Medicina y Cirugía

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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.
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
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
Accidentes cerebro vasculares
(1977) Acosta Vazquez, Diego
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
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
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
Acción convulsivante de los anestésicos locales y los analépticos
(1974) Flores Poveda, Victor; Sarmiento Cárdenas, Raúl; Ledesma Ledesma, Homero; Solíz Cabrera, Darío Rubén
Acción oxitocica del ácido ascorbico
(1951-11-11) Neira Solís, Víctor Hugo; Díaz Cueva, David
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
Aceptabilidad de la autotoma para el diagnóstico de VPH entre médicos ginecólogos del cantón Cuenca, 2024
(Universidad de Cuenca, 2024-10-24) Pauta Mora, Jhoselyn Denisse; Lanchi Campoverde, Juan Diego; Vega Crespo, Bernardo José
Background: Cervical cancer is a global public health issue that affects women. In Ecuador, morbidity and mortality rates are increasing despite multiple prevention programs against the primary vector, the human papillomavirus (HPV). Objectives: To determine the acceptability of self-sampling for HPV diagnosis among gynecologists Cuenca canton, 2024. Methodology: A descriptive, quantitative, observational cross-sectional study was conducted, collecting data from 106 gynecologists working in Cuenca. Data were obtained through personal interviews recorded on physical forms. These were later entered into a Microsoft Excel database and analyzed using SPSS software. Results: 35.8% of specialists are aged between 30-40 years; 44.3% have 1-10 years of clinical practice; 58.5% are women, and 65.1% work in the private sector. 66% perform Pap smears daily. 64.2% have a high level of knowledge about self-sampling. 80.2% consider it extremely important for patients to be able to take an adequate sample. 70.8% would recommend the method to all women aged ≥ 30 years, while 68.9% would not recommend it to postmenopausal women. 83% see the primary advantage as the reduction of patients' embarrassment. 98.1% consider missed pathology diagnoses due to lack of visualization of genitourinary structures during screening as the main disadvantage. Conclusions: 57.5% of respondents express positive acceptability towards offering self-sampling tests for diagnosing HPV.
Aceptación de las medidas de bioseguridad, higiene y restricción frente a la COVID-19 en familias que conviven con adultos mayores de 70 años o más, Cuenca 2020
(Universidad de Cuenca, 2020-12-17) Torres Sánchez, Jhoan Gonzalo; Maldonado Aguilar, María Cristina; Freire Argudo, Ulises Vicente
Background: In March 2020, the WHO classified COVID-19 as a pandemic and proposed measures to contain this health problem and consequences. Objective: Describe the acceptance of biosafety, hygiene and social restriction measures against COVID-19, in families living with adults older than 70 years or more, Cuenca 2020. Methodology: It is a descriptive transversal study, the ICP-COVID-19 database, second round was used. For the data analysis and processing we use the SPSS 22.0 v program. The results are presented in tables of frequency and percentages in the qualitative variables and arithmetic mean, mode and standard deviation for the quantitative variables. Results: Highest female sex record with 56,5%, 70.3% belonged to the urban area and the frequency of a one older adult at home was 66.8%; 80.8% had no home moves. In relation to biosafety and hygiene measures they were over 90% except for the most complex ones. In mobility restriction 98,1% did it so except when they went to the market with 78.9%. The mean acceptance was 7.73 (SD = 2.083). Conclusions: The highest frequency of records was obtained from the urban area, most families live in houses or apartments with gardens; in relation to habits, biosecurity and hygiene measures has been adopted in a good way, the mobility restriction was satisfactorily fulfilled. For half of the registries it was difficult to adapt to the change.
Aclaramiento de amilasa y creatinina plasmática y urinaria en pacientes con pancreatitis aguda del hospital Vicente Corral Moscoso
(1987) Wilches Coronel, Paúl Leonardo; Serrano Palacios, Pablo Rene; Tola Siavichay, Juan Alejandro; Coronel Mosquera, Cornelio Enmanuel; Flores Durán, Carlos Teodoro
Acortamiento del período vital y causas de muerte en ratones expuestos a rayos Gamma equivalencia en el ser humano
(1984) Arias M., Fernando; Ortega L., Jaime R.; Salcedo O., Víctor; Carrión Calderón, Marco
Acoso laboral en internos de medicina de la cohorte septiembre 2022 – agosto 2023 de la Universidad de Cuenca, 2023
(Universidad de Cuenca, 2024-03-01) Loján Sanmartin, Daniela Michelle; Uzhca Guzhñay, Marina Elizabeth; Morocho Malla, Manuel Ismael
Background: the International Labor Organization (ILO) recognizes workplace harassment as a risk that arises in modern employment conditions, the implications of which are associated with costs for organizations and increased mental health of inmates. Among the health workers who are victims of harassment, rotating medical interns stand out, where nearly 20% suffer from workplace harassment (1). Goals: determine the frequency and characteristics of workplace bullying in medical interns at the University of Cuenca from the September 2022-August 2023 cohort. Methods: descriptive study, cross-sectional, it was carried out at the Faculty of Medical Sciences of the University of Cuenca with 122 medical interns who carry out pre-professional practices in hospitals in zone 6 in the period September 2022 - August 2023. Workplace harassment It was evaluated through the application of the CISNEROS Barometer survey. Results: 55% of the sample of medical interns perceive that in the last 6 months they were victims of harassment with a frequency of more than a week. A higher prevalence of workplace harassment is identified in women (36.89%) and in certain rotation areas such as gynecology (17.21%) and internal medicine (16.39%). While the actions that are frequently repeated are biased evaluation (8%) and absurd work (8%). Conclusions: the rotating medical interns at the University of Cuenca face working conditions that include harassment; the prevalence of female victims is notable.
Acoso sexual callejero en estudiantes mujeres de medicina de la Universidad de Cuenca de primero a tercer ciclo. 2023
(Universidad de Cuenca, 2024-03-12) Guamán Tenesaca, Ana Mercedes; Carchi Valdez, Gina Daniela; Mosquera Vallejo, Lorena Elizabeth
Background: The street sexual harassment experienced by university students causes feelings of vulnerability, and they are victims of behaviors and attitudes that are accompanied by mockery and threats that can lead to blows or insults. Objective: To describe the characteristics of street sexual harassment in female medical students at the University of Cuenca from first to third semester 2023. Methods: A cross-sectional descriptive study was carried out with 170 students from first to third semester who signed the informed consent, using the validated street sexual harassment scale. The data were tabulated in SPSS 23.0 and analyzed using descriptive statistics, presenting the results in frequency and percentage tables. Results: A 100% of the surveyed group have experienced street sexual harassment. The 82% were between 15 and 19 years old, with 66% being more common in rural areas. The students classified bullying as low intensity, being expressive, verbal, physical, exhibitionism, and persecution in 76%, 66%, 72%, 69%, and 45%, respectively. Expressive, verbal, physical bullying and exhibitionism ranged from 65%, 55%, 60% and 38% according to age. Physical harassment and persecution were higher in the first semester (79%) and 51%, while exhibitionism was more frequent in the second semester (73%). Conclusions: Female students have been victims of street sexual harassment in all its dimensions, despite the negative repercussions, few students recognized it as a negative practice and not as a natural attitude of the male sex.
Actitud farmacológica del médico con los pacientes hipertensos del Subcentro Barrial Blanco de Cuenca 2010-2011
(2011) Bravo Díaz, Diego Román; Cedillo Carrión, Christopher José; Cordero Cárdenas, María Gabriela; Segarra Espinoza, Edgar Enrique
The social determinants of health are the circumstances in which people are born, grow, live, work and age, including the health system. These circumstances are the result of the distribution of money, power and resources at global, national and local, which in turn depends on the policies adopted. The main purpose of this study is to establish the social determinants of health in the families from El Cebollar, Cuenca 2010. Our universe was composed by 1041 files from the MSP, carried out in the population from Bellavista Parish, collected during the period of January, 2008- September, 2010. Objective: To establish the characteristics of health-disease process and its determinants in people from El Cebollar. Methods and techniques: Quantitative, observational and transversal investigation was realized. The files processing were executed in SPSS program. And for the hypothesis testing, we used the following statistical methods: Descriptive point: by number and percentage; Analytic for Odds ratio, confidence interval and p value. Mainresults The factors most affecting the population are the socio-economic, many of them non-writable (overcrowding, unemployment, homelessness), to turn some people with any kind of diseaseare 25,91%. Main conclusions: Few studies exist to corroborate the information found locally. It suggests new research, which seek improvement of control systems and improved access to general information.
Actitudes homofóbicas de los estudiantes de tercero y cuarto ciclo de la Carrera de Medicina de la Universidad de Cuenca. 2023
(Universidad de Cuenca, 2024-07-25) Aguilar Narváez, Daniela Michelle; Malo Méndez, Geovanna Fernanda; Mosquera Vallejo, Lorena Elizabeth
Homophobia has various ways and scenarios of presentation; therefore, it constitutes a problem that affects society in general. It is important to identify its existence within educational centers, in this case in university students, because it is considered a taboo subject, due to existing social prejudices in relation to sexual diversity. This study aims to identify homophobic attitudes in third and fourth cycle students of the Medicine Course at the University of Cuenca, 2023. A descriptive cross-sectional study was carried out on third and fourth cycle students of the medical degree at the University of Cuenca, 2023. A scale called Homophobic Attitude Scale was applied, which consists of 10 items, the statistical analysis was carried out with EpiData 4.2, the results are shown in the relevant tables. A frequency of homophobic attitude was found to be 87.3%, the average age was 20 years, 75.45% were women and 74.55% of people who identified as female presented a homophobic attitude. The 90.91% of the students who presented homophobic attitudes think that social prejudices can be a cause of homophobia. A high prevalence of homophobic attitudes was found in the participating students, it was also found that the main causes of homophobia were social prejudices, the education they received at home and the lack of education in sexual diversity, in a lower percentage associated with religious beliefs and experiences with homosexuals.
Actitudes y afrontamiento hacia la muerte en estudiantes de medicina de la Facultad de Ciencias Médicas de la Universidad de Cuenca. Año 2018.
(2019-03-08) Chacho Amay, Freddy Mauricio; Yaguachi Gonzalez, Beatriz Cecilia; Barros Angulo, Viviana Ivanova
Background: nowadays death tends to be seen as an objective, biological and individual data, whose conception is strongly linked to medical advances and the modernization around health and disease. Objective: to determine the attitudes and coping towards death in medical students of the Faculty of Medical Sciences of the University of Cuenca, year 2018. Methodology: observational, quantitative, descriptive, transverse cohort study. A data collection form was applied to 648 students who met the inclusion criteria. Data were presented using custom tables, frequencies, percentages, and percentiles were applied. Results: 648 students participated, with ages between 18 and 22 years in 67.4%, 61.4% were women, 93.8% single, 94.8% Mestizo, 88.3% residents in urban areas, 74.5% were Catholics, 26.7% were in their third year of medicine. As for attitudes, 75.2% had acceptance of approach, 14.7% neutral, 7.7% showed fear of death and less often were evidenced attitudes of avoidance and escape with 1.4% and 1.1% respectively. With respect to coping 31% showed a bad coping with death, while in 37.8% was neutral and in 31.2% good coping. Conclusion: the approach to death was the predominant attitude, however, the majority of participants had a neutral coping with death
Actitudes y conductas de los padres de ADINEA frente a un hijo con síndrome de Down
(2005) León Astudillo, María Pierina; García Alvear, Jorge Luis

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