Browsing by Author "Palacios Quezada, Marco Vinicio"
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Item Manejo emergente del paciente con fractura en extremidades(1998) López Macas, Luis Vinicio; Mora Bravo, Franklin Geovany; Palacios Quezada, Marco Vinicio; Salinas Sacoto, Bolívar FernandoThis thesis is a retrospective and prospective study of the management of patients with limb fractures that have gone to the emergency room of Vicente Corral Moscoso Hospital in the period to January 1990 until 31 December 1997. It describes the variables each individual patient and the management that has been given, according to data obtained suggest a guide emerging management for these patientsItem Prevalencia de enfermedad arterial periférica y factores asociados en clubes de pacientes con diabetes mellitus tipo 2, Cuenca 2014(Universidad de Cuenca, 2015-11-11) Palacios Quezada, Marco Vinicio; León Astudillo, Edgar José; Morocho Malla, Manuel IsmaelObjective: To determine the peripheral arterial disease prevalence and its related factors in type 2 diabetes people from the primary care diabetic patients clubs from Ministry of Public Health in the urban area from Cuenca city, 2014. Methods: Cross-sectional study in a calculated sample with an infinite universe, based on the 95% confidence inference with an error of 4.5% and lower expected prevalence of 10%. Diagnosis established by determining the ankle brachial index with a bidirectional vascular doppler examination with an 8 MHz probe EZ8 or VP5HS 5 MHz probe for edematous extremities, with the technique from American Heart Association 2012. Results: 254 patients were included with a mean age of 63.6 ± 11.4 years, predominantly female (70.3 %). The prevalence of peripheral arterial disease was estimated to be 47.2; 95% CI 41.1 - 53. 3 with significant association for a diabetes mellitus evolution of ≥ 5 years (OR 2.06; 95% CI 1.15 - 3.68, p = 0.015). 58.6 % of the population had a concomitant diagnosis of hypertension. The lipid profile values were close to the recommended ranges, the Glycosylated Hemoglobin A1c average value was 9.2 ± 2.7 %. Conclusions: The estimated prevalence of peripheral arterial disease is similar to that reported Studies with the ankle brachial index as a diagnostic criteria and was associated statistically with a diabetes duration for 5 years or more.
