• Luis Pacheco Ojeda, Diego Javier Carpio Pullopasig, José Fernando Moreno

  9-12

  Sentinel node in oral-cavity cancer

  Introduction: oral cavity neoplasia is rare with squamous cell carcinoma being one of the most common histological type. The most important prognostic factors are size of the primary tumor and lymph node invasion. Elective neck dissection has been considered only in cases with clinically...

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• María Fernanda Luján Jiménez, Grace Salazar, José Páez Espín

  13-16

  Multiple myeloma in Carlos Andrade Marin Hospital, diagnostic and survival clinical status

  Introduction: mortality associated with patients with multiple myeloma (MM) is the only data available in Ecuador. This study aims to characterize the disease, determine its mortality rate and describe related factors in the cases of MM treated at the Carlos Andrade Marin Hospital. Materials and...

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• María Gabriela Villacrés Calle, Ángela Patricia Oña Guerrero

  17-20

  Necessary campimetries to obtain trustworthy factors in a visual field for the diagnosis of glaucoma in the San Francisco de Quito hospital during the August 2012 – April 2013 period

  Introduction: the objective of this study was to identify the approximate number of campimetries necessary to obtain reliable factors for the diagnosis of glaucoma. Materials and methods: we performed a retrospective observational study at the San Francisco de Quito Hospital with 58 patients...

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• Dra. Tatiana Vinueza Goyes, Dra. Carola Guerrero Velasco

  21-24

  Different cancer types prevalence in the Oncology department of the Carlos Andrade Marin Hospital in the 2000 – 2011 period

  Introduction: cancer is the leading cause of death in developed countries and the second leading cause in developing countries, as is the case in Ecuador. Objective: to determine the number of patients evaluated in the Oncology Department of the HCAM as new cases, and analyze the ten most common...

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• Carola Guerrero Velasco, Iván Maldonado Noboa, Tatiana Vinueza Goyes

  25-28

  Progression and global survival times study in patients with clear-cell terminal kidney cancer treated with Sunitinib in the Carlos Andrade Marin Hospital Oncolgy department during the January 2010 – December 2012 period.

  Introduction: the clear cell renal cell carcinoma (CRCC) is the most common cancer of the kidney, at the time of diagnosis 30% of patients have metastases and 40% are in disease recurrence. It is highly resistant to chemotherapy and poor responses were evidenced with the interleukins and...

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• Christian Ríos Mariño, Rafael Zanabria Caiche, Carlos Rosero Reyes, Iván Cevallos Miranda

  29-33

  Vertical sleeve gastrectomy experience in the Carlos Andrade Marin Hospital

  Introduction: obesity has become a worldwide problem. Ecuador is not the exception an according to the INEC, 4 million people in the country have overweight. The bariatric surgery has been recognized as a safe and effective treatment for obesity and its comorbidities. Materials and methods: in...

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• Alfredo Novoa Velastegui, Braulio Martínez

  34-39

  Cerebral ischemic disease in the Carlos Andrade Marin Hospital

  Introduction: in Ecuador, Cerebrovascular Disease (CVD) is the second leading cause of death and first cause of disability. Cerebral infarction (stroke) accounts for approximately 85% of patients with CVD. The objective of this paper is to show risk factors, complications and mortality in...

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• Sharon Naranjo Espín, Andrés Calle Miñaca

  40-45

  Evaluation and handling of multiple pregnancy in the Obstetric Center of Carlos Andrade Marin Hospital 2012 – 2014

  Introduction: multiple pregnancy is an increasingly common gestational condition. Materials and methods: a retrospective study of documented sources, reviewing the logs of the Obstetric Center and the data obtained from clinical histories, using the electronic form AS400. Results: the analysis...

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• José Luis Laso Bayas, Gabriel García Montalvo, Paulo Freire Gavilanez, Edison Ramos Tituaña

  46-49

  Cardiac index measured by Swan-Ganz catheter compared to transthoracic echocardiogram

  Introduction: the Swan Ganz catheter remains the gold standard for hemodynamic evaluation. Newer techniques offer less invasive alternatives. The objective of this study is to compare the calculated cardiac index versus echocardiogram by measuring the same with the Swan Ganz catheter. Materials...

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• Gabriela Paulina Barnuevo Cruz, Ana Cristina Mejía Jurado, Andrés Alejandro Cepeda Mora

  50-54

  Statistical analysis of coverage by the Carlos Andrade Marin Hospital surgery center. Statistics from the years 2011, 2012 and 2013.

  Introduction: the analysis of the increase of affiliate demonstrates its result in the coverage of the operating room of Hospital Carlos Andrade Marin in the years 2011, 2012, 2013. The objective of this study is to perform a statistical analysis of the coverage of the operating room of Carlos...

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Case Report

• Verónica Rosero Aguirre, Edwin Guzman Clavijo

  55-60

  Percutaneous revascularization in renovascular hypertension: clinical case report and literature review

  Case presentation: we report the case of a 63 year-old male with unilateral severe renal artery stenosis diagnosis, renal vascular hypertension, with clinical treatment failure and evidence of initial renal failure, who underwent angioplasty and Stent implantation in the third proximal of the...

  Ver
• Isabel Jibaja Polo, Santiago Chávez Iza, Rubén Bucheli Terán

  61-64

  Fetal surgery: congenital diaphragmatic hernia: case presentation

  Introduction: congenital diaphragmatic hernia results from the incomplete fusion of the pleuroperitoneal membrane and occurs with a frequency of about ½.000-5.000 live-births. Despite advances in neonatal intensive care and surgery, mortality varies from one institution to another and may be...

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• Alexander Castro Altuna, Catalina Calle Delgado, Santiago Cadena Mosquera

  65-70

  Spontaneous pneumomediastinum with spontaneous pneumothorax in a female patient with dermatomyositis: first case reported in our country and bibliographic review

  Introduction: pulmonary manifestations contribute significantly to morbidity and mortality of idiopathic inflammatory myopathies; such diseases encompass two large entities such as polymyositis (PM) and dermatomyositis (DM), which are a heterogeneous group of systemic autoimmune diseases, where...

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• Tatiana Vinueza, Carola Guerrero

  71-73

  Metastatic pancreatic neuroendocrine tumor: clinical case

  Introduction: the Insulinomas are pancreatic neuroendocrine tumors secreting insulin. The incidence in the general population is estimated 1-4 per 1 000 000 yearly Insulinoma accounts for 60% of pancreatic tumors, of which 90% are benign and unique, 10% are multiple, mostly associated with MEN 1...

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• Gabriela Barnuevo Cruz, Andrés Alejandro Cepeda Mora

  74-77

  Difficult airway: clinical case

  Introduction: the ASA define difficult airway as the clinical situation in which a conventionally trained anesthesiologist experiences difficulty with face mask ventilation, endotracheal intubation difficulty , or both. Difficult mask ventilation is 1) the impossibility for an anesthesiologist...

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• Estefhaníe Villalba Leiva, Jaime Benítez Kellendonk, Ana María Kellendonk, William Portilla

  78-81

  Pemphigus vulgaris: report on a clinical case

  Introduction: pemphigus vulgaris is a rare autoimmune blistering disease, characterized by an aggressive and chronic course, requiring continuous and systematic treatment to prevent lethal evolution. It is characterized by the appearance of intraepithelial acantholytic blisters and scabs with a...

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• Cristina Cruz Camino, Patricio Paredes, Luis Patiño Gualichico

  82-85

  Community methicilin-resistant Staphylococcus aureus; Baca Ortiz Children´s Hospital

  Introduction: infections due to community-acquired Staphylococcus aureus (MRSA -AC) are increasing signifcantly worldwide. Its virulence is mainly characterized by the presence of Panton- Valentine Leukocidin. This study pretends to analyze the importance of studying antibiotic sensitivity of...

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