Ciencias de la Salud
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Item “La estimulación acuática en el desarrollo motriz en una niña con mielomeningocele”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Estimulación Temprana, 2018-10-01) Jijón López, Anabel Monserrath; Dr. Losada Hernández, , José OmarA clinical case analysis was carried out with the objective of identifying if the Aquatic Stimulation influences the motor development in a girl with myelomeningocele, product of the first pregnancy of a 16-year-old adolescent mother. With a history of consumption of teratogenic agents and absence of folate, calcium and iron in the first trimester. The patient was born at 38 weeks of gestation, by scheduled cesarean section; being a pregnancy of high obstetric risk (ARO), presents at the level of lumbar spine mass with a medullar defect formed by meningeal membranes with output of cerebrospinal fluid and nerves. She has an APGAR of 7 per minute of birth, receiving resuscitation due to lack of oxygen. Operated at 10 am Newborn (RN) and remains in neonatology at the Carlos Andrade Marín Hospital in the city of Quito. A hydrocephalus is discarded in the girl, by means of a Computed Axial Tomography (CT), presenting a stenosis in the Silvio duct; so it does not need a valve in the ventricles. The evolution of the patient in the muscular strength of her lower limbs is favorable for receiving Aquatic Stimulation, helping her in the mobility of her body due to the loss of gravity in the waterItem “Intoxicación fatal por órgano fosforado de tipo de profenofos, secundaria a intento autolítico”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-10-01) Vargas Arboleda, Paola Estefanía; Sunta Ruíz, Mario Leopoldo Dr. Esp.According to statistics from the World Health Organization (WHO), intoxication by cholinesterase inhibitors is one of the most frequent methods of autolytic attempts, especially in developing countries, where autolytic intentionality is 73%. The WHO has reported that approximately 5 million people suffer from poisoning due to different agrotoxins annually; estimating that about 900,000 people die from this figure; where 99% of those affected live in developing countries. With respect to the countries belonging to South America, Ecuador ranks fourth in the use of cholinesterase inhibiting compounds in Latin America. These compounds are widely used worldwide, both in agricultural and domestic activities; and because they are very liposoluble compounds, they are absorbed by all exposure routes. The oral route is important in voluntary and accidental exposures; the dermal, the conjunctival and the inhalatory, in occupational exposures. The mechanism of action of these substances is the irreversible inhibition of the acetylcholinesterase enzyme, causing a cholinergic syndrome, with the consequent muscarinic, nicotinic and central nervous system effects. Within this group of compounds is Profenofos, an organophosphorus insecticide / acaricide, whose toxicity is based on the inhibition of the acetylcholinesterase enzyme, causing the accumulation of acetylcholine in the neuronal and neuromuscular synapses. The present Clinical Case Analysis has been developed through a descriptive investigation based on Epidemiology and Public Health, reviewing the Clinical History of a patient with phosphorus organ poisoning of the Profenofos type, secondary to an autolytic attempt of the Ambato General Teaching Hospital, same that goes to the service of Emergency to receive the therapeutic measures and of necessary handling for the recovery of the picture; despite which the patient dies within a few hours of admission.