Browsing by Author "Sanclemente Villavicencio, Jessica Patricia"

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Caracterización morfo-fisiológica y patológicas del riñón trasplantado mediante ecografía doppler, Hospital José Carrasco Arteaga, 2013
(2014) Guiñanzaca Chinchilima, Jenny Alexandra; Sanclemente Villavicencio, Jessica Patricia; Arévalo Peláez, Carlos Eduardo
Objective: To identify the characteristics of kidney transplant patients in Hospital IESS 2013 using Doppler ultrasound evaluation. Methods: The study included the entire universe of transplanted patients referred to the Department of Image outpatient and hospitalization for performing Doppler ultrasound. This characterized the population as well as the physiological and morphological characteristics found late complications was demonstrated Qualitative variables will be analyzed according to their frequencies, a quantitative variables they will deal with descriptive statistics, measures of central tendency and dispersion. Results: The study consisted of a population aged 18 to 71 years with an average of 43 years for performing renal transplantation, a relationship of man, woman 1.55:1, with an average weight of 23 kilos, corresponding to a normal nutritional status, cold ischemia time in the institution reported as a mean 5.4 hours. Most late complications were observed lymphocele 11.3%, 8.5% ureteral stenosis, pyelonephritis 7%. Intrarenal doppler population averages were 0.6 and IR 1.1 IP. Conclusions: Doppler ultrasound is an imaging study of first-line for initial assessment and monitoring of renal transplant, which should be part of the protocol. Descriptors: KIDNEY TRANSPLANTATION/SIDE EFFECTS, ULTRASONOGRAPHY DOPPLER/METHODS, ECUATORIANO HOSPITAL SOCIAL SECURITY INSTITUTE ARTEAGA JOSE CARRASCO
Correlación del diámetro transverso del cerebelo con la edad gestacional obtenida por ecografía obstétrica en mujeres que cursan el segundo y tercer trimestre de embarazo. Hospital Vicente Corral Moscoso, enero 2018- marzo 2020
(Universidad de Cuenca, 2021-06-11) Monar Montenegro, Alejandra Carolina; Sanclemente Villavicencio, Jessica Patricia; Beltrán Carreño, José Patricio
Antecedentes: El diámetro transverso del cerebelo (DTC), es un parámetro que aparentemente no sufre modificaciones cuando se establece en el feto una alteración en su crecimiento, en estos casos el cerebelo permanece protegido y fuera del alcance de cualquier noxa que pudiera afectar su crecimiento. Objetivos: Correlacionar la medida del diámetro transverso del cerebelo y la edad gestacional obtenida por ecografía obstétrica en mujeres que cursan el segundo y tercer trimestre de embarazo, Hospital Vicente Corral Moscoso, período Enero 2018 a Marzo 2020. Métodos: Estudio de correlación, en el cual se incluyeron 100 gestantes con embarazos únicos y que cursaron el segundo y tercer trimestre, los parámetros de predicción de edad gestacional que se evaluaron fueron el DTC, diámetro biparietal cerebral (DBP), circunferencia cefálica (CC), circunferencia abdominal (CA) y longitud femoral (LF), llevándose a cabo la prueba estadística de Pearson con el fin de determinar la correlación entre las variables, en el programa estadístico SPSS. Resultados: Existe una correlación entre el DTC medido en el segundo y tercer trimestre del embarazo, con la edad gestacional obtenida por ecografía del primer trimestre (r=0,905 y r=0,906), así como con el DBP (r=0,899 y r=0,896), CC (r=0,905 y r=0,906), CA (r=0,902 y r=0,907) y LF (r=0,878 y r=0,906) del segundo y tercer trimestre. Conclusión: El DTC se correlaciona de forma significativa con la edad gestacional medida por ecografía del primer trimestre de gestación, adicionalmente los demás parámetros evaluados se encontraron correlacionados con el DTC.
Enfermedad diverticular diagnosticada por tomografía computarizada multidetector y factores asociados. Hospital José Carrasco Arteaga. Cuenca, 2018
(2019) Rendón Ortiz, María Amada; Sanclemente Villavicencio, Jessica Patricia
Background: diverticular disease is defined as the presence of herniations through the muscular layer of the colon, as well as the inflammation of the same. The multidetector computed tomography study is the best imaging test to assess the presence or absence of diverticular disease, diverticulosis, diverticulitis and its complications. Objective:to determine the prevalence of diverticular disease diagnosed by multidetector tomography and associated factors in the Hospital of José Carrasco Arteaga, in the city of Cuenca during the year 2018. Materials and methods: Analyticalcross-sectional study, the study was conducted in 224 patients, prior the signing of the informed consent, the data were obtained from the clinical history, by interview and the result of pelvic abdominal tomography in patients with abdominal pain under study, subsequently they were entered in a collectionf orm and analyzed with the SPSS software. Results: The ages were in the range of 18 to 92 years with a mean of 55.26 (± 18.584), being the female sex the predominant one (64.70%). The prevalence of the disease diagnosed by tomography was 55.80%, of which only 6.70% corresponded to diverticulitis. Conclusions: The prevalence of the disease diagnosed by tomography was 55.80%. The most frequent location of diverticulosis was the sigmoid colon, followed by the descending colon. Diverticulitis was located in both the sigmoid and descending colon in the same percentage. The factors associated with constipation, obesity, sedentary lifestyle and family history were statistically significant for the presence of the disease.
Validación de la ecografía transvaginal comparado con histerosonografia en el diagnóstico de pólipo endometrial, hospital “José Carrasco Arteaga”. agosto 2017 – diciembre 2020
(Universidad de Cuenca, 2022-06-10) Criollo Bravo, Diana Katherine; Sanclemente Villavicencio, Jessica Patricia
Background: Polyps are the most frequent endometrial pathology that affects pre and postmenopausal women and can be found as a finding during a routine ultrasound or producing symptoms which interfere with the normal development of the patient's life. Objectives: To determine the validity of transvaginal ultrasound compared to hysterosonography in the endometrial polyp’s diagnosis. Methods: This is a validating diagnostic test study that was carried out in women who attended the Imaging service of the "José Carrasco Arteaga" Hospital, in the period from August 2017 to December 2020, for a transvaginal ultrasound and a hysterosonography to confirm the endometrial polyp diagnosis. The data obtained from the AS 400 system was collected on a form and tabulated based on diagnostic accuracy statistics. Results: With this study, it was possible to observe that premenopausal women were the most representative group with 76.57%, as well as primiparous women with 61,18%. Ultrasonography as a diagnostic method for endometrial polyps compared to hysterosonography has a sensitivity of 80.42% and a specificity of 66.55% with a positive and negative predictive value of 84.55% and 59.88%, respectively. Conclusions and Recommendations: Transvaginal ultrasound has good sensitivity and positive predictive value for the diagnosis of endometrial polyps.
Validación de las reglas simples de la iota para el diagnóstico de malignidad de tumores ováricos. Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2020
(Universidad de Cuenca, 2021-05-04) Bravo Bravo, Mayra Rosa; Sanclemente Villavicencio, Jessica Patricia; Beltrán Carreño, José Patricio
Background: Ovarian tumors are a frequent finding in reproductive age. Ultrasound has a sensitivity of 88-100% and a specificity of 62-96% to detect and characterize them, using simple rules (IOTA). Objective: To determine the validity of the simple IOTA rules for the diagnosis of malignancy of ovarian tumors compared with the histopathological, in patients attending the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, in the city of Cuenca, in 2020. Methodology: Validation of diagnostic tests that compared the simple rules (IOTA) by means of endovaginal ultrasound for the diagnosis of malignancy of ovarian tumors in women seen in outpatient and emergency services of the Imaging service of the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, the gold test was histopathology, the data were entered and analyzed in the SPSS statistical system (version 15.0). Qualitative variables are represented as absolute and relative frequencies (percentages). Sensitivity, specificity, predictive values and likelihood indices were obtained. Results: 57 women were included with a mean age of 32,2 (±14,5) with a range 18-70 years. According to IOTA criteria, 87,7% were benign and 12,3% were malignant. When compared with the histopathological, they had a sensitivity 75% and specificity 92,40%, positive predictive value 42,85%, negative predictive value 98%, Youden´s J statistic 0,674, positive likelihood ratio 9,86, negative likelihood ratio 0,27. Conclusions: simple IOTA rules allowed to adequately discriminate benign from malignant ovarian tumors.