Ciencias de la Salud
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Item MANEJO CONSERVADOR DE LUXACIONES GLENOHUMERALES ANTERIORES EN ATENCIÓN PRIMARIA, REVISIÓN LITERARIA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Medicina, 2024-06-10) German Toaquiza, Katherin Marianela; Garay Villamar, Daniel GustavoIntroduction: The glenohumeral joint is the most mobile joint in the human body, so it depends in most cases on several stabilizers, both dynamic and static, so that the joint maintains its congruence or balance between the humeral head and the glenoid cavity, and since this cavity is not so deep, it does not completely cover the humeral head, which explains why there is a greater risk of dislocation at this level. For which several reduction maneuvers have been established, which are usually open reductions, however, in recent years, another type of reduction has been established, which has been shown to be more feasible and has provided good results, as described below, called the Prakash method, whose purpose has been to restore the anatomy of the dislocated part in a less painful way for the patient. Objective: to evaluate the effectiveness of new techniques such as the reduction method in anterior glenohumeral dislocations. Method: Literature review with descriptive approach. Results and conclusions: the literature review establishes that there is a new reduction method for anterior glenohumeral dislocations: the Prakash technique. The technique is effective, fast and easy to use, with no subsequent complications. The Prakash technique is one of the methods that should be used as the main one, before using the common ones because of its level of efficiency. However, it is necessary to emphasize that more controlled research is needed for the implementation of this method to be validated.Item Incidencia de notificación de eventos adversos relacionados con la seguridad del paciente en los centros de salud del ministerio de salud pública: distrito 05d01 Latacunga(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-01-01) Lagla Chicaiza, Sandra Janeth Dra.; Llerena Cepeda, María de Lourdes Dra.The objective of the study is to identify the incidence of the notification of adverse events of the patient in the public health centers of the 05D01 Latacunga district. The applied methodology is of mixed approach, it was counted on a research design of concurrent triangulation, of field and bibliographic review as investigative modality; For this, the health centers of the 05D01 Latacunga district were taken as the universe, which has 10 type A centers, 2 type B centers and 2 type C centers; For the sample, 95 members belonging to the public health centers of the 05D01 Latacunga district and 61 family medicine professionals, relatives and postgraduates were determined. The correlation was applied between the most significant responses in the study variables, in the last 6 months, to consider whether adverse events should be reported at the Primary Health Care level and whether the evaluated population is familiar with the form issued by the Ministry of Public Health. The main result establishes the correlation with the notification number in the last 6 months with the knowledge of the notification form, a Kendall's Tau-b correlation value of 0.017 was obtained, in this sense it is evidenced that the value is lower than p ≤ 0.05. Based on t he results obtained, it is concluded that there is a positive correlation, in which the notification of adverse events affects compliance with patient safety regulationsItem “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.