Browsing by Author "Santos Altamirano, Manuel Eugenio"

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    Características ecográficas del doppler ocular en pacientes diabéticos del Hospital Vicente Corral Moscoso, año 2013
    (2014) Martínez Bermeo, Patricia Gabriela; Santos Altamirano, Manuel Eugenio; Arévalo Peláez, Carlos Eduardo
    Objective: Determine the characteristics of ocular disease by Doppler ultrasound in diabetic patients Vicente Corral Moscoso Hospital. Methods: The study included 107 diabetic patients, assessed by specialists in Internal Medicine, Endocrinology and Ophthalmology and sent to the Imaging Department for performing ocular ultrasound Doppler. Results: The 70% of patients in the study were female. The mean age was 57 years (± 6 years). The IR in the central retinal artery was normal in over 75% of studies. The IR in the ophthalmic artery was normal in more than 85% of patients. The VSM of the central artery of the retina was within normal ranges in 85% of cases. The VSM of the ophthalmic artery was normal in 67% of examinations. The pathologies were diagnosed more hemovitreous followed cataract and vitreous degeneration. Conclusions: Both the values of IR and VSM were within the normal range in a high percentage. Increase in the IR of the central artery of the retina associated with age and time to diagnosis of diabetes was observed, this association wasn’t reproducible for the ophthalmic artery, neither this association was found with the VSM. DeCS: ULTRASONOGRAPHY/DOPPLER METHODS EYE/IRRIGATION DIABETES MELLITUS BLOOD/CONTROL. REGIONAL HOSPITAL MOSCOSO VICENTE CORRAL, CUENCA-ECUADOR.
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    Incidencia del síndrome de tensión premenstrual
    (1995) Morales Segarra, Jorge Hernán; Ochoa Pazán, Jaime Mauricio; Santos Altamirano, Manuel Eugenio; Sempértegui Barrera, Héctor Manuel; Molina Novillo, Javier Alonso
    In studying the incidence of premenstrual tension syndrome in 400 women aged between 15-35 years in the city of Cuenca, in 1994-1995. The incidence of premenstrual syndrome was 89.9% with a total of 355 cases of women, 40 women did not present the syndrome. The most common age group in which they presented the syndrome is a19 15 years with a 31.4%. The most common symptoms bloating 42%, mastodinea 28.4% 27.8% muscle aches, irritability symptoms of psychological depression 32.4% 30.4% 17.5% and aggressively. Symptoms appear in the first and fourth days before menstruation in most cases (31.5%) 53% symptoms lasted one or two days. Almost half of women take mediation and most of these are self medicated cimedrina the acetylsalicylic acid is used together with the mefenamic acid. Daily activity is altered with a third of the cases, the most common psychological problems found are mood swings, poor concentration and anxiety attacks and depression. 90.4% of women who experience the symptoms do not seek medical
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    Precisión diagnóstica ecográfica para la determinación de malformaciones congénitas mayores en el Hospital José Carrasco Arteaga, Cuenca-Ecuador 2016
    (Universidad de Cuenca, 2018-11-11) Vélez Dávila, Ximena Mercedes; Santos Altamirano, Manuel Eugenio
    Background: congenital malformations are important causes of infant mortality. In 2010, the Member States of the WHO agreed to promote primary prevention strategies, as well as improving early detection methods. An accurate prenatal diagnosis allows health professionals prepare for the delivery and take any necessary steps (surgical, reanimation) under an adequate setting. Objective: to determine the accuracy of ultrasound imaging in the diagnosis of major congenital malformations at the Jose Carrasco Arteaga Hospital, Cuenca- Ecuador Methods: a descriptive study was performed from June 2016 to December 2016. All patients at 20 to 40 weeks gestacion that visitied HJCA ultrasound imaging service were included. Medical records of newborns of all cases were used to confirm congenital malformations. All data was included in a Congenital Malformations data base created for this study. Results: 238 ultrasounds were performed. Congenital malformations, complicated 6.3 % of all deliveries (1.3 % hydrocephalus, 0.4 % gastroschisis, 5% others). The risk of major congcenital malformations was 4 times higher in women under the age of 20 years and above the age of 35 years. Ultasound sensitivity was 86.67 %, specificity 98,65 %, PPV 81.25 %, NPV 99,1 % LR+ 64,42, LR- 0,14 Conclusion: prevalence of major congenital malformations was higher than results presented on other studies. In this setting, ultrasound imaging is a robust tool in the diagnosis of major congenital malformations.
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