Tesis de Especialización

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Browsing Tesis de Especialización by Subject "Cantón Cuenca"

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    Calidad de vida y factores asociados en pacientes con enfermedad pulmonar obstructiva crónica. Consulta externa del Hospital José Carrasco Arteaga. Cuenca, 2017-2018.
    (Universidad de Cuenca, 2019-04-03) Orellana Mogrovejo, Adriana Catalina; Ojeda Orellana, Karina Paola
    Introduction: the patient with Chronic Obstructive Pulmonary Disease (COPD) is exposed to factors that may contribute to the deterioration of the Quality of Life (QOL) of the same. Objective: to determine the QOL and associated factors in patients with COPD of the outpatient clinic of Pulmonology of the José Carrasco Arteaga Hospital in the city of Cuenca. Methods and materials: an observational, cross-sectional analytical study conducted in 286 adult patients diagnosed with COPD who attended the outpatient clinic of the José Carrasco Arteaga Hospital who met the inclusion criteria; The criteria for calculating the sample were: p = 10%, e2 = 3.7%, Zα2 = 3.84 and expected losses 10%. The CV was evaluated through the Saint-George questionnaire included in a structured form where sociodemographic characteristics, lung function, degree of dyspnea, smoking behavior, depression and CV were also collected. The analysis of the data was done through the SPSS in its version 21, for the hypothesis test the RP was applied, 95% CI and p value <0.05. Results: 63.6% of the studied population was represented by the male sex, the behavior of the CV was 38.46% poor, and it was found associated with dyspnea RP = 1.88 and 95% CI 1.38-2.54 p <0.001 and depression RP = 4.05 and 95% CI 2.08-7.89 p <0.001. Conclusions: 38.46% of the patients had a poor CV and it was associated with the presence of dyspnea and depression
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    Saturación pre y postductal en la detección precoz de cardiopatías congénitas en recién nacidos del Hospital José Carrasco Arteaga, julio 2017–junio 2018
    (Universidad de Cuenca, 2019-11-11) García Cuzco, María Cecilia; Vásquez Rodríguez, Verónica Catalina
    Objective: to determine the pre and postductal saturation to the early detection of congenital heart diseases in term newborns at José Carrasco Arteaga Hospital, july 2017–june 2018. Methodology: quantitative, descriptive and cross-sectional study at which pre and postductal saturation were measured in healthy term newborns admitted to the joint housing service, who met the screening criteria. The measurement was made between 24 to 48 hours of life. Newborns with positive screening underwent an echocardiogram to confirm critical congenital heart disease. Absolute and relative frequencies were used; measures of central tendency, dispersion and position. Results: 1262 newborns were screened. In Cuenca at 2550 meters amsl, preductal and postductal saturation in healthy term infants did not show a normal distribution; the median of the preductal was 95.9% (Interquartile range 2.1) and of the postductal 96.0% (Interquartile range 2.1). 18 (1.4%) cases were positive for the test. Echocardiogram confirmed 2 (0.001%) cases with acyanotic congenital heart defects, Persistent Arterial Duct and Interauricular Communication. Conclusions: critical congenital cardiopathies were not found, however, the measurement of preductal and postductal saturation from 24 to 48 hours of life allowed the early identification of congenital heart diseases that were confirmed by echocardiography.