Volumen 36 No.3 (Diciembre 2018)
Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/32139
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Item Perspectiva sobre la estructura del pensamiento médico en la Antigua Grecia.(Universidad de Cuenca, 2018-12) Pino Andrade, Raúl HaldoThe beginning Greek world was loaded of symbolisms and mythological beliefs which managed to compile in its breast the knowledge of diverse cultures, this fact generated a change in the concepts of health-disease, generating a turn from a purely mythological magical model to a more rational, scientific and technical concept.Item Alimentos ancestrales que sanan.(Universidad de Cuenca, 2018-12) Matute García, Segundo PatricioIn this time of transformations of humanity, planting, harvesting and cooking healthy food that guarantee a good diet and nutrition, is a political and revolutionary act by antonomasia, which tries to break the monopoly of the agroindustry and the pharmaceutical industry linked to the production of food, preserve the original seeds and maintain the cultural identity and historical memory through the alimentary practice of Security, Sovereignty and Decoloniality Ancestral foods that heal, it is a set of reflections that are part of the project "Sacred Foods that Heal" executed in communities of Cañar and Saraguro with the support of ReAct Latin America. The essay addresses some determinants of changes in diet, supports the theme of feeding in indigenous people as an alternative and develops an example of the management of bacterial processes linked to food, all of them within the framework of ancestral agriculture.Item Una mirada crítica al discurso educativo sanitario de los estilos de vida saludables.(Universidad de Cuenca, 2018-12) Ocampo Rivera, Diana CarolinaSome reflections that question the hegemonic paradigm of the discourse of healthy lifestyles-HL- are presented historically in the development of educational actions in health, in order to raise from the critical Epidemiology and Pedagogy some clues for the construction of an analytical model from the Social Determination of Health that broadens the approach of this theoreticalpractical category and allows the development of emancipatory pedagogical proposals. The critical proposal conceptualizes lifestyles as more specific and singular processes in the space of the micro, in a permanent dialectical relationship with the meso (particular) and macro (general) levels of reality. In this sense, although they are related to the behavioral aspects, they are not considered static or predetermined, they do not depend exclusively on the "free will" of the subjects, they are not disconnected nor are they part of an absolute and fragmented diversity; they are the expression of the ways of life of the particular groups in which people are inserted socially and embody particular ways of being and behaving towards their health.Item Apendicitis aguda en pacientes pediátricos oncológicos en el Instituto del Cáncer SOLCA-Cuenca. 2017(Universidad de Cuenca, 2018-12) Guerrero Quiroz, Enmanuel Isidoro; Alvarado Corral, Raúl Francisco; Bravo Muñoz, Marx Italo; Quizhpi Paredes, Diana Elizabeth; Martínez Reyes, Fray CleitonBackground: Acute appendicitis is a surgical abdominal emergency, in which the clinical presentation and diagnosis are generally different when it occurs in oncological patients as a consequence of the immunological alteration characteristic of cancer and secondary to treatment with chemotherapy. Method: A descriptive, retrospective study was conducted from January 2011 to June 2017. The medical records of 433 patients with cancer in children under 18 years of age were reviewed; they were treated in SOLCA-Cuenca, and 12 patients who presented acute appendicitis were included. A description of its clinical, pathological and therapeutic characteristics was made. The information was included in a database and then analyzed in the portable program EXCEL and SPSSv20 Results: The average age of the patients was 9.58 years in the same proportion for men and women. The average of white blood cells was 10,500 cells per microliter and its range was between 400 and 21,600 cells per microliter. The neutrophils, platelets and hemoglobin had an average of 66%, 275,416 cells per microliter and 11g / dl respectively, with an average hospitalization of 18.5 days. A 66% of patients presented a value higher than 7 on to 10 in the Alvarado scale (method used to diagnose acute appendicitis). Acute appendicitis was more frequent (4 cases) in the maintenance phase of oncological treatment. The most common pathological results were: congestive appendix, phlegmonous, perforative, with 3 cases each. The ceftriaxone was the most used pre-surgical antibiotic (5 patients) and the combination of meropenem with metronizadol during the post-surgery period (4 patients). One patient (8.3%) died 9 days after the surgical procedure due to septic shock secondary to acute peritonitis. Conclusions: Acute appendicitis occurred in 2.7% of cancer patients. The natural history as far as clinical manifestations was presented in the oncological patients as in the non-oncological patients. The Alvarado scale was a valid diagnostic test in both groups. It is necessary to be careful with the interpretation of laboratory and image data.Item Seguimiento de un caso de hiperplasia nodular focal hepática por resonancia magnética con medio de contraste hepatoespecífico.(Universidad de Cuenca, 2018-12) Franco Maldonado, Heydy Sailé; Villalta Herrera, Alex Javier; Quirola Berruz, Lelia del RocioMethod: Focal nodular hyperplasia (FNH) is the most frequent benign liver tumor after hemangioma, it is caused by the hyperplastic response to a focal vascular anomaly. Most of the time asymptomatic is discovered incidentally. It occurs more frequently in young middle-aged women with a history of prolonged oral contraceptive intake. This type of neoformation has characteristic findings in different imaging methods. They usually tend to remain the same size and even involute for a long period under observation. We present the case of a patient with FNH, the diagnosis and monitoring was performed by magnetic resonance with hepatospecific contrast, it is a technique that allows observing its benign behavior, differentiating it from other types of liver lesions and avoids invasive procedures such as biopsy. After 2 years of diagnosis, the lesion remains without changes, demonstrating that the attitude towards a patient with FNH should be observant, since they have the potential for the spontaneous regression.Item Ensayo clínico no aleatorizado del efecto de la acupuntura sobre la calidad de vida en pacientes con rinitis alérgica. Centro de Acupuntura - Universidad de Cuenca. 2018(Universidad de Cuenca, 2018-12) Contreras Sinchi, Mónica Alexandra; Benalcázar Rodríguez, Silvana Maritza; Achig Balarezo, David RicardoBackground: Allergic rhinitis is a chronic pathology that affects the physical, emotional and social environment of patients. Acupuncture is an alternative therapy to control your symptoms and improve patient’s quality of life. Objetive: To determine the effect of Acupuncture on the quality of life in patients with allergic rhinitis in the Acupuncture Center of the University of Cuenca. 2018 Method: It is a quasi-experimental study. About 90 people participated in which 3 applications of the Mini Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) were performed, for the measurement of the quality of life after the three sessions of acupuncture. SPSS 15 MB was used to process the information. The bioethical foundations were applied for research with human beings. Results: The mean age was 34.62 years with SD ± 13.94, with predominance of women with 65.6%, urban residence with 74.4%. 78.9% had a family history of allergy. Nasal congestion (93.3%) was the most frequent symptom of allergic rhinitis. There was a statistically significant relationship between acupuncture therapy and quality of life in relation to the first (Wilcoxon p = 0.00) and second measurement (Student's T p = 0.00, 95% CI: -1.73 and -1.36) of the mini RQLQ questionnaire after acupuncture therapy. Conclusions: Acupuncture led to improvement quality of life in patients with Allergic Rhinitis.Item Características de depresión en la población LGBTI de la ciudad de Cuenca. 2017(Universidad de Cuenca, 2018-12) Defas Sani, Valeria Fernanda; Ormaza Larriva, Daniela Betsabe; Rodas Mosquera, Juan Enrique; Mosquera Vallejo, Lorena ElizabethIntroduction: The World Health Organization (WHO) states that more than 300 million people in the world live with depression, being the main cause of health problems and disability. Objective: To determine the characteristics of depression in the LGBTI population of the city of Cuenca. 2017. Method: It is a descriptive study made in 93 people identified within the LGBTI population of the city of Cuenca. The Hamilton Test was applied to assess depression and a survey to state the demographic characteristics of the population. Microsoft Excel 2016 and IBM SPSS Stadistics version 21 were used to process the information, and as statistical measures frequencies and percentages were used.. Results: The 59.14% reported that they are men according to their biological sex, a 39.79% are women and 1.07% are intersexual, the most frequent age group was between 18 and 27 years with 79.56%, sexual orientation The most representative were homosexuals with 68.9%, in the variable of sexual identity the cisgender occupied 90.32%. Something important is that 64.6% present some degree of depression, 19.4% present moderate and severe depression, 10.8% present very severe depression. A 71% have suffered homophobia and discrimination, 30.1% have been victims of violence and 73.1% have suffered harassment because of their orientation sexual identity. Finally the 23.7% try suicide. Conclusion: More than half of the studied population has some degree of depression highlighting that 10.8% present very severe depression.