Revista Médica del Hospital José Carrasco Arteaga最新文献

{"title":"Estudio Transversal: Prevalencia de Infecciones por Virus Sincitial Respiratorio en Pacientes Ingresados en el Hospital de Especialidades José Carrasco Arteaga, 2017","authors":"Jorge Sebastián Castro Ortega, John Diego Atiencia Palacios, Mónica del Carmen Juma Fernández, Vivian Alejandra Neira Molina","doi":"10.14410/2019.11.2.ao.21","DOIUrl":"https://doi.org/10.14410/2019.11.2.ao.21","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124408500","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":"Estudio Transversal: Rendimiento Académico Asociado a Depresión y Ansiedad en Estudiantes de la Facultad de Ciencias Médicas, 2015","authors":"Julieta del Carmen Reinoso Carrasco, Milton Fabricio Lafebre Carrasco, Dolores Amparito Rodríguez Sánchez, Clara Yamilet Serrano Delgado","doi":"10.14410/2019.11.2.ao.22","DOIUrl":"https://doi.org/10.14410/2019.11.2.ao.22","url":null,"abstract":". ABSTRACT Cross-Sectional Study: Academic Performance Associated with Depression and Anxiety in Students of the Faculty of Medical Sciences, 2015 BACKGROUND: Depression and anxiety are emotional disorders that could be related to academic performance, mainly in students of health sciences areas, who are vulnerable to suffer these kind of disorders. The aim of the study was to determine the relationship between the presence of anxiety and depression, with low academic performance in students of the Faculty of Medical Sciences of University of Cuenca. METHODS: An observational cross-sectional study was performed; the universe included students belonging to the Faculty of Medical Sciences of the University of Cuenca. A virtual survey was used to collect the information, and the \"Goldberg Anxiety and Depression Scale\" was applied in its Spanish version, the presence of low academic performance was also analyzed. Descriptive statistics was used; the data processing was done in the SPSS software version 22.0. RESULTS: 1 127 students were included, 73.8% (n=832) female and 26.2% (n=295) male; the mean age was 21.68 years (± 2.8). The percentage of students in the Schools of medicine, nursing and medical technology were 33.9% (n=382), 17.7% (n=200) and 48.4% (n=545) respectively. The frequency of depression in the schools of medicine, nursing and medical technology was 34.7%, 47.5% and 17.8% respectively; the frequency of anxious disorders was 35.2%, 50.8% and 14.1% respectively. No statistically significant association was found between these disorders and low academic performance. CONCLUSION: It has been reported a significant frequency of depressive, anxious or mixed symptoms in students of the Faculty of Medical Sciences of the University of Cuenca. However, no statistically significant association was found between these disorders and low academic performance.","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123394174","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":"Estudio de Cohortes: Angioplastia Primaria con Trombectomía versus Angioplastia Primaria Convencional en Pacientes con Infarto Agudo de Miocardio con Elevación del Segmento S-T. Hospital de Especialidades José Carrasco Arteaga, 2009 – 2016","authors":"Edison Damián Calle Samaniego, Jaime Rodrigo Morales Sanmartín, Arturo Ricardo Quizhpe Rivera","doi":"10.14410/2019.11.2.ao.19","DOIUrl":"https://doi.org/10.14410/2019.11.2.ao.19","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"240 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132497110","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":"Cirugía de Rescate, Una Opción Eficaz Para Colecistectomía Laparoscópica Difícil","authors":"Doris Adriana Sarmiento Altamirano, David Felipe Alvear Castro, Yaritza Ninoska Ayala Yunga, Jonathan Alfredo Ayala Yunga","doi":"10.14410/2019.11.2.ao.17","DOIUrl":"https://doi.org/10.14410/2019.11.2.ao.17","url":null,"abstract":"Cohort Study: Rescue surgery, an effective option for difficult laparoscopic cholecystectomy BACKGROUND: The standard treatment for acute cholecystitis is laparoscopic cholecystectomy. Standard laparoscopic cholecystectomy requires the dissection of Calot’s triangle and exposure of the cystic duct; this procedure is associated with bile duct injury and bleeding from the liver vascular bed. Laparoscopic subtotal cholecystectomy could be an alternative in these situations, since it is considered as a procedure associated with few complications. METHODS: A prospective cohort study was conducted. The universe included 180 patients in whom a difficult cholecystectomy was performed; the same was defined as: empyema, gangrene, perforation, severe inflammation with fibrosis, Mirizzi syndrome, vesicular plastron, liver cirrhosis and anatomical variants. It was classified into two groups; Group 1 (traditional cholecystectomy, 90 patients), and Group 2 (rescue cholecystectomy, 90 patients), group 2 used rescue techniques such as: Pribram, subtotal reconstructive, fenestrative and retrograde dissection. The presence of complications (bile duct injury, bleeding, collections and residual choledocholithiasis, infection of the surgical site) was considered as an event. The softwares SPSS 22.0 and Epidat 3.1 were used for the statistical analysis. RESULTS: It was observed that the general incidence of complications in patients with difficult cholecystectomy was 9.44%, the incidence of complications in exposed patients (traditional cholecystectomy) was 14.44%, versus an incidence in unexposed patients (salvage cholecystectomy). 4.44%; RR 3.25 (95% CI: 1.02 - 9.58), p= 0.04. The following techniques were used: retrograde chole-cystectomy 63.33% (n=57), modified Pribram cholecystectomy 21.1% (n=19), reconstructive subtotal 14.44% (n=13), and fenestrative subtotal 0.9 % (n=1). CONCLUSION: Rescue cholecystectomy in difficult cholecystectomy is effective to reduce the risk of complications such as bleeding and bile duct injury; there was no difference between the frequencies of residual choledocholithiasis between the two groups.","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133194086","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":"Revisión Bibliográfica: Trastornos Neurocognitivos en Pacientes Infectados con el Virus de la Inmunodeficiencia Humana","authors":"Ma. José Peñaherrera Vélez, Yasel Santiesteban Díaz, Yolanda Dávila Pontón, Heydi Roa López, Ximena Vélez Calvo","doi":"10.14410/2019.11.2.rb.23","DOIUrl":"https://doi.org/10.14410/2019.11.2.rb.23","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134214055","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":"Caso Clínico: Quiste Tirogloso, Cirugía de Sistrunk","authors":"Yolanda Elisabeth Vintimilla Pogo, Marcia Cumandá Patiño Patiño, Johana Priscila Inga Lojano, Galo Fabián García Ordóñez","doi":"10.14410/2019.11.2.cc.24","DOIUrl":"https://doi.org/10.14410/2019.11.2.cc.24","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130763118","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":"Caso Clínico: Enfermedad de Crohn en Pediatría, el Desafío de un Diagnóstico Temprano","authors":"Yadira del Cisne Silva Salazar, Bolívar Rudicindo Cabrera Tigre, Mónica Carolina Sánchez Guamán","doi":"10.14410/2019.11.1.cc.10","DOIUrl":"https://doi.org/10.14410/2019.11.1.cc.10","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114353993","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":"Caso Clínico: Linfangioleiomiomatosis en una Paciente Joven con Síndrome de Bourneville","authors":"Brayan Paúl Carrión Ruiz, Javier Alejandro Vivanco Cruz, Leydy Aracely Rodas Orellana","doi":"10.14410/2019.11.1.cc.15","DOIUrl":"https://doi.org/10.14410/2019.11.1.cc.15","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128484518","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":"Estudio Cualitativo: Prácticas Sexuales Relacionadas con el VIH/SIDA en las Comunidades Shuar de la Parroquia SevillaDon Bosco - Morona Santiago, 2017","authors":"Doriz Angélica Jiménez Brito, Liliana Alexandra Brito Roby, Elisabeth Cecilia Sinche Rivera, Aydée Narcisa Angulo Rosero, Esmeralda Maricela Estrada Zamora","doi":"10.14410/2019.11.1.ao.03","DOIUrl":"https://doi.org/10.14410/2019.11.1.ao.03","url":null,"abstract":"","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124954034","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":"Revisión Bibliográfica: Glicocálix Endotelial como Blanco de Agresión del Fenómeno Isquemia Reperfusión","authors":"Mario Patricio Montalvo Villagómez, J. L. Vélez Páez, F. E. Jara González, Santiago Xavier Aguayo Moscoso, Pablo Andrés Vélez Páez, Carlos Gustavo Velarde Montero","doi":"10.14410/2019.11.1.rb.09","DOIUrl":"https://doi.org/10.14410/2019.11.1.rb.09","url":null,"abstract":"Bibliographic Review: Endothelial Glycocalyx as Target of Aggression of the Ischemia-Reperfusion Injury The endothelial glycocalyx is a structure rich in glycosaminoglycans, proteoglycans and glycoproteins that cover vascular endothelium; in addition of being a protective structure, the direct contact with blood turns it the target of aggression of multiple physiopathological mechanisms. The ischemia-reperfusion injury commonly presents in several critical care entities, including: ischemic stroke, acute coronary syndrome, sepsis and shock, major trauma, surgery and transplantation. Complications are multiple and dependent of the site of presentation; the common denominator is microvascular dysfunction that could potentially trigger multiple organ dysfunction syndrome. The aim of this bibliographic review was to update the knowledge regarding endothelial glycocalyx damage and ischemia-reperfusion injury.","PeriodicalId":417745,"journal":{"name":"Revista Médica del Hospital José Carrasco Arteaga","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121872832","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}