Trabajos de Titulación - Medicina
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- ÍtemEmbargoImpacto psicológico de la hiperhidrosis primaria(Universidad Católica de Cuenca., 2023) Zari Arevalo, Roger Jamil; Ramírez Palacios, Maria Eulalia; 1900589928Background: Primary hyperhidrosis is a pathology that represents a very common reason for dermatological consultation, it is characterized by excessive sweating in axillary, plantar, palmar or craniofacial regions that generally appears at puberty or adolescence; its carriers frequently develop psychological disability such as symptoms of depression, anxiety and social self-isolation, so part of the main objective of treatment is to improve quality of life and mental health. General objective: Identify the psychological impact of primary hyperhidrosis. Methodology: The present study is of a bibliographic review type, in which reliable scientific information will be extracted from web search engines such as: Pubmed, Scopus and Taylor%Francis, for the search for information the booleans "AND", "NOT" and "OR", being able to combine them, and for the selection of information the inclusion and exclusion criteria will be used. Expected results: It is expected to describe and analyze each psychological factor that may be affected in patients suffering from primary hyperhidrosis.
- ÍtemAcceso AbiertoTerapia nutricional enteral y parenteral en pacientes con diagnóstico de COVID-19 en UCI(Universidad Católica de Cuenca., 2023) Yuquilima Campoverde, María Elizabeth; Yánez Castro, Jorge Luis; 0107257818Background: There is evidence of a large number of cases of disease due to the spread of COVID-19, drawing attention to the malnutrition that is directly associated with exposure and prolonged stay in the Intensive Care Unit, triggering a Malnutrition Syndrome or Malnutrition due to Sarcopenia. Description of the article: Our main objective is to demonstrate, through a bibliographic review of the medical literature for the period 2020-2022, the contribution of enteral and parenteral nutrition in critically ill patients diagnosed with COVID-19 to rescue the benefits in the clinical evolution of the patient. in terms of mortality and hospital stay. Regarding the materials and methods, a bibliographic review study on enteral and parenteral nutrition was carried out, with a search approach in it and with the use of databases such as: PubMed, Lilacs, Scielo, Scopus, Web of Science, the search included the period from January 2020 to December 2022, Conclusion: Patients in critical condition due to COVID-19 are closely linked to a severe state of inflammation that is associated with a series of early and very aggressive acute myopathic processes that trigger higher caloric-protein intake, lower tolerance to nutritional therapy and hence muscle loss. It will be developed with this research that both patients with parenteral enteral nutrition and with a diagnosis of COVID-19 will trigger various clinical benefits by improving nutritional intake, less nosocomial infection, lower mortality in intensive care units and predisposition to functional improvement.
- ÍtemAcceso AbiertoSíndrome de Chilaiditi en adulto mayor con dolor abdominal persistente(Universidad Católica de Cuenca., 2024) Narvaéz Vivanco, Bryan Vladimir; Aldás Erazo, Manuel Rafael; 0107322588Background: Chilaiditi syndrome is a low prevalence and incidence pathology and is even less common in older adults. It was described in 1910 in three patients with pain associated with a radiographic finding of a hydro-aerial zone in the right hemidiaphragm, excluding other etiologies. Case description: A 73-year-old female patient attended a health center because of abdominal pain, which was interfering with her sleep and daily activities. Endoscopic studies reveal no relevant findings; computerized tomography shows interposition of a portion of the colon, anterior and superior to the liver. Several treatment schemes for abdominal pain were used without any improvement. Conclusion: Chilaiditi syndrome presents a non-specific clinical condition, which makes the diagnosis difficult. Treatment is varied; in some cases, it can be conservative; however, abdominal pain can be persistent, as in this case; and, sometimes, produce life-threatening complications.
- ÍtemEmbargoEficacia de la terapia de presión negativa en comparación con el tratamiento convencional en úlceras por presión(Universidad Católica de Cuenca., 2023) Yépez Idrovo, Andrea Carolina; Jaramillo Loaiza, Walter Viterio; 0107089229Background: pressure ulcers or decubitus ulcers are lesions caused by the persistent crushing of some vulnerable area of the body, affected patients can be of any age, as long as they have a state of inability of mobility together with a poor nutritional status. Taking into account the time required for the healing of this type of injuries, as well as the amount of resources and the complications it presents, different therapies have been tried, from wet cures to the most current ones such as negative pressure therapies. Aim: to compare negative pressure therapy with conventional therapy for pressure ulcers. Methodology: a bibliographic review was carried out in the following scientific databases: PubMed, Scopus, and LILACS. Results: with the research it was possible to weigh the therapies applied for the management of pressure ulcers, being exposed the benefits of the different types of dressings used in conventional therapy and negative pressure therapy. Conclusions: conventional therapy is preferred in stage I, II and III ulcers, while, negative pressure therapy is used in stage IV ulcers combined or not with conventional therapy.
- ÍtemAcceso AbiertoActualización en el desarrollo de la vacuna contra el dengue(Universidad Católica de Cuenca., 2023) Yari Guamán, Sharon Salomé; Clavijo Rosales, Claudia Gabriela; 0107456170Background: Dengue is one of the most viral diseases caused by flavivirus, which can spread rapidly around 125 tropical and subtropical areas in the world. It is estimated that approximately 390 million infections can occur per year. However, immunization does not provide adequate protection against this pathogen, therefore, the development of new vaccines implies an improvement in the health system and society. Nowadays, different clinical trials are in progress, and they will launch a new effective and safe vaccine to counteract the effects that Dengue virus can cause. Objective: Update on the development of the Dengue vaccine. Methodology: A non-experimental study of a descriptive/narrative type will be carried out. Also, a bibliographic review based on articles indexed in various scientific sources, specifically in the PubMed database, limited to the English and Spanish languages from 2018 to 2022. Systematic reviews, meta-analyses, clinical trials and comparative studies will be analyzed. Results: In the new investigations, the clinical and preclinical trials, study the live attenuated vaccines, recombinant subunits, tetravalent DNA and inactivated purified vaccines prevails to develop a new effective vaccine against Dengue. Conclusions: the TV003 or DENVax vaccine is the only one in phase III of clinical trials and the most promising, showing excellent immunity and protection.
