Browsing by Author "Sacoto Molina, Adrian Marcelo"

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Adenomas hipofisarios: características sociodemográficas, clínicas y terapéuticas de 250 casos
(2021) Barahona Ulloa, Wilson Fabricio
Introduction and objective: Pituitary adenomas are present in 23% of the general population, being mainly small and asymptomatic. Despite the existence of global and regional data, in Ecuador there are no large-scale records on this pathology. The objective of this study is to descriptive diagnosed pituitary tumors ́socio-demography, clinical, and therapeutic features over a 5-years period in one of the most important specialty hospitals in the country. Materials and methods: An observational study with descriptive design was performed. Data from clinical records of patients with a definitive diagnosis of pituitary adenoma that have been treated from January 1, 2012 to December 31, 2016 were collected at the specialty hospital José Carrasco Arteaga. Results: There were 250 cases with pituitary adenomas, 179 women (71,6%), 126 (50,4%), adults. The most frequent diagnostic age was between 20 and 39 years. The microadenoma was observed in 164 times (65,6%). The clinical presentation was mostly symptomatic in 225 people (90%). Excess hormonal production was detected in 176 patients (70,4%). Prolactinoma was the most common subtype, 146 (58,4%). The most used treatment was pharmacological, in 200 cases (80%). Conclusions: The results are similar to the literature reviewed, although in this study the symptomatic presentation prevailed mostly over the incidental form and the percentage difference between female and male was greater, especially among non-functioning subtypes.
Características de la acupuntura estandarizada como tratamiento de lumbalgía crónica en Cuenca 2015
(2016) Jaramillo Monge, Kadir Paúl; Marquez Maldonado, Carol Estefanía; Achig Balarezo, David Ricardo; Sacoto Molina, Adrian Marcelo
Background. - Chronic low back pain is a common cause of medical consultation and absenteeism; there are several pharmacological and non-pharmacological measures to relieve it, where acupuncture, art belonging to Chinese medicine, is a treatment option for improving pain. Objective. - To determine the characteristics of standardized acupuncture as a treatment for chronic low back pain in Cuenca. Methodology. - A descriptive study was conducted in an unknown population of patients with chronic back pain who were treated with standardized acupuncture. The sample was not probabilistic for convenience. Data were collected using a validated and analyzed in SPSS software v22.0 form. Pain intensity was assessed by visual analogue scale (VAS) and functional limitation by the Oswestry disability index (ODI). Results. – In total, 64 patients participated in this study. The age ranged between 20 and 82 years. 62.5% were women, 95.31% live in urban areas, 59.3% attended by postural causes. Patients were treated with acupuncture standardized reduced EVA (7.41 versus 2.77 in 3 months) comparing the before and after treatment. 54.7% reduction was obtained using the functional limitation ODI before and after treatment. There were statistically significant difference between patients who underwent the treatment and reduction of back pain disability by McNemar test (p <0.0001). Conclusions. - Standardized acupuncture is a valid treatment to relieve chronic back pain.
Caracteristicas de la enfermedad trofoblastica en pacientes del área de gineco-obstetricia del Hospital Vicente Corral Moscoso en el periodo comprendido entre enero del 2010 y enero del 2015
(2016) Guamán Mizhirumbay, Ana Lucía; Lazo Alvarez, Jorge Anibal; Borja Robalino, Brigith Vanessa; Sacoto Molina, Adrian Marcelo
Gestational trophoblastic disease, is a gynecological pathology that a multiple factors, the incidence Relate varies between different regions of a global level, being higher in Asia and Latin America than in the developed countries of the West. Objective: To identify the characteristics of gestational trophoblastic disease in patients in the area of gynecology and obstetrics Hospital Vicente Corral Moscoso (HVCM) in the period between January 2010 and January 2015. Methodology: This was a descriptive study, whose universe consists of the medical records of 35382 patients treated at the gynecology and obstetrics HVCM. The sample was represented by 50 cases presenting gestational trophoblastic disease in the study period. Were collected data on a form previously designed and tested. Tabulation and analysis was performed using the same program Microsoft Excel and SPSS 15.0 software. Results: 50 cases were identified, of which 30% were found among the 21 to 30 years. Gestational age at diagnosis was between 9 to 13 weeks. 46% was found in the range multiparous. Most patients did not present precedent related conditions. Conclusions: Gestational trophoblastic disease is a disease that is present in 0.14% of patients treated in the area of gynecology and obstetrics and the conditions HVCM associated different one the child presented a global level.
Evaluación de atención y memoria en sujetos drogodependientes.
(Universidad de Cuenca, 2018-11) Fajardo Balbuca, María Fernanda; Carmilema Tapia, Juan Carlos; Sacoto Molina, Adrian Marcelo
The exposure to psychoactive substances may predispose the individual to suffer alterations cognitive order. Attention and memory are the functions that are commonly affected. Objetive: The present study evaluated the levels of attention and memory in patients with use disorder by substance use in three specialized centers. Method: It is an exploratory-descriptive study with a 60 participants. The neuropsychological evaluation was performed with the Neuropsi battery for attention and memory. The analysis was carried out using descriptive statistics with frequencies and percentages. Results: In this case was observed that the researched population showed a greater deterioration in the area of memory with a 70% of alteration, while in the attention was evidenced 33.3% of deficit. Working memory is preserved in most of the population. Conclusions: The results indicate that cognitive deterioration in attention and memory levels are present in subjects with substance use disorder being the memory the most affected function. There was not a considerable relationship between the time of consumption and cognitive damage.
Framingham versus PROCAM para establecer el riesgo cardiovascular. ¿Existe diferencia?
(2020) Auquilla Pauta, Katherine Estefanía; Cabrera Capelo, Adriana Jackeline; Sacoto Molina, Adrian Marcelo
Introduction: cardiovascular diseases are the main cause of death worldwide, there are scales that allow determining the risk of suffering, hence the importance of studying their behavior in our population.Objective: to determine the concordance of the Framingham and PROCAM cardiovascular risk scales.Materials and methods: an analytical study was carried out with 500 patients between the ages of 35 and 65 who met the inclusion criteria, the data was taken from the clinical records of the outpatient clinic of Internal Medicine of the Hospital José Carrasco Arteaga, center third-level care, in the period January-December 2016. The agreement was established through the Cohen kappa index and the Bland and Altman method.Results: the kappa index calculated between the Framingham and PROCAM cardiovascular risk scales is 0.5246; (p <0.0001).Conclusion: the agreement found between Framingham and PROCAM is moderate. According to the Bland and Altman graph, the scales are more concordant in low values of cardiovascular risk
Insuficiencia cardiaca secundaria a hipocalcemia asociada a hipoparatiroidismo: reporte de un caso
(2019) Orellana Cobos, Danilo Fernando
Heart failure due to hypocalcemia is a strange presentation of metabolic heart disease; it is reversible in most cases, and secondary to endocrinal alterations that cause the persistent decrease in serum calcium, such as hypoparathyroidism. A case of a 23-year-old woman who was diagnosed with severe heart failure is presented. During her hospitalization, there was evidence of symptoms associated with hypocalcemia, secondary to hypoparathyroidism, so the patient was treated with replacement of calcium immediately. To prevent the risk of sudden death, by the persistent prolongation of the Q-T interval, an implantable cardiac defibrillator was placed; however, after 6 months of treatment, despite oral calcium supplementation, there was no improvement in the ejection fraction, determining an uncertain prognosis of the disease.
La virtualidad, un reto para la educación, ¡ahora!
(2021) Castro Calle, Fernando Eugenio
With the emergence of technologies, the world has changed, in the same way education has been transformed, perhaps not at the same rate as this globalized world. Virtuality involves a series of pedagogical challenges that are not being reflected in educational practice.This essay seeks to reflect on the role of virtuality in education, particularly in medical education and the challenge that this implies for its protagonists in a modality that has gained importance with the coronavirus pandemic.It is essential to rethink the forms of teaching - learning, recognize the potential of technological tools and at the same time their limitations. In addition, we must reflect on the need for face to face classes for the future doctors’ skills development. The pandemic generated by SARS CoV-2 (COVID-19) has shown weaknesses in the university educational system. It is necessary to reorganize learning and recognize errors, which will allow to the protagonists of the educational task to improve the medical training.When the system includes virtual environments for learning, it faced with four elements: teacher training, student commitment, a very well-focused pedagogical model and the means or resources such as platforms, connectivity and the context that the educational institution can offer, all this without neglecting those training components that require presence
Prevalencia de reacciones adversas neuropsiquiátricas a los medicamentos en pacientes hospitalizados en los Servicios de Clínica, Cirugía, Pediatría y Ginecología-Obstetricia del Hospital Vicente Corral Moscoso 2014
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Sanango, Ximena; González, Geovanny; Morocho Malla, Manuel Ismael; Sacoto Molina, Adrian Marcelo
The prevalence of adverse drug reactions (ADRs) of neuropsychiatric type reactions is around 11.4% of all adverse reactions reported by most studies. In our lack of data. Objective: To determine the prevalence of neuropsychiatric RAM type inpatient pediatric services, clinic, surgery and obstetrics and gynecology of Vicente Corral Moscoso Hospital (HVCM) of the city of Cuenca. Method and Materials: A descriptive study was conducted from January 2014 to complete the sample. The sample was 336 and conglomerates. The information was obtained by spontaneous reporting, with a survey based on yellow card modified by the authors. Results: A prevalence of 39.6% of cases with possible neuropsychiatric RAM type was obtained; female gender is most affected, in a ratio of 3-1; most affected age is between 20 to 29 years; the service where a higher frequency was found Obstetrics-Gynecology with 19.96% of the cases; type headache was more frequent with 21.4%; diagnosis was more frequently associated with pneumonia acquired in the community with a 59.09%; the drug most often associated with metoclopramide RAM was a 53.84%% (the RAM that is most often associated with metoclopramide was dizziness 26%). Conclusion: The presence of neuropsychiatric RAM type Vicente Corral Moscoso in the hospital has a high prevalence.
Prevalencia de uso de condón en las trabajadoras sexuales, atendidas en el área de Salud 4, Carlos Elizalde. Yanuncay, Cuenca 2016
(2016) Banegas Guallpa, Daniela Estefanía; Salamea Urdiales, Andrea Carolina; Vega Crespo, Bernardo José; Sacoto Molina, Adrian Marcelo
Background: correct and consistent use of latex condoms can reduce (but not eliminate) the risk of transmission of sexually transmitted diseases. Inconsistent use of condoms can lead to transmission because transmission can occur with a single sexual act. Similarly, if condoms are not used properly, their protective effect may decrease even be used constantly. Objective: To determine the prevalence of condom use among sex workers attended in the Health Area 4 "Carlos Elizalde". Yanuncay, Cuenca. Methodology: A descriptive study in which participated 118 sex workers met in 2016 in the health center "Carlos Elizalde", the research was conducted through surveys. Results: the prevalence of condom use in all sexual relations was 70.3%; the average age of onset in sex work was about 18 years. An average number of daily customers of 20. Over 90% of sex workers were trained in the use of condoms during the last year was obtained. The reasons for the use of condoms to prevent pregnancy and are not infected with a sexually transmitted disease primarily Conclusions: the prevalence of condom use in the sex workers was 70.3% not too high percentage considering that condom use it is essential as a means of protection for sex workers; about 70% have started sex work in their teens; the female condom is very little used in the study group
Prevalencia y características de la neumonía asociada a ventilación mecánica en pacientes de la unidad de cuidados intensivos del Hospital José Carrasco Arteaga. cuenca, 2012.
(2014) Morocho Uguña, Johny Marcelo; Ortiz Saltos, Elsa Raquel; Buenaño Barrionuevo, Eduardo Efrén; Sacoto Molina, Adrian Marcelo
Objective: To determine the prevalence and characteristics of pneumonia associated with mechanical ventilation in patients of I.C.U of the Hospital José Carrasco Arteaga, of the I.E.S.S, of Cuenca, in the year 2012. Methodology: Transversal descriptive studio, the sample with a total of 19 patients was taken by convenience, and the chosen were those patients undergoing mechanical ventilation that developed AVN of a total of 167 admitted ventilated. The data collection was carried out through the review of medical histories and their subsequent entry into the questionnaire. Results: The prevalence of pneumonia associated with mechanical ventilation is 11.38%, age with more frequency ranged 50 to 64 years. Comorbidities of patients the DMTII was that most frequent. The most frequent causal germ found was the Staphylococcuss Aureus. The days of hospital stay ranged from 11 to 30 days, Mortality represents a 26.3% corresponding to a total of 5 patients of the 19 who made AVN. The data may be used by students, medical staff, authorities of the Hospital J.C.A. Conclusions: The prevalence of AVN in the U.C.I. of the Hospital J.C.A is low, with a mortality of one-quarter of the total of patients with AVN, it is important to consider that there is a probability of developing especially when age and days of stay increase. KEY WORDS: DISEASES; RESPIRATORY DISEASES; PULMONARY DISEASES; RESPIRATORY TRANSTORNOS; INFECTIONS OF THE RESPIRATORY SYSTEM; PNEUMONIA; RESPIRATORY INSUFFICIENCY; RESPIRATORY SERIOUS SYNDROME; CARE INTENSIVE; MECHANICAL VENTILATION