Sede Azogues - Medicina
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Examinando Sede Azogues - Medicina por Asesores "Alomía Castro, Paúl Esteban"
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- ÍtemAcceso AbiertoActualización de manejo del síndrome de aspiración de líquido amniótico meconial. Revisión sistemática(Universidad Católica de Cuenca., 2024) Perguachi Ortiz, Amanda Gyssel; Alomía Castro, Paúl Esteban; 0350005989This syndrome is defined as a clinical pathology characterized by respiratory failure that occurs in newborns due to meconium amniotic fluid aspiration. The risk of presenting meconium fluid becomes much higher as fetal maturity increases, and its management is based mainly on general measures for respiratory support and hemodynamic stabilization aimed at preventing or treating infections and complications that may occur. Objective: To develop an updated literature review of the primary aspects of managing Meconium Aspiration Syndrome (MAS). Methodology: A qualitative, descriptive, and systematic review was conducted using a format based on PRISMA guidelines. Results: Seven articles were excluded because they did not meet the inclusion and exclusion criteria. For the preparation of the document, 31 articles were analyzed: PudMed (6), Taylor/Francis (2), Web of Science (2), Scopus (9), and Google Scholar (12). Conclusions: MAS is a cause of mortality and morbidity from neonatal respiratory disease worldwide; it occurs in infants born to adolescent mothers or mothers older than 40 years with hypertensive disorders, maternal hemorrhage, or sepsis. Steroid treatment does not reduce mortality rates of MAS but improves the time of oxygen administration, invasive ventilation, and ICU stay. Antibiotics are not recommended for routine treatment of MAS, and surfactant therapy in MAS does not directly improve mortality. Keywords: meconium amniotic fluid, meconium stain, MAS, postmature, surfactant.
- ÍtemAcceso AbiertoEfectos secundarios de la fototerapia como tratamiento en la ictericia neonatal(Universidad Católica de Cuenca., 2023) Zhindón Córdova, Viviana Nube; Alomía Castro, Paúl Esteban; 0302556899; ., .Phototherapy is the treatment for neonatal jaundice, especially indicated in indirect hyperbilirubinemia. The efficacy in decreasing bilirubin values after light exposure is significant. However, as well as there are benefits, short and long-term side effects have been presented in neonates after phototherapy, among which mother-child interference, skin lesions, hydro-electrolytic and thermal imbalance, and benign tumors are indicated. A systematic review of scientific documents in digital databases such as Cochrane Plus, Medline, SciELO, Elvesier, PubMed, and WorldWideScience org was conducted using previously defined keywords. The guidelines taken as a reference were those described by the PRIMA 2020 standards. In the results, 30 articles published in national and international impact journals with moderate and high scientific quality were compiled, evidencing neonatal jaundice's prevalence is higher in Latin America and Ecuador and hyperbilirubinemia is among the top ten causes of morbidity in children under one year of age. At the end of the research, it was concluded that, despite the effectiveness of phototherapy, its application should be only in necessary cases. Although the studies included in this project demonstrated possible side effects in the neonate, it is important to follow the recommended guidelines since phototherapy can develop immediately or mediate harmful effects in the newborn.
- ÍtemAcceso AbiertoFactores que influyen en el hipertención pulmonar persistente en recién nacidos(Universidad Católica de Cuenca., 2023) Alvarez Tamay, Katy Johana; Alomía Castro, Paúl Esteban; 1724163256; ., .Persistent pulmonary hypertension of the newborn (PPHN) is a syndrome characterized by hypoxia and hypoxemia due to increased pulmonary vascular resistance and decreased systemic resistance; maternal, genetic, and environmental factors cause it. Diagnosis is mainly clinical and, if necessary, laboratory and imaging studies. Management will focus on improving and maintaining proper oxygenation and perfusion at a pulmonary and systemic level. The methodology used was based on the PRISMA 2020 statement, through cycles of collection, analysis, and writing of the different references located in databases such as Research Gate, Scopus (ELSEVIER), Redalyc, SciELO, EBSCO, Google Academic, World of Science, PubMed, Medigraphic, and Cochrane. The results for the discussion were obtained exclusively from publications of moderate and high impact of scientific and academic quality to tabulate the validity of the quality of the studies. The Excel 2010 software will be used for the tabulation.
- ÍtemAcceso AbiertoHipoglicemia Neonatal(Universidad Católica de Cuenca., 2020) Caizaguano Dutan, Mayra Alexandra; Alomía Castro, Paúl Esteban; 0302212188; ., .La hipoglicemia neonatal es una patología frecuente y de gran interés clínico por sus repercusiones a corto y largo plazo. El objetivo de la investigación fue analizar la hipoglicemia neonatal a través de la revisión de evidencia científica existente para lo cual se llevó a cabo una revisión bibliográfica basada en publicaciones e informes de entidades de salud dedicadas a la investigación y análisis de la hipoglicemia neonatal mismas que fueron recuperadas de diferentes bases de datos como: google académico, Cochrane, Medline, BVS, Pubmed, Lilacs, MEDES, Scielo, Cantabria, Latindex, Elsiever, Research gate, utilizando palabras claves como: hipoglicemia, hipoglucemia, glucemia, glucosa, neonatal, recién nacido. Los resultados se presentaron a manera de discusión abordando definiciones, valores, factores de riesgo, causas, sintomatología, diagnóstico y tratamiento de la hipoglicemia neonatal. Con los resultados relevantes de los artículos seleccionados, se llevó a cabo un análisis crítico y comparativo que permitió ampliar el conocimiento y realizar una argumentación sólida del tema.
- ÍtemAcceso AbiertoPrevalencia y factores de riesgo de asma bronquial en niños de 3 a 10 años(Universidad Católica de Cuenca., 2023) Paguay Morocho, Tannya Mariuxi; Alomía Castro, Paúl Esteban; 0350333449; ., .Introduction: Bronchial asthma, considered a reversible lower airway obstruction with an overproduction of mucus and bronchitis, is the most frequent childhood chronic disease; its prevalence and risk factors differ in different countries. General objective: To describe through an updated bibliographic review the prevalence and risk factors of bronchial asthma in children from 3 to 10 years old. Methodology: Comprehensive qualitative literature review based on the latest studies in databases such as PubMed, ScienceDirect, Web of Science, Scopus, and Cochrane. The search for studies included articles published in indexed journals in English and Spanish. Results: The prevalence of asthma is 15-20% in the general population; in Latin America, it varies from 18.3% to 30.9%; in the United Kingdom, it is 14.9%; and in the United States, it is 24.4%. It is estimated that 1 in 12 American children have asthma. As age advances, it tends to decrease. Risk factors include a family history of asthma, allergens especially from house dust, contact with pets, obesity living in urban areas, and exposure to cigarette smoke, humidity, and mold. Conclusions: The prevalence of asthma in the pediatric population is high and is associated with various environmental, biological, and physical factors.