Volumen 30 No. 1 (2012)
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Item Estudio comparativo entre la atención del alumbramiento activo modificado y la atención del alumbramiento activo(Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca, 2012-01) Cárdenas Herrera, Oswaldo José; Ariño A., Roberto; Arias Ch., María; Rodríguez D., Marina; Ramires C., Diana; Cuenca C., Elsa; Franco R., Gloria; Agudo Carpio, Sarita Eulalia; Guevara P., Omar; López A., Verónica; Mendoza E., Gladys; Vinueza A., Henry; Heras C., Elizabeth; Matute Ch., Jéssica; Piedra L., María; Flores Durán, Carlos Teodoro; Herrera L., Angel; Flores E., CarlosBackground. The bleeding of the third stage of labor in one of the three leading causes of mother morbidity and mortality in Ecuador and worldwide. Objective. To compare the results of the modified active third stage of labor procedure, which proves the placental descent vaginally, with the active third stage of labor at the Health Ministry procedure. Materials and Methods. There were randomly assigned 300 pregnant women in labor, in each group, for the two attention procedures, using different protocols. Attention was assessed at the third stage of labor, duration and blood less, frequency of partial or total placental attention and amount of blood loss during the first hour post third stage of labor in pregnant at Vicente Corral Moscoso Hospital in Cuenca City. Hypothesis. The modified-active third stage of labor decreases the time and the blood loss than the active third stage of labor. Results. The average length of modified-active third stage of labor was 4,35 ± 1,359 minutes and the active third stage of labor 4,22 ± 1,603 with a p value of 0.297, which means that the two types of attention are similar. The average blood at modified-active third stage of labor was 193.01 ± 66.974 cubic centimeters and active third of labor 182.97 ± 54.62 with a p value of 0.045 which being slightly better the active one. Conclusions. The two attention procedures have similar results, although not best the modified active third level of laborItem Instrumento de medición de resiliencia adolescente(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Jaramillo Oyervide, Julio AlfredoBackground: A descriptive quantitative pilot study of internal consistency for a diagnostic test for adolescent resilience assessment was conducted. The instrument named JJ63 is a test for measuring the strategies’ degree, used by teenagers, based on 9 variables. Objective: To determine internal consistency for the diagnostic test named JJ63. Method and materials: Based on a descriptive research of resilience characteristics in students held in Cuenca city (year 2010) in the Salesian Technical High School, a designed measurement instrument for adolescent resilience was applied to a random population sample 30 students. Statistical analysis were performed with Epi Dat 3.1 and SPSS 15.00 Evaluation version. Results: JJ63 test has an internal consistency of 0.8103. Conclusions: The 9 variables of the test JJ63 are successfully associated to measure teenagers’ resilience.Item Reflexiones sobre el modelo de salud del Ministerio de Salud Pública a propósito de la experiencia de Area de Salud No. 2, Miraflores. Cuenca, 2010.(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Morales Sanmartín, Jaime RodrigoItem Prevalencia y factores asociados a malnutrición en adultos mayores institucionalizados Cuenca-Ecuador, 2007(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Encalada Torres, Lorena EsperanzaObjective: In 182 institutionalized elderly in geriatrics center in Cuenca, we evaluated the elderly nutritional state to determine the prevalence and associated factors to malnutrition. Material and Methods: this was a transversal desing; for to know nutritional state we used antropometrics variables how the index of corporal mass, the measurement waist abdominal and we determined associated factors. We obtained dates and measurements of the personal entrevist and we used the individual health history. The statistical analysis we used measures of central tendency and percentages to calculate the association PR (95%) and the chi-square statistical significance. Results: we observed 63% the malnutrition prevalence. The age the more prevalence was the group 65 to 74 years with 29.8%, the feminal sex with 77.2% and the group of unmarried with 65.8% they had the more prevalence to malnutrition The abdominal obesity was of 3% for women, while that the men had an abdominal obesity 70%. The malnutrition presented significative association with the consumption of levodopa. Even association with the others factors, this wasn`t significative. Conclusions: 63% institutionalized elderly presented malnutrition. It is necessary that clinical propose, coordinate and protagonist the integral nutrition programs directed to elderly group.Item Analgesia preventiva: ketoprofeno-levobupivacaina en colecistectomía laparoscopica comparada con el efecto de su administración postoperatoria(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Merchan B., MiguelIntroduction: 84% of patients have postoperative pain, there is not a consensus control, and the preemptive analgesia (PA) is an interesting alternative. Objective: To determine the analgesic efficacy of levobupivacaine – ketoprofen combination administered before the nociceptive stimulus (preoperative) compared with post laparoscopic cholecystectomy administration (after surgery), Homer Castanier Hospital. Methods: A randomized clinical trial single-blind was conducted, 100 patients into two groups are divided, 50 received preoperative ketoprofen – levobupivacaine combination (experimental group) and 50 received the same combination in the postoperative period (control group), to measure the intervention effectiveness the pain intensity was assessed -using the Visual Analogue Scale (VAS)- and additional analgesic requirements postoperatively. The analysis was performed using chi-square test and Student t test. The P value p<0.05 was considered significant. Results: Both groups were comparable (p>0.05). Experimental group had a lower postoperative pain intensity than control group at first 24 hours (p <0.05), after 24 hours the difference was not significant (p=0.063); The PA provided a lower risk of postoperative pain with RR=0,313 and ITT=2.27. The average supplemental analgesics doses are used was significantly higher in the control group 2.3 ± 1.03 than the experimental group 1.2 ± 0.72 (p <0.05), but the PA did not eliminate need for additional analgesia. Conclusions: Ketoprofen + levobupivacaine combination was effective, pain intensity decreased and the additional analgesics doses postoperatively were lower too, but did not eliminate the need for additional analgesia.Item Sindrome de Burnout en estudiantes del internado rotativo del Hospital Vicente Corral Moscoso. Octubre 2010(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Ojeda Orellana, Marco RibelinoItem El cáncer: un problema de salud pública en el Ecuador y en el Cantón Cuenca(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Campoverde Arévalo, Nicolás Luciano; Campoverde Merchán, Felipe XavierItem Sumak Kawsay y salud(Universidad de Cuenca. Facultad de Ciencias Mëdicas, 2012-01) Hermida Bustos, CésarItem Telemedicina y Telesalud en la Facultad de Ciencias Médicas de la Universidad de Cuenca(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-01) Ortiz Segarra, José Ignacio; Carpio, Gabriel; Cedillo, Priscila