Trabajos de Titulación - Medicina
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/23
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Examinando Trabajos de Titulación - Medicina por Asesores "Mercado González, Andrés Felipe"
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Ítem Acceso Abierto Eficacia de la quimioterapia intraperitoneal hipertérmica en el cáncer de ovario en mujeres adultas: revisión sistemática(Universidad Católica de Cuenca., 2023) Abad Barahona, Vanessa Isabel; Minchala Sucuzhañay, Flor Dalila; Mercado González, Andrés Felipe; 1719216630; 0302569363Context: In ovarian cancer, cytoreductive surgery is the treatment of choice, followed by adjuvant chemotherapy; where, hyperthermic intraperitoneal chemotherapy controls residual disease, with the combination of physical (thermal) and chemical (chemotherapeutic) methods prior to the formation of adhesions. Objective: To determine the efficacy of hyperthermic intraperitoneal chemotherapy in ovarian cancer in adult women. Methodology: Systematic review of primary studies published in PubMed, Scopus and Web of Science from 2013 to 2023, in Spanish and English. Results: A total of 133,393 articles were obtained, 108 were selected after the first reading, later considering the inclusion and exclusion criteria, 9 studies were used for the present review. The categories hyperthermic intraperitoneal chemotherapy, Cytoreductive Surgery, Survival, Endothelial Ovarian Cancer are described. Conclusion: Research results support the efficacy of HIPEC as a promising therapeutic approach for ovarian cancer treatment, demonstranting an overall survival of 35 months and progression – free survival of 15.6 months.Ítem Acceso Abierto Terapias de reemplazo de hormonas para personas transgénero en países de América Latina(Universidad Católica de Cuenca., 2024) Robles Becerra , Guillermo Nicolás; Mercado González, Andrés Felipe; 0107124802Importance: In Latin America there are no hormone replacement therapy protocols in all countries, which means this population is not properly addressed within the health systems. This would be justified by showing that currently, according to studies analyzed by the World Professional Association for Transgender Health, at least 0.3% of adults identify themselves as transgender and 1.2% of children and adolescents also identify themselves as such. Observations: It is observed that most protocols have been adapted to the health systems of Latin American countries in which hormone replacement therapy protocols exist, in addition to being based on international guidelines such as those of the World Professional Association for Transgender Health and the Endocrine Society. Conclusions and Relevance: The protocols available in Latin America are on the way to serve as a reference for those countries that do not have them. They can be studied and adapted to the reality of each country, considering the availability of drugs and the expansion of primary health care systems. That said, the relevance of this study lies in the visibility of the transgender population as a population that can and should be attended in the health systems of all countries.
