Browsing by Author "Sisalima Ortiz, Jorge Luis"

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Actitudes y conocimientos en la prescripción de medicamentos a embarazadas por los médicos rurales de la provincia del Azuay en el año 2011
(2011) Siguencia Siguenza, Edwin Gabriel; Sisalima Ortiz, Jorge Luis; Solano Calle, Betsy Denisse; Ojeda Orellana, Marco Ribelino; Ojeda Orellana, Marco Ribelino
Objective: To assess the attitudes and knowledge in prescribing drugs to pregnant women by rural physicians in province of Azuay in 2011. Method and Materials: A cross-sectional study period from June 2010 through April 2011, we worked with the universe of all rural physicians in province of Azuay they are 122. For the data collection we used a validated questionnaire, the same as used by Baldon Josiane, et al, in Brazil in 2006, the original questionnaire was adapted to be answered by rural physicians. RESULTS: In this study 11 physicians did not participate in the study. On average, 67.75% of participants answered correctly. 6.5% did not feel safe prescribing. The 25.41% chose the wrong option. The Lower success rate corresponded to the requirements of prednisone, levothyroxine, (30.63% each one). The highest success rate occurred with paracetamol (100%). The Cases that produce more doubts were related to the use of prednisone (13.51%) and levothyroxine (18. 92.7%). the source of Information most consulted are books of OB / GYN , 55 physicians (49.55%) consulted those books. and 41 physicians (36.94%) use textbooks of pharmacology. Nobody uses the information provided by pharmaceutical visitors (0%). 34.23% of rural physicians always consult patients in childbearing age the possibility of pregnancy, 54.05% almost always and 11.71% sometimes. Most of rural physicians have appropriate knowledge and attitudes to prescribe drugs to pregnant women. The percentage of indecision and errors are remarkable. This problem might have negative effects in mother or fetus.
Prevalencia de apendicitis complicada y factores asociados, en el servicio de cirugía pediátrica de los hospitales Vicente Corral Moscoso y José Carrasco Arteaga. mayo 2018 -abril 2019
(Universidad de Cuenca, 2020-03-06) Sisalima Ortiz, Jorge Luis; Córdova Neira, Fernando Marcelo
Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient-attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of acute appendicitis and associated factors in pediatric surgery services at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals between May 2018 and April 2019. Methodology: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value < to 0.05 as significant. Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, p 0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, p 0.00). Previous medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, p 0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, p 0.03). Conclusions: The prevalence of complicated appendicitis was high and it relates to certain factors