Browsing by Author "Palacios Espinoza, Elvira del Carmen"

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Análisis mediante el sistema informático perinatal de las características maternas y neonatales de los neonatos con dificultad respiratoria atendidos en el Hospital Vicente Corral Moscoso. Cuenca 2007
(2007) López Izquierdo, Lourdes Valeria; Lozano Montesdeoca, Katty Débora; Ortiz Segarra, José Ignacio; Palacios Espinoza, Elvira del Carmen
Autoevaluación de la Escuela de Medicina 2005, mecanismos de incorporación, desarrollo y apoyo al docente
(2006) Maldonado Díaz, Diana Verónica; Matute Chávez, Jéssica Viviana; Sinchi Guerrero, Judith Irene; Palacios Espinoza, Elvira del Carmen
It is said that the current situation requires a permanent renewal of the model of education, making it necessary to confirm its quality and thus offer guarantee of adequate human resources training. The aim of this study is to evaluate the teaching function and within that, knowing personnel policies including mechanisms of incorporation, development and support for teachers, which allow qualified faculty at the School of Medicine of the University of Cuenca. Descriptive, cross-sectional study, information was obtained through file review documents, interviews with teachers, principals and students of the institution. In development work it includes a feature 10 indicators and their questions that allow information and thus drawing conclusions: He says it was shown that the School of Medicine of the University of Cuenca has strength there is a weakness in the existence of continuing education programs running statistics and record results
Autoevaluación de la Escuela de Medicina de la Universidad de Cuenca 2005-2006, función docencia, característica 13.- Formación de Recursos Humanos y Materiales de la Facultad de Ciencias Médicas de la Escuela de Medicina
(2006) Zhiminaycela Pacheco, Delia Maritza; Medina Cevallos, Juan Rommel; Hermida Córdova, Hernán; Palacios Espinoza, Elvira del Carmen
Teacher, student and staff involved, of the Faculty of Medical Sciences: an internal evaluation of the teaching function, human resources and materials available to be performed. as a first phase of institutional accreditation. Results. support services, physical, axial, libraries, workshops, laboratories and / or resources for professional training and information resources represent great importance in the functions and links with the community, according to data, are met with the 40-60, considered strengths of the Faculty of Medicine, according to CONEA and conducted comparative studies. addressed a cross-sectional study with a research-action, their perspective of intervention. The collection of the information was obtained through surveys, content analysis, interviews, other sources. The assessment tool AFEME CONEA to quantitative scale qualitative questions, was used cPer through the semantic differential method
Autoevaluación de la Escuela de Medicina de la Universidad de Cuenca 2005-2006, función docencia: Políticas de personal que permotan la incorporación, desarrollo y apoyo al docente, servicios de apoyo para la formación profesional
(2006) Sarmiento Palacios, Pedro Stéfano; Sigcho Sánchez, Rodrigo Fabián; Silva Cuesta, Diego Fernando; Palacios Espinoza, Elvira del Carmen; Hermida Córdova, Hernán
In order to meet personnel policies including mechanisms of incorporation, development and support for teachers; support services such as libraries, workshops, laboratories, resources for professional formaïción in hospitals; continuous monitoring and evaluation. The study was qualitative and quantitative type, it uses surveys, interviews with principals, teachers and students consultations certified documents. Use is made of twelve indicators, the results found were related to standards defined by the CONEA. It was found that Medical School meets follows these indicators. The indicator 88 has achieved 100ES a stronghold of the institution. The indicator 89 has gotten a 57.6es a fortress. The indicator 90 has achieved 85.71es a fortress. 91 achievement indicator 54.71, is a strength. The indicator 92 achieved a 54.81es a fortress. The indicator 93 has gotten 28.57es a weakness. The indicator 94 has achieved 85.71es a fortress. The indicator 95 has gotten a 42.85es a weakness. The state has reached 96 57.5es a fortress. The indicator 97 has gotten 28.57es a weakness. The indicator 98 has reached a 57.14es a fortress. The indicator has made 99 100 is a strength
Autoevaluación de la Escuela de Medicina de la Universidad de Cuenca 2005-2006: función gestión: ámbito 2 (administración y gestión) y ámbito 3 (presupuesto, recursos físicos y financieros)
(2006) Gaibor Carrasco, Wualter Rafael; Loyola Montero, José Antonio; Hermida Córdova, Hernán; Palacios Espinoza, Elvira del Carmen
Autoevaluación de la Escuela de Medicina de la Universidad de Cuenca función gestión, estructura organizacional de gobierno y co-gobierno; cualidades de profesionales que presiden el gobierno universitario
(2006) Prieto Centeno, Paúl Xavier; Campoverde Atiencia, Fredy Xavier; Hermida Córdova, Hernán; Palacios Espinoza, Elvira del Carmen
Internal self-evaluation of the School of Medicine, Faculty of Medical Sciences of the University of Cuenca, being valued function management in the period 2005 as the first stage of institutional accreditation. Cross-sectional intervention study. To collect information surveys were conducted for each of the various sources, also interviews with officials, committee members, teachers and people in the environment; other sources of information files Medical School, documents, regulations, oral or written communications was used. For the evaluation of each of the dimensions of lasvariables, a number of qualitative questions, which were converted into a quantitative scale, through the semantic differential method were built. As oobtuvo results that the organizational structure of government and co-government of the School of Medicine of the University of Cuenca reached a rating of 76Y in terms of the qualities of professional presiding university governance was 78con qualification which according to the assessment Qualitative of CONEA he concludes that these stocks perform very nicely, representing strengths to the institution and can also serve as a model for other establishments
Capacitación b-learning en manejo inicial y prevención de trauma en niños y adolescentes
(Abya-Yala, 2017) Palacios Espinoza, Elvira del Carmen; Vanegas Coveña, Diana Patricia; Pino Andrade, Raúl Haldo; Reinoso Naranjo, Jeovanni Homero; Ortiz Segarra, José Ignacio; Cabrera Solis, Vanessa Elizabeth; Velasco Piedra, Luis Enmanuel; Rodas Vanegas, Adrián Fernando; Merchán Morales, Marco Andrés
Caracterización de escherichia coli fecal no patógena y factores asociados en leucemia infantil, SOLCA, Cuenca 2011
(2011-11-11) Muñoz Ortíz, Eudoxia Georgina; Palacios Espinoza, Elvira del Carmen; Encalada Torres, Lorena Esperanza; Iñiguez, Diana
Introduction: Escherichia coli fecal resistant is a risk to leukemia children health´s. The gut is a source germ´s and generates septicemias. Objective: Characterizer Escherichia coli fecal non pathogen from children with leukemia and determinate the associate factors like: type of leukemia, neutropenia, antibiotic treatment, hospital stays, in SOLCA, Cuenca, 2011 Methodology: It was a transversal study, the universe were the children under 15 years old with leukemia diagnoses, the information gets of the institutional system´s. We establish sensibility or resistance with the CLSI guidelines. The bioethics committee approved this study. We used the EPIDAT program, descriptive statistics, square chi to statistic significance, prevalence reason’s with 95% IC to association. Results: We estudied 55 isolates of Escherichia coli fecal, were resistant to Trimetoprim sulfametoxazol (50,9%), amoxicillin-clavulanate (30,9%), Ceftazidime (16,4%), Cefotaxime (16,4%), Ciprofloxacin (14,5), also Extended-Spectrum-β-Lactamases ESBL (10,9%). The neutropenia was associate to ESBL (p=0,01); the antibiotics intake was associate to ESBL (p=0,01). The hospital stay in the last month and six last months were associate to ESBL (p= 0,001). The ESBL was associate to ciprofloxacin resistance. Conclusion: There was Escherichia coli fecal resistant to Trimetoprim sulfametoxazol, amoxicillin-clavulanate, Ceftazidime, cefotaxime, ciprofloxacin, also ESBL. The neutropenia, antibiotics intake and hospital stay are associate factors. KEYWORDS: PREVALENCE, RESISTANCE, ESCHERICHIA COLI, Β-LACTAMASES
Contaminación del aire exterior. Cuenca - Ecuador,2009 - 2013. Posibles efectos en la salud
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Palacios Espinoza, Elvira del Carmen; Espinoza Molina, Claudia
Urban air pollution is a public health problem that affects mostly children and the elderly; it is associated with asthma, eye irritation, headache, cardiovascular diseases,and lung cancer. In order to know about the air quality of the Cuenca city, and its possible health effects, the data reported by the Monitoring of the Municipality, the WHO guidelines Air Quality Standard Environment of Ecuador were analyzed; mortality statistics and scientific evidence on health effects were also reviewed.
Estimación de la edad gestacional mediante los métodos Ballard y Capurro comparados con la fecha de la última menstruación confiable, en recién nacidos a término y post término, en el Hospital Vicente Corral Moscoso. Cuenca 2014
(2015) Salamea Ortega, Jenny Carolina; Torres Correa, María Elisa; Palacios Espinoza, Elvira del Carmen
Objective: Estimate the gestational age by implying the Ballard and Capurro methods in order to compared them to last menstrual period (LMP) in term infants. Materials and Methods: A quantitative descriptive study took place; it included in term newborns according to the LMP from the HVCM, 2014. The number of newborns was 1314 from which a sample of 297 was selected, with 95% of confidence interval and 5% sampling error. The instruments used were the Capurro Test and Ballard. For data analysis, Excel 2007 and SPSS 20.0 were employed. In order to determine characteristics of the population and substantial findings, measures of central tendency were used, degree of correlation through scatter plots and by regression analysis with the calculation of the R2 index, and Pearson coefficient. Results: When comparing these values to the LMP, the percentage of correct responses from the Ballard was 71.38% and 64.31% for the Capurro. When calculating the gestational period for female newborns, both methods had a higher percentage of correct values: on the RNTAEG with 72% for Ballard and 71% for Capurro, and for children weighing more than 3500gr (78% and 65% respectively). Finally, when determining the degree of correlation between the LMP and the Ballard, the Pearson coefficient was found to be 43% correlation and 46% for the Capurro test. Conclusion: Both methods exhibit a high percentage of correct values when being compared to LMP, when calculating gestational age better outcomes were seen on female infants, RNAEG, and newborns weighting above the 3500gr. Though, both methods have a low degree of correlation when compared to the last reliable date of menstruation.
Evaluación del uso del programa b-learning en estudiantes de Medicina, sobre tratamiento inicial y prevención de trauma en niños. Cuenca 2015
(2016) Reinoso Naranjo, Jeovanni Homero; Palacios Espinoza, Elvira del Carmen; Vanegas Coveña, Diana Patricia; Pino Andrade, Raúl Haldo; Ortiz Segarra, José Ignacio
Recognizing the importance of incorporating ICT in higher education and in order to evaluate the degree of satisfaction, participation and perceptions about the B-learning training course in initial trauma management in children and adolescents, a descriptive study was carried out using a satisfaction survey, records of participation in virtual activities and perceptions of knowledge, abilities and skills. Little previous participation in courses on the MOODLE platform and lack of knowledge of B-learning courses was evidenced. Regarding the training program, there was good acceptance of the planning and each of the activities, there was a statistically significant difference in the acquisition of knowledge, skills and abilities for the resolution of trauma problems in children and adolescents, there was no evidence of changes in knowledge about prevention. The pilot program for the use of the B-learning model on initial management and prevention of trauma in children and adolescents for medical students was a positive experience, which achieved significant acceptance by students.
Evaluacion interna de la escuela de medicina de la facultad de ciencias médicas de la Universidad de Cuenca 2005-2006 función gestion
(2007) Molina Araujo, Diana María; Quintuña Delgado, Paola Catalina; Reibán Abril, Javier Mauricio; Rodríguez Coello, Cristian Gustavo; Hermida Córdova, Hernán; Palacios Espinoza, Elvira del Carmen
The main historical references and current state of development of the School of Medicine of the University of Cuenca a rating of 80.95% equivalent to very good in the qualitative assessment demonstrating the strength CONEA
Evaluación interna de la Escuela de Medicina de la Facultad de Ciencias Médicas de la Universidad de Cuenca 2005-2006: función docencia oferta de un diseño curricular actualizado
(2006) Coro Melgar, María Isabel; Dávila Carpio, Flor de Lourdes; Novillo Campoverde, Lourdes Catalina; Hermida Córdova, Hernán; Palacios Espinoza, Elvira del Carmen
Frecuencia de isoinmunización en neonatos con incompatibilidad ABO en maternidad del Hospital Vicente Corral Moscoso
(2000) Valdivieso Vicuña, Wison Aquiles; Viñachi Bermeo, Hermán Vinicio; Zambrano Alvarado, Fabián Augusto; Palacios Espinoza, Elvira del Carmen; Flores Durán, Carlos Teodoro
This study took a population of 135 neonates with ABO incompatibility maternal and child Vicente Corral Moscoso Hospital of Cuenca, between the November 1, 1999 and May 31, 2000, it was established that 37 percent of patients developed the box isoinmuniación mediated with the appearance of jaundice, the prevalence of ABO incompatibility is 6 percent, also determined that infants are small for gestational age term of the most frequently develop the isoinmuniación [20 percent], followed by infants appropriate for gestational age term with 13.3 percent; the most common blood group in the mother was the type O with 61.4 percent and in neonates was the type A with 63 percent, so the mother-child ABO incompatibility was the most frequent type OA with 50.4 percent [ 68 patients] of which 33.8 percent developed jaundice in the first 48 hours. With regard to medical conduct adopted against mother-child ABO incompatibility; The observation was made in 83.7 percent [113 patients] of which 28 developed jaundice no complications, phototherapy was performed in 14.8 percent [20 patients] of which three suffered mild dehydration and one had hypoglycemia, there were no complications directly related to the onset of jaundice Isoimmunization.
Frecuencia y características del trauma en pacientes de 0 a 16 años que acuden a emergencia del Hospital Vicente Corral Moscoso julio-diciembre, Cuenca 2014
(2016) Salinas Chica, Dayron Fabricio; Vásquez López, John David; Palacios Espinoza, Elvira del Carmen
BACKGROUND: the high attendance of pediatric emergency rooms of different hospitals of patients with traumatic causes, It generates concern in the community, mainly in health staff. GENERAL OBJECTIVE: to determine the frequency and characteristics of trauma patients of 0-16 years attending in emergency rooms of Vicente Corral Moscoso Hospital of the Cuenca´s city, in a period from July to December 2014. METHODS: It is a retrospective descriptive-type study; it was conducted by reviewing medical records of emergency and forms SOAT. In the study period were recorded 549,045 medical consult in emergency room, of which 3128 patients aged 0 to 16 years consulted for trauma lesion. The following variables were evaluated: sex, age, area of residence, causes, physical setting, person or institution that brings the patient, form of transportation, time elapsed between the episode and arrival at the hospital; types of injuries, schedule and calendar in which the trauma was presented. The information was analyzed with the database in Excel 2010, SPSS version 19. RESULTS: 59.6% of patients were male, with an average age 7 years, had mostly fallen 51.11%, and a 35.81% head trauma according to the injury. Most patients were in a 61% of the urban area; the most frequent site of production of the accident was registered in 54.53% in home. The 93.9% of children were taken by their relatives an outpatient basis with 73.6%, they went to the hospital within the first hour after the accident in 67.3%
Frecuencia y etiología de Sepsis en recién nacidos con factores de riesgo, en el servicio de neonatología del Hospital Vicente Corral Moscoso, Cuenca, enero-junio de 1999
(Universidad de Cuenca, 2004-11-11) Sarmiento Andrade, Orlando Bolívar; Tola Robles, Marcia Catalina; Palacios Espinoza, Elvira del Carmen
Frecuencia y propuesta de diagnóstico de las malformaciones congénitas en recién nacidos vivos del Hospital Vicente Corral Moscoso enero-junio 1999
(Universidad de Cuenca, 2000-11-11) Huiracocha Tutivén, María de Lourdes; Jaramillo Flores, Pablo Guillermo; Palacios Espinoza, Elvira del Carmen; Ortiz Segarra, José Ignacio
La educación en salud: uso de la simulación clínica y su introducción en la Universidad de Cuenca
(2016) Palacios Espinoza, Elvira del Carmen; Rojas Sulbarán, Rubén Darío; Peñafiel Peñafiel, Marcia Beatriz; Encalada Torres, Lorena Esperanza; Borja Robalino, Brigith Vanessa; Tapia Cárdenas, Jeanneth Patricia; Clavijo Morocho, Nube Janeth; Buelvas Muza, Jorge de Jésus
This article presents a brief review of what has been education in Ecuador, and specifically in the health area, beginning with different tendencies of medical education and its advance in different parts of the world, starting with the scientific approach, through the problem-based approach and ending with systemic approach and how new technologies have been introduced in health education. Then, some basics presented in the use of new technologies in health education worldwide and what is the experience with Clinical Simulation in the University of Cuenca. Finally, it is concluded that clinical simulation is a very useful method in the Health Sciences as a tool for educational purposes that accelerates the teaching-learning process of students who express personal satisfaction with this experience, they value the integration of theory with practice nd they prioritize the action in an organized way.
Malnutrición en niños menores de 5 años y su asociación con factores de riesgo. Chordeleg, 2017.
(Universidad de Cuenca, 2019-03-27) Montesdeoca Cabrera, Gabriela Mercedes; Palacios Espinoza, Elvira del Carmen
Background: nutritional status is an important indicator of the development of a population. So child malnutrition is a global public health problem, especially in developing countries, which is associated with multiple factors and increases the rates of morbidity and mortality. Objective: Determine malnutrition in children under 5 years of age and their association with risk factors such as socioeconomic status, food security, family functionality, number of children, level of education of the mother, person caring for the child, pre conceptional weight and adequate gain of weight or not during pregnancy, weight of the child at birth and gestational age, exclusive breastfeeding until 6 months in the canton Chordeleg. Material and methods: Analytical, cross-sectional study, with a simple random probabilistic sample of 214 children under 5 years living in the canton. The information was collected with a structured form. The data were tabulated and analyzed in SPSS 24. The variables are presented as frequencies and percentages; statistical association, prevalence ratio, 95% confidence interval, P value less than 0.05, and logistic regression. Results: acute and chronic malnutrition are in greater percentage than overweight and obesity. The factors that showed statistical association are food insecurity and family dysfunction, these are related to a low socioeconomic level, poverty and the care of the mother during pregnancy that allow the child to be born in adequate conditions.
Morbimortalidad en el área de Neonatología del H.V.C.M. 1997
(1999) Duque Togra, Katherine Alexandra; López Pesántez, Juan Diego; Llivicura Tacuri, Jaime Eduardo; Palacios Espinoza, Elvira del Carmen
Neonatal morbidity and mortality is a problem that in our share with desarroollo countries, trying to quantify its real magnitude and relate their associated factors intended to guide immediate actions to reduce their rates. Preconception risk factors, pregnancy, childbirth, pre-pregnancy maternal pathologies are circumstances that in many cases can be modified, allowing the birth of people develop their full potential for the benefit of society. A descriptive study, taking into account the frequency of diagnoses, associated factors, condition at discharge. The information was obtained monthly concentrates, and medical records. The main causes of morbidity including respiratory failure [33 percent], metabolic disorders [19.7 percent]. Hperbilirrubinemia by ABO isoimmunization [2.8 percent]. The diagnosis of prematurity, as secondary diagnosis was the most common [50.7 percent]. The mortality rate found was 27.3 per thousand live births. The percentage of infants who died in the unit is 22.2 percent. The main causes of mortality include respiratory failure [51.1 percent], malformation Gongénita [6.7 percent], Choking [6.7 percent]. We agree that most of the diagnoses found are related to socioeconomic factors and cultural, which have overtones of solution when there are improvements in health care to a large population mass and depend mainly on government policies.