Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

There is currently no consensus on the best technique for repairing umbilical hernia in adults. The role of laparoscopic hernia repair of umbilical hernia remains controversial. A digital repository such as Pubmed was used for the advanced search of the bibliography on the topic, using specific keywords. Articles were analyzed with less than three years of publication that resulted from the advanced search for information. Conclusion: This review of the literature clarifies some aspects of the surgical treatment of umbilical hernia: the type of procedure must be determined by the requirements of the clinical situation. The laparoscopic repair is associated with a lower risk of infection, dehiscence of the inheritance, recurrence, the stage was shorter but the higher operating time. Open techniques are used with greater frequency due to the small size of these hernias. Repairs with the mall will decrease the recurrence rates. Laparoscopic repairs are generally suitable for obese patients or patients with a high risk of complications from the disease. More studies with robotic technology are needed to clarify your benefit.

The objective of this study was to determine the presence of Escherichia coli O157:H7 in ground beef sold in the markets of Guayaquil. The method applied was descriptive, observation and non- experimental design. 200 samples were analyzed. All of then enriched with peptone water and then using violet red bile lactose agar. Colonies identified as E. coli were further identified as E. coli O157:H7. Results obtained were compared with the Ecuadorian INEM Standard 1338:2012 and showed that ground beef sold in the market of Guayaquil has poor microbiology quality with potential risk health  

The pathogenesis of rhegmatogenous retinal detachment is complex, and our knowledge of the exact mechanism of vitreoretinal detachment and detachment remains incomplete. Diagnosis, assessment of severity, and prognosis are still present as challenges for clinicians. Rhegmatogenous retinal detachment (RRD) is the most common form of retinal detachment, where a retinal "break" allows the ingress of fluid from the vitreous cavity to the subretinal space, resulting in retinal separation. The objective of this article is to provide updated information on the main theoretical references on retinal detachment, especially of a rhegmatogenous type. Search engines were used worldwide, using specific keywords. Articles with less than five years of publication that resulted from the advanced search for information were analyzed. All appropriate articles were reviewed and the scientific evidence was compiled.

Otitis media is a common diagnosis in the pediatric population that is generally managed on an outpatient basis. A small proportion of children are admitted due to a complex course of the disease. The objective of this narrative review is to provide an update on the complications of otitis media in children. PUBMED was used as a systematic search engine for information from literature review articles, management guides and data analysis. 22 scientific articles from 2010 to 2019 were included and meta-analyzes were excluded. Conclusion: Acute otitis media is diagnosed based on visualization of a full or bulky tympanic membrane with effusion of the middle ear. The clinical picture and treatment of acute otitis media and its complications have changed in recent decades. The availability of antibiotics has significantly decreased the incidence of complications.

Sepsis is a leading cause of critical illness and hospital mortality. Early recognition and intervention are essential for patient survival. The objective of this research is to update the available information on sepsis and septic shock. The documentary analysis was performed using advanced search engines of scientific information related to health, such as Pubmed, Imbiomed and Scielo, selecting articles from 2011 to 2019 through the use of health descriptors and medical subject headings. The sample was made up of a total of 18 scientific literature review articles and 5 analytical research articles. The definition, epidemiology, pathophysiology, diagnostic and therapeutic approaches of sepsis and septic shock were reviewed.

Recent health advances, especially in the field of surgery, require better intraoperative anesthetic control and a minimum of adverse effects in the postoperative period. For this, new inducing agents such as propofol are currently available, anesthetic maintenance is achieved without the need for an inhalation agent. The main objective of this research was to present recent updates in the literature on total intravenous anesthesia, focused on its pharmacological effects and its main indications. A review of the literature and an analysis of publications on total intravenous anesthesia in the last 10 years was performed, using Pubmed and Scielo digital libraries, both articles in Spanish and English. Total intravenous anesthesia is the default solution for a patient at risk of malignant hyperthermia who requires general anesthesia, in addition to decreasing the risk of side effects of general anesthesia, such as postoperative nausea and vomiting, and avoiding contamination of ambient air with inhalation agents.

The SARS-Cov-2 (COVID-19) pandemic outnumbered the spread of the virus 10 times more than the SARS-Cov-1 DEL 2002. It caused a major economic recession brought with it the pandemic that added to the 2019 economic crisis. The public and private systems of developed countries collapsed, which underestimated the aggressiveness of the viral agent, such as Italy and Spain, resulting in 372,756 confirmed cases and 16,231 deaths (4.3% of total cases) globally. Countries like Singapore and Taiwan, developed their protocols with the SARS-Cov-1 epidemic, and demonstrated to the world as efficient at a global biological threat. Currently, their strategies allowed to flatten the viral propagation curve of COVID-19, and were global benchmarks for tackling the pandemic locally. However, Mainland China, without staying on the sidelines, competes with the US. for the economic and political power of the regions and currently for the discovery of the vaccine against COVID-19. Aims: To determine the strategies and indicators associated with COVID-19 and its political impact on health and on the world and local economy. Determine country-based public health strategies efficient in emerging biological responses to minimize or flatten the epidemiological curve of COVID-19. Results: Ecuador, in South America, with 17 million inhabitants, with a GDP of 9.5% invested in public health, became the second country with the highest prevalence of COVID-19 cases (n=981) and ranked 26th in the world. The partial strategies taken at the national level, added to the lack of preventive culture in Ecuadorian society, quickly spread COVID-19. The lack of management of medical supplies, and the shortage of medical personnel (15 doctors per 10,000 inhabitants), as well as deficits in hospital beds (rate=1.4/1,000 inhabitants / national level [0.8 of the public sector], below Cuba with 5.4) and PCR-RT tests, it puts the health system at risk of collapse, due to the exponential increase of COVID 19 cases until the 6th week of local impact. However, the analysis of GDP% between Ecuador (GDP = 9.5%) and Taiwan (GDP = 6.3%), and the strategic measures used, rectify that the universal health system of Taiwan is very efficient in strategies and responses to the COVID-19 emergency. Taiwan's strategies have been reflected in our environment to flatten the epidemiological curve and reduce local public spending.

Currently there are recommendations regarding therapeutic approaches in the case of anticoagulants, given the positive results in several hospitals in experimental investigations. However, there are still limitations on the pathogenesis of the disease, many of the pathophysiological processes still have no explanation, therefore, the control and treatment are complicated in severe cases of patients with risk factors, and COVID-19 is already known and its severity in older adults with the presence of chronic diseases is associated with high morbidity and mortality. Coronavirus cases are increasing unevenly around the world. One of these pathophysiological processes is cardiovascular, the thromboembolism that occurs as a consequence of the activation of the coagulation processes that has not yet been determined why it happens. Some research reports that there is a relationship between anticoagulants and with better hospital survival among patients with COVID-19, both inside and outside the intensive care unit, patients who received anticoagulants had higher inflammatory markers compared to non-patients. treated with anticoagulants. Demonstrates that anticoagulants taken orally, subcutaneously or intravenously can play an important role in the care of patients with COVID-19, and these can prevent potential fatal events associated with the coronavirus, including heart attack, stroke, and pulmonary embolism, Despite each case being evaluated individually, considering the risks-benefits, it is important to continue evaluating the effectiveness of antithrombotic therapy: oral antithrombotic, subcutaneous heparin and intravenous heparin through prospective clinical trials.

physiological stage of women in which there are important changes including psychological, biological and social related to lifestyle. Objective. -Characterize women in the climacteric stage. Methodology. Descriptive, quantitative study, indirect observation through a “Menopause Rating Scale” (MRS) survey applied to 82 patients, of which 40% are in Premenopause; 28% in menopause; 32% in postmenopause. Regarding the presentation of signs and symptoms, BMI 43% of the women presented overweight. Hot flashes 80% between 40-44 years, heart palpitations in the group between 45-49 years 76%. Sleep disorders highlight a serious alteration in those with 95%; osteo-articular disorders, on the mild scale with 45%, About normal mood 51%; sexual problems on a moderate scale 43% and mild 38% who had mild discomfort; With regard to urinary problems on a scale of moderate 44%, while mild 27%. Regarding smoking habits, they stated that 48% did not smoke; alcohol consumption is infrequent in 50%, the respondents are high school graduates with 34%; on the mestizo ethnic group in 65% The women surveyed stated in a large majority that they were single with 45%. Conclusions most climacteric women suffer the clinical manifestations of the climacteric stage such as hot flashes, joint, urinary and sexual.

Introduction: Dental isolation is a clinical procedure that prevents and controls salivary fluids, generating an optimal environment for rehabilitation. There are two types of dental isolation: absolute isolation and relative isolation. Objective: To establish the effectiveness of the type of isolation used in the UCSG Pediatric Dentistry Clinics during B-2019 semester, through an observational assessment.  Materials and Methods: A cross-sectional, analytical, descriptive approach was applied in the present scientific research work. The sample consisted of 103 patients, between ages of 5 to 11, female and male gender, through a descriptive statistical analysis. Results: After the clinical and statistical evaluation of the sample reached, a percentage of 58% in the frequency of absolute isolation was considered, and in terms of its effectiveness, 55% was obtained “very good”, while the relative isolation showed a frequency of 42% and 2% effectiveness according to the operator of being “very good” in the quality of their dental treatment. Conclusion: It is concluded that the most effective type of isolation in UCSG pediatric dentistry clinics is absolute isolation, since it proved to confirm its diagnostic criteria to get quality treatment.