Browsing by Author "Uyaguari Ali, Juan Pablo"

Now showing 1 - 8 of 8

Características epidemiológicas de los pacientes con enfermedad pulmonar obstructiva crónica atendidos en consulta externa del Hospital Vicente Corral Moscoso durante el periodo enero-diciembre 2019. Cuenca-Ecuador
(Universidad de Cuenca, 2023-02-08) Cordero Calderón, Adriana Raquel; Jiménez Espinosa, Katherine Yessenia; Uyaguari Ali, Juan Pablo
Background: Chronic Obstructive Pulmonary Disease (COPD) is a frequent, preventable and treatable pathology that approximately 64 million people suffer. It is important to know the epidemiological factors associated with this disease, in order to obtain clear statistics to take preventive measures against the most vulnerable population. In Ecuador there are not enough studies on the subject. Objective: to describe the epidemiological characteristics of COPD in adult patients who attended to the outpatient clinic of the Vicente Corral Moscoso Hospital (HVCM) during the period January-December 2019. Cuenca-Ecuador. Method: A retrospective descriptive cross-sectional study was carried out based on data obtained through the medical records of patients treated in outpatient clinics with a diagnosis of COPD in 2019. Statistical analysis was carried out in the Excel and SPSS program, the results were presented in simple tables. Results: a prevalence of COPD of 11.28% was identified. Most of the people studied are men (50.4%) over 65 years of age (86.9%) living in urban areas (59.1%) with elementary occupations (60.6%). 38.7% indicated that they were ex-smokers. The 45.3% are exposed to wood smoke for cooking or heating. Bronchitis was the most frequent pre-existing respiratory disease (25.5%). A total of 81.8% presented some comorbidity. Conclusions: in the present study, the majority of patients with COPD are men older than 65 years. The main risk factors correspond to exposure to wood smoke for cooking or heating and/or tobacco consumption.
Caracterización epidemiológica de los pacientes adultos con asma atendidos en consulta externa en el Hospital Vicente Corral Moscoso, en el periodo enero-diciembre 2019. Cuenca, Ecuador
(Universidad de Cuenca, 2022-09-08) Samaniego Silva, María del Cisne; Uyaguari Ali, Juan Pablo; Parra Parra, Jorge Leonidas
Background: asthma is a common chronic respiratory disease that affects up to 18% of the world's population. The prevalence of asthma in adults in Ecuador is not well known, due to the almost null existence of current epidemiological data on the disease. In Cuenca, there are no studies about it. General objective: to describe epidemiological characteristics according to variables of person and place, of adult asthmatic patients attended in the outpatient clinic at the Vicente Corral Moscoso Hospital (HVCM), during the period January-December 2019. Materials and methods: a retrospective, descriptive and cross-sectional study was carried out. The universe and sample of the study were made up of patients between 18 and 80 years old, diagnosed with asthma, and treated at the HVCM pulmonology outpatient clinic in the period January-December 2019. The data were obtained from medical records and were collected using forms prepared for this purpose. The analysis was performed in Microsoft Excel® version 2013 and SPSS V21 programs. The results were presented in simple and contingency tables. Results: the prevalence of asthma was 15.39 per 100 patients. Women were the most affected with 72.7%. The mean age was 50.26 with a SD of ± 16.4 years. Most of the investigated subjects were from Cuenca. The most frequently reported comorbidity was rhinitis. The 17.4% work in agriculture, and of these 66.6% were exposed to dust particles. Most of the patients were non-smokers. In the HVCM there is no record of the application of scales for asthma control during the period of our investigation.
Conocimientos sobre prevención de infecciones respiratorias altas asociadas a la atención en salud en estudiantes de 9no y 10mo ciclo de la Carrera de Medicina de la Universidad de Cuenca, periodo 2024
(Universidad de Cuenca, 2025-02-20) Torres Novillo, Gretty Dayanara; Méndez Criollo, Dolores Raquel; Uyaguari Ali, Juan Pablo
Background: Knowledge of respiratory infection (RI) prevention is crucial for medical students to ensure proper application of preventive measures. The safety of students, patients, and the healthcare environment relies on this compliance. Objectives: To assess the knowledge level regarding respiratory infection prevention in 9th and 10th semester medical students at the University of Cuenca, during 2024. Methods: A descriptive, cross-sectional study was conducted among 9th and 10th semester students. Data collection was done using a validated questionnaire based on CDC guidelines. Data was tabulated in Excel and analyzed using SPSS v.28, employing frequencies and percentages for qualitative variables, and mean and standard deviation for quantitative variables. Results: Most students demonstrated good knowledge of preventive measures such as respiratory hygiene and mask usage. However, gaps were noted in the recommended duration for hand hygiene and the proper use of N95 masks. Conclusion: While students have a solid overall understanding, further education is needed in key areas to ensure the effective implementation of preventive measures in clinical practice.
Epidemiología de los adultos con diagnóstico de fibrosis quística atendidos en el área de neumología del Hospital Vicente Corral Moscoso durante el periodo enero-diciembre 2024
(Universidad de Cuenca, 2025-09-23) Peñaloza Tinoco, Arianna Mayerli; Larco Duche, Valentina Michelle; Uyaguari Ali, Juan Pablo
Background: cystic fibrosis (CF) is an autosomal recessive genetic disease caused by mutations in the CFTR gene (ΔF508 being the most common). It is a multi-organ disease whose life expectancy has increased in recent years. In Ecuador, studies on the adult population are scarce, and there is a lack of information about this group. Objective: to describe the epidemiology of adults diagnosed with cystic fibrosis who were treated in the Pulmonology Department of the Vicente Corral Moscoso Hospital during the period January–December 2024. Methodology: observational, descriptive, retrospective, and cross-sectional study involving 13 adult patients. Data were collected through the review of medical records (MEDISYS system) and the department’s database. The data were analyzed using descriptive statistics (Epi Info™ 7.2.6 and Excel 2019). Results: the average age was 28.85 years (53,80% female), with a predominance of urban origin (76,90%) and the majority coming from Azuay (61,50%). The diagnosis was made at an average age of 16.85 years, mainly through sweat testing (84,60% positive). All patients presented with bronchiectasis (76,90% with total bilateral involvement), and 76,90% showed spirometric obstruction. The most frequent bacterial colonization was by Pseudomonas aeruginosa (53,85%) and Staphylococcus aureus (46,15%). A total of 38,46% required hospitalization due to exacerbations. Conclusions: adults with CF in this region exhibit late diagnosis, a high burden of pulmonary disease, and frequent colonization by different pathogens. These findings highlight the need to strengthen early diagnosis, access to genetic testing, and comprehensive management of this understudied population.
Oxigenoterapia en pacientes con COVID-19: revisión sistemática
(Universidad de Cuenca, 2022-02-15) Huillcatanda Sacasari, Mayra Soledad; Uyaguari Ali, Juan Pablo; Tapia Cárdenas, Jeanneth Patricia
Background: COVID-19 is a health emergency, the same one that in severe cases causes acute respiratory distress syndrome (ARDS), therefore one of the fundamental treatments is oxygen therapy, which, when administered in a timely manner, reduces the mortality of the patient. Objective: to determine the criteria for the need for oxygen therapy in patients with COVID-19. Methods: observational study, systematic review. They included studies published in the last 2 years, without language discrimination, quality of evidence quintile 1 to 3, methodological designs such as: retrospective, prospective studies. The information search was carried out in electronic databases such as: Hindawi, Scopus, Redalyc, Scielo, Pubmed, Springer, New England Journal of Medicine, British Medical Journal, Cochrane. Data were consolidated into custom tables. Results: The criteria for oxygen therapy were: O2 saturation <92%, PaO2 / FiO2 <200 mmHg, respiratory rate> 30 / min, most patients used a high-flow nasal cannula (HNFO), with higher mortality in the event of failure of this device and application of non-invasive ventilation (NIV) or mechanical ventilation (MV), and as a consequence, a higher percentage of discharges with HNFO. Conclusion: The use of early oxygen therapy could be beneficial, with non-invasive methods being one of the fundamental pillars especially the HNFO for cost-benefit.
Prevalencia de infecciones respiratorias altas en estudiantes de medicina de la Universidad de Cuenca que cursan del quinto al décimo ciclo académico, Cuenca – Ecuador 2024
(Universidad de Cuenca, 2024-10-24) González Chiriboga, Marilyn Sofía; Betancourt Castillo, Paulina Mercedes; Uyaguari Ali, Juan Pablo
Background: acute respiratory infections (ARI) are high-frequency events in the general population that can be classified as high and low. Currently, many medical students develop high ARI due to contact with patients, but there is no research that addresses this issue. Objective: to determine the prevalence of acute upper respiratory infections in medical students at the University of Cuenca who are in the fifth to tenth cycle, 2024. Methods: a quantitative, observational and descriptive study was carried out, which included 193 students. The data were collected through a survey designed by the authors, validated by experts, applied to the students with their informed consent. The data collected were analyzed using IBM SPSS software, version 21. Descriptive statistics were used to summarize the data, with information presented in tables and graphs. Results: 60.1% of students experienced an ARI in the past year. The most common infections were pharyngitis (18.7%), rhinopharyngitis (17.6%), and tonsillitis (13.5%). The predominant diagnosis was made by primary care physicians (74.1%), and the most reported sources of infection were family and friends (22.8%), followed by contact with patients (10.9%). Conclusion: ARIs are highly prevalent infections in the sample. Preventive measures should be applied in academic and clinical settings to protect the health of medical students.
Principales patrones tomográficos de acometimiento intersticial en pacientes con colagenopatías que acuden a consulta externa de neumología del Hospital Vicente Corral Moscoso. Cuenca, enero 2020 - febrero 2023
(Universidad de Cuenca, 2024-05-12) Pérez Montalvo, Doménica Camila; Uyaguari Ali, Juan Pablo
Background: interstitial lung disease associated with connective tissue disease encompass a heterogeneous group of systemic autoimmune disorders resulting in lung parenchyma involvement. Objective: to describe the main tomographic patterns of interstitial involvement in patients with collagenopathies attending the pulmonology outpatient services at Vicente Corral Moscoso Hospital. Cuenca, January 2020 - February 2023. Methodology: retrospective, descriptive, cross-sectional study in patients diagnosed with interstitial lung disease associated with connective tissue disease. Data were obtained from an anonymized database of patients over 18 years of age who attended the pulmonology outpatient clinic at Vicente Corral Moscoso Hospital, from January 2020 - February 2023; data were collected using descriptive forms, entered, processed and analyzed in Excel matrix and in the IBM SPSS v21.0 statistical package. Results were presented with descriptive statistics. Results: a total of 59 patients were studied, 74,60% were female. The mean age of the cohort was 55,66 ± 14,91. 69,49% of the population live in urban areas. The most prevalent pattern was non-specific interstitial pneumonia (30,50%). The most frequent collagenopathy was rheumatoid arthritis (37,30%). Fibrotic non-specific interstitial pneumonia was the most prevalent pattern in systemic sclerosis (44,40%). Conclusions: the main tomographic patterns identified were fibrotic non-specific interstitial pneumonia, usual interstitial pneumonia and probable usual interstitial pneumonia.
Utilidad de la broncoscopia con lavado broncoalveolar y biopsia transbrónquica para el diagnóstico de tuberculosis pulmonar en pacientes adultos que acudieron a la consulta externa de neumología del Hospital Vicente Corral Moscoso en el periodo octubre 2021 a noviembre 2022
(Universidad de Cuenca, 2024-06-26) Herráez Maldonado, Katherine Salomé; León Nugra, Daniela Lisseth; Uyaguari Ali, Juan Pablo
Background: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, it is a public health problem in Ecuador. Early diagnosis with sputum smear microscopy and culture is needed for adequate and timely treatment. Bronchoscopy is indicated in patients with an inadequate specimen, a non-productive cough, or when the smear microscopy remains negative despite clinical suspicion. Bronchoscopy is used to access the tracheobronchial tree and obtain biological specimens. Objectives: To determine the usefulness of bronchoscopy with bronchoalveolar lavage and transbronchial biopsy in diagnosing pulmonary tuberculosis in adult patients who attended the outpatient pulmonology department of the Vicente Corral Moscoso Hospital during the period October 2021-November 2022. Methods: A retrospective cross-sectional descriptive study was carried out. The universe of the study consisted of patients over 18 years of age registered in the database of the Pulmonology Department of the Vicente Corral Moscoso Hospital in the period October 2021-November 2022. The population of the study was 50 patients who were in compliance with all the inclusion criteria and in the database. Results: The primary criterion for bronchoscopy with bronchoalveolar lavage was "non-productive cough" (46.0%), which constituted 50% of the total positive cases. The diagnostic positivity in the study group was higher with bronchoscopy and bronchoalveolar lavage, which covered 71.4% of the total positive cases compared to transbronchial biopsy with 28.6%. Conclusions: Bronchoscopy with bronchoalveolar lavage and transbronchial biopsy proved to be an invaluable diagnostic tool in patients presenting with non-productive cough. Among the diagnostic techniques, bronchoscopy with bronchoalveolar lavage emerged as the most effective