Revista Medica Vozandes最新文献

{"title":"CALIDAD DE VIDA EN UN GRUPO DE PACIENTES CON DIABETES MELLITUS TIPO 2: UN ESTUDIO TRANSVERSAL.","authors":"G. Rojas, Paola Solís Pazmiño, R. Gaona, Fernanda Mollocana, Ismael Espín, Altacílio Nunes","doi":"10.48018/rmv.v32.i1.7","DOIUrl":"https://doi.org/10.48018/rmv.v32.i1.7","url":null,"abstract":"Introduction: In health decision-making, relevance should be given to the patient's perception of the quality of life derived from the state of health resulting from the use of one or another possible alternative. Worldwide, the utility associated with quality of life is expressed in quality-adjusted life years (QALY). The EQ-5D-5L has shown validity and reliability as a measure of quality of life and utility in health, being studied and validated both in primary care and in diabetic patients. Objective: To measure the perceived quality of life in patients with diabetes mellitus type 2 in utility measures, in a second-level hospital during 2018 using the EQ-5D-5L questionnaire Spanish version for Ecuador. Patients and methods: Cross-sectional study with adults older than 40 years with type 2 diabetes mellitus in treatment and ambulatory medical assistant. The QALYs were estimated using the calculator on the NATS-INC website. The results were expressed in means with standard deviation or percentages, and measures of association between variables were performed. Results: 57 participants, mainly women, fulfilled the inclusion and exclusion criteria; with an average age of 67.77 years. Regarding the quality of life measured by the EQ-5D-5L instrument, the most frequent state of health was 11111 (28.1%), which means “no discomfort”. A mean of 74.47 was obtained in the EVA and 0.708 in QALY. Conclusions: The participants in this study report a higher level of quality of life compared to countries with higher economic levels, and very similar averages in the scores obtained in the EVA.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133095788","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":"COAGULOPATHY AND COVID-19: A REVIEW FOR MEDICAL PRACTICE.","authors":"J. Estrella Porter, J. Del Castillo Arellano, Diego Añazco Villarreal, J. Ayala Mullo, Alejandro Badillo Llerena, Dayannara Balcazar Medrano, Daniel Bolaños Romero, Stalin Isaías Cañizares Quisiguiña, Gabriela Carrera Barriga, Marco Di Stefano Pelizzo, Jorge Espinosa Maza, Isabel Espinosa Proaño, Lucia Guamán Maldonado, Katherine Guijarro Falcon, Paola Guzmán Cerda, Elena Iturralde, Rubén Moncayo Intriago, Paola Montalvo Silva, G. Moya Quitto, Iqrah Muhammad Mendoza, Gabriela Noboa Salgado, Doménica Ortiz Salazar, Germán Puertas Ruiz, Tatiana Pullas Mantilla, Cinthia Salazar Chuquimarca, Daniela Sosa Cifuentes, Fabian 0000-0002-0567-339X, Denise Vinueza Erazo, Esteban Zambrano Real, Susan Zarate Cazorla, Danna Zurita Salvador, Marcos Di Stefano Ciabatella","doi":"10.48018/rmv.v32.i1.5","DOIUrl":"https://doi.org/10.48018/rmv.v32.i1.5","url":null,"abstract":"In December 2019, an outbreak of a new coronavirus disease (formally known as COVID-19) was first reported in Wuhan, China, and soon spread around the world. On March 11, 2020, COVID-19 was declared as a pandemic by the World Health Organization (WHO). So far, COVID-19 has proven to be a disease with multiorgan involvement, affecting the hematological system as well. Patients with COVID-19, especially those with moderate to severe disease, frequently experience a coagulopathy associated with a high incidence of thrombotic events, which leads to poor outcomes. The pathogenesis of COVID-associated coagulopathy (CAC), is not fully understood yet, although the host inflammatory response to the infection appears to be a crucial element in the development of CAC. IL2, IL-6, IL7, G-CSF, PI10, MIP1, and TNF alpha, among other molecules, act as proinflammatory cytokines that stimulate endothelium damage and alter the coagulation homeostasis. CAC usually manifests as venous thromboembolisms (VTE). While bleeding can also occur, it is a rare form of presentation. Inpatients with COVID-19 must receive thromboprophylaxis, mainly with low-molecular-weight heparin (LMWH); unfractioned heparin can be accepted under certain circumstances. Patients with a diagnosis or high suspicion of VTE should receive the complete doses of anticoagulation treatment and must continue on it for at least three months. Recommendations regarding prophylaxis and treatment may vary among institutions and countries. There is not clear evidence for the regular use of antiplatelet therapy in patients with COVID-19. This review will provide key insights regarding the pathophysiology, clinical manifestations, diagnosis and treatment of COVID-19 and its associated coagulopathy.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131179267","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":"REMOÇÃO DE TERCEIRO MOLAR EM SEIO MAXILAR COM USO DE TÉCNICA MINIMAMENTE INVASIVA: RELATO DE CASO.","authors":"Cicero Newton Lemos Felicio Agostinho, Thais Dias dos Santos, Leonardo Viana Araújo","doi":"10.48018/rmv.v31.i2.13","DOIUrl":"https://doi.org/10.48018/rmv.v31.i2.13","url":null,"abstract":"The maxillary sinus is a pneumatized anatomical structure located bilaterally in the anterior region of the maxilla. The occurrence of displacement of foreign bodies in the maxillary sinus is not a common condition and when present, it is associated with car accidents, fire arm accidents, psychiatric disorders and iatrogenies in surgical procedures. The removal of the foreign body is carried out in order to prevent infections, and the permanence of the foreign body may offer immediate or chronic damage. Access to the maxillary sinus is most commonly performed using the Caldwell-Luc access technique. Thus, the objective of the study is to report a clinical case of surgical removal of a maxillary third molar from the interior of the maxillary sinus using the caldwell-luc access technique, with the aid of a surgical guide in order to conduct a safer and less invasive surgery.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"1 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116676086","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":"Neoplasia de Células Dendríticas Plasmocitoides blásticas: reporte del primer caso en Ecuador","authors":"Eliza Carolina Jácome Sánchez, Nelson Cevallos Salas, Patricio Hidalgo Dillon","doi":"10.48018/rmv302.6","DOIUrl":"https://doi.org/10.48018/rmv302.6","url":null,"abstract":"Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN) is a rare, aggressive, difficult-to-diagnose haematological neoplasm with high mortality. The first case in Ecuador of a young patient with no relevant pathological history, admitted to the internal medicine service of the Enrique Garcés Hospital for presenting cutaneous macula, arthralgias and myalgias, which is complicated with pleural effusion type exudative and poor respiratory mechanics. Extension tests revealed: Acute myeloid leukemia type M2, which is why he was referred to a reference cancer center to complete study and management. Cytogenetic and phenotypic studies corroborated the diagnosis of BPDCN, Treatment with Hyper-CVAD protocol was instituted, however, the patient presented respiratory, renal and haematological commitment that progresses to refractory and death shock. The aggressive nature of this rare leukemia is a limitation in time to institute targeted treatment, most often determining high mortality.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129011360","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":"Neuropatía sensitiva y motora hereditaria: Enfermedad de Charcot Marie Tooth.","authors":"Verónica Granda-Vivanco, Tatiana Jaramillo-Herrera, Lorena Conza González","doi":"10.48018/rmv301.4","DOIUrl":"https://doi.org/10.48018/rmv301.4","url":null,"abstract":"Charcot Mariet Tooth’s disease (ECMT) or hereditary sensory and motor neuropathy is the one of the most common group of degenerative disorders of the peripheral nervous system, related with a set of genetic alterations that changes the structure, formation and maintenance of myelin. It affects 1 out of 2500 people without considering the age, gender or ethnicity; its etiology is entirely genetic. According to the nerve conduction velocity it is classified in demyelinating or CMT1, axonal or CMT2 and intermediate the same that has the features of the two previous ones. ECMT in majority of cases it is a slowly progressive disease, presenting with characteristic signs of high instep, stork leg, atrophy and decreased muscle strength, altered perception of vibratory stimuli, distal beginning with proximal progression; arreflexia and alteration of march. The diagnosis is based on family history, clinical and physical examination, complemented by electromyography studies, to determine their classification. Genetic tests are taken, based on the type of suspected ECMT, and these will be used for family counseling. Nowadays there is no specific and curative treatment, that’s why support should be provided with physical and rehabilitation therapies, psychological, occupational, as well as an optimal pain control.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133018881","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":"Íleo biliar","authors":"Milton Oswaldo Araujo, Maria Dolores Justicia Andrade, José Ricardo Negrete Ocampo, Katherine Romero","doi":"10.48018/rmv301.5","DOIUrl":"https://doi.org/10.48018/rmv301.5","url":null,"abstract":"","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122564091","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":"Síndrome de Bean y albinismo: reporte del primer caso en Ecuador","authors":"Oyuki Ortiz-Culcay, Mónica Hernández-Lojano, Fabián Zurita-Alvarado, Juan Roldan-Crespo, Oswaldo Vásconez-Hatt","doi":"10.48018/rmv301.3","DOIUrl":"https://doi.org/10.48018/rmv301.3","url":null,"abstract":"Blue Rubber Bleb Nevus syndrome (BRBNS) or its acronym Bean syndrome is characterized by venous malformations (MV) distributed in multiple anatomical areas, predominantly in the skin and gastrointestinal (GI) tract. Symptomatology is commonly manifested with hemorrhagic episodes and consequent chronic secondary anemia due to deficit. We present the clinical case of a female albino patient of 68 years of age, who came for acute abdominal pain to this we add a chronic rectorrhagia, when performing the physical examination, the presence of venous malformations (MV) characterized by bluish, compressible and heterogeneous nodules, located in the lower lip, chin, perianal region and extremities, as well as pain on palpation in the right hypochondrium. The laboratory analysis revealed low hemoglobin and hematocrit values and other parameters suggestive of iron deficiency anemia, in the colonoscopy report multiple venous malformations (MV) were disseminated, disseminated with rectal predominance, the diagnosis was compatible with Bean Syndrome by the association of MV in skin and Gastrointestinal tract and secondary chronic anemia. The management was clinical symptomatic and palliative surgery, with a favorable evolution. The association of albinism and Bean syndrome are not reported in the international medical literature, considering this the first case in Ecuador as a not very frequent pathology but with important secondary complications, this syndrome should be included as a cause of harmless venous malformations, digestive bleeding, chronic anemia and occlusive effects of hollow viscera","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125424572","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":"Time to transplantation as predictor of hepatocellular recurrence after liver transplantation: a retrospective cohort study","authors":"S. Rodríguez, L. Ernani, A. de Medeiros Fleck, C. Marroni, A. Bandeira de Mello Brandão","doi":"10.48018/rmv301.2","DOIUrl":"https://doi.org/10.48018/rmv301.2","url":null,"abstract":"Hepatocellular recurrence after liver transplantation (LTx) is a major cause of morbidity and mortality. We aimed to investigate the association between waiting time and hepatocellular carcinoma (HCC) recurrence in patients undergoing LTx for HCC. We studied 250 patients who underwent LTx between 2007-2015. Survival and recurrence curves were calculated according to the Kaplan–Meier method and compared by the log-rank test. Univariate hazard ratios for predictors of post-LTx HCC recurrence were determined by Cox proportional hazards regressions. There were no significant differences in recurrence rates when stratified by wait time to transplant. There were also no significant differences in rates of recurrence when the short (< 165 days) and long (> 335 days) wait-time groups were combined, although in this pooled group the 1-year and 5-year cumulative likelihoods of HCC recurrence were higher than in the group with a wait time of 165-334 days. Other predictors of recurrence were microvascular invasion, explant beyond Milan Brazil criteria and tumor diameter ≥ 2.6. This study found no association between wait time to transplantation and recurrence rates in patients who received LTx for HCC and confirmed that variables associated with tumor biology are associated with HCC recurrence.","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125835762","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":"Epigenética de la enfermedad renal","authors":"Cesar Vásconez Vaca","doi":"10.48018/rmv301.1","DOIUrl":"https://doi.org/10.48018/rmv301.1","url":null,"abstract":"","PeriodicalId":114960,"journal":{"name":"Revista Medica Vozandes","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132573059","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}