Ciencias de la Salud

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    “Efectividad de la aplicación de frio vs. calor superficial en la fase temprana de la tendinitis rotuliana en deportistas amateur”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Terapia Física, 2019-01-01) Díaz Guevara, Patricio Hernán; Llerena Cepeda, María De Lourdes Dra. Mg.
    The present research work had as a question to know what is the effectiveness of the application of two therapeutic physical agents, the local cold and superficial heat, in combination with a program of eccentric exercises in patellar tendinopathy in acute phase, in amateur athletes. Currently there are reports that 50% of the active population have the risk of suffering tendinopathy due to overload of the knee joint, because of bad training habits, incorrect sports gesture, poor diet, like others. This injury is attributed to cause a lot of pain and functional disability, temporarily limiting the normal sports training. The focus of this investigation was correlational analytical descriptive, in which 9 amateur athletes of different sports athletes were evaluated and treated with a protocol designed by the researchers for two weeks, randomly distributed into three groups, one of them a control group. All of them with suspected clinical diagnosis of patellar tendinopathy in the acute phase, using only clinical tests, such as the London Royal Hospital test, the Blazina test and the VISA-SP questionnaire ("Victorian Institute of Sport Assessment-patellar") at the beginning and at the end of process. Establishing that the heat (27% recovery) is more effective than the cold application (21%), however the control group (no physical agent) obtained better results than the two previous groups (31%). The health professionals responsible for the management of patellar tendinopathy need to have the clinical knowledge, the necessary experience and the appropriate tools for a good diagnosis and treatment of this injury.
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    “Ülceras cutáneas en insuficiencia venosa en pacientes con falla renal crónica”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-06-01) Monge Riofrio, Christian Paul; Dr. Esp. Toapanta Yugcha, Iván Guillermo
    Male patient of 75 years of age, married, driver, born and resident of Coca, with a personal history of chronic renal insufficiency without treatment, venous insufficiency without treatment, arterial hypertension, without family, surgical or allergies. Patient is admitted to the surgery service from an outpatient clinic in the Coca hospital, since from 4 months he has pain in the lower limbs with a predominance of the right leg, of moderate intensity, as an apparent cause of having been in water at rest, as well as polyuria and nocturia from 3 months ago, it was accompanied by pruritus that ended up causing excoriations until reaching ulceration 3 months ago. To the patient physical examination consents, oriented, hydrated, FC 80, FR 20, systolic BP 120/80 diastolic mmHg, SO2 92% ambient air, T 37,6 C Skin and phantoms slightly pale, moist oral mucosal. Expandable, normal cardiopulmonary Thorax without added noises.Abdomen: Soft depressable painful to palpation in hypogastrium.Lower limbs: hyperpigmented skin Rots 2/5. Edema (++ / ++++) depression of up to 4mm and disappearance in 15 seconds that leaves no fovea with flushing and local heat, presence of ulcers in right leg in anterolateral side of lukewarm with purulent exudate of delimited edges excavated from granulomatous background. Exams: Ecodoppler of lower limbs reports chronic venous insufficiency. Blood chemistry reports creatinine of 3.36 mg / dl, urea of 81 mg / dl. Kidney echo and urinary tract: Kidney Right size and normal position of regular edges, homogeneous texture with increased echogenicity, several cystic images are visualized inside, small images of lithiasis are visualized towards its lower calyx of 0.60 cm not dilatation of the excretory duct. Left Kidney: retains its normal position, irregular contours increased its normal echogenicity, presence of renal cyst to its lower pole measuring 2.94 x 3.72cm, no dilation of its excretory system.