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

Introduction: The World Health Organization defines quality health care as that which recognizes the needs of users; When evaluating the quality of care, the probability of achieving satisfactory results is increased, it depends on the patient's perspective, for this reason it is important to exceed expectations when meeting her needs. Objective: To evaluate the quality of care during prenatal care at the Vicentina health unit. Methodology: Quantitative, non-experimental, cross-sectional research, the data obtained were based on the satisfaction scale with Health Services-S5/22 adapted to the SERVQUAL model, the information was synthesized through the data matrix, taking 100 pregnant women as a sample. Results: A statistically significant relationship was found between the quality of care provided and the perception by pregnant women, with a satisfactory perception for reliability of 51.2%, security with 60.5%, empathy with 52.6%. and tangible aspects in 65.5%; In terms of responsiveness, 58.5% dissatisfaction was obtained. Conclusions: The quality of prenatal care was good, with an average of 52.26% satisfactory perception, on the other hand, several dimensions were identified that should be reassessed, in which a lower level of satisfaction was recorded.

Introduction: Cardiac tumors are extremely rare and are generally benign. Myxomas are the most frequent, and they commonly occur in women, adults between the third and sixth decade of life (1), the diagnosis is usually incidental or is established after the devastating consequences that it usually causes, its most frequent location is inside of the left atrium, representing a greater systemic embolization. The case of a patient with left atrial myxoma, manifested by left hemispheric ischemic stroke, is presented. Objective: To present the clinical case of a patient treated at the Ambato Regional Teaching Hospital for the diagnosis of ischemic stroke as a manifestation of left atrial myxoma. Methodology: Data were collected through a direct interview and were complemented with a review of the patient's physical medical history prior to signing the informed consent. Results: Updated review of the pathogenesis and diagnostic and surgical approach to left atrial myxoma.

Foundations: The elastics for medical-dental use that have been placed in the mouth are subjected to different substances present in food and beverages, such as lactic acid, citric acid, heptane, alcohol/water, erythrosine, which determine slight changes in them, so they must be replaced according to the needs required by the treatment and these will be indicated by the professional specialist. Objective: Comparison of plastic and elastic deformation between elastomeric modules of three commercial brands in neutral medium: in vitro study materials. Methods: It was conducted with a quantitative approach, longitudinal temporality with projective level and quasi-experimental design; In addition, the study population was considered by the most representative commercial factors in the region: American Orthodontics, Orthometric and Dentaurum in a neutral artificial saliva medium. Results: The deformation of the external and internal diameter of the elastomeric modules of the American Orthodontics trademark demonstrated greater plastic and elastic deformation of hasta by 32.67% ± 5.54 being the highest percentage of deformation obtained. On the other hand, the thickness of the Dentaurum elastomeric modules demonstrated a plastic and elastic deformation of up to 27.82% ± 7.51 being the highest percentage of deformation obtained. Conclusions: The greater deformation of the external and internal diameter and thickness is evident and occurs at intervals of 7 days of control, in addition, it is recommended to follow the recommendations of the factory so that the results are optimal in each event or moment of mechanics in orthodontics.

Foundations: For Orthodontics the quantitative contribution that can give the inclinations of the teeth at the end of the treatment has relevance, for example, with age, the vestibulum-palatine inclinations of the molars vary in relation to the width of the intermolar arch, where studies indicate that the maxillary and mandibular molars are more vertical while there is an increase in the widths in the intermolar arches. According to the literature, there is little information on the inclination values of the first molars in adult patients. Objective: The purpose of this study was to investigate by means of complete skull tomography the degree of vestibulum-palatine inclination of the first maxillary permanent molars in individuals with class I skeletal. Methods: We analyzed 120 ct scans of the complete skull (64 belonging to women and 56 to men) chosen by a sample at convenience by selection criteria. CBCTs (cone beam computed tomography) were obtained using a Newton Tomography GI-EVO Multislice CT scan (Cone Beam). Results:  The average of the inclinations in both male and female gender was for the first right upper molar of 94.03° ± 6.64, for the first left upper molar the average was 95.26° ± 5.40. And the overall average vestibulum-palatine inclination of the first right and left upper molar was 94.65° ± 6.02. Therefore, values above 100.67° indicated an oral or vestibular inclination of the upper first molar and values below 88.63° indicated a palatal inclination.  Conclusions: The vestibule-palatine inclination of the first maxillary molars was 94.65° with standard deviation ± 6.02, as a reliable measure by the horizontal reference (Frankfurt plane) that indicates the adequate and stable angulation that should have for the completion of an optimal orthodontic treatment.

Introducción: El aneurisma aórtico es una protrusión o dilatación anormal que se produce a nivel de la pared vascular debido a un debilitamiento de las capas de la aorta, en su mayoría de la íntima y de la media generando la retención de un coágulo perivascular en la adventicia del vaso; que puede generar su disección. Objetivo: Describir un caso clínico de aneurisma aórtico ascendente más insuficiencia aórtica grave, diagnosticado de forma casual y resuelto por la técnica de Bentall – Bono. Metodología: Estudio descriptivo y retrospectivo, presentación de caso clínico. Resultados: Se presenta el caso de un paciente masculino de 50 años con dolor precordial intenso de tipo opresivo, acompañado de disnea y palpitaciones. Al examen físico paciente hipotenso, alteraciones del pulso. A la ausculta cardiaca soplo diastólico en foco aórtico, horquilla esternal. Presencia de signos de Quincke, Traube, Musset, Hill. Al estudio de Electrocardiograma taquicardia sinusal con signos de sobrecarga de ventrículo izquierdo. Ecocardiograma transtorácico que reveló aneurisma importante de la raíz y aorta ascendente, con compromiso del ventrículo izquierdo, reflujo aórtico severo y una dilatación del ventrículo izquierdo. Tomografía de tórax confirma aneurisma, se decidió transferencia a una unidad de tercer nivel donde le realizaron cirugía cardiaca con la técnica de Bentall – Bono. Conclusione: El aneurisma de la aorta ascendente tiene una baja frecuencia, pero serias complicaciones que condicionan su elevada mortalidad y tiene indicación de cirugía urgente. Entre las técnicas más seguras de realizar, se encuentra la técnica de Bentall - Bono modificada.

Foundations: The study of transverse malocclusions has evidenced important and necessary knowledge for the care of the population with these dental alterations and has also provided useful and necessary information for the implementation of what has been evidenced in the development of dental practice. Objective:  The objective was to describe the quality of the report of the studies related to the early approach of transverse malocclusions: diagnosis and treatment. Methods: Type of descriptive, retrospective, cross-sectional study. The sample consisted of 21 reference articles from the early approach study of transverse malocclusions published by Padilla et al. 2009, which were evaluated using the STROBE Declaration guide, considering its recommended indicators. Descriptive statistics were applied calculating absolute and relative frequencies. Results: When evaluating the presentation in terms of methods, it was observed that there are important limitations and weaknesses related to all sections, with greater depth in the study design and statistical methods because 100% do not comply with the recommendations, not a single study explains how key elements of the study design were presented, how missing data were addressed, nor does it describe analytical methods that take into account the sampling strategy where appropriate, nor does it describe sensitivity analyzes where appropriate. Likewise, in the methods section, a minority of them partially complied with the STROBE recommendations in this aspect, ranging from 30.7% to 38.4% of the total articles. Conclusions: It is concluded that the publications studied show low compliance with the recommendations of the STROBE and CONSORT declarations.

Foundations: There are diagnostic methods to determine the mandibular transverse width in orthodontics, which is performed in postero-anterior radiographs, in study models and in cone beam computed tomography, the latter being the most indicated method due to its greater precision. The correct diagnosis allows us to develop and plan a treatment according to the needs of the patient, today the use of Cone Beam Computed Tomography (CBCT) is a tool that helps us approach the patient in the three planes of space, and specifically in the cross-sectional analysis of the jams, we determine their adequate width or their discrepancies, which provides us clear data for a correct treatment plan. Objective: To determine the average mandibular transverse distance in an adult Andean population evaluated by Cone Beam Computed Tomography. Methods: The study was conducted in 120 tomography’s of adult patients (67 women, 53 men) in which the measurements were obtained to determine the total mandibular transverse distance of the study population and the mandibular transverse distance by male and female sex. By means of CBCT specifically in the axial view, where the internal cortices of the vestibular tables were in the lower first permanent molars at the level of the furcation, using the create line tool and the transverse distance of the internal cortical of a side to inner cortex of the other side. Results: It was determined that the total average mandibular transverse distance in men was 53.73 mm, the total mandibular transverse distance in women was 44,39 mm and the total mandibular transverse distance was 52,54 mm. Conclusions: The mandibular transverse distance in the skeletal Class I population is greater than the currently existing reference measurements, with higher values for males than females.

Parental leaves are public policies aimed at balancing parenting tasks with formal employment and are considered part of the policies aimed at regulating and intervening in the care work that mostly weighs on women. This article addresses, from an essayistic methodology, the unequal conditions in the distribution of care in Argentina by analyzing current paternity leaves and the debates on hegemonic masculinities. It also emphasizes the recent project for an Integral Care System proposed in Argentina, which would make a difference in patriarchal policies and cultural practices, distributing care work and promoting gender equity.

El éxito de una organización en gran parte está determinado por el capital humano que posea, toda organización debe promover en sus colaboradores actitudes positivas a través de la satisfacción de sus necesidades y ambientes laborales óptimos que permitan un adecuado desenvolvimiento y desarrollo profesional. Es por ello que en la presente investigación se tuvo como objetivo explicar y establecer la relación que existe entre la cultura organizacional y la satisfacción laboral de los profesores de Espinar en la región Cusco. Se trabajó bajo un enfoque cuantitativo, con un tipo de investigación no experimental con diseño correlacional. La población estuvo constituida por diecinueve docentes de la institución educativa secundaria Túpac Amaru de la provincia de Espinar a quiénes se aplicó la técnica de encuesta sincrónica participante a través de un cuestionario que permitió medir las variables.  Los resultados mostraron altos niveles de cultura organizacional y satisfacción laboral en los docentes producto del trabajo colaborativo que se hace en la institución, así como el reconocimiento de los padres y estudiantes hacia sus profesores, llegándose a la conclusión que existe una estrecha relación y alto grado de dependencia entre la cultura organizacional y la satisfacción laboral de los profesores.

El presente estudio tuvo como objetivo develar las experiencias de violencia psicológica ejercida por las parejas de las mujeres del Centro Emergencia Mujer del distrito del Callao. La investigación corresponde al enfoque cualitativo y se introduce dentro del paradigma de investigación constructivista. Fue desarrollado bajo los procesos del diseño fenomenológico, establecido en las experiencias vividas. Los instrumentos utilizados para la recolección de datos fueron las entrevistas semiestructuradas de tipo conversacional y la observación directa. Estos permitieron recoger las concepciones, evaluaciones y valoraciones de las participantes. Los datos obtenidos se analizaron mediante un análisis de tipo reductivo. Los resultados muestran el predomino del maltrato psicológico, la codependencia emocional, el bajo auto concepto físico y emocional de las violentadas, Asimismo, se evidencia una relación directa entre el abuso psicológico con el maltrato físico y sexual. El artículo concluye bosquejando una tipología de violencia psicológica frecuente contra las mujeres y sugiere trabajo adicional con este tipo de teorización y conocimiento.