study of cross section, in 300 patients undergoing appendectomy in HVCM and Jose HJCA of the city of Cuenca; We collected demographic data, clinical picture, exams results and complementary blood results and the Alvarado´s scale and RIPASA´s scale results; Using this data we created a data base on SPSS and proceeded to their analysis. Results: The general prevalence of not sick appendectomy was 24.7%, being higher in the following cases: Teen 30%; women 29,7%; from HVCM 29,4%; and in the HJCA 19,3%; The most frequent symptom found in patients with negative appendectomy was the migration of pain with 26,8%. Patients with Leukocytosis showed 26,2 % of negative appendectomy, same as the 26,4% of patients with deviation to the left of neutrophils more than 75%; 23,5% of the patients with positive EMO also end up with same negative results and pathological anatomy. 26,5 % of the patients diagnosed with appendicitis on the Alvarado´s scale and the 29,3% with the RIPASA score were false positive since their diagnostic wasn´t confirmed by pathological anatomy. Conclusions: The prevalence of not sick appendectomy is inside of range provided by other epidemiological studies, highlighting the value of the clinic in the treatment of patients with abdominal pain
Burnout en los estudiantes de la Facultad de Odontología de la Universidad de Cuenca matriculados en los periodos 2022-2023
(Universidad de Cuenca, 2023-10-13) Guapacasa Sopla, Daysi Alexandra; Méndez Calle, Christian Geovanny; Lafebre Carrasco, Milton Fabricio; Morocho Malla, Manuel Ismael
Burnout is a chronic and prolonged stress syndrome characterized by emotional exhaustion, depersonalization and reduced personal performance. Objective: To assess whether dental students at the University of Cuenca present signs of Burnout in the higher cycles where patient care is provided. Materials and Methods: This is an observational analytical cross-sectional study, in which 285 students were evaluated using the Maslach Burnout Inventory-Student Survey (MBI-SS) questionnaire. Results: 285 students participated, between 17 and 33 years old, mostly female; The following percentages were found in the different scales: 73.7% had high EX, 20.7% high CY and 41.7% low EF. In men, there are higher rates of high Burnout with 33.85%, also in the 4 and 5 academic years (clinical) there are Burnout rates with 28%, as well as students from 17 to 19 years with 35 ,3%. Conclusions: The levels of emotional exhaustion in the dental students of the University of Cuenca were relatively high, the first academic year, as well as students from 17 to 19 years old, showed higher Burnout. It is recommended for future research to study other variables that may influence Burnout.
Calidad de sueño y factores asociados en estudiantes de medicina de la Universidad de Cuenca en tiempos de pandemia COVID-19, junio-noviembre 2022
(Universidad de Cuenca, 2023-04-13) López Pesántez, Angélica María; Morocho Malla, Manuel Ismael
Background: Stressful situations such as the COVID-19 pandemic and lockdown measures can have a significant impact on societies around the world and have a negative effect on the mental health of the population, including sleep quality issues. Objectives: To characterize the quality of sleep and associated factors in medical students at the University of Cuenca June-November 2022 in times of the COVID-19 pandemic, using the Oviedo Questionnaire. Materials and methods: A quantitative, analytical, cross-sectional study was carried out in students of the Medicine career from the second to the tenth cycle, semester September 2022- February 2023, with a universe of 983 students, a sample of 204, with a confidence level of 95%, margin of error of 5% and prevalence of 66%. The data were collected using forms and the Oviedo Sleep Questionnaire, they were analyzed in the statistical program SPSS V21 test version, creating tables to show the final results. To determine the association between the object of study and the sociodemographic factors, the OR, 95% CI, and p value were obtained. Results: 87.7% of the respondents had poor sleep quality, with no statistically significant association being a woman, over 23 years of age, attending the first cycles, living in a rural area or having a psychiatric history. Conclusions: Poor sleep quality in medical students increased during confinement by COVID-19, having a higher prevalence compared to similar studies.
Calidad de sueño y factores asociados en internos rotativos de la carrera de Medicina de la Universidad de Cuenca 2019
(2019-11-05) Bautista Rojas, María José; Taipe Orquera, Irvin Daniel; Morocho Malla, Manuel Ismael
Background: The quality of sleep refers to sleeping at the appropriate times according to your age to have an optimal daytime performance. Course objective: determine the quality of sleep and its associated factors in the interns of the medical career of the Faculty of Medical Sciences of the University of Cuenca, year 2019. Methodology: quantitative, analytical study, cross-sectional cohort. 141 medical interns who participated in the inclusion criteria participated. For the analysis descriptive statistics were applied and for the association with the associated factors and the quality of sleep the chi-square test, prevalence ratio, 95% confidence interval and p value (<0.05) were used. Results: 51.8% of participants were, with an average age of 24.7 years (standard deviation ± 0.98), 80.1% had age ranges from 23 to 25 years, single marital status in 86.5% and 27% They were rotating in the gynecology service. 99.3% according to the Pittsburgh Index had poor sleep quality, 86.5% of them needed medical attention and treatment and 3.5% had a serious sleep problem. There was no statistically significant relationship between poor sleep quality and factors such as: sex, age, rotation, daily caffeine intake and tobacco consumption (p> 0.05). Conclusions: very high and alarming figures were found regarding poor sleep quality in medical interns, without finding any association with the factors proposed for the present investigation.
Calidad de vida relacionada con la salud y factores asociados en mujeres con cáncer de mama del Instituto del Cáncer, SOLCA, Cuenca. Cuenca-Ecuador, 2017 - 2018
(2018) Encalada Orellana, Gloria Gianella; Ortiz Loyola, Karen Estefanía; Mejía Chicaiza, Jorge Victoriano; Morocho Malla, Manuel Ismael
Background: The Health-Related Quality of Life (HRQOL) allows to evaluate the functioning of the oncological patient in its different areas (physical, emotional, social), doing it from the own perspective of the woman. Multiple factors have been described-presented (sociodemographic and clinical) that influence its modification. Objective: To determine the Health-Related Quality of Life (HRQOL) and risk factors in women diagnosed with breast cancer. Method and materials: This is a quantitative, analytical, cross-sectional study. It was worked with a sample of 174 patients with a histopathological diagnosis of breast cancer. The validated FACT-B test was used to determine the HRQoL, and also a form of sociodemographic and clinical data collection was applied. The information was analyzed with the programs Excel 2013 and SPSS version 23.0 for Windows. Percentages, frequencies, PR with CI95% and P-value were reported. Results: The good HRQoL was 68.97% (n = 120), and the poor one was 31.03% (n = 54). The subscale called personal functioning capacity was the most affected (41.95%).The risk factors and their values were: age> 50 years old RP: 2.275 (95% CI: 1135-4.559), p = 0.019, not having higher education RP: 2,140 (95% CI: 0.872-5.249), p = 0.091, advanced clinical stage (III - IV) RP: 19,276 (95% CI: 7,892-47,086), p = 0.000. Conclusion: The prevalence of HRQOL was good (68,97%) and was poor (31,03%). The risk factors were: age> 50 years old, no higher education, and advanced clinical stage. The chemotherapy influenced only the social-familiar environment subscale, but not the general QoL.
Calidad del sueño en estudiantes de la carrera de medicina de la Universidad de Cuenca. 2024. Cuenca, Ecuador
(Universidad de Cuenca, 2024-10-24) Ortega González, Carla Estefanía; Villarroel Naranjo, Karen Lizeth; Morocho Malla, Manuel Ismael
Background: sleep hygiene refers to all components related to the use and quality of sleep and/or rest of the human organism. In the case of university students, the quality of sleep is fundamental in the assimilation of knowledge and academic performance. Particularly, medical students often neglect their own sleep and health under hard academic pressures. Objective: to characterize the quality of sleep in medical students of the University of Cuenca, 2024. Methodology: A descriptive study was carried out with 200 medical students. The Pittsburgh Sleep Quality Questionnaire was applied. The information was processed SPSS version 21. Statisticians were used as mean and standard deviation (SD) for the age variable, and frequency and percentage for the rest of the variables, and chi square to measure the relationship of sociodemographic variables with sleep quality. Results: predominated students over 20 years (66%), female (59%) and urban (78%), only 33% had good sleep quality, better in those of 20 years or less (48.5%) and first to fifth academic cycle (43%). Conclusions: low sleep quality was found mostly. Its quality is significantly affected in students over 20 years of age, and from the sixth academic cycle onwards
Calidad del sueño en pacientes con hipertensión arterial y diabetes mellitus tipo 2 atendidos en el Centro de Especialidades Médicas de la Universidad de Cuenca, 2024. Cuenca - Ecuador
(Universidad de Cuenca, 2025-05-15) Segarra Durazno, Christian Sebastián; Morocho Malla, Manuel Ismael
Background: Sleep quality is an indicator of overall health, even more so in patients with chronic degenerative diseases such as hypertension and type 2 diabetes mellitus. Patients neglect their own sleep, which deteriorates overall functioning; no studies are found in the field, so this study is proposed. Objective: to characterize the quality of sleep in patients with arterial hypertension and type 2 diabetes mellitus treated at the Medical Specialties Center of the University of Cuenca, 2024. Methodology: descriptive study, with a sample of 174 patients with arterial hypertension and type 2 diabetes mellitus treated at the Medical Specialties Center of the University of Cuenca. In the data analysis, statistics were used such as mean and standard deviation (SD) for the age variable as frequency and percentage for the rest of the variables; additional chi square to estimate the relationship between sociodemographic variables and sleep quality. Results: Patients over 60 years of age predominate, women with 64%, belonging to the urban sector with 64%, retired with 68%; widowers/widowers with 77%, 59% patients with HTA and 68% with DM Type 2 have Malaca quality of sleep. Conclusions: Poor quality of sleep was found in the majority, with effects in those over 60 years of age, women and retired people.
Cambios en la actividad física post pandemia en estudiantes de la carrera de Medicina de la Universidad de Cuenca en el periodo septiembre-febrero 2024
(Universidad de Cuenca, 2024-05-14) Carpio Peláez, Santiago Rafael; Quezada Moreno, Paúl Francisco; Morocho Malla, Manuel Ismael
Background: The COVID-19 pandemic generated a significant impact on the lifestyle of the general population, with physical activity as an essential component, being affected by the presence of restrictions, closure of sports facilities and social distancing. Objective: To determine the changes in the physical activity of Medicine students at the University of Cuenca during the period September-February 2024, once the COVID-19 pandemic has ended. Methodology: A cross-sectional analytical study was carried out, using the Simplified IPAQ Questionnaire with data on the physical activity that the participant carried out prior to the pandemic. We collected quantitative and qualitative data from 276 medical students, those who previously signed an informed consent. The data will be tabulated and analyzed using a statistical test in software (SPSS) and will be displayed in tables. The variables were residence, gender, year of study, age, and level of physical activity. Results: A total of 67.03% are female, 88.04% belong to the urban area and 55.44% represent the group of young adults. In the qualitative and quantitative analysis, changes were found, being statistically significant in the latter, where a value of p <0.001 was obtained. Conclusion: It is concluded that through quantitative analysis we found statistically significant changes, as in other studies carried out on the subject.
Cambios en los hábitos de vida en tiempos de pandemia en estudiantes de medicina de la Universidad de Cuenca, 2023
(Universidad de Cuenca, 2024-05-14) Guerrero Huilca, Juan Carlos; Lima Bernal, Claudia Pamela; Morocho Malla, Manuel Ismael
Background: Human habits are shaped by the environment and self-confidence, including health routines and social or cultural activities. Sudden changes, as occurred with confinement due to the COVID-19pandemic, can force people to reinvent or adapt their daily routines. Objective: The main objective is to describe the changes in living habits in times of pandemic in medical students at the University of Cuenca, 2023. Methods: Quantitative study at a descriptive level. The population included 923 medical students from the University of Cuenca who belonged to the period March-August 2023 and the sample was 272 participants. The FANTASTIC questionnaire was applied and the results were presented in frequency and percentage tables. Results: The majority of students belonged to the first and sixth cycle (22.1% and 15.8%, respectively); 57.4% were women; the average age was 20.6 years (SD=2.07 years); 49.3% had normal weight. The average score of the FANTASTIC test during confinement was 35.71 points and after it was 36.57, representing a significant increase (p=0.043). There were significant changes in severity according to the FANTASTICO test after confinement (p<0.001). Conclusions: The study revealed significant improvements in the lifestyle habits of medical students post-confinement, highlighting a positive adaptation in aspects such as social relationships, physical activity, and nutrition, despite the challenges presented by the COVID-19pandemic
Características de la depresión en pacientes oncológicos adultos entre 40-65 años en SOLCA. Cuenca 2022 – 2023
(Universidad de Cuenca, 2023-10-02) Ochoa Alvarez, Michelle Andrea; Vásquez Naranjo, Karen Lizbeth; Morocho Malla, Manuel Ismael
Evidence has shown that depression is more common among patients with chronic and life-threatening diseases, such as cancer, than in healthy populations. The objectives are to determine the characteristics of depression in adult oncology patients aged 40-65 years at SOLCA, Cuenca 2022-2023. This was an analytic, cross-sectional, and observational study that included 362 patients aged 40 to 65 years who were treated at the SOLCA Cancer Institute in Cuenca, Ecuador. A tool was administered to collect sociodemographic data and oncological pathological history. The Beck Depression Inventory was used to assess the severity of depression. The data were presented in descriptive and contingency tables. The study observed a predominance of females (51.1%) and a secondary education level (50.6%). Breast cancer was the most frequent (19.3%). The most common stage of diagnosis was Stage I (34.8%), and chemotherapy was the most used treatment (31.2%). It was found that 26% experienced recurrence. All patients had some degree of depression, with severe depression being the most common (59.1%). Statistically significant associations were identified between depression and factors such as educational status, age, type of cancer, stage of diagnosis, and the presence of recurrence. Factors associated with depression were identified, such as educational status, age, type of cancer, stage of diagnosis, and presence of recurrence, corresponding to studies in other regions.
Características de las infecciones nosocomiales en el servicio de cuidados intensivos pediátricos del Hospital Vicente Corral Moscoso, Cuenca 2014 -2015
(Universidad de Cuenca, 2016-11-11) Salcedo González, Rosa Karina; Bermeo Guartambel, Ximena Margoth; Morocho Malla, Manuel Ismael
Objective: To determine the characteristics of nosocomial infections in the Pediatric Intensive Care Service of Vicente Corral Moscoso Hospital during the years of 2013 to 2014. Materials and methods: Descriptive study conducted on 32 patients diagnosed with nosocomial infection in the Pediatric Intensive Care Unit of the Vicente Corral Moscoso Hospital; Data was collected on a form; it was tabulated in version 15 of SPSS and for the analysis we used frequencies, percentages, measures of central tendency and location. Results:The studied population corresponds to 32 cases, with an average age of 38,87 months; the most frequent groups were: 71,9% of male sex;50% under 12 months old; 56,3% of underweight patients, with an average of 20,31 days of hospitalization. The most common site of infection was blood with 59,4% being the Gram-positive cocci responsible for 46,9% of infections, the most frequently isolated specific germ was Staphylococcus aureus with 25% of isolates. The average time of device usage was as follows: bladder catheter 15,23 days; 14,07 days of venous catheter; central catheter 18,08 days; parenteral nutrition 10,57 days; nasogastric catheter 14,53 days and 10,92 days of mechanical ventilation. The most used antibiotic was from penicillin group, these was before entering PICU (Pediatric Intensive Care Unit), meanwhile in the PICU the antibiotic group used the most was cephalosporin with 68,8% of usage. Conclusions:Nosocomial infections in the Pediatric Intensive CareServices were more frequent in males and in patients with pneumonia on admission
Características de las interconsultas a psiquiatría en el Hospital Vicente Corral Moscoso. año 2016.
(2017) Herrera Garzón, Iván Mauricio; Jaramillo Orellana, Gabriel Sebastian; Morocho Malla, Manuel Ismael
OBJECTIVE To characterize interconsultations to psychiatry in the area of internal medicine of the Hospital Vicente Corral Moscoso in the year 2016. METHODS The present research applied a quantitative and observational methodology, with a transversal criteria and a descriptive scope. The clinical records of 507 patients hospitalized in the area of internal medicine of the Hospital Vicente Corral Moscoso in the year 2016 were collected, for whom the psychiatric consultation was requested. The data collection was done with a form, which is attached in annexes. Data analysis and processing were performed using the Excel and SPSS V15 computer packages obtained from the Medical Faculty Library. RESULTS In the present research project carried out in the area of internal medicine of the Vicente Corral Moscoso Hospital in 2016, it was observed that more psychiatric consultations were requested for female patients (50.9%) compared to the male patients (49.1% %). The age range of patients, for whom the psychiatric consultation service was requested more frequently, was between 37 and 56 years (32.9%). Regarding the marital status, of the 507 patients for whom the psychiatric consultation service was requested, 44.4% are single. The motive most used to send these requests is alteration of consciousness (20.5%). The most frequent organic diagnoses of the 507 medical records analyzed were chemical and drug intoxication (25.8%) and alcoholic liver disease (23.5%). The areas that most requested interconsultations to the area of psychiatry during the year 2016 at the Regional Hospital Vicente Corral Moscoso were gastroenterology (33.1%) and neurology (29.0%), while the psychiatric diagnosis with which the interconsultation was most concluded during the period of study was substance abuse and dependence (27.8%).
Características de violencia en los estudiantes de la carrera de medicina de la Universidad de Cuenca. 2024
(Universidad de Cuenca, 2024-07-12) Morocho Peñaloza, Erika Vanessa; Puma Riera, Mayra Estefanía; Morocho Malla, Manuel Ismael
Background: Violence is recognized worldwide as a social and health problem, which manifests itself in different ways and in various areas. Reports of abuse among medical students indicate that it is a widespread problem that has not decreased over time. Objective: Determine the characteristics of violence in students of the Medicine degree at the University of Cuenca in the period 2024. Methods: Descriptive research, which was carried out with a probabilistic sample of medical students registered in the first cycle to the tenth cycle of the University of Cuenca in the period of 2024, in which a survey was applied whose main descriptive variables to be studied They were age, sex, study cycle, origin, teaching medical aggressor, resident medical aggressor, student aggressor, and types of abuse. The data were carried out in simple and composite tables and the results are expressed in percentages. Results: 50.6% were or were under 20 years of age, 67.9% were women, 82.7% were from the Sierra region; 25.1% of students between 21 and 25 years old suffered abuse, as well as 33.2% of women. Conclusions: The most common type of violence was psychological followed by academic, there is a significant percentage of physical and sexual violence.
“Características del ciberbullying en los estudiantes de la Unidad Educativa César Dávila Andrade. Cuenca. Ecuador. 2013”
(2014) Rodas Mosquera, Juan Enrique; Vázquez Moscoso, Gustavo Adolfo; Zhiminaycela Samaniego, Milton Oswaldo; Morocho Malla, Manuel Ismael; Mosquera Vallejo, Lorena Elizabeth
BACKGROUND: Nowadays teenagers develop great skills in the field of technology to communicate and to inform them. Internet and phones are actually first order items at these days for preparation, developing, socialize and even for fun. But sometimes this great world of technology, can be used for teasing and annoy people by aggressive young kids, in other words, a new way of bullying. TARGET: Determine the characteristics of cyber bullying from the students of “CESAR DÁVILA HIGH SCHOOOL” METHODOLOGY: We did a descriptive quantitative study; the universe were the students of elementary school, to whom we applied a formulary modify of the protocol of scholar response against cyber bullying by EMICI (multidiscipline equipment of research for cyber bulling); for tabulation and to process the information we used a SPSS 15th version program; as statistics measures we used: frequency, media and percentages; for the presentation of data we made tables based on the targets; and for the analysis of information we used descriptive statistics. RESULTS: Cyber bullying presents on 11% of the students, 9.5% in males and 15% in females, the most common media to stalk are the social networks and the second one is text messaging. About the consequences: the 46% manifest low academy developing, 42% family and friends issues inside psychological problems, the 40 % feel depress and the third part of the victims feel that “it´s better to go away”. CONCLUTIONS: We detected cases of cyber bullying with female sex as the most common one, so we can say that here´s a gender problem. KEY WORDS: CYBER BULLYING, VICTIMS, STUDENTS, AGGRESSORS, HARASSMENT, EXCLUSION, MANIPULATION.
Características del síndrome de burnout en docentes de la Facultad de Ciencias Médicas de la Universidad de Cuenca, Cuenca – Azuay 2024
(Universidad de Cuenca, 2025-01-17) Morocho Chillogalli, Gilson Xavier; Orquera Montaleza, José Eduardo; Morocho Malla, Manuel Ismael
Background: Burnout describes a state of physical, emotional and mental exhaustion caused by chronic stress and the mechanization of work. Nowadays, in the context of a competitive society, the workload has increased and with it the frequency of Burnout Syndrome, which generates a growing concern about its effects on health and job performance. Objective: To determine the characteristics of Burnout Syndrome in teachers of the Faculty of Medical Sciences of the University of Cuenca, 2024. Methods: It is a descriptive study, the sample consisted of 260 teachers of the Faculty of Medical Sciences of the University of Cuenca, the data collection instrument was a form where sociodemographic data and the Maslach Burnout Inventory test were recorded. Results: The majority of teachers presented a low level of emotional exhaustion (74.4%) and depersonalization (68.7%), while 53.1% showed a high level of personal accomplishment. Teachers aged 30 to 49 years showed a higher prevalence of burnout, especially at moderate and severe levels. Women were the most affected group, with higher percentages of moderate and severe burnout compared to men. Conclusions: Family support and adequate relationships with coworkers are protective factors against burnout, while high workload and perception of inadequate remuneration increase the risk. These results highlight the need to implement intervention programs to improve teachers' well-being.
Características epidemiológicas y clínicas de la parálisis cerebral, en el servicio de Hospitalización de Pediatría del Hospital Vicente Corral Moscoso. Enero 2014-Junio 2015
(2016) Arias Armijos, Miriam Patricia; Huiracocha Tutivén, María de Lourdes; Morocho Malla, Manuel Ismael
Objective: to determinate the epidemiological and clinical characteristics of children with cerebral palsy who enter at Vicente Corral Moscoso Hospital pediatric’s service. Cuenca January 2014 to June 2015. Methodology: descriptive study of patients diagnosed with cerebral palsy who were admitted to the pediatric service of the Vicente Corral Moscoso Hospital´s of Cuenca. All children under 16 were included. Information taken from the patient's history, filling a questionnaire, based on the Latin American Center for Perinatology / Women's Health and Reproductive (CLAP) questionnaire. The information was processed in SPSS V15 and was obtained: frequency, percentage, mean and standard deviation. Results: it was found that 72 patients admitted 37 children (51.4%), the average age at enrollment was 6.2±4 years; middle-aged mother during pregnancy was 25.3±7.66 years; townhouse 61.1%; lower middle socioeconomic status 42.1%; 75% highly functional families. According to prenatal history: 83.3% prenatal controls; urinary infection in 36.1%; premature labor 22.2%; bleeding during pregnancy 15.3%; preeclampsia 12.5%. Native characteristics: 62.5% vaginal delivery; proper weight in 47.2%; Apgar above 7 in 34.7%; 38.9% received resuscitation; entered in neonatology at 54.2%. Postnatal characteristics: neuroinfection 6.9%; kernicterus 4.2%; traumatic brain injury 1.4%. Type of spastic cerebral palsy 84.7%. Comorbidities: epilepsy 80.6%; cognitive deficits 75%; malnutrition 62.5%; strabismus 31.9%. Cause of admission: 43.05% respiratory infections; seizures 23.61%; hip dysplasia 20.8%. Age means of diagnosis was 12.39±10.75 months. Hospitalizations during the study for 1 occasion in 76.9%
Caracterización clínica de adultos con depresión atendidos en el Hospital Psiquiátrico Humberto Ugalde Camacho durante el periodo 2020
(Universidad de Cuenca, 2023-06-07) Cabrera Pesantez, Manolo Sebastián; Cárdenas Ávila, Ariel Ernesto; Morocho Malla, Manuel Ismael
Background: According to the World Health Organization (WHO), depression is a common disorder that is currently the leading cause of disability. Thanks to the clinical characterization of this pathology, resources can be optimized both in diagnosis and therapy. Objective: to clinically characterize adults with depression at the Humberto Ugalde Camacho Psychiatric Hospital in Cuenca who were treated during the 2020 period. Method: descriptive study carried out with 329 participants. The variables were studied: age, sex, ethnicity, academic instruction, depressive family history, comorbidities, diagnostic method and severity of the depression, suicidal ideation, psychotherapy, and treatment. Data were analyzed in SPSS. Descriptive statistics were extracted and the information was presented through simple tables with frequencies and percentage values. Results: the group of 35-64 years prevails with 53.8%. The group of women predominates with 74.5%. The preponderant mestizo ethnic group with 98.8%. Secondary education predominates with 59.3%. 93.3% had no family history of depression. The most frequently observed comorbidities were alcoholism and cardiovascular problems with 10% and 4.6%, respectively. The ICD-10 diagnostic method was used in all cases. Moderate depression predominates with 64.4%. Mild suicidal ideation prevails with 45.6%. Conclusions: both clinical and social situations have been identified that can be improved in order to optimize both at the individual-professional and national level with respect to the diagnosis and management of depression.
Caracterización de pacientes con trastorno depresivo atendidos en consulta externa del Hospital Homero Castanier, año 2022
(Universidad de Cuenca, 2023-10-27) Cárdenas Ávila, Tatiana Melissa; Domínguez Ortega, María Sara; Morocho Malla, Manuel Ismael
Background: depression is the main cause of disability worldwide, multiple studies have been carried out in other parts, but not in our environment, due to this it is essential to know all the characteristics that make up this pathology in order to prevent them and also to provide adequate care for people suffering from this disease. Objective: to characterize patients with Depressive Disorder treated in the outpatient clinic of the Homero Castanier Hospital, in Azogues, during the year 2022. Method: a descriptive study was carried out. The universe was made up of an anonymized database with 302 participants with depression. Descriptive statistics were applied, central tendency statistics (mean) and dispersion statistics (standard deviation) were used for quantitative variables, while frequency values (n) and percentages (%) were used for qualitative variables. Results: the group of young adults predominates with 43% (mean age: 45.1 years; SD: ± 20.05). Women predominate with 74.2%. 95% of people come from the Cañar province. 49% completed primary school. Married people represented 45.4%. The majority of people do housework (53.3%) or are employees (41.7%). 94% of cases were mild depressive episodes. 94% of those surveyed said they had no family history of depression. The most used drugs were SSRIs (85.4%). 99.3% receive psychotherapy. Conclusions: the results obtained are in accordance with local and global statistics. Discrepancies were observed when relating the variables severity of the depressive episode with marital status and employment situation