Ciencias de la Salud

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    Impacto de los factores ambientales en la aparición de preeclampsia grave (Revisión de la literatura)
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2022-09-01) Martínez Quinteros, Andrea Soledad; Belalcázar Sánchez, Yajaira Monserrath, Dra
    Preeclampsia is a vascular placental pathology that affects around 5% of all pregnant women worldwide, characterized by the presence of high blood pressure and proteinuria from the 20th week of gestation. It represents the fourth cause of perinatal morbidity and mortality and, in turn, is one of the main causes of induced prematurity and intrauterine fetal growth restriction. Currently, climate change is a fact that must be taken into account within the risk factors in the development of various pathologies, which allows health professionals to develop skills and attitudes in the field of climate change. Seasonal and climatic factors seem to be involved in the development of this pathology, however, there are insufficient studies that examine all individual, socioeconomic and environmental factors, including the meteorological or climatic variant, as influential factors in the development of severe preeclampsia. The seasonality of preeclampsia has been observed at the time of delivery by different studies carried out in regions with different climatic and economic conditions. The present work will consist of a systematic review of the available bibliography in scientific journal publications with a good level of evidence of publications made in the last 10 years, in Spanish, English and French languages. Information will be collected from databases such as Medline, Intra Med, PubMed, The Cochrane, SciELO, Hyper Article en Ligne (HAL), BASE, Scinapse, Semantic Scholar, among others. In addition, bibliographic data and citations of scientific articles and degree works available in the virtual library of the Technical University of Ambato and in universities at an international level will be included, taking the line of research belonging to Human Health itself that corresponds to the Domain of Food Systems, Nutrition and Health of the Faculty of Health Sciences of the Technical University of Ambato.
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    “Embarazo en una paciente con enfermedad renal crónica en hemodialisis”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Chango Tituaña, María de los Angeles; Guacho Guacho, Juan Sebastián Dr.
    Chronic kidney disease is seen in approximately 4% of women in the reproductive stage, and includes both primary renal diseases and secondary to a systemic disorder. However, the association of advanced chronic kidney disease (ACKD) in stage 5D and gestation is an infrequent event, with a variable incidence. (1) We present the case of a 26-year-old female patient with a personal history of untreated hypertension (HTA) and primary glomerulopathy, which led to renal failure in stage 5D diagnosed one year ago in three-week treatment with hemodialysis. Within her gynecological-obstetric history: family planning method, her menstrual cycles were irregular; previous deeds: two, masculine, live births, without complications; gesta 3: current unknown date of last menstruation (FUM). Patient goes to nephrology control with obstetric echo that reports pregnancy of 15.1 weeks. Change of hemodialysis therapy is indicated to 5 times per week and it is immediately referred to the gynecology and obstetrics service where it carries out pregnancy uptake and subsequently goes to 2 more controls. At 31.1 weeks of gestation, she went to prenatal control, referring to headache and edema at the level of the lower limbs. She is admitted to the Obstetrics-Gynecology service where she stays hospitalized for 26 hours and receives antihypertensive treatment, pulmonary maturation and later is transferred from emergency to third level with a diagnosis of: Pregnancy of 31.2 weeks by Extrapolated Echo + Chronic Hypertension + Preeclampsia Sobreañadida + HELLP syndrome. In the third level, pregnancy is terminated by means of an emergency caesarean section, obtaining a live male product, which remains for 27 days in the neonatal care unit after which it passes away due to sepsis of early origin due to Streptococcus pneumoniae