Envíos recientes
Ítem
Restringido
Comunicación de malas noticias retos en la práctica médica
(Universidad Católica de Cuenca, 2023) Salazar López, Joselyne Lilibeth; Bravo Pesántez, Claudio Esteban; 0705756153
Introduction: Learning general communication skills may enable physicians to deliver bad news less uncomfortably and more satisfyingly to patients and their families. International research suggests that solutions to these problems have been sought by creating training programs to improve the transmission of medical information.
Objective: To carry out an exhaustive review of the scientific and medical literature related to the communication of bad news in the health field.
Methodology: Narrative literature review in studies, meta-analyses, systematic reviews, controlled clinical trials, case-control and cohort studies, literature reviews reporting updates on bad news communication in medicine from 2018 to 2023, in English and Spanish.
Results: Twenty-one articles were selected, and it was found that the reasons physicians have difficulties delivering bad news are common concerns about how the news will affect the patient, the challenge of individualizing how to deliver bad news, and the content delivered; they may be afraid of the patient's or family's reaction to the news, or not knowing how to deal with an intense emotional response.
Conclusions: Applying new guidelines, protocols and developing general communication skills may allow physicians to deliver bad news in an empathic way, in addition to the patient-physician relationship, providing security to the patient and their families.
Ítem
Acceso Abierto
Estimulacíon ovárica en ovejas con la aplicación de FSH-p epidural en la producción in vitro de embriones
(Universidad Católica de Cuenca., 2023) Pacheco Pacheco, Carlos Julio; Alvarado Alvarado, Juan Carlos; 0104287040
This research aimed to assess the effects of ovarian stimulation for oocyte recovery using the Ovum Pick-Up (OPU) follicular aspiration technique with epidural administration of FSH-p compared to the combination of FSH-p and eCG administered intramuscularly in vitro embryo production. These three treatments were used: T1: 100mg of FSH-p epidurally divided into two doses (7:00 am-6:00 pm), combined with 300IU of eCG intramuscularly (IM). T2: 100mg of FSH-p (IM) divided into two doses (7:00 am-6:00 pm) plus 300IU of eCG (IM). T3: 300IU of eCG intramuscularly. The variables measured were: Cumulus cell expansion, maturation percentage, fertilization percentage, and embryo production. Oocyte recovery results were T1: 33, T2: 38, and T3: 20 (p: 0.209). Oocyte classification by grade established the highest percentage in T1: 25.8%, T2: 19.3%, and T3: 13.7% (p: 0.323), all in grade I. Expansion (scale 1-4) was similar between T1 and T2 with 3.25 (p: 0.667). Maturation averages were T1 at 47.92%, T2 at 66.07%, and T3 at 70.01% (p: 0.615). The cleavage measurement results showed the following percentages T1: 50%, T2: 22%, and T3: 66.7%. In in vitro embryo production, T1 and T2 reached the morula stage. As a result, there were no differences between treatments, so testing different protocols and routes of FSH-p administration in further research is recommended.
Ítem
Acceso Abierto
La importancia de la implementación de políticas públicas para garantizar el acceso a Internet como derecho humano en Ecuador
(Universidad Católica de Cuenca., 2023) Santacruz Loja, Bryan Andres; Moreno Martínez, Jaime; 0350097879
It is argued that Internet connectivity has become an essential resource as a fundamental right in contemporary society and the modern age, influencing citizen participation and economic development in the digital era. Through a thorough analysis, this paper demonstrates how no Internet access can cause significant disparities in access to information and opportunities in Ecuadorian society, such as the digital divide and the resulting lack of opportunities. The social, educational, and rights-related benefits of implementing public policies promoting digital inclusion are emphasized, with examples of international best practices provided. Ultimately, the article underscores the importance of government action to ensure that all Ecuadorians can practice their right to access information and communicate online.
Ítem
Acceso Abierto
Ineficiencia de la cadena de custodia en el proceso de destrucción de sustancias estupefacientes y psicotrópicas sujetas a fiscalización en Ecuador
(Universidad Católica de Cuenca, 2023) Pulecio Melgar , Pablo Javier; Robalino Peña, Ernesto
Ítem
Acceso Abierto
Sexualidad Adolescente consentida en Ecuador irrelevancia del consentimeinto en menores de 14 años
(Universidad Católica de Cuenca, 2023) Bustamante Espinoza , Lourdes Magdalena; Pinos Jaén , Camilo
Ítem
Acceso Abierto
Vulneración del principio de favorabilidad en aplicación de beneficios penitenciarios en la ciudad de Cuenca-Ecuador
(Universidad Católica de Cuenca, 2023) Castro Andrade , Juan Manuel; Quevedo Quinteros , Manuel
Ítem
Acceso Abierto
Extralimitación de las decisiones judiciales en casos de privación o pérdida de la patria potestad
(Universidad Católica de Cuenca, 2023) Vallejo Sanmartín, Erik Adrián; Ávila Cárdenas , Francisco
Ítem
Acceso Abierto
Afectación del principio de contradicción en el Código Orgánico Integral Penal en la prueba pericial.
(Universidad Católica de Cuenca, 2023) Pozo Cabrera , Pablo Arturo; Ormaza Andrade, Diego
Ítem
Acceso Abierto
Victimas de violencia intrafamiliar en los sistemas de la salud, importancia del correcto manejo judicial
(Universidad Católica de Cuenca, 2023) Galarza Pazmiño , María de los Angeles; Castillo Galvis , Sergio
Ítem
Acceso Abierto
La culpabilidad de la conducta omisiva en el ejercicio de la medicina
(Universidad Católica de Cuenca, 2023) Banda Tapia , Raphael Steeven; Álvarez Pacheco , Juan
