Browsing by Author "Sacoto Molina, Adrián Marcelo"

Now showing 1 - 20 of 44

Aplicación de la guía de Tokio 2013 en el diagnóstico de colecistitis aguda, Hospital José Carrasco Arteaga 2014-2016
(2017) Díaz Andrade, Manuel Alejandro; Díaz Vintimilla, Juan José; Ortíz Calle, Juan Carlos; Sacoto Molina, Adrián Marcelo
Background: Acute cholecystitis is the leading cause of hospital morbidity in women and the fifth in men in Ecuador. Objective: To apply the Tokyo Guidelines 2013 in the diagnosis of acute cholecystitis at Hospital José Carrasco Arteaga 2014-2016. Methodology: A descriptive and retrospective research was performed. The universe consisted of 182 patients with anatomopathological diagnosis of acute cholecystitis. The information was collected in forms, the data were processed using the PSPP V10 program by absolute frequency and percentage, which were represented in tables. Results: 39% of the patients were 40 to 64 years old and 54.9% were men. All showed a local sign of inflammation, 78% represented systemic signs of inflammation and 91.8% had pathological findings. 72% of the patients with pathological diagnosis of acute cholecystitis were also diagnosed as definitive diagnosis of the disease according to Tokyo Guidelines 2013. 59.9% presented mild cholecystitis and only 6% severe. Conclusions: The most affected patients were male adults, in most cases the pathological diagnosis of acute cholecystitis coincided with the definitive diagnosis of the disease according to the criteria of Tokyo Guidelines 2013. It is necessary to establish a protocol for the use of Tokyo Guidelines 2013 in the routine management of patients with suspected acute cholecystitis
Asociación entre el nivel de radiación solar ultravioleta y la incidencia de lesiones dermatológicas actínicas agudas en el Hospital Vicente Corral Moscoso durante 2011 y 2014
(2016) Auquilla Guzmán, Renato Bolívar; Quizhpe Tello, Richard Andersson; Villavicencio Romero, María Daniela; Sacoto Molina, Adrián Marcelo
Background. In Cuenca, geographic location is an important determinant for the intensity of UV rays and its association with acute actinic skin diseases. There are no clear data recorded on this issue in the area. General objective. Establish the association between the level of solar ultraviolet radiation and the incidence of acute actinic skin lesions in the outpatient department of dermatology Vicente Corral Moscoso Hospital of the city of Cuenca. Methodology. The patients treated in the outpatient Vicente Corral Moscoso Hospital with acute actinic skin lesions in 2011 and 2014 were included, and UV index data provided by the Ecuadorian Civilian Space Agency. Statistical analysis was determined mean frequency distribution, percentages, and standard deviation; and correlation analysis using Pearson correlation coefficient. Results. The average UV index ranges from 10 to 14 UVI (2011) and 13-16 UVI (2014), reaching very high and extreme (OMS scale). The highest radiation was in February, March, and October. 62 cases were reported in 2011 and 98 cases in 2014, predominantly in women, age groups 10-19 years and 60-69 years; was the most diagnosed type polymorphous light eruption. Conclusions. The increased incidence of acute skin lesions, have some relation to the UV index, although there was no statistically significant correlation
Automedicación y factores asociados en estudiantes del Colegio Manuela Garaícoa de Calderón, Cuenca 2012
(2013) Castro Reyes, María Paz; Cobos Guzmán, Lucía del Cármen; Lasso Rodríguez, Diana Fernanda; Sacoto Molina, Adrián Marcelo; Parra Parra, Jorge Leonidas
Background: Today self-medication is a global problem. The prevalence of this practice varies among populations. However, the result of these are high and are putting the adolescents at risk, and especially if the patients are adolescents. Objective: To determine the prevalence of self-medication and associated factors in the students from “Manuela Garaicoa de Calderon” high school, during the period 2011-2012. Methodology: We conducted a descriptive study and cross-sectional of prevalence on 312 female students of “Manuela Garaicoa de Calderón" high school in Cuenca. Data collection was carried out with the authorities and students, through a survey with questions on self-medication. Also we collected demographic data such as: age, grade and residence. Data were entered into a database in SPSS 15.0 and are presented in distribution tables. Results: The average age was 16.60 years with a DS of 1.17 years; 65.1% of students living in urban areas; the prevalence of self-medication was up to 51%; the most common medicaments used were analgesics and anti-inflammatories up to 84.3%; the majority of teenagers who self-medicated sporadically, said that the main reason for this practice were the mild symptoms they presented (68.6%). Their main source of information was the advice or recommendation of a friend or relative (47.8%). 69.8%: the pharmacy was the place for medicine acquisition; 16.4% of the population has knowledge of pharmacology. According to the results of self-medication, 28.3% didn´t improve their symptoms completely; 43.4% of the population is unaware of the risks of self-medication. Self-medication increases with age and is higher in urban residents; only the variable "year of study" was significant to associate with self-medication (p> 0.05). Conclusions: Self-medication in this population is high, putting in risk students, who lack knowledge about the effects, or who don´t access to information which increases the risk of adolescents, who are exposed, noting that self-medication is a bad and risky practice.
Calidad de vida y satisfacción post- artroplastia total de cadera. Brigada médica “Operation Walk”, Cuenca, 2013-2019
(2020-12-02) Barzallo Alvarez, Daniela Estefanía; Bernal López, María Fernanda; Sacoto Molina, Adrián Marcelo
Background: Total hip arthroplasty (TCA) is one of the most common orthopedic surgeries, more than 400,000 replacements are performed annually in the US and more than 2 million around the world. General objective: to evaluate quality of life and satisfaction in patients undergoing total hip arthroplasty done by the Canadian medical mission "Operation Walk" in Cuenca from 2013 to 2019. Methodology: It’s a descriptive and cross-sectional investigation with a total sample of 130 patients. Sociodemographic data were collected and the SF-12 and WOMAC-11 scales were applied for quality of life and the scale of Mahomed et al. for postoperative satisfaction. The data were analyzed according to the guidelines instituted for each scale, in addition to descriptive statistical methods using PSPP. Results: the mean age was 49.5 years; the female sex was represented by 80% and the most frequent preoperative diagnosis was hip dysplasia / sequelae (64.60%). Through SF-12 scale, better results were obtained for the mental component (54.07) compared to the physical component (39.35). Better postoperative results were obtained in terms of pain (1.38 / 4) and stiffness (0.82 / 4), however, the functional subscale presented worse results (3.27 / 4), according to the WOMAC-11 scale. About 92.30% of the patients said they were very satisfied. Conclusions: In relation to quality of life we found that our population presents a better mental component; In addition, postoperative functional difficulty persists. Close to the entire population is very satisfied with the results of the surgery. Keywords: Quality of life. Satisfaction. Arthroplasty. Hip
Características clínicas, ecográficas y correlación del peso prostático ecográfico frente al peso postquirúrgico en pacientes con hiperplasia prostática benigna, sometidos a prostatectomia abierta, según edad y procedencia en el Hospital Vicente Corral Moscoso. Cuenca 2006-2013.
(2015) Galán Chuchuca, Tania Lucía; León Galarza, Vanessa Karina; Moreno Castillo, Jessica Katherine; Abad Vázquez, Jaime Patricio; Sacoto Molina, Adrián Marcelo
BACKGROUND: Benign prostatic hyperplasia (BPH) is considered a common condition in adulthood which affects the quality of life of people. BPH produces a progressive bladder outflow obstruction. The manifested signs and symptoms are the guide to the diagnosis. OBJECTIVE: Identify the clinical and sonographic charachteristics of the prostate according to age and origin, and determine the correlation of ultrasound prostate weight compared to postoperative weight in patients with BPH who underwent open prostatectomy. MATERIALS AND METHODS: The method used for this retrospective descriptive study was the non-participant observation. The information was gathered through: forms, recording medical histories of patients with BPH who underwent open surgery in the time frame between January 2006 and December 2013 at the Vicente Corral Moscoso Hospital. Finally, the results were analyzed with Microsoft EXCEL and IBM SPSS Statistics 22.0. RESULTS: 173 patients participated in the study. The analysis shows that: the mean age was 67.95 years, 80.3% patients were from Azuay. The most frequent irritative symptoms were pollakiuria with 67.6% and decreased obstructive urinary stream with 69.9%. The most important sonographic features were regular margins 56.1%, heterogeneous texture 65.9%; calcifications 74.6% and nodules 76.9%. The mean weight on ultrasound was 86.9 grams and pathologically was 82.75 grams; according to the T test there were not statistically different means. CONCLUSION: Sonographic evaluation of prostate weight is appropiate. This is confirmed by the reduced differences with the pathological weight which are nonsignificant statistically.
Características de la diabetes mellitus tipo 2 en los pacientes atendidos en el área de salud 1 de Cuenca, año 2013
(2014) Gómez Aguilar, Andrea Estephanía; Loja Morocho, Jéssica Vanessa; Sacoto Molina, Adrián Marcelo
OBJECTIVES: Determine the characteristics of Diabetes Mellitus type 2 in patients attended in the Health Area No. 1, 2013. METHODOLOGY: The type of study conducted was descriptive. We used the medical records of patients treated at Health Centers Area 1 of Cuenca. A form with the vital information for the study phenomenon was applied. The information was coded using SPSS 18.00 program for the analysis of results frequency measures were used: percentage, mean and standard deviation. RESULTS: Studied 248 medical records of patients with Diabetes Mellitus type 2; being more frequent in females 79.44%, mean age 62.5 years, and 87.1% are engaged in some activity. Almost half (42.34%) are overweight. We found high comorbidity (80%) of hypertension, dyslipidemia. It was found that the average blood glucose control was 2.9, and over 70% have not made any control of HbAc1. The treatment at baseline in 100% was oral hypoglycemic agents (metformin). And at the time of the study was the drug most often used along with metformin and glyburide combinations start with insulin. The 36.69% had at least one complication. CONCLUSIONS: Most patients have not had appropriate controls of glucose and HbAc1, showing a bad intervention by the health personnel. The prescription medication is not adequate; it is prescribed to lower than recommended doses ALAD. And 36.69% have presented complications, especially eye and hypertension.
Características de la violencia en la relación de pareja, en mujeres recicladores miembros de la Fundación Alianza en el Desarrollo. Cuenca 2016
(2017) Gavilanes Cordero, Adriana Samantha; Alvarado Quezada, Andrés Eduardo; Vega Crespo, Bernardo José; Sacoto Molina, Adrián Marcelo
Background: the violence against the woman, affects her health and her well-being, situation that carries a human and cost-reducing cost. He appreciates himself that between the 20 % and 50 % of women from 15 to 44 years have been victims of actual violence for their couple. Objective: characterizing the violence in the partnership in women members of the Foundation Alianza en el Desarrollo. Cuenca 2016. Methodology: descriptive study accomplished in 140 women recycler members of the Foundation Alianza en el Desarrollo that count on even sentimental person. A questionnaire of 30 questions was applicable myself. The statistical analysis came true by means of Epi Info 7.0. The variables were categorized and calculated by the parameters of the central tendency (mean) and dispersion (standard deviation) for age. Results: the average age of respondents was 43 years. The primary education level prevailed with 49.3% and in civil status, the free union with 37.9%. Victims of intimate partner violence account for 70% of all respondents. 72.1% suffered physical abuse. In 60% of cases, physical abuse was accompanied by psychological abuse and 33.7% were victimized in all three ways (physical, psychological and sexual). Findings: The indicators of partner violence found in this study show a high percentage of victims of this problem, with physical aggression being the most prevalent, although the three types are present, so it should be a priority to follow up and make known these values to the competent authorities to take action in this regard.
Características de las anemias en pacientes de clínica pediátrica del Hospital Vicente Corral Moscoso, de enero a junio 2012. Cuenca-Ecuador
(2014) Piedra González, Marco Adrián; Prado Cabrera, Andrea Esfetanía; Sacoto Molina, Adrián Marcelo; Cordero Gulá, luis Pablo
Goals: Determine the characteristics of anemia according to complete blood counts (CBC) performed on patients in the pediatric clinic of the Vicente Corral Moscoso Hospital from January 1 to June 30, 2012. Material and methods: We conducted a descriptive study, 593 patients from the pediatric clinic were included, during the period January to June 2012. Data were collected on forms. Results: Of the children who come to the Vicente Corral Moscoso Hospital, 74.54% had anemia and 25.46% did not. The most affected age corresponds to 6 months 1 day to 7 years and are the children who more frequently present anemia. The most common types of anemia are microcytic and hypochromic. There is no significant difference between the sex of the studied population. Weight and height are similar in anemic and non-anemic pacients, probably because both groups present with an acute and/or chronic process. As a highlighted area are the towns of Cuenca, Baños and Tarqui. Pneumonia and anemia were the most common process presented and a small percentage of children are diagnosed with anemia. Conclusion: Most children who attend the Vicente Corral Moscoso Hospital have anemia. KEYWORDS: KEYWORD: ANEMIA; PEDIATRICS; CHARACTERISTICS OF ANEMIA; IN PEDIATRICS BLOOD COUNTS; VINCENT CORRAL MOSCOSO HOSPITAL.
Características de las malformaciones congénitas en recién nacidos del Hospital Vicente Corral Moscoso, 2010-2014
(2016) Criollo Cajamarca, Verónica Cristina; Velecela Chumbi, Jéssica Viviana; Sacoto Molina, Adrián Marcelo
Objective To determine the prevalence of congenital malformations and characteristics of mothers and newborns misshapen from Vicente Corral Moscoso Hospital. Methodology A descriptive study was conducted (the prevalence was determined by year), all medical records of mothers with newborns between the period of 2010 to 2014 were reviewed. To collect the information was used a pre-prepared form, the data were grouped by CIE-10 classification and these data was tabulated in Microsoft Excel. SPSS statistical software (version 15) was used for Data Analysis. The study´s variables were described according to appropriate statistical measures. Results The prevalence of congenital malformations was 1.70 per 100 newborns. Women aged between 20 and 24, had the highest percentage of malformed babies with 34.95 %. Malformed newborns were predominantly male with 53.83 %. The group with most frequent malformations were the congenital malformations and deformities of the musculoskeletal system with 18.88 %, of which gastroschisis was the most frequent, represented by 4.85%. The polymalformation syndrome was the type of congenital malformation with the highest percentage with 10.71%. Conclusions This study reveals that the prevalence found in newborns with congenital malformations was similar to previous regional and local level research. They included only malformations which are obvious morphological alterations, finding a higher frequency of polymalformation syndrome
Características de los recién nacidos macrosómicos atendidos en el Hospital Vicente Corral Moscoso durante el periodo 2009-2014
(2016) Buri Guamán, Lorena Alexandra; Idrovo Macancela, Mayra Estefanía; Sacoto Molina, Adrián Marcelo
Background: Fetal macrosomía is a public health problem associated with multiple risk factors, with a worldwide prevalence of 9% of children born weighing more than ≥4.000 grams and ≥5.000 and 0.1% grams, with large variations between different countries. General objective Determine the characteristics of macrosomic newborns treated at the "Hospital Vicente Corral Moscoso" from 1 January 2009 until 31 December 2014. Methodology This was a descriptive study whose universe consisted of the corresponding perinatal medical records macrosomic births attended at the Vicente Corral Moscoso Hospital in the period from 1 January 2009 until 31 December 2014. To collect the information a pre made form was used, tabulate the data using Microsoft Excel. For data analysis SPSS statistical software version 15 we were used. Results Of the 31,459 newborns in the study period prevalence of newborns macrosomic 7.7 per 1000 live births, the majority of patients were male with 61%, based on the weight at birth was found 94.69% weighed between 4,000 and 4,499 grams. According to the weight ratio 62.2% are asymmetric macrosomic infants
Características de los urocultivos realizados en pacientes hospitalizados en el área de Pediatría, Hospital Vicente Corral Moscoso, 2014 - 2015
(2017) Merchán Merchán, Christian Santiago; Paguay Fernández, Martha Magaly; Sacoto Molina, Adrián Marcelo
Introduction: in pediatric, the urinary tract infection (UTI) is the second most common infection. Although it has a good prognosis if proper treatment is established, it can also cause serious complications, so the diagnosis by urine culture to identify the organism, resistance and antibiotic susceptibility is essential. Objective: determine the characteristics of the positive urine cultures in hospitalized patients in the area of pediatrics, Hospital Vicente Corral Moscoso, 2014 – 2015 Material and Methods:a descriptive study was conducted at the medical records of patients who were hospitalized in the pediatrics area Vicente Corral Moscoso Hospital. We collect data such as age, sex, origin, history of UTI, anatomical and functional abnormalities of the urinary tract, the presence of urinary catheter, urine culture and changes of empirical treatment after the results of the urine culture. The data were processed and analyzed with SPSS version 15 and Excel, frequency tables, mean and standard deviation were developed. Results: of 132 positive urine cultures analyzed, females represented 82.6%, the most common age group was 0-12 months with 40.2%. 29.5% of patients had a history of UTI. Escherichia coli (E. coli) was isolated in 82.5% with 99.0% sensitivity to amikacin and 83.3% resistance to ampicillin. Treatment was changed in 31.0%, after the result of urine culture. 82.5% of the changes were consistent with the sensitivity and resistance identified. Conclusion: the pathogen most frequently isolated was E. coli in 82.5 % of cases, with a sensitivity of 99.0 % for amikacin and a clear resistance to ampicillin 83.3 %.
Características del manejo con dutasteride del paciente con hiperplasia prostática benigna y sonda uretrovesical en el Hospital Vicente Corral Moscoso. Cuenca. septiembre 2012- agosto 2013
(2014) Abad Espinoza, Jaime Andrés; Alvarez Palacios, Juan Sebastián; Bravo Pesántez, Claudio Esteban; Abad Vázquez, Jaime Patricio; Sacoto Molina, Adrián Marcelo
Benign prostatic hyperplasia it’s a very prevalent pathology in our environment, with a significant number of attentions, concluding in many of them surgical resolution as the treatment of choice. There are currently studies on the impact of drug therapy to reduce the symptomatology and stop the disease progression. In the present research we, the authors intend to demonstrate the capacity of dutasteride, a 5-alpha reductase inhibitor, in reducing the need of carrying an indwelling catheter in patients with diagnosed with benign obstructive prostatic hyperplasia. Methods In order to obtain the data, an investigation was carried out of the patients who had received dutasteride in a 6 month lapse, using a formulary elaborated by the authors including the variables involved in the research. Results We could observe that from de overall 121 patients with benign prostatic hyperplasia, 44 no longer needed de indwelling catheter at the end of the 6 months treatment; similarly it became clear that the PSA levels went from 45% in the range of 0-5ng/ml to 95% in a 6 month period of time under the treatment with dutasteride. Concerning the prostatic weight, reviewed through transrectal ultrasound scan, it was found a decrease in an average of 8.5gr between the beginning of the research and at the end of the 6 months therapy. We could arrive at the conclusion that the treatment with dutasteride in a 6 month period achieves 36.3% reduction of the need of use of the indwelling catheter, which would potentially reduce the possibility of a surgical resolution. KEY WORDS: DUTASTERIDE, INDWELLING CATHETER, PSA, PROSTATIC WEIGHT.
Características ecográficas e histopatológicas de pólipos vesiculares de pacientes atendidos en SOLCA. Cuenca. 2000-2015
(2017) León Armijos, Fabiola Katherine; Valladarez Vázquez, Aida Sofía; Bravo Muñoz, Marx Italo; Sacoto Molina, Adrián Marcelo
Precedents: the gallbladder polyp, has an important relation with the carcinoma of gallbladder. The incidence in our country is one of the highest. There is few research of this type in our country and there do not exist guides who allow to decide the treatment. Overall Objective: establish the ultrasound and histopathological characteristics of the gallbladder polyps of treated patients at the Instituto de Lucha Contra el Cáncer Solca Núcleo Cuenca 2000-2015. Methodology: it was a quantitative, descriptive study of the clinical records of patients who underwent ultrasonography diagnosis of vesicular polyps in the period 2000-2015. For data collection, a form with the relevant variables was used. The data were entered into the EPIINFO 7 program, presenting distribution tables, frequently, percentage and statistics of dispersion Results: the female population had more incidences with 64.71% and an age ≤ 50 years was predominant in 52.9%. Ultrasonography revealed a total of 68 cases of gallbladder polyps, of which 66.2% were presented as cholesterol polyps, 7.4% adenomas and 8.8% presented cholelithiasis. The predominant size of the polyps was <10 ± 3mm in 91.2%. The treatment behavior that was established in 100% of the cases was cholecystectomy
Características epidemiológicas y clínicas de las fracturas pediátricas atendidas en el servicio de ortopedia y traumatología, Hospital de Especialidades José Carrasco Arteaga, 2015-2020
(Universidad de Cuenca, 2022-02-04) Caiza Chacha, Pablo Xavier; Buñay Zhinin, Luis Alberto; Mola Tola, Juan Diego; Sacoto Molina, Adrián Marcelo
Background: Pediatric fractures are one of the most common traumatic injuries in children. Previous studies show its high impact on infant morbidity and mortality. The increase in its incidence requires adequate knowledge of the epidemiological and clinical characteristics in this group. Objective: to determine the epidemiological and clinical characteristics of pediatric fractures treated in the Orthopedics and Traumatology service at the José Carrasco Arteaga Specialty Hospital between January 2015 and December 2020. Methodology: a descriptive study was carried out with patients under 18 years of age who attended the Orthopedics and Traumatology service at the José Carrasco Arteaga Specialty Hospital between January 2015 and December 2020. A validated collection form was used, which includes age, sex, origin, residence, place where the trauma occurred, mechanism of injury, anatomical location of the trauma, type and management of the fracture. For the analysis of the information, free software was used. The results are presented in tables of frequencies, percentages, means and standard deviation. Results: the highest frequency of fractures occurred in the distal radius in 36.3%; the most affected sex was men with 64.7%; the age group that presented the most injuries were adolescents with 43.7%; the most frequent place where the injury occurred was at home with 44.5% Conclusions: there is a relationship between the epidemiological and clinical characteristics of pediatric fractures in our environment in comparison with other studies carried out worldwide.
Conciliación de medicamentos e identificación de los tipos de discrepancias al ingreso, durante la hospitalización y al alta en pacientes del área de ginecología del Hospital Vicente Corral Moscoso. Cuenca, 2015
(2016) Yamunaqué Vire, Hanny Estefanía; Siguencia Romero, Sindy Andrea; Llerena Cortéz, Norma Edith; Sacoto Molina, Adrián Marcelo
Medication conciliation is the right combination of knowledge and scientific evidence of the reactions, interactions and patient needs, essentially the proper use of medications. Objective: Establish medication conciliation and identify the types of discrepancies at admission, during hospitalization and at discharge of patients in the area of gynecology, in the Vicente Corral Moscoso Hospital. Cuenca, 2016. Methods and techniques: A descriptive study was designed, a population of 200 patients hospitalized in the area of gynecology at the Vicente Corral Moscoso Hospital, during 2 months of 2015, we collected data using a form of two-stage for conciliation from the requirements of medical records and interview of patients, They were enter into the SPSS 15 software for tabulation, analysis, presentation of tables. Results: 161 unjustified discrepancies were found and 42 were justified during the conciliation process on average 1.87 discrepancies per patient. The most common error conciliation income corresponds to different dose, route and frequency of administration with 84.6% during hospitalization and at discharge, corresponding to an incomplete prescriptions with 40% and 60.3% respectively. Conclusions: The frequency of medication conciliation performed at the Vicente Corral Moscoso Hospital was 15%. 52% of patients are at risk for discrepancies in prescriptions, 43% of them are errors in the conciliation and 9% are justified discrepancies. Keywords: RECONCILIATION OF DRUGS, PRESCRIPTION DRUG MISUSE, MEDICATION COMPLIANCE, HOSPITAL SYSTEM OF MEDICATION, MEDICATION ERRORS
Concordancia de las escalas de riesgo cardiovascular Framingham y PROCAM en pacientes de consulta externa de medicina interna del Hospital José Carrasco Arteaga 2016
(2019) Auquilla Pauta, Katherine Estefanía; Cabrera Capelo, Adriana Jackeline; Sacoto Molina, Adrián Marcelo
Background: Framingham and PROCAM cardiovascular risk scales are well known and used in the world, but even though theirwide acceptance, they are not applicable in all populations. At present, there are several concordance studies between these models, in these studies a great variability in the results is observed. General Objective: determine the concordance of Framingham and PROCAM cardiovascular risk scales for outpatients of internal medicine at Hospital José Carrasco Arteaga 2016. Methodology: descriptive correlation study; we analyzed 500 clinical records of outpatients of internal medicine at Hospital José Carrasco Arteaga during the period January-December 2016. Information was collected on: age, sex, diabetes mellitus, smoking, family history of early cardiovascular disease, systolic blood pressure and diastolic, total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. The method used was indirect observation, the technique was the application of cardiovascular risk scales. The information was computed in the software: Excel 2013, PSPP 0.10.1 and Epidat 4.1. The qualitative variables were expressed in frequencies and percentages, the quantitative variables in means and dispersed measures. To analyze the concordance with Cohen's kappa index and the Bland and Altman method. Results: Cohen's Kappa index was moderate (Kappa 0.5246, p<0.0001). Conclusions: The agreement between the cardiovascular risk scales PROCAM and Framingham is moderate, this decreases with increasing cardiovascular risk.
Conocimientos y actitudes frente a la donación de órganos en estudiantes de la Facultad de Ciencias Médicas de la Universidad de Cuenca, marzo – mayo 2024
(Universidad de Cuenca, 2025-08-06) Arévalo Arévalo, Mayra Jessenia; Morocho Lanche, Jorge Luis; Sacoto Molina, Adrián Marcelo
Background: for many patients, organ donation is the last hope to improve their quality of life or even save it. However, there is a shortage of organs due to low donation rates; therefore, the health area represents an important link between society and the health system, therefore, it can promote and increase organ donation. General objective: determine the level of knowledge and attitudes towards organ donation in students of the Faculty of Medical Sciences of the University of Cuenca, march – may 2024. Methodology: cross- sectional descriptive study. A population of 362 students was obtained through random probabilistic sampling. For data collection, the PCID-DTO- RIOS Questionnaire, validated in studies from Spain, and a knowledge form, validated in an article from Puerto Rico, were used. For the analysis, descriptive statistics were used and the results were represented in frequency tables using programs such as Microsoft Excel and Epi Info ™ 7. Results: 52% of the students of the Faculty of Medical Sciences have sufficient knowledge about organ donation and transplantation. 73,2% have favorable attitude, with reciprocity and solidarity as the most frequent reasons; in those who are against the issue, 42,11% decided not to express their reasons and in those who did, the most frequent reasons were religious and rejection of the idea of body mutilation. Conclusion: the level of knowledge and attitudes in favor of organ donation and transplantation is apparently lower than that reported in other institutions in this country, but comparable to that reported in foreign studies.
Conocimientos y habilidades del personal de salud sobre consejería en lactancia materna del Hospital Vicente Corral Moscoso, Cuenca 2017
(2018) Jaramillo Ramón, Willian Vinicio; Montalván Cabrera, Nataly Anabel; Calle Ulloa, Boris Eduardo; Sacoto Molina, Adrián Marcelo
Introduction: there is a relationship between lack of breastfeeding and malnutrition in children. The OMS recommends exclusive breastfeeding for six months and stay at least during the first two years of life for the benefits of breast milk. This is one reason why health personnel must be properly trained to support and promotes breastfeending. Objective: to determine the level of knowledge and skills of health personnel about breastfeeding at the Hospital Vicente Corral Moscoso that works in the period August - September 2017. Methodology: descriptive study in health professionals of the Hospital Vicente Corral Moscoso from August to September 2017. The ECoLa y survey was applied and information was processed with the PSPP program version 0.10.1 to generate frequency and percentage tables, measures of central tendency and dispersion. Results: it has been established that the level of knowledge and skill of health personnel is insufficient with 51% (30% with excellent category). Most of the sample has 10 or less years of experience. More than 60% of respondents have experience with breastfeeding with a mean breastfeeding of 8 months. In relation to the training on breastfeeding, 49% have not had any training on this subject. Conclusions: the study shows that there are gaps in the knowledge and skills on breastfeeding of health personnel surveyed, and it is necessary to work for the improvement of these parameters
Conocimientos y prácticas de madres sobre alimentación durante enfermedad diarreica aguda, en niños que acuden al Centro Preescolar “El Camino” Cuenca 2016
(2017) Barriga Zhindón, Vanesa Carolina; Guillermo Cornejo, Andrea Priscila; Sacoto Molina, Adrián Marcelo
Introduction: Acute diarrheal disease (ADD) is one of the main causes of morbidity and mortality in most underdeveloped countries, being considered among the prevalent diseases of childhood. Objective: To determine the knowledge and practices of mothers on feeding during acute diarrheal disease in children attending the "El Camino" preschool, Cuenca 2016. Methodology: A descriptive observational study was carried out in which 116 mothers of the "El Camino" preschool center were taken as population or universe, who were tested to assess the knowledge and practices on feeding during acute diarrheal disease. The data has been analyzed and processed in the SPSS program version 15.0. Results: It was possible to establish that the level of knowledge is adequate with 92.2%, and it was possible to conclude that the feeding practices are adequate in the mothers of the Preschool Center "El Camino" with a 66.4%. The younger the more knowledge and better practices the higher the level of schooling. Conclusion: It is concluded that the mothers of the "El Camino" Preschool Center reach an adequate level of knowledge and practices on feeding children in episodes of acute diarrheal disease
Conocimientos, actitudes sobre la eutanasia y factores asociados en estudiantes de las carreras de Medicina, Enfermería y Odontología de la Universidad de Cuenca, septiembre – noviembre 2024
(Universidad de Cuenca, 2025-03-11) Bustamante Martinez, Henry Damián; López Ullauri, Walter Josue; Sacoto Molina, Adrián Marcelo
Background: euthanasia has historically been a controversial subject that raises ethical, medical, and legal reflections, especially in the academic field. Until 2023, Colombia was the only Latin American country that recognized this practice as legitimate. In 2024, Ecuador joined this recognition, rekindling debates about its implications. Objectives: to determine the knowledge and attitudes toward euthanasia and associated factors in students of Medicine, Nursing and Dentistry programs at the University of Cuenca during the period September - November 2024. Methodology: a quantitative, analytical, and cross-sectional study was conducted with 442 students from the Medicine, Nursing, and Dentistry programs at the University of Cuenca. A self-administered questionnaire was used, incorporating internationally validated scales: the Euthanasia Attitude Scale (EAS) and the Euthanasia Knowledge Scale by Ramírez-Díaz. The Data were processed using Epi Info™ 7 software and analyzed using descriptive and inferential statistics. Results: the 65.6% of participants were between 17 and 20 years old, mostly woman, and mostly identified as Catholic. A total of 53.2% had a low level of knowledge about euthanasia, which was associated with their academic year and field of study. Furthermore, 36.6% had a positive attitude toward euthanasia, while the remaining 63.3% showed a neutral or negative attitude, influenced by religion and their field of study. Conclusions: a significant lack of knowledge about eutanasia was identified among university students in these programs which are linked to academic factors. Additionally, religion and field of study influence the positions towards this practice.