Browsing by Author "Naula Naula, Manuel Patricio"

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Efectos de la emigración de los progenitores en los procesos afectivos de los adolescentes escolarizados de la parroquia de Chiquintad, Cuenca, provincia del Azuay 2015
(Universidad de Cuenca, 2017-11-11) Naula Naula, Manuel Patricio; Vega Crespo, Bernardo José
Background: The positive and negative effects of the emigration of the parents on the affectivity of the adolescents, as well as the relation with the familiar functionality are phenomena scarcely studied because their evidence is scarce. Identifying their relationship will allow the creation of new studies to achieve alternatives to this situation. Objectives: To determine the positive and negative effects of parents' emigration on the affectivity as well as the family functionality of the adolescents enrolled in the Chiquintad parish, Cuenca, Azuay province. Materials and Methods: A cross-sectional, quantitative, epidemiological study was carried out with a universe of 870 adolescents enrolled in the educational units of the Chiquintad parish in 2015. The sample consisted of 218 adolescents. This study described the characteristics of the population and related the emigration of the parents with positive and negative affects of adolescents and family functionality. Results: The emigration of parents is 28.4% of the total sample of adolescents. Those who have emigrated with the eldest son of the frequency with the father and mother with 50% and the emigration of the mother with the lowest frequency with 1.7%. Positive affectivity is more frequent with 71.1%, while low negative affectivity is the least frequent with 27.1%. Functional families were more frequent with 46.6% and severely dysfunctional families less frequent with 8.6%. Conclusions: There is an association between the emigration of the parents with the positive and negative affects of the adolescents as well as the family functionality
Hypothyroidism and growth hormone deficiency as a complication of Turner Syndrome: Case Report
(2023) Naula Naula, Manuel Patricio
Turner syndrome is a rare disease with a global prevalence of 64 per 100 000 live births, due to the total or partial loss of a sex chromosome of the 45X pair, mosaic karyotype. It is associated with multiple complications such as hypothyroidism, growth hormone deficiency and other endocrine disorders. Case presentation: female patient, 27 years old, who since childhood presented severe growth problems, in addition to psychomotor problems; with the passage of time there was no improvement in her height for age, so a genetic disorder was suspected. At 9 years of age, a genetic karyotype test was performed and the diagnosis of Turner Syndrome was confirmed. To this diagnosis was added: hypothyroidism, hypogonadism and osteopenia of the hip and spine. Therefore, her treatment was mainly based on hormone replacement therapy with estrogen and progesterone derivatives, such as estradiol and medroxyprogesterone acetate until she was 16 years old; in addition to growth hormone. Over the years her clinical picture improved significantly, especially in her growth, reaching her final height of 1,49 cm. Conclusion: currently the patient remains stable with a lucid neurological condition, continues with her hormone replacement therapy for hypothyroidism and osteopenia.