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

Introduction ARK: http://id.caicyt.gov.ar/ark:/s25458299/jj7ws4o4a

Introduction: This article evaluates the impact of the international conferences on higher education on the quality of the teaching of the biomedical sciences, considering the quality of their contributions and their effect on the learning achievements. Objective: To assess the impact of international conferences on higher education on the quality of the teaching of biomedical sciences. Material and methods: We conducted a prospective explanatory study of experimental cut that spanned the academic cycles March-August 2018 and September 2018-February 2019. A systematic and critical review of the literature was carried out during the period described, search engines of indexed articles were used in Scopus, Latindex, Scielo, PUBMED, MEDLINE, EMBASE, COCHRANE which allowed to identify the principal Co International Nferencias of higher education. We assessed the impact and strength of the association between the teaching grounds provided by these conferences and the educational process in biomedical sciences. Results: The impact of the international conferences on higher education becomes three fundamentals: it establishes a significant integration between the didactic elements of the educational process and the existing legality, a link is created between the problematic and the contents of the subjects of the biomedical sciences and the objectives of the biomedical sciences are defined in response to the higher education's goals at international level. Conclusion: The international conferences on higher education analyzed transform the approach of education in biomedical sciences by addressing conceptual and integrative aspects of science and technology policiesdeveloped at the international and national levels, As well as elements of gender focus, interculturality, internationalization, inclusion, continuing education, lifelong learning, environmental education and disability-specific care. It strengthens the link between the contents of the disciplines of the biomedical sciences with the profile of the discharge, the professional profile, the overall objectives of development of the higher education, that are evident in the achievement of the results of the learning from The contents of the curriculum. Its most significant contributions were framed in three links: the link of the university with the society, the content of the disciplines and the intercultural aspects that nuance the educational process with renewing, interactive, inclusive policies Having as a leading role the subject who learns. The methodological impact on the analysis of health problems in society was evident, based on the diagnosis of the health situation, evaluation of risk factors, comprehensive care and health education.

Los impresionantes avances tecnológicos y científicos del siglo XXI han transformado de manera radical nuestro estilo de vida, laforma de comunicarnos, movernos, alimentarnos, en fin,todas y cada una de las tareas que por más cotidianas y comunes que parezcan, no se escapan al uso de dispositivos “inteligentes”, los mismos que se encuentran interconectados entre sí, dando lugar a lo que se conoce como el Internet de las cosas (IoT). Esta realidad no puede ser ajena a la formación académica de profesionales de la Salud, ya que el manejo adecuado de datos e información, imprescindibles para la toma de decisiones clínicas, demanda del uso eficiente de la Informática (tratamiento automático de la información),tanto duranteel proceso de aprendizaje, como en la práctica profesional.La solución de problemas en Medicina requiere algunos elementos fundamentales que brinda la Informática: representación de datos, almacenamiento y recuperación de información, procesamiento de señales e imágenes, sistemas expertos, estándares de comunicación, expedientes e historias clínicas del paciente y en múltiples áreas de aplicación de la Informática Médica, con repercusión directa en la calidad de atención al paciente. Nose trata solamente del uso de computadoras, smartphones u otros dispositivos en la práctica delaMedicina, sino como lo sugiere la American Medical Informatics Association (AMIA), “Es el campo científico interdisciplinario que estudia y persigue el uso efectivo de datos, información y conocimientos biomédicos, para la indagación científica, la solución de problemas y la toma de decisiones, motivada por los esfuerzos para mejorar la salud humana”.Esto concuerda con el análisis realizado por el Dr. Ted Shortliffe, uno de los pioneros en el uso de la inteligencia artificial en Medicina, que al esbozar una pregunta simple y aparentemente obvia,a un grupo de estudiantes acerca de ¿cuál será el principal foco de su atención en la práctica de la medicina clínica?, la respuesta más frecuente suele ser “El Paciente”, y aunque hasta cierto punto es lógica, al analizar con mayor profundidad el significado de dicha respuesta, es evidente que la respuesta correcta es la “Información”. Según lo mencionado por el mismo Shortliffe; “Todo el trabajo clínico está influido por la necesidad de Información”y el uso eficiente de esta para prevenir, diagnosticar, pronosticar y tratar. El uso y aplicación de las ciencias informáticas, tanto enel proceso de formación médica como en la actividad profesional, brinda un cúmulo de competencias, habilidades y destrezas,centradas en el uso de datos e información para la resolución de problemas, generando lo que en la taxonomía DICS, se conoce como Conocimiento, y eventualmente la Sabiduría, ésta última permitirá al médico de hoy,entender cómo aplicar y transferir el conocimiento a nuevas situaciones y problemas, todo esto con repercusión directa en la calidad de atención al paciente.

Introduction: Older adults living in the Andes are exposed to the effects of high-altitude adaptation and physiological changes caused by ageing. Objective: To assess lung capacity and respiratory patterns in older adults who reside at high altitudes. Methodology: Explanatory study of experimental cutting. Two communities of the Ecuadorian Andes of different altitude were selected (Apatug and Atahualpa). Participated 50 adults with average age between 75.44 ± 6.23 (Apatug) and 75 ± 8.25 (ATAHUALPA) Inclusion criteria were native people older than 65 years. The exclusion criteria were the inability to understand the procedure of pathological tests and contraindications to perform the spirometric test. Spirometry was performed in accordance with the criteria of the American Thoracic Society (ATS). Result: The results of the pulmonary capacity of the geriatric population of Apatug is 3.7 liters ± 0.6 and Atahualpa 5.4 liters ± 0.4. Older adults in Apatug obtained restrictive patterns (n = 20) and obstructive (n = 3). 12 participants with restrictive pattern were found in Atahualpa's parish. There is decreased saturation in Apatug, (85.16 ± 4.4) and blood pressure (107/30 mmHg). While saturation and blood pressure levels were normal in Atahualpa (91.6 ± 2.9 and 120/89 mmHg, respectively). Conclusions: The geriatric population of Apatug presents low levels of pulmonary capacity and saturation in the blood. However, blood pressure is normal. In the town of Atahualpa there are normal levels of pulmonary capacity, saturation and blood pressure.

Introduction: Liposuction is a surgery that has high demand at present because it offers safety by the use of techniques that reduce the risk to the patient. Three aspects have been improved since its implementation: the quality of its incisions, the use of more sophisticated cannulas connected to a vacuum pump and the introduction of the tumescent technique. However, complications still occur, and one of them is the blood loss. Objective: To describe the values of hemoglobin and hematocrit in patients undergoing liposuction surgery through general anesthesia plus Klein solution infiltration without lidocaine. Material and methods: We conducted an epidemiological study, descriptive, retrospective in 59 patients aged 15 to 55 years, subjected to liposuction surgery. The surgical procedure was performed under general anesthesia and intubation; It infiltrated with Klein solution without using Xilocaina, with the superhumid technique. Metal Cannulas of up to 6 mm connected to a vacuum pump were used, aspirating abdominal fat, flanks and corresponding part of the back; Low-power radio frequency and hydration were applied and three doses of intravenous cefazolin 1g were administered. Results: The average volume of sucked fat was 2667 ml,the average hemoglobin descent was 4.28g/dl (CI 95% 3.9 –4.5), the average decrease in Hematocrit was 10.3% (CI 95% 9.2 –12.1). Conclusions: In this research, the decrease of hemoglobin and hematocrit values were not significant, or complications occurred, a high degree of patient satisfaction was obtained. This surgical procedure is safe to observe the recommendations and protocols established by the American Society of Plastic Surgeons

Introduction: Urinary incontinence (IU) is a disease that mainly affects women and older adults, affecting their quality of life. Inaddition, its treatment and its sequelae represent a relevant economic cost in health systems. Objective: To estimate the prevalence and risk factors of IU in women from 45 to 65 years, attended in the Hospital "Padre-Rollo", in the period 2016-2017. Material and Methods: Retrospective case-control study reviewing 887 clinical histories. We analyzed the association between variables (CHI2), the "odd ratios" (multiple regression) and Beta values. The risk factors analyzed were number of pregnancies, age, occupation, type of birth, BMI, hypertension and type of treatment. Results:Forty-five patients were diagnosed with IU (5.07%; IC95%: 3.62-6.51), 44 had UI effort and 1 had mixed UI. The CHI2 Test determined an association between IU, the number of pregnancies (P = 0.002) and hypertension (P = 0.025). Multiple regression found significant associations for the number of pregnancies (P = 0.003), hypertension (P = 0.030) and caesarean births (P = 0.016). The Beta values ratified these results. Conclusion: IU prevalence was 5.07%. As for the types of IU, the most frequent within the sample was stress urinary incontinence. The number of pregnancies was the most significant risk factor in relation to the variables age, occupation, type of birth, BMI, hypertension and type of treatment. Multiple regression showed a significant relationship between the number of pregnancies and IU, for Primiparous, multiparous and Gran Multiparous. The BETA values showed that the predictive factors of the most important IU presence were women great multiparous, multiparous, primiparous, hypertension, BMI and age.

Introduction: Therapeutic adherence in chronic diseases such as hypertension is a latent problem in our country. It is essential to know the determinants of health that influence this process, to develop a health education in primary health care as at all levels of care, for a better adherence to drug treatment and Dietary hygienic. Objective: To identify the determinants of health that influence the therapeutic adherence of people with hypertension in the countries of Latin America from a systematic review of the scientific literature. Material and methods: Bibliographic review based on PRISM methodology. The technique used for data collection was the search for articles published in the Databases Pubmed, Medline, Elsevier, Scielo, Scopus, Google academic, in the subjects: therapeutic adherence, hypertension and determinants of health in Latin America during the period 2015-2018. Results: Twenty double-blind articles were analyzed, which met the inclusion criteria, which shows a low adherence to the treatment of Arterial hypertension which are caused by socioeconomic determinants, related to the team of Health and related to the patient and the disease. Conclusion: The therapeutic adherence is a complex process that is determined by factors: socioeconomic, related to the health care, the disease, the treatment and the patient, therefore it must work in each one of these determinants in Together with public health policy for better therapeutic adherence, avoiding complications to the pin male XLR PAC and reducing the costs to the state. Conclusions: The therapeutic adherence is a complex process that is fundamentally determined by the following factors: socioeconomic, those related to the health and healthcare team, the disease, the treatment and the patient.

Introduction: Guillain-Barré syndrome, is an autoimmune polirradiculoneuropatia, with different forms of presentation in daily practice, the characteristic clinical framework consists of an acute ascending paralysis usually in lower extremities, in Occasions includes many atypical manifestations that hinder their diagnosis and the early introduction of treatment. Objectives: To describe a clinical case of atypical presentation of Guillain-Barré syndrome. Material and methods: Retrospective descriptive study, clinical case presentation. Results: It presents the case of an atypical variant of the syndrome, whose initial manifestations were a bilateral facial paralysis, studies were carried out that allowed excluding other entities and corroborate the diagnosis posed, began treatment with Intravenous immunoglobulin, presented the patient clinical improvement notorious, allowing to graduate without complications. Conclusions: The importance of early identification of atypical forms of the disease, such as: bilateral peripheral facial paralysis, and the verification of presumptive diagnosis, should be recognized to corroborate medical thinking, that the patient may To receive the appropriate therapy, with a view to reduce the complications, to reduce the mortality and the sequelae of Guillain Barré syndrome.

Introduction: Examining the consumption of alcohol in a university society makes it possible to intervene rigorously in those failures and to know the factors that can promote or discourage such use in the students. Young people are characterized by being through a physical-psychological evolutionary stage of great interest, and in turn, immersed in a changing sociocultural environment as it is the passage from secondary to university, overcome the age of majority and a lifestyle open to New experiences such as alcohol consumption can be. Objective: To analyze the alcoholic intake in young students (18 to 25 years). Material and methods: A qualitative investigation was carried out, a questionnaire was applied to 213 students from the Technical University of Ambato, Tungurahua Province, in the center of the Ecuadorian Highlands, to evaluate the aspects related tothe alcoholic intake. Results: The results show the importance of the peer group and the perception of control in alcohol consumers, as well as expectations related to pleasure, sexual stimulation or social facilitation. Conclusion: It is important to develop communicational proposals to solve the problems related to alcohol intake to improve the health of the population.

Introduction: Blind volvulus causes approximately 1-3% of all causes of intestinal obstruction. In addition, it is the second most frequent localization of volvulus, preceded by that of Sigma, being more common in middle-aged women. The clinical picture is that of an intestinal obstruction, characterized by vomiting and abdominal distension. If signs ofsepsis (fever, tachycardia, or hypotension) and/or intestinal irritation appear. Intestinal ischemia should be suspected. For the diagnosis a simple Rx of abdomen should be requested as first test of image, observing the sign in ? grain of coffee ?. The treatment of choice is urgent surgery. Objective: To describe a clinical case focused on blind volvulus as an uncommon location of intestinal obstruction. Material and methods: Retrospective descriptive study, clinical case presentation. Results: It describes the clinical case of a male patient of 80 years, with no history, comes from abdominal pain of 24 hours of evolution, in Mesogastrio, moderate intensity, colic type, accompanied by nausea that arrives to vomit for 20 times. Physical examination, normal vital signs. Distended Abdomen, absent hydroaerial noises, tenderness in right iliaca fossa. Laboratory, Leukocytes 14,700, neutrophils 85.2%. Simple abdominal X-ray, image in "Coffee Bean" in left hypochondria. Surgical intervention: Exploratory laparotomy, finding volvulus of blind with rotation of 360 degrees, necrosis and ischemia in cecum and ascending colon with two perforations at cecal level. After the evaluation of the patient, it was determined a diagnostic impression and its urgent surgical resolution, managing to avoid further complications. As initial diagnostic impression was suspected in volvulus of Sigma. The definitive diagnosis was carried out during the surgical procedure. Conclusion: Blind Volvulus is an uncommon cause of intestinal obstruction. Initially the diagnosis is clinical, and the image test of choice is the simple X-ray of the abdomen. In addition, 10% is diagnosed during surgical exploration.