Browsing by Author "Trelles García, Daniela Patricia"

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MMR vaccine adverse drug reactions reports in the CDC WONDER system, 1989-2019
(2020) Rodriguez Nava, Guillermo; Trelles García, Daniela Patricia; Yanez Bello, María Adrianaº; Imani Ramos, Taraz; Trelles Garcia, Valeria Patricia; Bustamante Soliz, Daniel Sebastián; Patiño Salamea, Elizabeth
Dissemination of misleading information regarding vaccine safety has contributed to the reduction in vaccination rates and the resurgence of diseases once considered eliminated. The CDC WONDER interface can be used to perform simple but powerful safety analyses and counter misinformation. The dissemination of false and misleading information regarding vaccine adverse reactions online has led to negative consequences, including raising parents' concerns about vaccine safety and fostering a growing opposition to the use of vaccines. However, health care workers can also use online resources to counter misinformation. The Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) is an online interface that allows health care workers to access the large-linked electronic health record database Vaccine Adverse Event Reporting System and perform near real-time vaccine safety analyses; hence it has the potential to become a powerful and accessible tool to provide information-driven decision-making regarding vaccine safety.
Perforación de la membrana timpánica: características clínicas, epidemiológicas y modalidades de manejo. Hospital José Carrasco Arteaga. Cuenca – Ecuador. 2011 - 2015
(2016) Trelles García, Daniela Patricia; Trelles García, Valeria Patricia; Alvarado Becerra, Segundo Napoleón; Charry Ramírez, José Ricardo
Hearing impairment affects 5% of the ecuadorian population and despite being treatable, it is the second leading cause of disability. Many of these pathologies alter the eardrum and decrease the hearing capacity, affecting the quality of life and creating adaptation and cognition disorders particularly in children. The eardrum has regenerative capacity so the initial behavior is expectant, however when the defect is not healing, treatment begins. Most patients regain hearing ability when they receive proper medical attention. In our area there are not many studies on the subject; therefore, the aim of this retrospective descriptive study was to determine, with respect to tympanic perforation, the clinical and epidemiological characteristics and its management modalities in the José Carrasco Arteaga Hospital of Cuenca during the 2011-2015. RESULTS: The 50.50% of patients were women and 65.20% of the population was between 20 and 59 years. The 80% of cases were secondary to infection; supurative chronic otitis media was found in 56% of patients and trauma in 14% of them. The central perforation was the most frequent. Tympanoplasties were performed in 43.7% of individuals with a success rate of 58%. CONCLUSIONS: The tympanic pathology has a significant impact on the quality of life. Despite being a frequent and treatable entity, little is known about its management. Broader knowledge of the subject would allow general practitioners an appropriate approach with better results