Browsing by Author "Prado Loja, Tania Paola"

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • Thumbnail Image
    Publication
    Efectos de la capacitación y registros electrónicos médicos en la calidad de las prácticas obstétricas: Un estudio exploratorio
    (2012) Ortiz Segarra, José Ignacio; Cobos Torres, Ángel Ignacio; Robalino Peña, Martha Lucia; Prado Loja, Tania Paola; Carpio Padilla, Juan Gabriel; Cedillo Orellana, Irene Priscila
    A non-equivalent quasi-experimental study was conducted to assess the effect of capacitationof medical professionals in best practices and the use of ICT techniques on the service guidance before, during and after childbirth. Trainingwas provided to a total of 80 medical staff, varying from obstetricand gynecologic consultantsto nurses and internal staff, using videosand digitized medical information.The studyclearly revealedpositive effects inthat the intervention of the medical staff during pregnancy, labor, delivery and post partumsignificantly improved the monitoring of the blood iron and folic acidconcentration, helping the mother in finding the most comfortable position for labor and delivery, the provision of adequate emotional support, the application of active management during the third stage of labor, providing recommendations on the use of antibiotics in premature rupture of the membranes, in knowing when to use magnesium sulfatefor the treatment of preterm labor or preeclampsia, corticosteroids and antibiotics to prevent group B streptococcal neonatal, and the identification and treatment of asymptomatic bacteriuria.The exploratory study, encompassing a group of participants who during delivery were attended by trained professionals and another group of participants who served as a control, clearly demonstrated that good and continuous staff training
  • Thumbnail Image
    Item
    Utilidad del índice proteinuria/creatinuria comparada con Proteinuria de 24 horas para diagnóstico de preeclampsia, Hospital Vicente Corral Moscoso, 2014
    (2016) Prado Loja, Tania Paola; Sigüenza Vega, María Isabel; Morocho Malla, Manuel Ismael
    Introduction: The gold standard for detecting proteins has multiples mistakes and produces a delay in diagnosis of preeclampsia. In this study, the objective is validating the proteinuria/creatinine ratio (P/C ratio), as a faster test, available and predicting significant proteinuria in women with preeclampsia. Materials and Methods: The validity P/C ratio was determined by sensitivity, specificity, likehood ratio (LR) positive and negative. Normality test Kolmogorov-Smirnov and then logarithmic transformation base 10 by the presence of outliers. Spearman coefficient was calculated and Pearson coefficient was calculated with normally population distribution. Results: A population of 150 pregnant women was characterized by 26 years, nulliparous (67.3%), pregnancies major to 34 weeks gestation (81.3%), blood pressure average between 151/98mmHg, 71%, convulsions 3,3%, and 9.3% reported a history of preeclampsia. P/C ratio obtained sensitivity 98%, specificity 83%, LR positive of 5.85 and LR negative 0.03. In this study, population has a distribution no normally (Test Kolmogorov-Smirnov). The correlation between the P/C ratio and proteinuria of 24 hours was positive moderate (r Spearman = 0.69 [p = 0.000] and r Pearson = 0.74 [p = 0.000]). CONCLUSION: The P/C index has a moderate correlation with the gold standard and a predictive ability to discard preeclampsia. The P/C index can be used as a useful and fast alternative for the assessment of significant proteinuria in pregnant women with preeclampsia