Volumen 30 No. 2 (2012)

Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/19893

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    Lecturas recomendadas
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Mukherjee, Siddartha; Soliz Carrión, Ana Denise
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    Fracturas vertebrales osteoporóticas y enfermedad pulmonar obstructiva crónica: reporte de caso
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Moscote Salazar, Luis Rafael; Castellar Leones, Sandra Milena; Gutiérrez Paternina, Juan José; Alcalá Cerra, Gabriel
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    La colecistectomía laparoscópica en el Hospital Vicente Corral Moscoso de Cuenca, 1994-2008
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Moscoso Toral, Enrique Augusto; Tenezaca Tacuri, Ángel Hipólito
    Laparoscopic cholecystectomy (LC, Cole-Lap) is the treatment of choice for benign biliary disease, which represents a high incidence in our city and country. In our hospital surgeons in training and teachers have been participated in the development of this technique actively. The goal is share the experience of 14 years of laparoscopic cholecystectomy at the Vicente Corral Moscoso Hospital. Methods: we present the descriptive and retrospective case series of 2.200 patients who underwent laparoscopic cholecystectomy from May 1994 until January 2008. Results: of 2.200 CL, 79% are female. The average age was 43 years with intraoperative diagnosis of chronic cholecystitis in 82%. Complications occurred between major and minor in 38% of which the perforations in gallbladder bile output and bleeding from the cystic artery were the most frequent. Injury to the bile duct occurred in 0.12%. Twenty five percent of one hundred the first surgeries presented complications while thirty four percent of one hundred last surgeries presented complications. The average operating time was 35 minutes in 2008. Discussion: laparoscopic cholecystectomy in our study proves to be a safe and effective procedure in patients with acute or chronic calculous cholecystitis.
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    Gastrectomía vertical
    (Universidad de Cuenca, 2012-06) Astudillo Molina, Rubén Arturo; Uriguen Jerves, Juan Alejandro; Serrano Hinojosa, Bolívar Eugenio
    Bariatric Surgery has been consolidated globally as a valid way to treat the disease of morbid obesity and its co-morbidities, long term is the single best therapeutic option for these objectives; with the advent of the surgery minimum invasive has spread over this treatment alternative. In the clinic Latin of the city of Cuenca, from January, 2009 to October 2010 to 30 patients underwent a laparoscopic vertical gastrectomy correct obesity; (BMI) body mass index was among the 35 to 41 kg/m2 with an average of 37.7 kg/m2; the age range is between 29 and 59 and 83% of these were women, 3.3% underwent conversion to conventional surgery, there were no morbidity or postoperative mortality; a year of tracking BMI decreased by 10 points. Vertical gastrectomy is surgery that does not produce malabsorption, has a short learning, low postoperative morbidity and mortality curve and the results of our study are consistent with those presented by other authors of the consulted international literature; for these reasons, we believe that laparoscopic vertical gastrectomy is a superb surgical laternativa for treating obesity.
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    Principios fundamentales teóricos para estudios de caso
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Iturralde Aguilar, María Augusta
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    Interacción de la neurología pediátrica en la Atención Primaria de Salud (APS)
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Calle Ulloa, Boris Eduardo; Arévalo, Diana; Segarra, Hernán
    At present, the health systems and development programs of health have become a patchwork of components. It is important to make a substantial reorientation of existing health systems at the level of Ecuador that focus on curative care, individual and position medicalized against international agreements, a prevention-based health, comprehensive and integrated promotion that could reduce 70% neurological disease burden in the country. The scientific development in the areas of neuroscience have given substantial advances in neurodevelopment, neuroimaging, neurophysiology, neuropsychology, interventional surgery in the treatment of abnormal movements and epilepsy. For the general practitioner and pediatrician that coexists in different stages of internal medicine, within a changing context is even more difficult to keep up, hence, that their decision to study and treat neurological diseases rely heavily on their preparation and their ability to self-criticism, that allows to define clearly and honestly its scope and limitations.
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    Automedicación y crisis de modelo biomédico
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Cuvi Santiago, Juan Raúl
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    Contaminación bacteriana y resistencia antibiótica en celulares de médicos del Hospital Vicente Corral Moscoso. Cuenca-2012
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Delgado Cobos, Soledad Leydi; Galarza Brito, Juan Eli; Heras Gárate, Marco Antonio
    Background: The use of electronic devices like cell phones in health units, especially in hospitals is very common. These are widely available items without any restriction neither caution to disinfect them and its use is more often. It may be a source of contamination for nosocomial infections. Studies show bacterial contamination above 90% in mobile medical staff found pathogenic bacteria such Staphylococcus aureus sensitive, methicillin-resistant staphylococci, Enterococcus, Corynebacterium, Klebsiella, Clostridium, Enterobacter, Acinetobacter, Serratia, Escherichia coli, Pseudomonas, Proteus. Aims: To determine the bacterial contamination and antibiotic resistance in the cell of "Vicente Corral Moscoso" hospital medical staff. Methods: In this study, a surface culture of 276 cell phones was done, physicians´ property, In senior physicians, medical residents and interns of the “Vicente Corral Moscoso” hospital. We used a swab from the surface to collect the sample and cultured on blood agar and EMB agar, to isolate and identify bacteria with biochemical tests and then susceptibility testing with the Kirby-Bauer technique. Results: The 93.84% of the mobile devices are contaminated. The treating physician’s cells showed a intense level of contamination (p = 0.001), mainly by Staphylococcus aureus (p = 0.022), Staphylococcus epidermidis (p = 0.012), Enterobacter aerogenes (p = 0.019). Male staff shows more intense contamination by Enterobacter aerogenes (p = 0.024). Oxacillin resistance in Staphylococcus aureus is 40.7% in the isolated. Enterobacteriaceae found a high degree of resistance to third generation cephalosporin suggesting the presence of ESBL strains.
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    Percepciones sobre infecciones respitatorias agudas, gravedad y tratamiento en responsables del cuidado de niños menores de cinco años
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Quizhpe Peralta, Arturo Octavio; Encalada Torres, Lorena Esperanza; Aservier, Sara
    Background: Most children have between four and six respiratory tract infections acute each year and represent a significant proportion of visits to primary care physicians. Although the cause is predominantly viral, antibiotics are frequently prescribed which may contribute to the appearance of resistant bacteria. Objectives: To determine the perceptions of caregivers of children under five years old on acute respiratory infections, its severity and its treatment. Methodology: A descriptive study in Health Center # 1; there were included 250 caregivers of children under five years old attending the Health Center in March 2010 and signed informed consent. Frequencies, percentages, mean, standard deviation, chi square and Fisher's test for variable association. Results: Most participants were female (94.8%). Caregivers who had literacy over 13years studies indicated that the ARI was caused by infection (15.2% vs. 7.23% on average), and those who did not finish primary school (<7 years of schooling) unknown causes (22.2% vs 6.2% average) (p <0.05). 42% indicated that the necessary treatment were the antibiotics and if the caregiver's education level was high, they said they did not need antibiotics (59.2% when they have 11 through 13 years of schooling and 63% when they have over 13 years schooling versus 50.2 % on average) (p <0.01). A 72.69% completed the antibiotic treatment when the physician prescribed and whether the level of education was high (over 13 years) completed the treatment in 88.4% (p <0.05). Conclusions: There is little knowledge of the caregivers of children on ARI, its treatment and its severity, being the most consistent variable in association with antibiotic use the education level of the mother.
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    Cariotipos humanos en sangre periférica, diez años de experiencia en el departamento de citogenética del Centro de Diagnóstico y Estudios Biomédicos de la Facultad de Ciencias Médicas de la Universidad de Cuenca
    (Universidad de Cuenca. Facultad de Ciencias Médica, 2012-06) Alvarez Vidal, Jenny Monserrath; Jerves Serrano, Teodoro; Encalada Guerrero, Verónica; Pesántez Pacheco, Laura Andrea
    Introduction. The analysis of the karyotypes in peripheral blood T lymphocytes obtained from is an accessible cytogenetic technique, besides it was the only one available in the Southern of Ecuador. Studies in Ecuador on chromosomal abnormalities do not have data in our region. This study describes the experience of Cytogenetics Service in conducting human karyotypes. Objective. Describe the identified chromosomal abnormalities in the karyotypes of the patients referred to the Cytogenetics Service Diagnostic Center and Biomedical Research, University of Cuenca. Materials and methods. This is a descriptive study of the Cytogenetics Service records for a period of 10 years (2001-2010); the total number of tests performed was 513. Samples were grown by conventional methodology and used the G banding technique. Results. The 27.8% of the karyotypes showed chromosomal abnormalities. The 84.17% was numeric type, 3.6% were structural and 12.23% were mosaics. The most frequent abnormality was Down syndrome with 80.58%, followed by Turner syndrome with 15.83%. 4.8% of the karyotypes were applied without appropriate clinical criteria. The prevalence of patients with ambiguous genitalia was 7.6%. Conclusions. The results obtained in the study were similar to others carried out in Ecuador and Latin America. Chromosomal abnormalities were the most frequent numeric type, and among them, Down Syndrome followed by Turner Syndrome.