• Ruth Macklin

  8-16

  Current ethics in research: what problems do researchers and ethic boards face?

  The answer to the question "what is the importance of ethics in research?" Would seem obvious, but it is worth extending a bit. First, human beings who undergo investigations suffer damage. The majority of investigations with human beings are carried out by medical professionals, so it is worth...

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• Stephania Rayo, Amanda Peralta, Isabel Baroja

  17-20

  Recurrence of Chlamydia Trachomatis in women of childbearing age when using CRP in real time in the Laboratory Department of Carlos Andrade Marin Hospital

  Introduction: Chlamydia trachomatis is a pathogenic bacterium commonly reported as cause of infections of the urogenital tract. Methods: This study determined the frequency of C. trachomatis infection using real-time PCR. Two hundred urine samples from women in reproductive which have attended...

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• Jorge Banegas Miranda, Xavier Obando Pazmiño, Gabriela Cabezas Herrera, Felipe Alarcón, Arlene Chancay Andrade

  21-24

  Validation of SOFA score in sepsis patients in the Intensive Therapy Unit of Teodoro Maldonado Carbo Hospital 2016 - 2017

  Introduction: Sepsis is a public health issue. Worldwide, it is estimated that 31.5 million new cases occur annually, which means an increase in the cost of health systems and a high mortality of these patients in the Intensive Care Units-ICU. There are some scales and methods to describe the...

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• Elena Shilo

  25-29

  Impact in the morphological characteristics of the skeletal muscle of fish farm species

  Introduction: Fish as a food product is a source of complete, easily digested proteins, fish oil, vitamins, minerals which provide normal operation of all basic systems in the organism. Studying the general and specific characteristics of postnatal growth of fish skeletal muscles allow us to...

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• Rocío Quisiguiña Aldaz, Diana Parrales Matute, Mauricio Atiencia, Rafael Zanabria Caiche, Stalin Cañizares Quisiguiña

  30-34

  Vertical Sleeve Gastrectomy and early complications. Should the suture line be reinforced?

  Introduction: Obesity is currently a global public health problem that is a predisposing factor to multiple pathologies of high morbidity and mortality. Bariatric surgery has achieved favorable results in weight control. The most frequent complications are: bleeding of the suture line and...

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• Luis Pacheco Ojeda, Andrés Ayala Ochoa, José Campuzano

  35-40

  Sinonasal Melanomas

  Abstract Introduction: Head and neck mucosal melanoma account for 2 to 8% of head and neck melanomas, most of them arising in the nasal cavity or paranasal sinuses. The aim of this report was to review the follow up of patients with sinonasal malignant melanomas (SNMM), treated over a long...

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• Carlos Luis Chacón, María Sol Ávalos

  41-44

  Handling astigmatism with toric lenses in eye cataract surgery

  Introduction: The main objective of cataract surgery is providing a good visual status, avoiding the use of correctives after surgery. To do this, it is necessary to correct astigmatism that affects 15% to 29% of patients with cataracts. The best and safest option to correct this issue is...

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• Patricio Rosero, Katia Radon, Astrid Garrido, Fernanda Velasco

  45-50

  High blood pressure and risk factors in Carlos Andrade Marin Hospital doctors

  Introduction: The cardiovascular health condition and the degree of exposure to occupational stress that physicians working in a hospital of high complexity suffer are not yet known. Being the cardiovascular disease the main cause of morbidity and mortality worldwide and hypertension, the...

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• José Guanotásig, Hugo Romo, Mayra Castro, Paulina Arellano

  51-55

  Death rate related with serum levels of troponin and Brain Natriuretic Peptide (BNP) in patients with acute kidney disease

  Introduction: Troponins and brain natriuretic peptide are specific biomarkers linked to myocardial injury and heart failure. Biomarkers blood levels are inversely related to glomerular filtration rate. Previous publications have assessed their predictive role to mortality in renal failure...

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• Hugo Romo

  56-62

  Surgery time audit in HCAM, 2015 – 2017

  Introduction: The main goal of this study was reviewing the times employed in surgery, anesthesia and the operating room of patientes attended in a third level hospital. Methods: Descriptive study of the surgical activity carried out at Carlos Andrade Marín Hospital, from January 2015 to June...

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Case Report

• Victor Hugo Espín Villacrés, Gabriela Palacios Verdú

  63-67

  Death caused by a balanced-chromosomic-aberration-carrier parent

  Introduction: Stillbirth is either a fetus loss after 20 weeks of gestation or with a birth weight greater than 500 g. Congenital malformations accounts for 16.5% of all cases, of which 9.8% have multiple malformations and 6.7% have only a single organ or system affected. Case report: A 26...

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• Gabriela Proaño, Ana Lucía Bosque

  68-71

  Kaposi´s sarcoma in the rectum: case report

  In 1872 the Austro Hungarian dermatologist Moritz Kaposi described this clinical entity for the first time and called Idiopathic Pigmented Multiple Sarcoma that affected male Jews from Mediterranean areas. In 1956 an endemic variety in equatorial Africa was reported. In the 1960s, a third...

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• Eddyn Macías, Carina Coronel Pazos, Payuska Zambrano, Elba Salazar

  72-75

  Granulomatosis with Polyangiitis: clinical case

  Introduction: Granulomatosis with poliangeitis, previously known as Wegener’s granulomatosis, is a multisystemic disease characterized by necrosis in the upper or lower portions of the respiratory system, glomerulonephritis and necrotizing vasculitis. Though a rare disease, its presentation is...

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• Janeth Salazar, William Portilla, María Cristina Estrada

  76-79

  Carcinoma of bladder small cells: with regard to a case

  Introduction: Small cell carcinoma of the bladder is a rare neoplasm, which can coexist many times with an urothelial carcinoma. It occurs mainly in males in the seventh and eighth decades of life. Macroscopically it is observed as a solid and polypoid mass and microscopically it is conformed by...

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• Ricardo Yoncón Romero, wILLIAM Portilla Yépez

  81-84

  Thyroid adenoma of bizarre cells: with regard to a case

  Introduction: Small cell carcinoma of the bladder is a rare neoplasm, which can coexist many times with an urothelial carcinoma. It occurs mainly in males in the seventh and eighth decades of life. Macroscopically it is observed as a solid and polypoid mass and microscopically it is conformed by...

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