Estudios Comparativos

• Mario Paz Mazón, Mario Toscano Ortega, Lorena Correa Conde

  8-10

  Ecuadorian Social Security Institute Hospital Carlos Andrade Marin, Pain Clinic: past, present and future

  Pain is now recognized as the fifth vital sign. Early diagnosis and adequate treatment are currently indicators of hospital quality of care, leading to third level hospitals worldwide to implement pain units and developing multidisciplinary pain clinics. In the year 2000, Carlos Andrade Marín...

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• Ignacio Bonilla Cerda, Carlos Flores Arévalo, Gabriela Sigcho Jácome

  11-14

  Echography-guided use of Puncture Breast Echography in the Carlos Andrade Marin Hospital

  Introduction: The objective of this study was describing the frequency this procedure is performed and detailing the kind of tissue samples obtained. Methods: Descritptive study that included 300 patients who underwent Fine Needle Aspiration (FNA) guided by ultrasound to obtain samples from...

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• Estenio Acentino Pinargote Chica, Christian Morejón Quezada

  15-17

  Thwaites diagnostic scale: experience in the Carlos Andrade Marin Hospital (Quito-Ecuador)

  Introduction: tuberculous meningitis is one of the most common public health problems worldwide. Thwaites diagnostic scale is a tool used to differentiate tuberculous meningitis from other types of bacterial meningitis. Methods: This is a retrospective study carried out in patients diagnosed of...

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• Carlos Flores Arévalo, Ingnacio Bonilla Cerda, Yadira Bayas

  17-21

  Puncture of the radial artery guided by ultrasound for the obtaining of arterial blood gases

  Introduction: Arterial blood gas (ABG) sampling by direct vascular puncture guided by pulse palpation is a common procedure performed in the emergency setting. Reducing the number of attempts to draw arterial blood samples was one of our main goals. The other goal was comparing the standard...

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• Priscila Pérez Vinueza

  22-27

  Rheumatoid arthritis type of treatment and its association with cardiovascular risk in the Enrique Garces and Carlos Andrade Marin Hospitals in the city of Quito

  Introduction: Rheumatoid Arthritis is a systemic autoimmune disease leading to chronic progressive damage and significant disability, which also increases the cardiovascular risk by comparison to the general population. The aim of this study was to determine the association between treatments...

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• José Alberto Puebla Paladines, Juan Fernando Rengel Maldonado, Johanna Alexandra Nieto Serrano

  28-31

  Breast-related anthropometry in patients with breast hypertrophy

  Introduction: Anthropometry that from a geometric perspective studies the attractive human features is a useful tool for plastic surgeons to deal with breast hypertrophy in the aim of obtaining ideal aesthetic results, provided that anthropometric proportions are respected. The main goal of this...

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• María de Lourdes Velasco Garcés, María Elena Sambachi Sánchez, Rocío Padilla Contreras, Patricia Guato Torres, Delia Paillacho Solano, Nery Veloz Baldeon, Teodoro Barros Astudillo, Luis Castillo Cabay, Patricia Gavilánez Medina, Magaliz Delgado Ibarra

  32-37

  Labor conditions for nursing professionals and their relation with customer service quality in Carlos Andrade Marin Hospital

  Introduction: There is concern about the quality of care in relation to working conditions guaranteeing the institution. The aim of the study was to determine labor and nursing health conditions and their relationship to the quality of service given to users. Methods: The sample consisted of 381...

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• Isabel Ortiz Estupiñan, Pedro Cornejo Castro, Diego Valarezo Sevilla, Armín Pazmiño Martínez

  38-41

  Imaging findings in patients with neurotoxoplasmosis and HIV/AIDS in Carlos Andrade Marin Hospital during the January 2010 to July 2012 period

  Abstract Introduction: Acquired immunodeficiency syndrome impairs the immune system, particularly T lymphocytes. Cerebral toxoplasmosis is the leading cause of opportunistic infection of the central nervous system (CNS) in HIV/AIDS patients, when they have CD4+ counts fewer than 100 cells/mm3....

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• Luis Pacheco O, Xavier Obando P, Edwin Llivicura, María del Carmen Chacón, Gabriela Cabezas H

  43-46

  Decisive prognosis factors of survival of differentiated thyroid cancer in the Head and Neck Surgery Department of the Carlos Andrade Marin Hospital (HCAM) during the years 1980 - 2010

  Abstract Introduction: Differenciated thyroid carcinoma (DTC) stand for 80% of malignant disease of the thyroid gland. DTC generally has a good prognosis and benign course. Several studies concluded that specific patient risk factors and tumor type determine their clinical course. The aim of the...

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Case Report

• Daniel David González Castillo, Diana Cristina Castillo Ortiz, Verónica del Pilar Villacís Vaca, Rómulo Abad Villacís Tamayo

  47-50

  Reynolds Syndrome in Carlos Andrade Marin Hospital: a series of cases and review

  Introduction: The Reynolds’ syndrome is the combination of systemic sclerosis (SSC) and primary biliary cirrhosis (PBC). It was first described in 1934 by Milbradt. Reynolds in 1976 presented six cases in two of them and fibromax-test in another. Case report: We present three cases of three...

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• Claudio Esteban Rivera Navarrete, Carmen Benavides Masaquiza

  51-55

  Cover of internal osteosynthesis material exposed in leg fractures: a series of cases

  Introduction: Due to intrinsic and extrinsic factors to the patient, exposed leg fractures are common, and they are often accompanied by complex soft tissue injuries. Case report: We present seven cases of male patients, six injured in road traffic accidents and one with a gun shot trauma...

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• Dr. Walter Alcivar, Dr. Daniel Rosales, Dr. Fabricio Aguilar

  56-60

  Surgical stabilization in metastatic neck spinal cord compresion: case report and literature review

  Introduction: Spinal cord compression secondary to neoplasia is a commonn neurological complication that raises morbidity, only followed by brain metastases. It is considered an oncologic emergency since it can lead to an irreversible loss of neurological function. Haematogenous invasion of the...

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• Esteban Andrés Robalino Torres, Jorge Ramiro Aldean, Verónica Espinoza Arregui, Ricardo Chong, Javier Camacho

  61-64

  Advocacy for imaging methods for the diagnosis of complex Ascaris in the billiary tract: case report

  Introduction: This report let us review the usefulness of different imaging methods in common bile duct ascariasis like abdominal ultrasound, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography (ERCP) for the diagnosis and / or treatment, to know the stage...

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• Jorge Endara Vera, Enrique Vásquez Vélez, María José Flor Cacierra

  65-67

  Wellens Syndrome: electrocardiographic signal that saves lives

  Introduction: Wellens Syndrome (WS) is an unusual electrocardiographic diagnosis characterized by changes in the T wave specific to severe stenosis at a proximal level of the anterior descending coronary artery (LAD). Therefore, early diagnosis is important, because of the large area of...

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