Medicina
URI permanente para esta comunidadhttps://dspace.ucacue.edu.ec/handle/ucacue/22
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Examinando Medicina por Asesores "Alarcón Flores, María José"
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Ítem Embargo Biológicos sistémicos como terapia para dermatitis atópica infantil(Universidad Católica de Cuenca., 2024) Tello Ochoa, José David; Peñarreta Quezada, Noelia Paulette; Alarcón Flores, María José; 0106815566; 0707057592Ítem Acceso Abierto Estrategias para el manejo del dolor en recién nacidos sometidos a procedimientos(Universidad Católica de Cuenca., 2024) Sarango Sarango, Thalía Marisol; Alarcón Flores, María José; 1150412854Introduction: Although newborns cannot express pain sensation, it is essential to understand that they experience significant pain during routine procedures. For this reason, pain management in these individuals is a subject of constant study; there are scales that enable the assessment of pain objectively in real time, for a timely approach with both pharmacological and non-pharmacological measures. Objective: To report different strategies for pain management in newborns undergoing procedures. Methodology: This thesis focuses on a narrative literature review, with a search for scientific information in both English and Spanish. The criteria include studies not older than five years in scientific databases such as PubMed and Embase. Expected Results: This paper aims to provide a comprehensive analysis of current strategies for addressing pain in newborns, whether through pharmacological or non-pharmacological interventions and to be a tool for all healthcare professionals dealing with infant pain management, offering relevant guidance and resources. Conclusion: This literature review has shed light on strategies for pain management in newborns, emphasizing the importance of addressing this crucial aspect of neonatal care. The reviewed evidence supports the effectiveness of pharmacological and non-pharmacological approaches, recognizing the need for a comprehensive and personalized approach.Ítem Acceso Abierto Fenilcetonuria clásica en pacientes pediátricos en la ciudad de Cuenca - Ecuador. Serie de casos(Universidad Católica de Cuenca., 2024) Tello Herrera, María Gabriela; Alarcón Flores, María José; 0106459043Background: Phenylketonuria has been a paradigm of hereditary metabolic diseases; it is also the first one that allowed finding the biochemical explanation of mental retardation. It is a type of innate metabolic disorder associated with amino acids, caused by a failure of hepatic phenylalanine hydroxylase, causing in the patient irreversible damage to nerve cells and an overall developmental delay due to an accumulation of proteins in the tissues. This is a disorder that should be identified early for proper management within the first 28 days of life. Clinical cases: The present case series will expose four pediatric patients between the ages of 0 to 5 years, who presented a diagnosis of classic phenylketonuria in the city of Cuenca-Ecuador, which were diagnosed through neonatal metabolic screening with which it was possible to administer timely treatment for this pathology. Conclusions: Early diagnosis and adequate metabolic control through treatment, mainly dietary-nutritional, is crucial to delay complications and increase life expectancy in patients with phenylketonuria.Ítem Acceso Abierto Nivel de conocimientos y habilidades frente a la lactancia materna en pediatras de la ciudad de Cuenca, en el periodo 2023-2024(Universidad Católica de Cuenca., 2024) Preciado Díaz, Emily Dayanara; Zuñiga Iñiguez, Doménica Patricia; Alarcón Flores, María José; 0750579542; 0106462997Background: Healthcare personnel, including pediatricians, are crucial in guiding and promoting breastfeeding. However, insufficient training in breastfeeding can negatively influence its practice rates, which in turn affects the child’s health in the short and long term. It has been found that adequate training on this topic significantly increases breastfeeding rates. Objective: To determine the level of knowledge and skills regarding breastfeeding among pediatricians in Cuenca during 2023-2024. Methodology: A descriptive-relational observational study of quantitative method with cross-sectional design was conducted in a finite population and census sample comprised of 70 specialists and subspecialists in pediatrics, employing direct interview technique with a data collection form and the ECoLaE questionnaire, analyzed with SPSS V27 software for Windows. Results: Participants’ knowledge and skills in breastfeeding ranged from 10 to 25 points with a mean of 17.66 (SD=4.3) with a predominance of insufficient level, representing 29.2% of the entire sample. Conclusions: The medical staff needs to be educated and trained on breastfeeding through training programs to provide correct guidance to breastfeeding mothers and reduce its negative impact on infant health.Ítem Embargo Nivel de conocimientos, actitudes y prácticas del personal de salud frente a la vacunación pediátrica en el Centro de Salud Carlos Elizalde de Cuenca, 2023-2024(Universidad Católica de Cuenca., 2024) Peralta Sánchez, María Augusta; Molina Molina, Salomé Alejandra; Alarcón Flores, María José; 0106864531; 0106864531Ítem Acceso Abierto Resultados del método canguro en prematuros hospitalizados en neonatología. Revisión Bibliográfica(Universidad Católica de Cuenca., 2024) Romero Espinoza, Samantha Marianela; Alarcón Flores, María José; 0706804549Introduction: This study focuses on prematurity, a significant challenge in public health worldwide, affecting 15 million babies annually. Kangaroo Mother Care (KMC) is assessed as a promising program that helps improve the health and well-being of these premature babies. Objective: To describe the outcomes of KMC in premature neonates, detailing its benefits, indications, and contraindications, as well as its impact on clinical variables and the neurodevelopment of premature infants. Methodology: A narrative literature review was conducted, selecting relevant, current, and scientifically rigorous studies published since 2018. Primary sources included databases such as PubMed, ScienceDirect, and Cochrane. Results: Studies indicate that KMC strengthens the bond between mother and child, reduces stress and anxiety, and promotes neurosensorial development and breastfeeding. Although it presents multiple benefits, challenges in its implementation were also identified, such as health personnel training and economic and social barriers. Conclusion: KMC is an effective and safe intervention for premature newborns, offering emotional, physical, and psychological benefits. More effective implementation and continuous education are essential to maximize its effectiveness.
