Facultad de Ciencias Médicas

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    Abastecimiento de agua potable en la ciudad de Azogues
    (1982) González S., María Augusta; Ordoñez, Fabián
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    Abdomen Agudo: importancia de los rayos X en el Dx. del abdomen agudo en pacientes del Hospital del IESS. Cuenca 1989-1990
    (1992-11-11) Urdiales Jiménez, Juan; Pazos Manzano, Presley Eduardo; Campoverde Arévalo, Nicolás
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    Abordaje diagnóstico de trombofilias hereditarias clásicas en la población adulta. Revisión sistemática de la literatura según directrices PRISMA.
    (Universidad de Cuenca, 2024-07-11) Enderica Vasquez, Oscar Steven; Tacuri Peña, Paola Daniela; Jaramillo Oyervide, Julio Alfredo
    Background: Procoagulant pathologies generate thrombotic processes chronically and silently in humans. Among these, hereditary thrombophilias stand out as the main genetic cause. A timely diagnosis by hematological or genetic methods is crucial to prevent fatal consequences in the affected adult population (1). Objective: To synthesize the available scientific evidence on the diagnostic approach of classical hereditary thrombophilias in the adult population. Methods: Retrospective observational study by Systematic Literature Review under PRISMA guidelines. The study population included adults and was conducted in international databases (PubMed, Science Direct, EBSCO, Cochrane Library, Scopus). The data collection instrument was Zotero, a bibliographic tool that collected articles from digital databases. A Microsoft Excel matrix created Ad Hoc containing articles published on the topic was used. Eligibility criteria were applied and Sackett classification was applied to assess quality. Subsequently, descriptive statistics were used to present the information obtained, together with a narrative synthesis. Results: We obtained 22 articles, 15 of which belonged to European countries: Germany, Ireland, Italy, the Netherlands and the United Kingdom. The most studied Classical Hereditary Thrombophilia was Factor V Leiden. Conclusions: In the United States, research prioritizes portal vein thrombosis. A clear lack of correlation with obstetric outcomes has been noted. In contrast, in the European countries mentioned, the connection between thrombotic events and obstetric conditions is highlighted, underlining the importance of screening and its repetition as needed.
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    Aborto: estudio médico-legal en la sociedad cuencana, 1991
    (1992) Orellana Jarrín, Clara Guillermina; Bermeo Murillo, Vidal Heriberto; Alvarado Montenegro, Gerardo Juan Bautista; Tenorio Salazar, Gabriel; Cañizares Aguilar, Aurelio Ernesto
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    Absceso hepático secundario a fístula de tumor localizado en ángulo hepático de colon. Reporte de caso
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2026-04-28) Jiménez Sánchez, Carlos Ariel; Pulla Maldonado, Luciana Lizbeth; Reinoso Naranjo, Jeovanni Homero
    Colorectal cancer is one of the leading causes of morbidity and mortality worldwide and represents the third most commonly diagnosed cancer worldwide, with an incidence rate of 18.4 new cases and a mortality rate of 8.1 deaths per 100,000 people per year. Although it’s usual presentation includes gastrointestinal bleeding or intestinal obstruction, in rare cases it can manifest through atypical infectious complications such as liver abscess. The overall objective of this research was to analyse the clinical presentation, diagnosis, treatment and evolution of a case of liver abscess secondary to a fistula from a tumour located in the hepatic angle of the colon, highlighting its relevance for clinical practice. A descriptive-narrative methodology was used in this clinical case, complemented by a literature review. We present the case of an elderly adult patient who was admitted with abdominal pain, melena, anaemia, and systemic inflammatory response, in whom initial imaging studies suggested a pyogenic liver abscess. The clinical course, together with triphasic tomography and percutaneous drainage, revealed faecaloid content, which led to suspicion of a colohepatic fistula. Exploratory laparotomy confirmed the presence of a perforated tumour of the hepatic flexure of the colon with hepatic cavitation, and a right hemicolectomy and colostomy were performed. This case highlights the importance of considering occult colorectal neoplasms in patients with liver abscesses of unknown cause and underscores the need for a timely and multidisciplinary diagnostic approach to improve clinical outcomes.
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    Abuso y mal uso vocal en los docentes de educación básica de la Escuela Fiscal Básica Panamá y la Unidad Educativa Leoncio Cordero Jaramillo de la ciudad de Cuenca 2023-2024
    (Universidad de Cuenca, 2024-04-11) Ortiz Zuña, Yessenia Andrea; Ortega Mosquera, Paola Gabriela
    Background: The voice is the main means of communication for teachers in the classroom. However, when teaching classes, they often use inappropriate behaviors, such as raising the tone of their voice, shouting, clearing their throat, using if for long hours without breaks, among others. It is important that they avoid these behaviors that alter the health of their voice, affecting their communication, physical well-being, and social, personal, family, emotional and work relationships. Objective: Determine vocal misuse and abuse in basic education teachers of the Panama Basic Fiscal school and the Leoncio Cordero Jaramillo Educational Unit of the city of Cuenca in the period 2023-2024. Methods: A cross-sectional quantitative descriptive study was carried out with a sample of 61 teachers where vocal habits were analyzed through the questionnaire “Occupational and personal factors that affect the phonatory system” and tabulated using the SPSS version 25 program. Results: Of the 61 respondents, the women with the highest percentage were the age groups 31-40 and 41-50 years old with 29.5% while the age group of men were 51-60 years old or older with 13.1%. There were risk behaviors, such as increasing their voice by 44.3% and sharpening it by 34.4% when they had between 31 to 40 students, and increasing their voice by 42.6% and sharpening it by 24.6% when they had between 21 and 30 students, Conclusion: Teachers engage in behaviors that reflect vocal abuse and misuse, such as smoking, drinking alcohol, coffee, tea, aggravating the tone
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    Accesibilidad al medio físico para personas con discapacidad física-motora en las unidades de salud de primer nivel del Ministerio de Salud Pública en el cantón Cuenca 2014
    (Universidad de Cuenca, 2015-11-11) Carabajo Marcillo, Jhonathan David; Carangui Lojano, José David; Cobos Cobos, Diego Fernando; Auquilla Díaz, Nancy Eulalia
    In the city of Cuenca, according to the 2010 census of the Ecuador´s Statistics and Census Institute (INEC), there were 505,585 inhabitants. According to the Ecuadorian Register of Disabilities National Council on Disabilities (CONADIS), up to May 2013 there were 17,012 people with disabilities, including 9,302 with physical-motor disability, representing a significant segment of the population who should have access to the public buildings of health services as part of good living. The overall objective of this research was to analyze the accessibility of people with physical-motor disability to the public buildings of health units of first level that belong to the Ministry of Public Health (MSP), Cuenca 2014. This research is observational, descriptive-quantitative. For the analysis of the obtained information through the application of accessibility check sheets, the SPSS Statistics v-18 program was used; and a database was created for further processing. The results were displayed in tables. The classification of level of accessibility in 14 public buildings of health in Cuenca city evidences that 27 corridors (51.92%) offer complete accessibility, 13 stairs (86.66%) and 15 ramps (68.18%) are of moderate accessibility. While accessibility in16 bathrooms (88.89%) and 73 doors (50%) is null
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    Acceso a los servicios de salud y nivel de satisfacción de los usuarios del Subcentro de Salud de El Valle en la ciudad de Cuenca durante el año 2013
    (2013) Ledesma Palacios, David Lenin; Márquez Uyaguari, Gabriela Fernanda; Procel Espinoza, Viviana Geraldine; Vega Crespo, Bernardo José; Morales Sanmartín, Jaime Rodrigo
    Introduction: the evaluation of the accessibility and user satisfaction to local health benefits is important because knowledge-generating processes that guide policies changes in the public health.- Objective: to determine access to health services and satisfaction of users of ambulatory care facilities, El Valle, in the Cuenca city in 2013.- Methodology: this was a descriptive cross study, were collected demographic data and indicators of accessibility to health services and user satisfaction, the selected sample was 406 randomly selected users, and then they sign the informed consent, data were digitized at a base in SPSS 19 for analysis and presentation using frequency tables. Results: the mean age of the population stood at 33.23 years with a standard deviation of 14.86 years, in 85.7% of cases the respondents were women, adequate geographic accessibility was identified in 74, 4% economic in 97.8%, transport 87.2%, the average time between home and the health center was 59.98 minutes, 45.51 minutes between arrival at the health center and obtaining an appointment for care and 25.95 minutes between obtaining a turn and medical care, the information provided by the physician was adequate in 92.1% of cases, cleanliness of the institution was not adequate, respect to infrastructure only 56.2% of users said it was good, 83.5% of the users considered adequate human resources, user satisfaction was adequate in 90.4%.- Conclusions: access to health services geographically, economically and culturally was adequate in most services.AU
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    Accidentes biológicos con dispositivos cortopunzantes en el personal de enfermería. Revisión bibliográfica
    (Universidad de Cuenca, 2025-05-13) Verdugo Illescas, Deysi Paola; Villalva Cabezas, Jessica Margarita; Peñafiel Peñafiel, Marcia Beatriz
    Biological occupational accidents with sharps devices represent a relevant concern for nursing staff, due to the high prevalence and impact on morbidity and mortality, as a result of the transmission of infectious diseases like Human Immunodeficiency Virus (HIV), Hepatitis and Human Papilloma, caused by the use of needles, syringes, scalpels and other sharp objects, which when handled inappropriately represent a significant risk for such staff, most of these events occur during user care due to direct exposure. The most frequent causes are: lack of training, updating and education on procedures for handling sharps equipment, conditions of the work area and professional and non-professional behavior. Updating knowledge, preventive measures and adequate management of biosafety devices and protocols are the key to reducing the incidence of biological accidents.
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    Accidentes cerebro vasculares
    (1977) Acosta Vazquez, Diego
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    Accidentes de trabajo y enfermedades profesionales a los que están expuestos los trabajadores de la cal, parroquia Guapán 1986
    (1986) Altamirano de G., Angélica; Cabrera Cárdenas, Carmen Lucía; Liguichuzca B., Dolores; Verdugo Sánchez, Adriana Elizabeth; Eskola Torres, Gladys Bolivia
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    Accidentes de tránsito relacionados con el consumo de alcohol en pacientes atendidos en el servicio de emergencia del Hospital Vicente Corral Moscoso, Cuenca 2007
    (2009) Astudillo C., Andrea; Castillo C., Cristian; Figueroa Morales, Francisco Efraín; Alvarez Serrano, Marlene Elizabeth
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    Accidentes laborales y enfermedades profesionales a las que están expuestas las auxiliares de enfermería del Hospital Homero Castanier Crespo Azogues 1988-1989
    (1989) Campoverde C., Lilia; Uguña Zh., Mercedes; Campoverde C., Esthela; Cordero P., Gladys; Cabrera Cárdenas, Carmen Lucía; Iturrade Aguilar, María Augusta
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    Accidentes y enfermedades en el proceso industrial de Cuenca-1997
    (1997) Montoya Hernández, José Rodrigo; Morocho Malla, Manuel Ismael; Orellana Orellana, Moisés Adalberto; Cañizares Aguilar, Aurelio Ernesto
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    Acción bacteriana de la sangre de drago in vitro: Facultad de Ciencias Médicas de la Universidad de Cuenca en el año 2004
    (2004) Pangol Landy, Rosa Alexandra; Paz Soto, Christian Luis; Quinde Arce, Andrea Viviana; Galindo Banegas, Telmo Benjamín; García Alvear, Jorge Luis
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    Acción convulsivante de los anestésicos locales y los analépticos
    (1974) Flores Poveda, Victor; Sarmiento Cárdenas, Raúl; Ledesma Ledesma, Homero; Solíz Cabrera, Darío Rubén
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    Acción de las corrientes diadinámicas en síndromes dolorosos articulares
    (1983-11-11) Banegas, Isabel; Bermudez, Janeth; Contreras, Eva; Muñoz, Joaquín; Zhindón Galán, Martha Dalila; Freire Heredia, Washington Aurelio
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    Acción oxitocica del ácido ascorbico
    (1951-11-11) Neira Solís, Víctor Hugo; Díaz Cueva, David
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    Acción protectiva de la carbamacepina (Tegretol) y la sultiamina (Ospolot) frente a la acción convulsionante del pentametilentetrazon (Cardiazol)
    (1974) Izquierdo León, Teodoro Vicente Manuel; Pacheco Z, Hugo; Solíz Cabrera, Darío Rubén