Volumen 32 No. 2 (2014)
Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/21174
Browse
Recent Submissions
Item Angioqueratoma nevoide curcunscrito: reporte de un caso(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Rosero, Carla; Inca, Caroline; Castillo Soto, GladysThe angiokeratoma circunscrito Naeviorme is a vascular malformation, this is present in the superficial dermis, is the rarest of the five variants of angiokeratoma, appears at birth or in the first two decades of life, is more common in women, in a ratio of 3 to1, generally located on thigh, buttock, showing a distribution unilateral (1, 2, 3), some therapies are used as electrocoagulation, cryotherapy, surgery, laser. We report a patient with nevoid circumscribed angiokeratoma laser treatment neodimiun yang, with a favorable evolution of the first session.Item Mitología griega y medicina: asclepio, su bastón y una confusión de larga data(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Pino Andrade, Raúl HaldoThe Greeks provided not just the bases of the western though or rationalism, but their knowledge also Influenced with their mythology in many aspects related to medicine. Some of those aspects are shown in this paper. We will start with the origin of Asclepius –Aesculapius for the Romans- God of medicine, his therapeutic system, the symbol that identifies it –a wooden staff encircled by a single snake-, and finally with the origin of confusion with the caduceus of Hermes.Item Contaminación del aire exterior. Cuenca - Ecuador,2009 - 2013. Posibles efectos en la salud(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Palacios Espinoza, Elvira del Carmen; Espinoza Molina, ClaudiaUrban air pollution is a public health problem that affects mostly children and the elderly; it is associated with asthma, eye irritation, headache, cardiovascular diseases,and lung cancer. In order to know about the air quality of the Cuenca city, and its possible health effects, the data reported by the Monitoring of the Municipality, the WHO guidelines Air Quality Standard Environment of Ecuador were analyzed; mortality statistics and scientific evidence on health effects were also reviewed.Item Vigencia de la relación médico-paciente(Universidad de Cuenca. Facultad de Ciencias Mëdicas, 2014-09) Abad Vázquez, Jaime PatricioItem Paradigmas de investigación en salud(Universidad de Cuenca, 2014-09) Palacios Espinoza, Elvira del CarmenIntroduction: The need to generate knowledge has different times in history. Health can be summarized in three models: a) logical-positivist or empirical-analytical , b ) symbolic-interpretative, c ) critical or dialectical . In order to review the alternatives and the model that suits the needs of research in health and environment, an analysis of secondary sources is performed. Development: In health research prevailing positivist logic model and less interpretive symbolic. The critical or dialectical paradigm recognizes health as a complex object with multiple dimensions. Health and environment understanding the historical movement of nature with it socio- ecosystem and forms of artificiality, protective and destructive factors, the relationship between collective and individual processes is necessary. The dialectical approach opens opportunities for triangulation of methods and contributions from diverse cultures to knowledge. Conclusion: The critical or dialectical paradigm allows a comprehensive approach to the problems of health and environment through which is made visible to the biology of the human being is subsumed context and is modified by the environment that is socially determined and historically constructedItem ¿Que sabemos? ¿Que hacemos? ¿por qué lo hacemos? Usando antibióticos en infecciones pediátricas(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Quizhpe Peralta, Arturo Octavio; Muñoz Ortíz, Eudoxia Georgina; Chacón, Glenda Jomaira; Pacheco Martínez, Christian EduardoThe inappropriate use of antibiotics involves the prescriber : influences on various academic , social, environmental , economic, cultural and political factors ; It occurs mainly in the level of care in the pediatric areaItem Prevalencia de reacciones adversas neuropsiquiátricas a los medicamentos en pacientes hospitalizados en los Servicios de Clínica, Cirugía, Pediatría y Ginecología-Obstetricia del Hospital Vicente Corral Moscoso 2014(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Sanango, Ximena; González, Geovanny; Morocho Malla, Manuel Ismael; Sacoto Molina, Adrian MarceloThe prevalence of adverse drug reactions (ADRs) of neuropsychiatric type reactions is around 11.4% of all adverse reactions reported by most studies. In our lack of data. Objective: To determine the prevalence of neuropsychiatric RAM type inpatient pediatric services, clinic, surgery and obstetrics and gynecology of Vicente Corral Moscoso Hospital (HVCM) of the city of Cuenca. Method and Materials: A descriptive study was conducted from January 2014 to complete the sample. The sample was 336 and conglomerates. The information was obtained by spontaneous reporting, with a survey based on yellow card modified by the authors. Results: A prevalence of 39.6% of cases with possible neuropsychiatric RAM type was obtained; female gender is most affected, in a ratio of 3-1; most affected age is between 20 to 29 years; the service where a higher frequency was found Obstetrics-Gynecology with 19.96% of the cases; type headache was more frequent with 21.4%; diagnosis was more frequently associated with pneumonia acquired in the community with a 59.09%; the drug most often associated with metoclopramide RAM was a 53.84%% (the RAM that is most often associated with metoclopramide was dizziness 26%). Conclusion: The presence of neuropsychiatric RAM type Vicente Corral Moscoso in the hospital has a high prevalence.Item Construcción de una escala de violencia intrafamiliar, Cuenca-Ecuador 2013(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Bermeo Alvarez, José Fernando; Caldas Ochoa, John Santiago; Astudillo Ñauta, Johanna Paulina; Jaramillo Oyervide, Julio AlfredoObjective: To build up a scale in order to measure the type and severity of domestic violence upon women attended at the Violence Units located in Cuenca, June - November 2013. Methods: Quantitative, Buildup of a diagnostic test. Reference was made to a universe of 2555 women who reported domestic violence at the “Comisarías de la Mujer” in Cuenca during the year 2011. The sample was obtained with a confidence level of 95%, an expected prevalence of 60%, a worst acceptable of 65%, n= 324 women, also calculating a possible 10% lost cases thereby obtaining a sample of 356 participants. A form type Likert structured for this purpose named VIFJ4 was used to determine the type and severity of domestic violence. Internal validity of this diagnostic test was determined with Cronbach´s Alpha. Results: This test maintains its internal consistency throughout time; it has an initial Cronbach´s Alpha of 0,938, and a retest Cronbach´s Alpha of 0,944. Conclusions: The test VIFJ4 maintains its internal consistency being useful to evaluate the type and severity of domestic violence.Item Validación del cuestionario COPCORD para detección de enfermedades reumáticas. Cuenca-Ecuador(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-09) Guevara Pacheco, Sergio Vicente; Feicán Alvarado, Elsa Astrid; Peláez-Ballestas, Ingris; Ochoa, Verónica; Vintimilla Moscoso, Fernando; Vintimilla Ugalde, JaimeObjective: To validate the cultural adaptation of the instrument (Community Orientate Program in the Rheumatic Diseases) COPCORD to detect musculoskeletal pain and rheumatic diseases in the population of Cuenca. Methodology: A COPCORD transcultural questionnaire validation and its application were made in the community to identify rheumatic symptoms. A rheumatologist doctor checked people to define the diagnosis. A descriptive statistical analysis of each variable was performed. Chronbach alpha, analysis screening test (sensitivity, specificity, and positive predictive value and roc curves) was measured. Results: A total of 201 people participated, 106 in urban areas and 95 in rural areas. The 67.6% were women with an average age of 50.3 years with 7.5 years in school. The 57.7% reported musculoskeletal pain with an intensity of 5.8 for VSA. Comparing the COPCORD questionnaire with the clinical assessment of the rheumatologist an 83.72% of sensitivity, was observed, specificity of 61.14%, probability of 2.18 and area under the curve of 0.72; with a Cronbach’s alpha of 0.7 for pain characteristics and 0,9 for functional capacity. Conclusion: The COPCORD questionnaire is valid for using in rural and urban populations in Ecuador; it demonstrated good performance as a screening test.