Revista Medica Vozandes最新文献

{"title":"LA IMPORTANCIA DE IMPLEMENTAR PROGRAMAS DE FARMACOVIGILANCIA EN EL SISTEMA SANITARIO ECUATORIANO.","authors":"Edison Endara","doi":"10.48018/rmvv35i1e","DOIUrl":"https://doi.org/10.48018/rmvv35i1e","url":null,"abstract":"La farmacovigilancia es esencial para garantizar la seguridad y eficacia de los medicamentos en cualquier sistema de salud. En Ecuador, la implementación de programas de farmacovigilancia es crucial para identificar, evaluar y prevenir efectos adversos y otros problemas relacionados con los medicamentos. Estos programas permiten mejorar la calidad del tratamiento, reducir costos a largo plazo y aumentar la confianza de los pacientes en el sistema de salud. Este artículo discute la importancia de estos programas en Ecuador, sus componentes clave, desafíos en su implementación y ejemplos de éxito en otros países.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRORES DE MEDICACIÓN: UNA REVISIÓN BIBLIOGRÁFICA.","authors":"Edison Endara, Oswaldo Vásconez, Wendy Villacis, Myrian Morales","doi":"10.48018/rmvv35i14","DOIUrl":"https://doi.org/10.48018/rmvv35i14","url":null,"abstract":"Los errores de medicación son una amenaza seria para la seguridad del paciente y pueden tener consecuencias graves, como daños severos e incluso la muerte. Este problema se define como cualquier evento prevenible que puede causar o llevar a un uso incorrecto de los medicamentos o a un daño al paciente mientras el medicamento está bajo el control de un profesional de la salud, el paciente o un consumidor. Los errores pueden ocurrir en diferentes etapas del proceso de medicación: al prescribir, transcribir, dispensar, administrar y monitorear los medicamentos. Las causas de estos errores son variadas e incluyen factores humanos, problemas en los sistemas y fallos tecnológicos. Esta revisión analiza las principales causas, tipos y consecuencias de los errores de medicación, así como las estrategias y tecnologías que se están implementando para reducir su frecuencia. Se destaca la importancia de fomentar una cultura de seguridad en el ámbito sanitario y la necesidad de educación y capacitación continua para el personal de salud.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ORAL HEALTH CARE IN PATIENTS OF THE INTENSIVE CARE UNITS.","authors":"Larissa Chiozini Bittencourt, V. Modesto dos Santos","doi":"10.48018/rmvv35i13","DOIUrl":"https://doi.org/10.48018/rmvv35i13","url":null,"abstract":"Introduction: oral hygiene is considered a basic need to protect the health and well-being of the population, with more emphasis for patients under intensive care support. Objective: shortly review the literature about effective role of well-trained professional teams while performing oral care in patients managed in the Intensive Care Unity. Methods: scientific review article, taking as a source of information the current literature published in the PubMed database between 2004 and 2024 including, systematic reviews, meta-analysis, and review studies related with the buccal care procedures, and their relationships with the outcomes of critical ill patients under the infection risks. Results: 28 articles were analyzed, with data of children or adult patients of diverse continents who needed mechanical ventilation, enteral or parenteral feeding, or some invasive procedure favoring the hospital acquired infections, mainly the pneumonias. The reviewed literature most frequently described the lack or insufficient specialized care for the oral cavity of patient with very limited autonomy during hospitalizations. Conclusion: as a whole, there is a need for the dental specialists in the hospital team to personally perform, besides to train in service the nurse staffs and their assistants to carry on the correct methods for the patient daily buccal hygiene, with improvement of general health care and avoiding the worsening during the hospitalization period.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TUBERCULOUS EPIDIDYMITIS – A CLINICAL CHALLENGE","authors":"V. Modesto dos Santos, L. A. Modesto dos Santos","doi":"10.48018/rmvv35i11","DOIUrl":"https://doi.org/10.48018/rmvv35i11","url":null,"abstract":"The incidence of extrapulmonary tuberculosis is growing, and it is estimated that up to 25% of all cases may be extrapulmonary infections, while the reports of genitourinary sites of this infection remain scarce, in special with the epididymis involvement. Bilateral epididymal tuberculosis is an exceeding rare cause of infertility in young, and the GeneXpert MTB/RIF test is considered a useful tool to the diagnosis confirmation. The major routes for scrotal tuberculosis are retrograde extensions from the infections in the prostate or seminal vesicles, and pelvic hematogenous or lymphatic disseminations. Aiming to emphasize the case study of isolated epididymal tuberculosis recently published in this Journal, short additional comments on literature data are presented","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PATIENT SAFETY CULTURE ANALYSIS IN THE STAFF OF A SPECIALTY HOSPITAL IN ECUADOR: A CROSS SECTIONAL STUDY.","authors":"Francisco Cueva, Kathy Bustamante","doi":"10.48018/rmvv35i12","DOIUrl":"https://doi.org/10.48018/rmvv35i12","url":null,"abstract":"Background There are millions of deaths attributable to low levels of quality and patient safety in healthcare. One of the first steps in the journey to high reliability is to establish a solid patient safety culture. This study sought to determine the level of patient safety culture in the personnel of a specialty Hospital in Ecuador. Methods A cross-sectional study was conducted with a descriptive phase comprising the presentation of results of the patient safety culture level in the staff, and an analytical phase to determine conditioning factors of this aspect. Results 344 hospital staff answers were included in the study. The most significant group of personnel who responded to the survey corresponded to medical staff (39.83%). An overall patient safety culture level of 63.86% was determined, with higher scores observed in leadership positions (73,55%) and among the medical staff (69,90%), followed by support positions (60,97%), Other staff positions (60,44%), and nursing (56,74%). The dimensions of patient safety culture identified as strengths were teamwork and hospital management support in patient safety, and as improvement areas figured response to error, and staffing and work pace. Significant differences were found between the results of the patient safety culture domains and: staff position, working time in the hospital, working time in the current area or unit, weekly working hours, and typical contact with patients during daily activities (p < 0.05). Conclusions The patient safety culture level in the Ecuadorian context was determined, as well as its strengths and improvement areas. In this study, the support of hospital management support in patient safety stands out as a strength. Additionally, aspects of the staff were found to be significantly associated with the results of the patient safety culture dimensions indicating potential areas of focus for efforts to improve patient safety culture.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SIGNO DEL CUARTO GIRO, UN SECRETO RADIOLÓGICO PARA LA OTOSCLEROSIS RETROFENESTRAL.","authors":"Carolina Sáenz-Gómez, Jhonny Simba-Vaca, Diego Páez-Granda","doi":"10.48018/rmvv35i15","DOIUrl":"https://doi.org/10.48018/rmvv35i15","url":null,"abstract":"Otosclerosis (OE) is one of the main causes of hearing loss in young adults, with a preponderance of the female sex, with a 2:1 ratio. High-resolution tomography focused on temporal bone is a fundamental tool for diagnosis, allowing subtle changes in density in the ear capsule to be detected. Depending on the location of these findings, EO can be classified into fenestral and retrofenestral. The fourth turn sign provides valuable information for diagnosis, classification, and surgical planning","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"INFORME DE UN CASO: QUISTE PARASITARIO MESENTÉRICO SUMADO A INSUFICIENCIA RENAL CRÓNICA SECUNDARIO A LUPUS ERITEMATOSO SISTÉMICO EN ADOLESCENTE.","authors":"Héctor David Tito Tito, Edison Hernán Agila, Viviana Elizabeth Granja, Andrea Elizabeth Paredes","doi":"10.48018/RMV.V32.I1.S8","DOIUrl":"https://doi.org/10.48018/RMV.V32.I1.S8","url":null,"abstract":"Introduction Mesenteric cysts are abdominal tumors with a low incidence, the clinical presentation depends on the location and size of the cyst, the recommended treatment is surgical resolution. In next pages. Case description We present the case of a 17-year-old female adolescent with no significant personal pathological history, who initially presented nausea and incoercible vomiting, accompanied by fever and abdominal pain of 5 days of evolution, which caused moderate dehydration and consequently acute kidney injury and later chronic kidney failure that is aggravated by systemic lupus erythematosus that the patient develops during the clinical course. Concomitantly, the patient presents significant abdominal distention, so it is performed a CT scan (Tomography), which reveals the presence of a mesenteric cyst that displaces intra-abdominal organs, so it is made a reference to general surgery. Patient remains awaiting renal biopsy to determine histopathological classification for underlying autoimmune disease. The patient remains awaiting surgical resolution. Conclusion Mesenteric cyst is a rare entity, surgery is the treatment of choice and the only definitive diagnostic method for mesenteric cysts, the patient remains awaiting surgical resolution.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127197412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OSTEOSÍNTESIS DE FRACTURA DE ESPINA TIBIAL ASISTIDA CON ARTROSCOPÍA Y TORNILLO DE COMPRESIÓN TIPO HERBERT, REPORTE DE UN CASO Y REVISIÓN DE LITERATURA.","authors":"Katherine Patricia Portero, Stefany Belén Pullupaxi","doi":"10.48018/RMV.V32.I1.S2","DOIUrl":"https://doi.org/10.48018/RMV.V32.I1.S2","url":null,"abstract":"Introduction Tibial spine fractures have a prevalence of 3 per 100,000 people annually. High-energy trauma is the leading cause, followed by low-energy trauma and 40% by multiple trauma. Imaging studies play a crucial role in establishing the diagnosis. It is important to understand that radiography alone does not allow a correct identification of the fracture, so it is necessary to complement it with a CT or MRI scan. The Meyers-McKeever classification divides fractures by their degree of displacement and comminution into 4 types and guides us in the therapeutic decision. The management of these fractures depends on the morphology, soft tissue involvement and the general condition of the patient. Surgical treatment is primarily considered for displaced fractures. Within this approach, the arthroscopy-assisted technique has reported excellent results. with a low complication rate, compared to open techniques, despite the few studies to define the standard Gold treatment. Case description A clinical case of a 32-year-old patient with a posterior tibial spine fracture is reported, who underwent surgery with arthroscopic-assisted osteosynthesis and a 4.5 x 4.0 Herbert-type compression screw with intraoperative arthroscopic images that demonstrated the restoration of joint congruence, without menisci or ligament injury, assessing intraoperative arches of motion from 0 to 90 degrees. In his mediate postsurgical has been started isometric physiotherapy with flexion and extension of the knee from 0 to 90 degrees plus strengthening of the iliac psoas and quadriceps and resume his activities in 2 months after his surgery. Conclusion At present, there is no consensus on the optimal surgical technique due to the lack of clinical trials. More studies of higher quality and sample size are necessary to establish the Gold Standard in the treatment of tibial spine fractures. However, we found that by using Herbert-type compression screws, timely compression of the fracture fragment is achieved in the anatomical reduction. An updated review of the subject and its therapeutic management is carried out.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124206572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REPORTE DE CASO: ARTERITIS DE TAKAYASU EN ECUADOR","authors":"Rocío Álvarez, Diana Ramírez, Patricia Villacís, G. Acosta","doi":"10.48018/RMV.V32.I1.S12","DOIUrl":"https://doi.org/10.48018/RMV.V32.I1.S12","url":null,"abstract":"Introduction Takayasu's arteritis is a panarteritis, characterized by chronic inflammation, that affects large vessels, especially the Aorta and its main branches. This pathology is extremely rare, has a higher incidence in Japan, presenting low incidence in Latin America. Case description We present the case of a young adult, with no significant medical history, who presents a 3 months of evolution intense headache initially classified as trigeminal neuralgia and cluster headache. Asymmetric pulses and variation in blood pressure between both upper extremities where observed which allowed several presumptive diagnoses to be considered. In the complementary examinations, the patient showed sustained elevation of acute phase reactants. Our patient met four diagnostic criteria of the American College of Rheumatology for Takayasu arteritis and the diagnosis was confirmed by magnetic Angio resonance of the neck, chest and abdomen, where involvement of the entire route of the aorta was observed. In context to treatment, the first-line therapy is high-dose steroids. In patients in whom the suspension of steroids is difficult, combined therapy with immunosuppressive agents is used. In the case of our patient, combined therapy with prednisone and methotrexate was chosen, which presented a favorable evolution. Conclusion Takayasu arteritis is an infrequent vasculitis, however, it is important to make an early diagnosis and treatment in order to improve the prognosis, stop the progression of the disease and improve the quality of life of patients suffering from this pathology.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122451358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LINFAGIOMA QUÍSTICO DE EPIPLÓN COMO CAUSA DE ABDOMEN AGUDO PEDIÁTRICO. ACTUALIZACIÓN DEL TRATAMIENTO: REPORTE DE CASO.","authors":"Galo Fabián García, Gerardo Mauricio Siavichay, A. Guillermo, L. F. García, D. García","doi":"10.48018/RMV.V32.I1.S3","DOIUrl":"https://doi.org/10.48018/RMV.V32.I1.S3","url":null,"abstract":"Introduction Mesenteric lymphagioma is a rare, benign, congenital cystic tumor of the lymphatic vessels, which occurs in 2-5% of cases at the abdominal level (75% cervical, 20% axillary), which occurs more frequently during the childhood. It occurs with an incidence of 1: 250,000 during childhood (60% cases before one year of age), the ratio of women to men is 2: 1. They are located mainly in the subperitoneal space, in the mesentery (59% - 68%), omentum (20% - 27%) and retroperitoneum (12% - 14%). This should be suspected as a differential diagnosis of acute abdomen and pediatric abdominal masses. Its complete excision with negative microscopic margins is the treatment of choice, either by conventional means by exploratory laparotomy or by other less invasive techniques such as laparoscopy. Case description A 6-year-old boy presented with abdominal pain and peritonism. Physical exam: positive rebound sign. Paraclinical: leukocytosis, neutrophilia. Ultrasound shows abundant free fluid in the abdomen and pelvis. Patient undergoes an exploratory laparotomy, finding a multicystic mass dependent on the greater omentum, a sample of peritoneal fluid is taken for cytochemical, bacteriological, culture and histopathology. Complete excision of the cyst plus partial omentectomy and incidental appendectomy is performed. Patient with favorable evolution tolerates diet at 24 hours with progression from liquid to soft, undergoes antibiotic treatment for 48 days based on cefazolin (suspended due to negative culture at 48 hours and negative BARR), with hospital discharge on the fourth day. Result of fibrin-filled peritoneal fluid, transudate and negative histopathology for malignancy. Histopathology report: Macroscopic: irregular tissue fragment measuring 10 x 6 cm, greyish-yellow, cystic areas measuring 1.5 and 4 cm; When cut, it drains mucinous material, the rest of the irregular yellowish areas. Microscopic: fibrofatty tissue with congestive vessels and mixed inflammatory infiltrate (lymphocytes and polymorphonuclear cells), compatible with cystic lymphagioma (Fig. 3). Immunohistochemistry positive for marker D 2-40. Patient with follow-up at 7 days; In months 1, 3, 6 and year with favorable evolution, a control ultrasound was performed at the sixth month and at one year without evidence of recurrence. Conclusion: Mesenteric cystic lymphagioma can present with symptoms of acute abdomen. Complete resection is the treatment of choice, minimally invasive procedures are currently performed with favorable results in children, ultrasound is sufficient for long-term follow-up.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133596572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}