Vol. 22 No. 2 (2023): Revista Médica Científica CAMbios | Medical-Scientific Journal CAMbios HECAM

Editorial

Luis Gustavo Jarrín Yerovi

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Medical protocols

The Carlos Andrade Marín Hospital has a top-quality human team. The prestige that it has managed to gain over the years has been forged based on the effort, perseverance, the spirit of progress, continuous training, and the mystique of the health and administrative personnel that make up the...

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Cartas al Editor

Juan Sebastian Echeverria Penagos

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Acreditaciones y mejora continua del hospital

En el año 2016 el Hospital de Especialidades Carlos Andrade Marín recibió la acreditación internacional en calidad y seguridad del paciente, bajo el modelo de “Acreditation Canada Internacional” por cumplir con los protocolos y estándares en atención con calidad y calidez de los servicios de...

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Original Studies: Observational Studies

Ronald Eugenio Cedeño Muñoz, Guillermo Arturo Ochoa Valarezo, Estefhanie Elizabeth Villalba Leiva, Hugo Pereira Olmos, Ximena Alexandra Armijos Salinas

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Fib-4 and lok score as predictors of esophageal varices in patients with liver cirrhosis.

INTRODUCTION. Digestive endoscopy is the study of choice for the diagnosis of varicose veins, it is an invasive procedure that sometimes may not be well tolerated by patients and has a high cost, which is why the FIB-4 index and Lok Score are proposed to predict varicose veins....

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Mariana Lizbeth Pérez Zurita, German Patricio Trujillo Salazar

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Clinical characterization of Polyomavirus BK nephropathy in kidney transplanted patients

INTRODUCTION: BK polyomavirus nephropathy is emerging as a significant concern in kidney transplantation, as it contributes to the early loss of renal grafts. OBJECTIVE: The aim of this study was to clinically characterize renal transplant recipients with BK polyomavirus...

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María Verónica Barrera, Braulio Alexander Martínez Burbano, Dayana Natalia Cabezas Moya, María Fernanda Rivadeneira Guerrero

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Small vessel disease. Relationship with functional, cognitive and affective impairment in elderly adults with cerebrovascular disease

INTRODUCTION: Cerebral small vessel disease is a leading cause of functional loss, disability, and cognitive impairment. OBJECTIVE: To determine the prevalence of small vessel disease and clinical characteristics associated with greater functional, cognitive and affective...

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Emilia Gabriela Enriquez Recalde, Ximena Lucía Oñate Araque, Daniela Carolina López Pacheco, Jonnathan Alejandro Park Jarrín

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Procalcitonin response in co-infection and secondary infection by multidrug resistant bacteria in COVID -19 patients

INTRODUCTION. Procalcitonin is a biomarker that can be used as a diagnostic su pport in bacterial infections and the monitoring of antibiotic treatment, especially in patients with sepsis. Hence, it was used during the COVID-19 pandemic OBJECTI VE. To determine the values of...

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Original Studies: Review Studies

Sofía Elizabeth Arellano Barahona, Bertha Magdalena Estrella Cahueñas

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Autoimmune encephalitis in pediatrics: a systematic review on clinical presentation, diagnosis, and treatment

INTRODUCTION. Autoimmune encephalitis is a severe inflammatory disorder of the central nervous system caused by antibodies. Its diagnosis in pediatrics is complex, so it is relevant to deeply analyze its clinical symptoms, diagnostic methods, and treatment. OBJECTIVE. To establish the clinical...

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Kelly Veruska Andrade Mejia, Wilson Ricardo Cañizares Fuentes, Diego Augusto Ordóñez Ordóñez

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Epidemiological behavior of Dengue in Ecuador since its reemergence. Period 1980-2020

INTRODUCTION. Dengue is an infectious disease of viral origin, transmitted mainly by the Aedes aegypti mosquito. It is a serious public health problem worldwide, in the Americas and in Ecuador. OBJECTIVES: To analyze the epidemiological behavior of dengue fever from 1980 to 2020, the risk...

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Carlos Javier Arequipa Loachamin, Robert Gonzalo Salinas Suikouski

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Ischemic stroke as a presentation of meningovascular neurosyphilis in immunocompetent patients

INTRODUCTION: Neurosyphilis represents the infection of the central nervous system by the bacterium Treponema pallidum. Parenchymal and meningovascular complications have been described. Ischemic cerebrovascular disease can be the only manifestation of neurosyphilis and can occur...

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Vanessa Sofìa Freire

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Background of p53 expressivity grade in basal cell carcinomas as a predictor of recurrence

INTRODUCTION. The Tp53 gene provides instructions to produce tumor protein 53 Tp53 is a tumor suppressor gene that protects the cell cycle, repairing DNA or activating apoptosis. It is key in the carcinogenesis of basal cell carcinoma, a pathology that is relevant in Ecuador, due to...

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Case Report

Ronald Eugenio Cedeño Muñoz, Cristina Nathaly Zambrano Rosero, Andrés Fernado Yépez Carpio

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Acute esophageal necrosis (black esophagus) associated with digestive neoplasms.

INTRODUCTION. Acute esophageal necrosis is a rare syndrome that is characterized endoscopically by an irregular or diffuse circumferential black appearance of the intrathoracic esophageal mucosa, the involvement is generally of the distal esophagus and the abrupt transition of normal mucosa at...

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Byron René Maldonado Cabrera, Ana Lorena Ortiz Benavides, Ítalo Ismael Ortega Nivelo, Daniel Alejandro González Suárez

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Aortic dissection secondary to trauma, clinical management in General Hospital

INTRODUCTION. Aortic dissection is an infrequent pathology; when it occurs, it does so in a catastrophic manner manifested by intense thoracic or lumbar pain accompanied by acute hemodynamic compromise. Early diagnosis and treatment are usually crucial to avoid the patient’s death; likewise,...

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Rodrigo Eduardo Quiñones Sanz, Fernando Andrés Neira Quezada, Guillermo Napoleón Barragán Moya, Esteban Andrés Andrade Sandoval

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Excision of a giant mesenteric cyst in a 36-year-old female patient

INTRODUCTION: Mesenteric cysts are intra-abdominal tumors defined as any cyst in the mesentery of the gastrointestinal tract, most frequently located in the small intestine (ileum 60%) whose incidence is only 1 in 350,000 cases, making the publication of the cases relevant. identified to expand...

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Medical Protocols

Karla Johona Garay García, Carlos Humberto Cadena Alvear, Diana Elizabeth Gordón Herrera, María Gabriela Rivadeneira Cevallos, Gladys Ximena Vitar Checa, Cristian Marcelo Reyes Matute

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Management of the patient with hyperthyroidism in the outpatient clinic of the Technical Unit of Endocrinology of the Endocrinology Technical Unit of the Carlos Andrade Marín Hospital.

Hyperthyroidism is a disorder characterized by an excess of thyroid hormones. Iodine deficiency is a key factor in this pathology and in places with iodine deficiency it is associated with thyroid autoimmunity. The prevalence of overt hyperthyroidism varies from 0,2% to 1,3% in iodine-sufficient...

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Karla Geovanna Flores Simbaña, Edison Santiago Huilca Álvarez

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Clinical-Surgical Protocol for Cesarean Section in the Obstetric High Risk Technical Unit

The cesarean section surgical procedure is historically considered a very important advance in reducing the risk of maternal and perinatal mortality1. It is the most frequently performed intervention at the specialty level, which entails inherent surgical and anesthetic risks2,3. In 2015, the...

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Cristian Santiago Calero Moscoso

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Diagnosis and Treatment of Acute Ischemic Cerebrovascular Disease (Stroke Code)

Ischemic Cerebrovascular Disease (Ischemic-CVD) causes acute neurological alterations, caused by cerebral blood flow dysfunction, which determines the presence of neuronal injury.1 Risk factors are classified as modifiable and non-modifiable, among the latter, the most frequent are: arterial...

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Mónica Beatriz Vásquez Rivera, Valeria Estefanía Mancheno Recalde

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Manejo nutricional en pacientes con Trasplante hepático

In 1983 the NIH (National Institutes of Health, USA) declared that orthotopical liver transplantation (ORT) was an effective therapeutic alternative for patients with advanced liver diseases. Since then, nearly 100,000 OLTs have been performed worldwide, in more than 200...

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Margarita Angelica Soria Suarez

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Protocol for the use of Noninvasive Mechanical Ventilation in the Adult Unit Intensive Care Area

Noninvasive mechanical ventilation (NIMV) is used in patients with acute respiratory failure to improve gas exchange and reduce the work of breathing, without the need for an artificial airway 1 . It is a modality of ventilatory assistance that provides two levels...

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Lissette Margarita Tipán Asimbaya

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Intrahospital Dental Care at Carlos Andrade Marín Specialties Hospital

In-hospital Dentistry requires a care model made up of a group of professionals who contribute in a coordinated and symbiotic manner, to restore or maintain the patient’s oral health, with the hospital being a suitable environment to achieve this objective, since it allows...

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Ensayo Clínico Controlado

Braulio Alexander Martínez Burbano, Marco David León-Montenegro, Johanna Margoth Barrera-Macacela, Jessie Priscila Martínez-Villafuerte

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Knowledge of ischemic stroke and education in users of the Neurology Department - Carlos Andrade Marín Hospital.

INTRODUCTION: The risk of suffering a ischemic stroke is related to risk factors, the recognition and action of the patient/family is related to the educational level. Despite advances in treatment, the best way to deal with it is prevention. OBJECTIVE: To determine the...

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Narrativa Personal

César Paz y Miño

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Genetics and genomics of longevity and aging

Aging and longevity are processes that involve a series of genetic, biochemical and environmental factors. This review addresses some issues about these two biological and epigenetic processes. The most important genes in these processes are presented, as well as diseases that present an...

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