Browsing by Author "Palacio Rojas, Marcos"

Filter results by typing the first few letters
Now showing 1 - 4 of 4
  • Thumbnail Image
    Item
    Associated factors to stroke in patients from the “hospital de especialidades Dr. Abel Gilbert Pontón”, Guayaquil
    (2018) Reino Pintado, Bernarda Liliam; Pacheco Borjas, Federico David; Silvana Valeria, Pucha Pucha; Ordóñez Gavilanez, Silvana Estefanía; Enríquez Carvajal, Gabriel Guillermo; Piedra Aguirre, Vivian Estefania; Parra Coronel,, Daniel Efraín; Palacio Rojas, Marcos
    Introduction: Cerebrovascular disease (CVD) is one of the diseases with the highest mortality and morbidity worldwide, as well as one of the main causes of disability in adults, thus the objective of this study was to determine which are the main risk factors involved in the development of CVD and its recurrence in patients from the Hospital de Especialidades de Guayaquil Dr. Abel Gilbert Ponton. Materials and methods: This was a descriptive cross-sectional study, in which all patients who attended the neurology service of the hospital with a diagnosis of ischemic CVD between January and June 2016 were included. The final sample consisted of 99 patients selected intentionally. We used a questionnaire designed by the authors that included sex, age, personal history of hypertension, diabetes mellitus, embolic heart disease, atrial fibrillation, previous CVD and calculation of the National Institute of Health Stroke Scale (NIHSS). Results: Of the 99 patients evaluated, 63.6% (n=63) were male, the average age was 60±9 years, 30.3% (n=30) reported previous CVD, 74,7% (n=74) reported hypertension, 32.3% (n=32) reported diabetes mellitus, 17.2% (n=17) reported atrial fibrillation personal history andmortality was 6.1% (n=6). The main factor associated with recurrence was the age group between 56 and 65 years old (OR: 5.70, 95% CI: 1.46-22.25, p=0.01). Conclusion: CVD is a frequent condition in males and in those older than 55 years of age, whose most prevalent risk factors were the personal history of hypertension and diabetes mellitus. The recurrence of these events is 5 times more likely in older subjects. © 2018, Sociedad Venezolana de Farmacologia y de Farmacologia Clinica y Terapeutica. All rights reserved
  • Thumbnail Image
    Item
    Caracterización epidemiológica de los pacientes del club de diabetes del Hospital Básico de Paute, Ecuador
    (2019) Palacio Rojas, Marcos; Ortiz Castro, Sebastian Andres; Vazquez Argudo, Manuel Rosendo; Meneses Maldonado, Tatiana Valeria; Vasquez Velasquez, Claudia Elizabeth; Chavez Espinoza, David Sebastian; Llanos Oquendo, Edwin Rommel; Lopez Barrera, Katherine Leonor; Zuñiga Silva, Wilson Patricio; Muñoz Gonzalez, Jessica Elizabeth
    © 2019, Sociedad Venezolana de Farmacologia y de Farmacologia Clinica y Terapeutica. All rights reserved. Objective: To identify the epidemiological characteristics in patients of the diabetes club of the Hospital Básico de Paute, Ecuador. Materials and methods: This was a descriptive and cross-sectional study in patients with diabetes mellitus type 2 of the Hospital Básico de Paute diabetes club, during the period January to August 2018, a questionnaire validated by 2 experts in diabetes mellitus was used, the following data was recorded: age, sex, ethnicity, educational status, occupation, used drugs and anthropometric data. Results: Out of the 80 patients evaluated, 73.8% (n=59) were female, with a predominance of subjects >70 years (41.3%, n=33), with only primary education (62.5%; n=50), and housewives (67.5%; n=54), the majority were obese (56.3%; n=45) with a predominance of weight disorders in women (overweight: 35.6% and obesity: 32.5%). 50% of the patients received combined pharmacological therapy, being metformin the most used antidiabetic drug (92.5%), followed by sulfonylureas (35%); while ACE inhibitors were the most antihypertensive used with 33.8%. Conclusion: Patients from the Hospital Básico de Paute diabetes club are predominantly women, older adults, with a low educational level and whose prevalence of obesity and overweight is very high; most of them receive antidiabetic phar-macotherapy, with metformin as the main drug used.
  • Thumbnail Image
    Item
    Comportamiento epidemiológico de la obesidad y factores de riesgo asociados en la población rural de Cumbe, Ecuador
    (2017) Ortiz Benavidez, Rina; Torres , Maritza; Peña Cordero, Susana Janeth; Palacio Rojas, Marcos; Crespo, José Alfredo; Sánchez , Juan Fernando; Pineda Alvarez, David Manuel; Ordoñez, María Gratzia; Añez, Roberto J.; Rojas, Joselyn; Bermúdez, Valmore
    Introduction: Obesity is one of the most important pandem- ics worldwide with important personal, family and govern- mental consequences. The epidemiological data of obesity in rural populations of Ecuador are limited, so the objective of this research was to estimate the prevalence and associated factors of obesity in individuals of the rural parish of Cumbe, Ecuador. Materials and methods: This cross-sectional, analytical field study included 371 individuals of both sexes over 18 years of age residing in the rural parish of Cumbe, who were ap- plied a complete clinical history. Obesity was defined accord- ing to the criteria of the World Health Organization (WHO) in normopeso, overweight and obesity. A multivariate logistic regression model was constructed for the estimation of Odds Ratios (95% CI) to determine associated factors with obesity. Results: The prevalence of overweight and obesity was 34.7% (n = 140) and 19% (n = 71). Women had a higher prevalence of obesity (21.8%) than men (13.5%). Associ- ated factors with obesity were: be a woman (OR=3.61; 95%CI:1.38-9.47, p=0.009), the personal history of type 2 di- abetes mellitus (OR=3.54; 95%CI:1.10-11.39; p=0,034), be a former smoker (OR=3.48, 95%CI:1.02-11.83, p=0.045), had low physical activity (OR=2.17; 95%CI:1.02.4.63; p=0.043), increased waist circumference (OR=3,23; IC95%:1,37-7,62; p=0.007) and personal history of hypertension (OR=5.44; IC95%:2.04-14.45; p=0.001). Conclusions: It was evidenced a low prevalence of obesity, similar to those reported in the country, but low in compari- son with other latitudes. Being a female, former smoker, low physical activity, hypertensive, diabetic or with increased waist circumference were the associated factors with obesity, so they should be taken into account at the time of prevention and health promotion.
  • Thumbnail Image
    Publication
    Subestimación del índice de masa corporal a través de la autopercepción de la imagen corporal en sujetos con sobrepeso y obesidad
    (2018) De la cruz Yamunaque, Elizabeth; Abril Ulloa, Sandra Victoria; Arévalo Peláez, Carlos; Palacio Rojas, Marcos
    Introducción: Actualmente la obesidad está considerada como una pandemia a nivel mundial. Muchos pacientes con exceso de peso pueden tener factores intrapersonales como la alteración en la percepción de la imagen personal e insatisfacción corporal. El motivo del presente estudio es evaluar la subestimación del índice de masa corporal (IMC) percibido por los pacientes con sobrepeso y obesidad. Materiales y métodos: Se realizó un estudio analítico transversal en 364 adultos de18 y 64 años de edad, con sobrepeso y obesidad de Ricaurte, Azuay-Ecuador, durante el año 2015. La autopercepción del IMC se determinó mediante la escala visual validada. Las variables fueron expresadas en frecuencias absolutas y porcentajes. Se realizó un modelo de regresión logística para determinar la subestimación del IMC según la autopercepción. Los resultados de las pruebas estadísticas se consideraron como significativos cuando el valor de p<0,05. Resultados: El 17,6% de los sujetos con sobrepeso u obesidad subestiman su IMC mediante la autopercepción. El 78% refirió insatisfacción corporal, lo cual fue más frecuente en los obesos (90,9%) comparado con los sobrepeso (67,5%). Las variables que se asociaron a la subestimación fueron: la obesidad, donde sujetos con obesidad mostraron 1,91 veces más probabilidades de subestimar su IMC por autopercepción comparado con los sujetos con sobrepeso (OR=1,91; IC95%: 1,04-3,48; p=0,035), el nivel educativo de analfabeta/ primaria (OR=1,86; IC95%: 1,01-5,89; p=0,045), la insatisfacción corporal (OR=2,45; IC95%: 1,01-5,89; p=0,046) y la actividad física recreacional ≥90 minutos/semana (OR=0,21; IC95%: 0,04-0,32; p=0,039), este último se comportó como un factor protector. Conclusiones: Los sujetos con sobrepeso y obesidad tienden a subestimar su índice de masa corporal por autopercepción, así como presentar insatisfacción corporal, las cuales son más frecuente en los obesos, y diversos factores se asocian a esta autopercepción alterada. Por lo que se sugiere aumentar la intervención educativa dirigida a las comunidades con bajo nivel educativo, así como fomentar la realización de actividades recreacionales que permitan establecer conciencia de la alteración ponderal, autopercepción corporal adecuada y estilos de