Volumen 31 No. 3 (2013)

Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/19897

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Estrategias terapéuticas de aneurisma abdominal en sindrome de Marfan a propósito de un caso
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2001-12) Durango Dávila, Alfonso; Alvear Quito, Nataly Mireya; Lituma Yascaribay, Cumandá; Pesántez, Ana Cristina
It is presented a case of a patient who attends outpatient consultation at the Vicente Corral Moscoso hospital with a diagnosis of abdominal aortic aneurysm which was identified through tomography. Besides, the patient shows a biotype compatible with Marfan syndrome which constitutes a challenge for diagnosis and therapy. Marfan syndrome is present in 1 to 3 cases out of 10,000 patients, and it is caused by defects in a gene called fibrillin-1. Fibrillin- 1 plays an important role for the connective tissue synthesis of the body; accompanied with cardiac and vascular malformations as well.
Estado nutricional, desarrollo madurativo y sufrimiento mental en niños, niñas y adolescentes de comunidades cercanas al proyecto megaminero "fruta del norte" en comparación con comunidades de mineria artesanal
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Soliz, Fernanda; Maldonado, Adolfo; Valladares, Carolina
The study proposes an analysis of the nutritional conditions, maturity development and the emotional state of the children and adolescents (NNA) that live in Ecuadorian communities of artisanal mining; in comparison with the children and adolescents of the communities located in the area of influence of the mega mining project “Fruta del Norte”, managed by the multinational Kinross-Aurelian. This project is currently in the phase of ‘advanced exploration’. A non-experimental analytic design was applied to the universe of selected populations. The research was divided into two components. The first component characterized by small mining communities in comparison with a big scale mining communities determining differential patterns of exposure through a semi structured interview applied during an assembly in each community. The second component used an anthropometric evaluation, Bender visualmotor tests and Sacks test, to evaluate all of the NNA at the selected communities. While not significant differences were found in the nutritional conditions, an increase of emotional disorders and evolutionary developmental deficiencies among the children and adolescents of the communities close to the mega mining project. The research concludes that the conditions of the social tissue rupture and the increases of community conflicts which were attributed to the presence of the multinational are determinants of health impacts
Prevalencia de anticoncepción y factores asociados a su uso en pacientes de consulta externa "San Sebastián". Sigsig, 2012
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Mejía Chicaiza, Jorge Victoriano; Matute, Adriana; Argudo, Fernanda
Objectives: To determine the prevalence and the associated factors to the use of contraception methods in the patients from 12 to 45 years of age who went to external consultation of the gynecological service in the “San Sebastian” Hospital from Sigsig. Material and methods: A transverse study was made in a sample of 270 patients who went to the “San Sebastian” Hospital. There, the use of some birth control was determined; they were associated with several factors: the age, number of gestations, residence, number of children and years of education. Results: The prevalence of the use of contraceptive methods was of 63, 3%. The married women use it in 58, 8%. The average age was of 28.4 years. The most utilized birth-control method was the Subcutaneous Implant with 25.9%. Statistical significance did not exist with the associated factors. Conclusions: Although an acceptable prevalence exists for the use of contraceptive methods, it means a 12% more than 10 years ago. It is still considered a low prevalence at world level.
Determinación de inmunoglobulina A en leche materna en los quince días posparto
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Quezada Padrón, Sofía; Nieto Abad, Zara
The present study has been done in order to quantify the concentration of immunoglobulin A in breast milk during the fifteen days postpartum, consequently covering the three phases of lactation: colostrum, transitional and mature. The research design through observation and cross sectional descriptive, in five volunteer mothers who delivered at term and nursing diagnosis admitted with labor and pregnancy over 38 weeks at the Foundation Humanitarian "Pablo Jaramillo Crespo” Hospital. Breast milk samples were collected during postpartum period (24 hours) until two postpartum weeks later. Seventy-five breast milk samples were processed in duplicate 5 lactating mothers; determining secretory IgA concentrations using the technique of radial immunodiffusion (RID). It was found that IgA concentration has its maximum concentration on the first day postpartum (407.47 mg/dL), if compared to the fifteenth day, where the volume of milk is higher, but it has lower concentration of IgA (55.93 mg/dL), showing the validity of the data obtained by a box diagram. We also carried out a statistical analysis ANOVA for the variables of parity and type of delivery, the results obtained indicate that neither variables influence the IgA concentration during the 15 days postpartum, parity (p=0.432), and mode of birth. (p=0.842).
Schoolchildren"s perceptions and practices on the causes, gravity and treatment of acute respiratory infection, Azuay, Ecuador, 2012.
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Quizhpe Peralta, Arturo Octavio; Encalada Torres, Lorena Esperanza; Andrade, Diana; Alessio, Silvina; Barten, Francoise
Objective: To identify the perceptions and practices of schoolchildren belonging to different social strata about the causes, severity, and treatment of acute respiratory infection in Azuay province, Ecuador in 2012. Methodology: A descriptive study was conducted in a convenience sample of 498 schoolchildren in the sixth and seventh year of primary school, from both urban and rural areas of Azuay. We talk with the responsible people for the schoolchildren care about the aim of the study, and the informed consent was obtained. For quality control we performed a pilot study in a different institution than this study. Data were analyzed using SPSS version 15, we used frequencies, percentages and measures of central tendency such as middle and standard deviation, and chi-square was used to find statistical significance. Result: The average age of participants was 10.8 years. Children came from both urban and rural regions, and belonged to low or middle social strata. Those of low social strata and of feminine gender more commonly used drugs in the home before receiving medical care (42.3% and 45.0%). A higher percentage of female children (41.9 %) were aware of antibiotics, while the males had better knowledge of bacterial resistance (26.3%). The health-care centers and school were the main source of information on antibiotics and bacterial resistance, although children’s access to information overall was low. The level of knowledge of the causes and the severity of acute respiratory infection was inadequate in a high proportion of both boys and girls. The majority of participating schoolchildren, independent of their status identified that "taking care in cold weather" is an appropriate measure of prevention and protection against ARI, but very low percentages of them considered rest, no smoking, healthy food, protection and nasal cleaning as self-care practices to prevent ARI. Conclusions: Only a limited percentage of boys and girls had appropriate knowledge and perceptions about the severity of acute respiratory infection, the use of antibiotics and antibiotic resistance. Programs to contain antibiotic resistance require multilateral and comprehensive approaches that involve the community with an emphasis on the school, children, parents and their families.
Hidatidosis y embarazo. Hospital "San Juan de Dios" Cauquenes VII Región. Chile
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Salazar Torres, Zoila Katherine
The human echinococcosis is the result of parasitism by the larval stage of 4 echinococcus species, from which E. granulosus (cystic hydatid disease) and E. multilocular (alveolar hydatid disease) are the most important. An endemic zoonosis in the IX Region of Chile brings as consequence facts considered rarities in the clinical practice as the association of hydatid and pregnancy. A case of an 18 teenager who is pregnant with 8 weeks of gestation more hydatid cyst is presented with the respective literature reviewed.
Características clínicas y epidemiológicas de las quemaduras en pacientes ingresados en la unidad de quemados. Hospital Luis Vernaza, Guayaquil. 2009-2010
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Velasco García, Diego; Méndez Torres, Francisco
Introduction. Burns are an enormous biological and cause severe injury metabolic disorders, are prone to secondary infection and systemic alterations, with important consequences deformities as well as functional limitations with its own socio-economic cost. Objectives. To determine the incidence and prevalence of burns patients admitted to the Burns Unit. Knowing the causes of burns patients in the study. Set which gender is most affected. Identify the most vulnerable age groups. Prescribe the treatment to be established once the depth of injury. Knowing the place where most accidents occur frequently associated with burns. Methods. This study is descriptive. Study of patients admitted to the Burns Unit of Hospital Luis Vernaza, the city of Guayaquil. Results. There was a predominance of males (69.7%) between the 31 - 45 years (35.4%). The most frequently refers to domestic accidents (51.6%) and work (49.3%
Normas para la publicación en la Revista de la Facultad
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Comisión de Publicaciones
Servicios de salud en Ecuador, entre lo biológico, cultural y social
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Hermida Bustos, César
The article intends to show the relationship among two components of the Ecuadorian constitution of 2008: the ancestral “Sumak Kawsay” principles of Well Being and the National Health System, the first one equivalent to health as best quality of life or welfare based on satisfaction of individual, cultural and social needs, and the second the adequacy of the system to such a principles. The relationship was studied through a qualitative survey with health professionals in rural and urban southern Ecuadorian populations. It was founded that biomedicine was not coordinated with Primary Health Care, neither with the ancestral principles, so the State had not already an adequate health system. The conclusion established that there is not a relationship among biological, cultural and social issues. There are only protocols for the clinical issues but not for the cultural and social ones, as protocols were only for clinical purposes, but not for cultural and social cases. The system is not yet integrated with such issues.

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