• Dra. Florencia Luna

  8-9

  Rare diseases: positing a few challenges (taken from the Bioethics Today class from the online Bioethics Ms. Program from FLACSO Argentina)

  Introduction. Rare diseases (RH) are chronic, progressive and disabling or fatal. They affect very few people, their prevalence is very low: from 5 in 10,000 individuals in Europe, 7.5 in the USA. UU and 4 in Japan. It is estimated that there are around 5000 to 7000 ERs * and they affect 5 or 6%...

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• William Oña Rodríguez, William Espinoza Maldonado, Javier Arias Garcés, Victor Altamirano Carpio

  10-13

  Activation of the Apex micro-collimator for stereotactic radiosurgery (SRS) in the Radiotherapy department at Carlos Andrade Marin Hospital

  Introduction: Stereotactic radiosurgery allows the treatment of small lesions, giving only one hypo-fractioned, radiation dose, according to the conditions of targeted tissues and other external factors to the patient. In our case, the photon field is generated in a linear electron accelerator....

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• Md. J Tapia Baca, Md. J Tapia Mejía, Md. I Maldonado Noboa, Md. D Urquizo Romo, Md. A Martínez Núñez, Md. G Segura Fernández, MSc. A Troya Zuleta, Md. P Villacís Mora

  14-19

  Clinica usefulness of the Carcinombryonic Antigen (ACE), conventional tomography (CT), and PET-CT in the diagnosis of recurrent colorectal adenocarcinoma

  Introduction: Colorectal cancer is one of the most prevalent tumors in the world. In the surveillance setting of recurrent colorectal cancer, laboratory test like carncinoembryonic antigen (CEA) and imaging tests like computed tomography (CT) and positron emission tomography (PET/CT) are...

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• Christian Morejón Quezada, Estenio Acentino Pinargote Chica, Dalia Maribel Barragán Sánchez, Fred Christian Sigcha Báez, Vanessa Alexandra Cueva Mesa

  20-23

  Brain gliomas in adults: clinical, pathological, and survival findings description during two years in the HCAM

  Introduction: Gliomas are among the most common primary brain malignant tumors. They are relatively infrequent lesions compared with others neoplasms, though, they are associated with both, high mortality and morbidity. The main objective was to define the rate of mortality and describe clinical...

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• Md. D Urquizo Romo, Md. J Tapia Baca

  24-30

  Comorbidities and quality of life alterations in adult patients with essential tremor

  Introduction: Essential tremor is the most frequent movement disorder, is characterized as a postural tremor of 4-12 Hz frequency. Is a chronic, progressive and neurodegenerative disease that has a heterogeneous impact on quality of life, considering that it is a prevalent disease in older...

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• Md. Pablo Banderas Poveda

  31-35

  Brain natriuretic peptide and ecocardiography in heart failure early diagnosis in patients with acute kidney disease and hemodyalisis

  Introducción: Cardiovascular complications are among the leading causes of mortality in chronic renal failure patients. Detecting heart failure in early stages of asymptomatic patients has become a challenge and new strategies are needed to prevent and provide these patients with proper...

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• Pamela Aguilar, Catherine Paredes

  36-39

  Nutritional status evaluation through corporal mass index and the Chang method in outpatients with HIV/AIDS in Carlos Andrade Marin Hospital

  Introduction: The human immunodeficiency virus has caused high morbidity and mortality all over the world. HIV/AIDS causes nutritional disorders due to related disease or antiretroviral treatment, turning out crucial to provide early nutritional assessment, which is the main goal of this study....

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• Daniel David González Castillo, Paúl Santiago Martínez Torres, Verónica del Pilar Villacís Vaca, Rómulo Abad Villacís Tamayo

  40-42

  Systemical sclerosis in Carlos Andrade Marin Hospital

  Introduction: Systemic sclerosis is a chronic multisystemic disease characterized by vascular disorders, immune activation, organ and tissue fibrosis. Methods: Descriptive study. Patients diagnosed with systemic sclerosis who met the criteria ACR- EULAR classification 2013, that receive medical...

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• Guillermo Landazuri, Daniel Pozo

  43-48

  Redesign of the steam distribution system in the laundry area of Carlos Andrade Marin Hospital

  Introduction: This research proposes to redesign the steam distribution and condensate return systems in the hospital laundry area. Methods: During the project development, we gather information from steam consumer equipment, piping layout of the current system and energy deficiencies. Results:...

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Case Report

• Henry López Andrade, Santiago Chávez Iza

  49-52

  Fetal heart tumors, heart rhabdomyomas and sclerosis tuberosa: Case presentation

  Introduction: Primary cardiac tumors are rare in childhood and they are mostly benign (97%). Rhabdomyomas incidence is 45% in autopsy series and 79% in clinical series. In the pediatric population, the incidence is 0.27%. Case: We report the case of a neonate with cardiac rhabdomyomas diagnosed...

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• Dr. Alexander Osorio

  53-58

  Influential variables in the prognosis of prostate photovaporization surgery through green laser in the treatment of benign prostatic hyperplasia in the Urology Department of HCAM

  Introduction: To determine preoperative and operative risk factors that may influence the final outcome of prostatic surgery using KTP green laser in patients with Benign Prostatic Hyperplasia. Methods: Retrospective study performed within cohort of patients with Benign Prostatic Hyperplasia who...

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• Edgar Efraín Pazmiño Erazo

  59-61

  Ependymal Cyst in pediatric patient: case report

  Introduction: The ependymal cyst is a benign, rare and congenital entity frequently located in any of both lateral ventricles or in the juxtaventricular region. The most common location is supratentorial and rarely infratentorial. They are usually filled with cerebrospinal fluid. There are very...

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• Dr. Iván Riofrío Mora, Dr. Henry Guerra Samaniego, Dra. Gabriela Velasteguí, Psc. Alexandra Chalaco Agreda, Lic. Carlos Torres

  62-64

  Neuroleptic Malignant Syndrome: with regard to a case

  Introduction: Neuroleptic malignant síndrome is caused by the use of neuroleptics in susceptible subjects. Cardinal features are: hyperthermia, severe muscular rigidity, changes in the level of consciousness and autonomic instability.The syndrome can depvelop shortly after the start of typical...

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• Dr. Eduardo Garzón, Dra. Gabriela Torres, Dr. Xavier Eduardo Garzón Garzón, Dr.L Escalante

  65-72

  Lupus Erythematosus in children: a series of six cases

  Introduction: Systemic lupus erythematosus in children includes adult different varieties plus and exclusive pediatric presentation, neonatal lupus. Case: We describe five cases of SLE in children, two cases of discoid subtype, two subacute and one blistering. Discusion: Although pediatric...

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• Md. Fernando Gortaire, Md. María Cristina Estrada

  73-77

  Ileum Gastroinstestinal Stoma tumor: case report

  Introduction: Gastrointestinal tumors are among the most common mesenchymal neoplasms of the gastrointestinal system. They belong to the cells of Cajal that regulate bowel motility. It affects middle age and older from both sexes. Histologically, these tumors express positivity in...

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• N Flores, X Herdoiza, J Jara, A Montalvo, P Cornejo

  78-80

  Revascularization through directional atherectomy in critical inferior limb ischemia: first Ecuadorian experience

  Introduction: Directional atherectomy is a minimally invasive technique that can be used to avoid lower limb amputation due to critical ischemia. Case report: This is the first experience in Ecuador, using this technique in a diabetic patient with chronic renal failure. The procedure achieved...

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