Volúmen 34 No . 3 (2016)

Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/26486

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    La Psicología de la salud como enfoque de intervención comunitaria
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-12) Arias Rivera, Shirley Jeannet
    This work of Participatory Action-Research, systematizes the experience developed in fifteen urban-marginal communities of Guayaquil city and in close cantons during the second half of 2014 and 2015. Objective: To carry out a diagnostic-community intervention since the health psychology approach to the promotion of healthy behaviors. Materials and Method: It was divided into three stages. In the first one, the information was collected to describe the community. In the second, the community intervention was designed and implemented. In the third stage its evaluation was done. The instruments used were: observation records, an interview guide, a diagnostic matrix and a community intervention guide. Conclusions: An integral health, safety and community organization are the basic aspects of the community proposal to improve the quality of life. Keywords: Behavioral Medicine, Consumer Participation, Quality of Life, Social Group
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    Mitomicina C: una nueva alternativa para la estenosis de cuello vesical
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-12) Olmedo, Tomas; Hidalgo, Juan; Reyes, Diego; Marchant, Fernando; Ledezma, Rodrigo; Aliaga, Alfredo; Fleck, Daniela; Castro, Iñaki; Barahona, Jaime; Abad Vázquez, Jaime Patricio
    Introduction: The mitomycin C is a chemotherapeutic agent by virtue of its antiproliferative and antibiotic activity. We evaluated the outcome of endoscopic radial cervicotomy combined with intralesional mitomycin C injection for the treatment of severe bladder neck stenosis after traditional treatment failure. Materials and methods: It was a retrospective review of patients with severe bladder neck stenosis who had a surgery between July 2013 and August 2015 with mitomycin C. The 54.5% of patients had failed at least 1 time with internal cervicotomy and/or endoscopic resection of the bladder neck. In our intervention, three or four endoscopic incisions were performed with a cold cut in the neck of the bladder, followed by intralesional injection of 0.3 to 0.4 mg / ml of the mitomycin C at each incision site. Results: A total of 11 patients were treated with endoscopic incision with a cold cut in the neck of the bladder combined with mitomycin C injection. Before the surgery 4 patients (36%) were cystostomy users. At a mean follow-up of 9 months (range 1-20), 9 patients (82%) had spontaneous urine after 1 procedure, while 2 patients (18%) achieved this goal after 2 procedures using mitomycin C. Conclusions: The treatment for bladder neck stenosis with endoscopic radial cervicotomy with cold cut combined with intralesional mitomycin C injection resulted in bladder neck permeability in 82% of patients after 1 procedure and 100% after 2 procedures. Although the first results are promising, some prospective and randomized studies with long-term monitoring are required to validate these findings