Volumen 29 No. 31 (2010)
Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/19891
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Item Formar al intelectual con conciencia social es la primera gran misión de la Universidad(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Vega Delgado, Gustavo ArmandoItem Libros recomendados(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Dután Erráez, Holger GonzaloItem Papel de la testosterona en el envejecimiento y sexualidad(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Abad Vázquez, Jaime PatricioItem Adherencia a la terapéutica farmacológica en pacientes hipertensos del Hospital "José Carrasco Arteaga" del IESS. Cuenca 2007(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Martínez Reyes, Fray CleitonObjective. To establish the prevalence of no adherence to the pharmacologic therapeutic and to relate it to the variables: Sex, age, educational level, social security type, knowledge of the disease, time of treatment, pharmacologic treatment, dose, synchrony in the consumption of medications, collateral effects, access to medications, doctor - patient information and support to the fulfillment. Methods and materials. Cross sectional study; Population: The hypertensive patients attended during July 2007; Randomized Sample 93 patients; A later visit was carried out at home and a variables form was applied; Beside the medication count was made. Fulfillers were considered those persons who consumed between 80 and 100% of the medications, taken at the same hour the day previous and the visit day. Non Fulfillers consumed less of the 80% and over the 100% or those who had between 80 and 100% fulfillment, but their schedule varied between a day and another one. Results. The prevalence was 79,57%. They were representative: Age less than 66 years old, PR 1.21; A synchronic consumption of medications, PR 1.17; No access to medications PR 1.17; multi-drug treatment PR 1.13; Being active, voluntary, peasant, craft affiliate to the Social Security PR 1.04; Collateral effects of the medications PR 1.04. Conclusion. The prevalence of no adherence to the pharmacologic treatment is high. There was no statistically significant association in relation to the studied factors.Item Caso Clínico colestasis intrahepática del embarazo más sepsis(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Ñauta Baculima, Manuel JaimeItem Validación de un test de ureasa para diagnóstico de helicobacter pylori en comparación con el clotest y en referencia a la histología(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Calle Astudillo, Angel Gustavo; Galindo Banegas, Telmo BenjamínNon commercial ureasa tests are used to detect Helicobacter pylori. They have the advantage of its low cost. The necessity has been revised of carrying out clinical studies that validate them appropriately, in the places where they are used. Objective. To validate a preparation of ureasa test made in our unit ("laboratory test") in comparison with CLOtest and histologic result. Methods. prospective, randomized study of ureasa tests validation and results comparison, in patients with digestives symptoms and endoscopy indication. Random gastric antral biopsies were performed for the CLO-test and the lab test. In addition, two biopsies were performed for the histological study. We excluded patients who had recently taken medication that could change the HP diagnosis. The evaluation of the results was independently carried out. Results. 105 patients were included (mean age 45.43 ± 17 DS). 70.4% tested positive on the histological exam, whereas 65.8% and 64.3% tested positive on the CLOtest and on the lab test respectively: these differences were not statiscaly significants (p>0,05). The global value of the laboratory test was 93.33% (95% IC: 86.27 – 97.04); with 7 false negative and no false positive. The sensibility, specificity, value positive and negative predictive values were 90.54%, 100%, 100% and 81.57% respectively. The results of the CLOtest were similar: global value of 95.23% (95% IC: 88.70 – 98.23); 5 false negative and no false positives. The sensibility, specificity, value positive and negative predictive values were 93,24%, 100%, 100% and 86,11% respectively. None of the parameters showed significant differences (p>0.05). The reaction times of the tests were similar. Conclusion. The validation of our laboratory test provided similar results to the CLOtest.Item Tendencias de la investigación en el postgrado Facultad de Ciencias Médicas de la Universidad de Cuenca. 1986-2007(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Morales Sanmartín, Jaime Rodrigo; Morales Rodríguez, Carla Johana; Velasco García, Diego FernandoItem Anestesia con temifentanil+desflurano vs. fentanil+desflurano, para colecistectomía laparoscópica(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Barzallo Sacoto, Jorge Eduardo; Flores Durán, Carlos TeodoroRemifentanil is a novel agonist of mu receiving, metabolized for inespecific esterase in blood and tissues, without lolling any organ and its metabolites they are inactive. Due to their unique pharmacological profile, anesthesia base don Remifentanil combines an opioid, sure and deep for surgery, with a quick and predictable recovery. It presents other advantages like the hemodynamic stability, especially on endotracheal intubations and cutaneous incision, as well as a reduced risk breathing depression in the post-operative room. Compared with conventional classic technique fentanildesfluorano whose obstacle was fear opioids overdose being carried out for it control of anesthesia base on the anesthetic inhalator or propofol. In such virtue, use of remifentanil in infusión bombs probably will change our current anesthesia administration methods.Item Depresión y factores asociados en adolescentes de colegios urbanos de la Ciudad de Cuenca, mayo-octubre del 2007(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Jaramillo Oyervide, Julio AlfredoObjective. to determine the prevalence of depression and risk factors, in teenagers aged 10-19 years old from Cuenca’s urban high schools May – October 2007. Method and materials. Study of prevalence. The sample was representative and randomized (264), finite universe N=41270 with a 6% occurring probability, 94% non occurring probability, 95% confidence level (1.96 ); and inference error of 0.03 (3%). For data collecting a questionnaire and the test Hamilton for depression, were used. Data were processed in Epi Info. Results. The 32.7% (88/269) has mayor depression from these 10.4% (28/88) suffered some disease in the past. Statistically significant association OR 1.81, IC 95% (1.02 3.23) p = 0,041. The 33.2% (88/265) of mayor depression cases, 3.8% (10/88) suffer some disease at the present moment. Statistically significant association was found OR 4.41, IC 95% (1.45 - 13.34) p=0,004. 32.7% (89/272) of mayor depression cases, 8.8% (24/89) drink alcohol. Statistically significant association was found OR 3.01 IC 95% (1.55 - 5.81) p=0.0008. 32.6% (89/273) of mayor depression cases, 51.7% (46/89) belong to adolescence stage: 14-16 years. Statistically significant association was found p=0,016. Chi2 Pearson 8.26. Conclusions. The mayor depression could be considered a public health problem in Cuenca.Item Reflexiones en torno al Bicentenario. ¿ Qué ha dado América Latina y El Caribe al Mundo?(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Vega Delgado, Gustavo ArmandoItem En busca de nuevos paradigmas en la formación de Profesionales de la Salud(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Castro Calle, Fernando Eugenio; Soliz Carrión, Ana Dénise; Medina Rodríguez, María ElizabethItem Implante de nueve stents farmacológicos para el tratamiento de una paciente diabética con enfermedad coronaria multiarterial(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Quizhpe Rivera, Arturo Ricardo; Maldonado, Galo; Abizaid, Alexandre; Ribamar Costa, Jose de; Souza nunez, Paulo Márcio; Ferez, Fausto; Mattos, Luis Alberto; Sousa, Amanda; Sousa, J. Eduardo; Staico, RodolfoThe incidence of diabetes mellitus has continuously risen in the recent years. Patients with this chronic condition have a higher risk to develop coronary artery disease. Unfortunately, due to the frequent diffuse involvement of multiple vessels, the long term outcomes after percutaneous intervention, either with catheter-balloon or bare metal stent, has always been poor and frequently inferior to cardiac surgery in this subset of patients. Recently, the introduction of drug-eluting stents (DES) has brought enthusiasm to treat percutaneously patients with more complex disease. In this manuscript we report a successful percutaneous approach of an insulin dependent diabetic patient treated with multiple DES (Taxus™, Boston Scientific).Item Estudio del perfil suicida en pacientes que acuden al Hospital Vicente Corral Moscoso. Cuenca. 2007(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Pinos Abad, Guido Marcelo; Morocho Malla, Manuel IsmaelItem Trauma, diez años de experiencia, Hospital Vicente Corral Moscoso(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Astudillo Molina, Rubén Arturo; Salamea Molina, Juan Carlos; Crespo Riquetti, Paola Marcela; Salamea Molina, Pablo JavierObjective. To carry out a demographic description, its form and arrival state, etiology, trauma type and findings, in patients surgically intervened and discharged from surgery service of Vicente Corral Moscoso Hospital, Cuenca – Ecuador. Patients and methods. Descriptive study in a ten years period from 1995 to 2005.The hospital book of discharges was revised, finding 1415 medical charts. Registering year, sex, age, origin, vital signs, state of conscience, forms of arrival, and presence of ethylic breath and finding traumatic etiology, trauma type in relation to the affected area, variety, classification and findings. Results. A total of 1415 patients were reported, 79.65% being of the male sex and 20.35% being of the female one, on a relationship of 3,9: 1. The most affected group was from 20 to 29 years of age (28.06%). The patients of rural area were 51.45%. Arriving at the Hospital most were brought by another person in 43.46%. In 77.38% of the patients the state of conscience was possible to determine through the Glasgow Coma Scale. The presence of ethylic breath was found in 30.88%. In 38.37% the most frequent etiology was by traffic accidents. As head trauma 37.79% was registered, 16.69% of maxillofacial trauma, 14.26% of thoracic trauma, 11.45% of abdominal trauma, 5.95% of pelvic trauma, 3.01% of vascular trauma and burns in 10.87% of the cases. Conclusion. Traffic accidents were found as the main cause of trauma, specifically the ones caused by automobiles; men in their second decade of life were the most affected; in most cases, a third party brings in the patients; the subdural hematoma is the most frequent lesion found in the moderate head trauma. Wounds in face and nasal fractures are the most common in maxillofacial trauma. Trauma of the thorax is more frequent than the abdominal trauma. Pneumothorax is the most frequent lesion of the thorax and lesion of the small intestine is the most frequent of the abdomen.Item Características de prescripción antibacteriana en hospitales públicos de la provincia del Azuay(Universidad de Cuenca. Facultad de Ciencias Mëdicas, 2010-04) Ojeda Orellana, Marco Ribelino; Coronel, Fanny; De La Cruz, Elizabeth; Vivar, Diego; Gárate, Andrés; Orellana, Paola; Muñoz, AndresObjectives. To determine the frequency of certain characteristics of the antibacterial prescription in the Service of external Consultation of the pubic Hospitals of the county of Azuay and to determine the frequency of certain parameters of badprescription in the same ones. Materials and Methods. By means of descriptive study, the recipes were evaluated prescribed in external consultation of 3 hospitals, they registered the antibacterial, antibacterial prescription frequency and prescribed dose, prescription with generic name, infectious diagnosis, was compared the outline then with the guides of treatment of OPS and Sandford for its evaluation. Results. 2372 recipes were gathered, of them 13,01% contains (N=307) antibacterial. The generic name was written in 40,71% (N=63) the (N=125) prescription it was adapted in 34,85%, (N = 107) prescription in excess 25,4%, (N=78) prescription with dose inadequate 5,53%, (N=17) Prescription with duration inappropriate 13,68%, (N=42) inadequate Selection of the antibacterial one in 20,52%. The age group from 5 to 14 years is that of more prescription with 20,14%. The group of antibacterial more prescribed they were the penicillins with 47,04% (N=151). Conclusions. The prescription percentage of antibacterial in external consultation is low in relation to other countries; however the figure is increased in the cantonal hospitals. The appropriate prescription of antibacterial is inside the Latin American parameters, the main error is the prescription in excess and the inadequate selection of the antibacterial one. The result of this study is useful to design strategies to improve the antibacterial prescription in the region.Item Tratamiento de osteoartrosis de manos sintomática con glucosamina y condroitin sulfato versus acetaminofen. Cuenca(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Guevara Pacheco, Sergio Vicente; Feicán Alvarado, Elsa AstridItem Validación del Ecofast en trauma abdominal. Hospital Vicente Corral. Cuenca 2007(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Astudillo, Johnny; Figueroa Morales, Francisco Efraín; Orellana Cabrera, Iván Eladio; Criollo, JaimeThe main objetive is to prove that the ECOFAST is a method to detected free liquid in a abdominal trauma for laparotomy criteria. Method and Materials. With a descriptive design and a propositive fact were included since April 1st, 2006 until March 30th, 2007 fifty five patients with a diagnostic of abdominal trauma who are given the test of the ECOFAST at the Vicente Corral Hospital. Fourty three of this patients were operated using the laparotomy method and the rest “twelve” were kept under observation with awesome results. The analysis was based on the sensibility, specificity, likelihood ratio positive and negative. Results. The sensibility was 81.82%( IC95%: 61.14 a 96.49%), the specificity was 90 (IC95%: 66.41 - 100%); the likelihood ratio positive 8.18 (IC95%: 2.40 - 11.6) and negative 4.95 (IC95%: 2.28 - 21.63). The blunt abdominal trauma on this revision was 58.1% and most of them were caused by car accidents. The average age was from 33 +- 16.8 years. Discussion. The ECOFAST is a trustworthy method to predict intrabdominal lesions on patients with abdominal trauma who required laparotomy.