Medico Cirujano
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ItemCALIDAD DE VIDA EN HIJOS DE MADRE VIH REACTIVO DEL HOSPITAL VERDI CEVALLOS BALDA DE PORTOVIEJO MANEJADOS CON ANTIRRETROVIRALES DESDE ENERO 2010 – DICIEMBRE 2012(Universidad Técnica de Manabí, 2012)This study allows us to analyze the quality of life of the children of HIV mothers who are exposed to VIH transmission at birth, and that according to statistics guide prevention and control of mother to child transmission, treatment after mother -child transmission of 40% is reduced to a value of 0-2%. Once the study is concluded, 1 in 69 children, was the result of vertical transmission of HIV from mother to child, the quality of life could be measured in terms of the percentage of infection. About adherence to treatment there was a somewhat negative connotation, because a small percentage underestimated the importance of attending postnatal checks. In postnatal checks, were observed underweight children, children with repeated respiratory infections, children susceptible to gastroenterology or dermatological infections, children who failed to adhere to treatment because their parents neglect. By measuring quality of life in relation to the percentage of Vertical Transmission, we conclude that we obtained a very satisfactory result, and analyzing the sample variables, such as nutritional status, parental care, postnatal controls, the results were also very satisfactory.
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ItemCALIDAD DE VIDA DE PACIENTES CON DISCAPACIDAD ASOCIADO A PCI EN MENORES DE 12 AÑOS EN EL ÁREA DE REHABILITACIÓN DEL INNFA EN PORTOVIEJO DE ENERO A JUNIO DE 2012(Universidad Técnica de Manabí, 2012)This descriptive study, retroprospective and observational conducted to investigate the quality of life of patients with disabilities associated with PCI in less than 12 years in the rehabilitation of INNFA Portoviejo from January to June 2012. A sample of 20 children who received care at the rehabilitation service of this establishment. We performed data collection by designing two guides: Interview and observation which recorded all necessary data, which were tabulated and processed to draw conclusions and make recommendations as time results. We investigated the following variables: PCI disability dimensions: age, gender, origin, education, history and types of disability, quality of life, with its indicators: behavior, communication, personal care and timely medical care. The main results found that most of the sample are female 55%, with an age between 3 to 5 years, coming mostly in urban areas. Most of the population was born at term and of these 65% were by cesarean section. 40% was preceded by prolonged labor which presumably led to cerebral hypoxia, this being the first cause perinatal and the leading cause of PCI in general. In addition, 75% of children have a profound degree of disability, which precludes some basic functions in their daily lives, at present associated disorders in 50% of the population. It also noted that despite the degree of depth, and being in a physical 55% mixed, 90% of children engaged in valued according to their age as the game, more than a regular rehabilitation 95% and prompt medical attention in all the patients become their main encouragement and vital to their motor and mental development. We conclude that family support is the decisive point in the treatment of this disease, so we decided to intervene by encouraging the development of quality of life through talks on primary care and thus promote the most out of the child aimed at parents and families of children with PCI.
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ItemAGENTES ETIOLÓGICOS Y MORTALIDAD POR SEPSIS EN EL SUB-PROCESO DE NEONATOLOGÍA DEL HOSPITAL PROVINCIAL DOCENTE “DR. VERDI CEVALLOS BALDA”, DE PORTOVIEJO, DE ENERO A JUNIO DEL 2012(Universidad Técnica de Manabí, 2012)Neonatal sepsis is defined as the clinical syndrome characterized by signs of systemic infection accompanied by bacteremia. It manifests itself in the first four weeks after birth. It is not always detected since its inception. The confirmation of the disease is determined by the isolation of bacteria and / or blood products (at least one positive blood culture) and / or CSF culture. This study aimed to determine the etiologic agents and mortality from sepsis in neonates Provincial Teaching Hospital "Dr. Verdi Cevallos Balda "Portoviejo, from January to June 2012. We reviewed the medical records of 163 patients of which 64 was the study population, among the most important results obtained are found that neonatal sepsis occurred more frequently among infants born at term and sex male, likewise the risks related to the development of this pathology was meconium aspiration syndrome, it was shown that initial treatment without blood culture is associated with good clinical evolution, thus reducing the neonatal mortality. This study establishes that the proper implementation of the different concepts in neonatal sepsis, establishment of management protocols based on local epidemiology and the rational and appropriate use of different drugs to will generate a decrease in morbidity and mortality, and less impact on the generation of bacterial resistance.
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ItemACV ISQUÉMICO, HEMORRÁGICO Y PRONÓSTICO DE VIDA EN USUARIOS ATENDIDOS EN EL SUBPROCESO DE EMERGENCIA DEL HOSPITAL PROVINCIAL VERDI CEVALLOS BALDA DE PORTOVIEJO FEBRERO-JULIO 2012(Universidad Técnica de Manabí, 2012)Stroke (CVA) is a major cause of death worldwide. Numerous risk factors have been associated with an increased prevalence and incidence of stroke, as in the case of hypertension, diabetes and atrial fibrillation. The research called: ischemic stroke, hemorrhagic and prognosis in users attended in the emergency sub process Provincial Hospital of Portoviejo Verdi Cevallos Balda February to July 2012, we aim to obtain information and investigate which is the most common type of stroke during this period study, identifying risk factors predisposing to help a preventive medical approach of this pathology. Being a prospective study documentary and bibliographical, with 99 patients as universe supporting us by reviewing clinical records, designed a the form where information is collected and analyzed by statistical graphics; between the data obtained found a high rate of users ischemic stroke (69.70%) and in less proportion the hemorrhagic type (28.28%). The high rate independently of the type of stroke increases with age and was significantly more frequent in users> 65 years, considering arterial hypertension as the most common risk factor.
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ItemABORTOS INDUCIDOS EN EL HOSPITAL DR. VERDI CEVALLOS BALDA FEBRERO – OCTUBRE DEL 2011(Universidad Técnica de Manabí, 2012)Induced abortions are a public health problem in our environment, so we decided to address this issue proposing a research prospective, descriptive that allows us to define the prevalence and causality of induced abortions in the hospital Dr. Verdi Cevallos Balda tiles Portoviejo city during the period from February to October 2011, induced abortions were studied in patients admitted to the Hospital service in question. The main objective of this study is to investigate the induced abortions in the hospital Dr. Verdi Cevallos Balda. Other objectives were to identify the general characteristics that accompany abortion, determine the types of abortions according to clinical impression, and classifying the abortion in accordance with causality. The universe was made up of 450 patients of whom 340 patients were cases of induced abortions (76%) and s excluded (24%) corresponding to spontaneous abortions. For data collection instrument was developed according to the variables of the study and analysis was performed using measures of central tendency as frequencies and percentages. The findings of the study were:. The features that accompanied the study group were as follows: The peak occurrence of the disease were aged 19 to 34 years with 69%, the largest source of presentation was the urban area to 68%. In relation to schooling had higher prevalence of secondary type with 72%. The occupation was reported with the highest percentage was for the homemaker or housekeeping with 54%. The diagnosis at admission to the hospital unit was predominant incomplete abortion accounts for 70%