Volumen 31 No. 2 (2013)

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Browsing Volumen 31 No. 2 (2013) by Subject "Estadistica Y Datos Numericos"

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    Cesárea por monitorización cardiotocográfica fetal no satisfactoria
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-07) Salazar Torres, Zoila Katherine; Castro, Boris
    This study is attained to establish the sensibility, specificity, positive predictive value, and negative predictive value, of the fetal cardiotocographic monitoring for the diagnosis of acute fetal suffering wich leads to the termination of the gestation with in an emergency cesarean surgery, compared to the APGAR test of the new born as a Gold Standard. The universe of the study consisted in 880 pregnant women to whom a cesarean surgery was made. A 110 new born sample was obtained. 46 of them were diagnosed with acute fetal suffering with Gold Standard test; with an Apgar test < 7 at the first minute, 64 were normal with an Apgar test ≥ 7. This study found that the sensibility of the fetal cardiotocographic monitoring was 21.7% (IC 95% 12.26, 35.57¹).), and the specificity was 84.4% (IC 95% 73.57, 91.29¹). The conclusion was that the fetal cardiotocographic monitoring helps more as a test to value fetal well-being, above everything in high obstetrics risk pregnancies, the test is pretty less sensitive to detect that a fetus is coursing acute fetal suffering.
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    Expectativa de emigrar de internos de medicina de la Universidad de Cuenca
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-07) Gómez Ayora, Andrea Ximena; Carrasco, Claudia; Iglesias, Verónica
    Objective: To describe and identify factors related to the expectations of potential emigrant medical interns from University of Cuenca, Ecuador, 2012. Material and Methods: An analytical crosssectional study. Medical interns were surveyed in their places of practice. Measures of frequency, position and dispersion were presented. The Chisquare test and simple logistic regression were used. The odds ratio and its respective confidence interval of 95% were described. Results: 152 medical interns of University of Cuenca participated. Of those, 72.4% said they were interested in emigrating. They were highly motivated for educational reasons. The most requested destinations were: Spain, Mexico, Argentina, Chile and the United States. 3.6% of medical interns said they would not return to Ecuador. Protective factors related to emigration interest were identified as: coming from provinces other than Azuay (OR: 0.19, 95% CI 0.04 to 0.83) and whether it is possible to study their chosen specialty in Ecuador (OR: 0.24, 95% CI 0.08 to 0.69). Risk factors were identified as: working in an urban area (OR: 4.33, 95% CI 1.15 to 16.24) and meeting financial expectations in another country (OR: 2.76, 95% CI: 1.24 to 6.14). Conclusion: The study found that a high percentage of doctors are thinking of emigrating. They are interested in accessing a specialty for their professional development. Countries with better economic development are their preferred destinations.