Volumen 30 No. 3 (2012)

Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/19894

Browse

Now showing 1 - 8 of 8

Mini-cole- Lap
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Vidal Carpio, Jenny Marcela; Astudillo Molina, Rubén Octavio
Anticuerpos antipéptico citruliano en pacientes con artritis reumatoide. Hospital Vicente Corral Moscoso, Facultad de Ciencias Médicas. Cuenca. 2008
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Pacheco, Esteban; Jara, Javier; Pacheco, María Verónica; Guevara, Sergio
Objective: To determine the sensibility and specificity of the anti-péptico citruliano antibodies versus rheumatoid factor in the diagnosis of patients with rheumatoid arthritis in the Vicente Corral Moscoso Hospital Methods: Two groups, 30 patients with rheuma - toid arthritis according to American College of Rheumatology criteria and 30 control patients were established. They assisted the Vicente Corral Moscoso Hospital ′s Rheumatologic Department from January to May 2008. The laboratory tests were carried out and the results were confronted. The statistic analysis included specificity, sensibility, negative and positive predictor values. Results: The determination of anti-citrulline anti - bodies ELISA second generation show a 53,3% of sensibility, 83,3% of specificity, positive predictor value of 76,19 % and a negative predictor value of 64,10%; to third generation the sensibility was 50%, specificity 86,67%, positive predictor value of 78.95% and a negative predictor value of 63,41 % and the Rheumatoid Factor IgM sen - sibility 53,3%, specificity 70%, positive predictor value 64% and negative predictor value 60%. Conclusion: anti-citrulline antibodies ELISA have a better specificity than Rheumatoid Factor; the sensibility was the same in both tests.
Estudio microbiológico en las leches de vaca de consumo humano en las parroquias Tarqui y Victoria del Portete del Cantón Cuenca-Ecuador. 2007
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Molina Matute, Marcos; Roldán Fernández, José Vicente
Methodological Design: A descriptive study was made, with a representative and randomized sam - ple, made up by 100 samples of industrialized milk and 200 samples of milk from buckets. These samples were applied to Blood Agar and Mac Conkey’s Agar. The bucket samples were collected at two different times: fist at post-milking and the second at noon during the milk’s delivery in the city of Cuenca. This was done to determine the bacterial growth between two times. A survey was conduced in the city of Cuenca to know if there is any relation between the milk buyer’s level of education and the type of milk they con - sume. The analysis of the results was computed using SPSS 15 software and Excel. Results: In the different growth mediums the level of contamination was from 66% to 70%, corresponding almost entirely to the samples of the bucket milk. The positive results of the morning samples were of 68-82% and of the noon samples of almost 100%, with more than 100000 CFU, showing a significant increase in the levels of contamination. The most common microorganism were the Staphylococcus aureus and the Escherichia coli . Finally the people with lower level of education were the ones that preferred to consume milk sold from buckets. Conclusions: The levels of contamination in milk for human consumption were high, almost exclu - sively related Objective: To determinate the microbial contamination of cow milk for human consumption in the parishes of Tarqui and Victoria del Portete, located in the district of the city of Cuenca.to bucket milk, in the parishes of Tarqui and Victoria del Portete. Plus, the longer milk was exposed to polluting factors, the greater was its level of contamination. The isolated bacteria were pathogenic to humans orally. And the lower the level of education of the people, the more the consumed milk with low health standards, bucket milk.
Características de la diabetes mellitus tipo 2 en pacientes de la etnia shuar atendidos en el Hospital General de Macas, 2012
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Soliz Rivero, Gardenia
Introduction: since the discovery of diabetes me - llitus and its complications have been a tragedy for humanity and Ecuador. In indigenous peoples, also confirmed a dramatic increase in diabetes, have been forced off their land and adopt a se - dentary lifestyle. In the Macas General Hospital is common to find the Shuar diabetics, who usually come when they have any complications. This vulnerable group is undergoing a transition period towards urbanization and requires special care in their treatment and monitoring. Objective: Identify the characteristics of type 2 diabetes mellitus in patients treated at the Shuar Macas General Hospital in 2012, and their kno - wledge of and attitudes toward their illness. Materials and methods: It is a descriptive study case series conducted in Shuar diabetics attending the Macas General Hospital. The data were obtained from the monthly report of disease, and medical records, which are in the electronics HOS - VITAL. To have evidence of their knowledge and attitudes, surveys and interviews were used to obtain variables, and information was processed in Excel 2010. Results: We found 227 diabetics treated from Ja - nuary to June this year in the area of consultation and hospitalization, which corresponds to the Shuar patients’ sample that formed 41, ie 18.06%. The characteristics of the sample indicated a higher prevalence of women 51 to 60 years, who reside mostly in the cantonal head. Of the 41 Shuar diabetics, the 56.10% were in hospital, ad - mitted for decompensated diabetes mellitus, and of these, 48.39% were insulin dependants. Among the chronic complications, 50% had diabetic foot. In surveys and interviews, 22% had diabetes of 1-5 years, 64% are aware of their disease, but 86% are unaware of the complications. With regard to treatment there is no medical checks in regularly monitoring, and mentioned other empirical treatments such as verbena water. Conclusions: In the Macas General Hospital, al - though we identified a small group of diabetics Shuar, found that most go in bad condition pre - senting uncontrolled hyperglycemia, or diabetic foot, and do not seek regular medical checks for outpatient so that the majority was identified in ward. This is based on lack of knowledge and poor attitudes to their disease, and this adds the location and preservation of cultural beliefs that somehow don’t allow conducting a proper medical intervention.
Perfil de salud materna y perinatal en hospitales públicos de la provicia del Azuay-Ecuador 2010
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Ortiz Segarra, José Ignacio
Objective: To describe the demographic characteristics, obstetric history, antenatal care, delivery care and newborn conditions treated in public services in the province of Azuay Methods: Descriptive study from databases Perinatal Information System of units of the public health in the province of Azuay in 2010, which was collected by the health personnel involved in maternal and perinatal Attention. Results: 81% of the data is in the SIP. Women who delivered the majority were young, mestizo, with only basic education, married and stable union. Two out of ten are teenage mothers. More than half have had one to three children; most do not plan their pregnancies. In the prenatal care delivery care and newborn (NB) in rules compliance is irre - gular. The 3% of newborns received some resus - citation maneuvers and 0.6% had congenital de - fects. Conclusions: The demographic and obstetric cha - racteristics are similar to other developing countries. The standards for prenatal care, childbirth and the newborn are partially met.
Psichological and behavioral problems among left-behind adolescents. The case of Ecuador
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Quizhpe Peralta, Arturo Octavio; Cañar Lojano, Hugo Anibal; Fajardo, Viviana; Flores, Nube; Guachun, Mayra; Barten, Francoise
Purpose: To assess the impact of parental migration on psychological wellbeing of Left-Behind Adolescents (LBA) in Ecuador. Left-behind are adolescents who stay in their host country, while their parent(s) migrated. Methods: In a cross-sectional study, 659 schoolchildren (43% girls, age 13.9}1.2) filled in the Strength and Difficulty Questionnaire (SDQ), advanced emotional questions and socio-demographic determinants. Statistics were used to compare the group of LBA and non-LBA (NLBA) and impacts of socio- demographic determinants within LBA’s. Results: LBA (46%) scored significant higher on the SDQ then NLBA, especially girls. Socio-demographic determinants were significantly associated with less psychological problems, for example talking about personal problems and migration after LBA aged 5. Conclusions: Parental migration has an impact on psychological wellbeing of LBA in Ecuador. Socio-de - mographic characteristics influence this impact. This article emphasizes an important and so far neglected public health problem in Ecuador. It underlines the need for policy development and profound research. Key words: adolescent psychology, Child abandoned, adolescent, migration/statistics & numerical data, socioeconomic factors, demographics, child welfare psychology, Adolescent Behavior/psychology, Ecuador.
Funduplicatura de Nissen laparoscópico en el tratamiento de la enfermedad por reflujo gastroesofágico. Hospital Vicente Corral Moscoso. Cuenca, 1997-2008
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Tenezaca Tacuri, Ángel Hipólito; Villa Flores, Edgar; Moscoso Toral, Enrique Augusto; Cueva S., Johanna
Introduction: Approximately between 25 and 50 percent of patients with gastroesophageal reflux disease (GERD) have persistent progressive disease in them, surgery is the best option and the only resource able of restoring the gastroesophageal barrier. The Nissen fundoplication of choice, is performed by laparoscopy since February 1997 in our hospital. Objective: To describe demographic and clinical aspects of patients undergoing laparoscopic Nissen fundoplication at Vicente Corral Moscoso Hospi - tal. Method: Empirical method will be applied to facilite the collection and analysis of data as videos statistical records and surgery of laparos - copic Nissen fundoplications. Results: From February 1997 to July 2008, there were 58 fundoplications, 36 men and 22 women, with an average age of 42 years old. Predominant symptoms as heartburn, regurgitation, abdominal pain and dysphagia. Diagnosed by upper endoscopy and upper gastrointestinal series at all. Immediate postoperative complications: September ileus, dysphagia 5, urinary retention 4. Mean operative time: 181 minutes in 1997, 102 minutes in 2008. Hospital stay: 4 days. 49 patients were fed in 24 hours. No conversion or mortality. Conclusions: Laparoscopic surgery in the treatment of GERD is increasing and is an effective long- term treatment. But surgeons must also review the successes, mistakes, complications and limi - tations of these long-term applications with more variable
Malformación adenomatóidea quística
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-12) Quito Riera, Lauro Bolívar; Saeteros Cordero, Xavier Eduardo; Palacios Astudillo, Xavier
Cystic adenomatoid malformation is a developmental disorder bronchopulmonary extremely rare, occurring at a frequency of approximately 1 in 25,000 or 30,000 case patients and is characterized by the arrest in lung maturation canalicular phase, which occurs between weeks 17 and 27 weeks of fetal life, causing cystic dilations for lack of alveolar development, accompanied by growth of existing bronchi. Our patient had 2 years 6 months with severe respiratory symptoms, three months

Browse

Browsing Volumen 30 No. 3 (2012) by Issue Date