ISSN 2661-6947 (Indexing period: 07/2020 - present) http://preprints.ibict.br/handle/1618034/51 2025-12-26T00:33:02Z 2025-12-26T00:33:02Z http://preprints.ibict.br/handle/1618034/120 2021-05-10T17:58:46Z

Preprint title (English): Nursing Path of Nursing Care in Pediatric Patient with acute respiratory failure in the Pediatric Unit Emergency Area (in Spanish) Author(s): Astudillo, María Editor responsible for the desk review: Jarrín Yerovi, Luis Gustavo Abstract (English): Acute respiratory failure (ARF) is the pulmonary inability to comply with the gas exchange of oxygen and carbon dioxide between the ambient air and the circulating blood1, it is accompanied by several signs and symptoms such as tachypnea, cyanosis, among others2, it is of sudden onset , and constitutes the cause of admission to emergency units, for this reason the World Health Organization (WHO) indicates that “hundreds of millions of people suffer the consequences of respiratory diseases every day3. In the Basic Indicators-Ecuador 2 012 of the Ministry of Public Health of Ecuador registers 4 122 deaths by ARI corresponding to the Province of Pichincha 8254, in the Hospital de Especialidades Carlos Andrade Marín (HECAM), the first cause of admission corresponds to pneumonia with 41.29% in the period January-September 2 018 (General Coordination of Planning and Statistics HECAM). The proposed route constitutes a tool that allows the nursing staff to carry out an effective evaluation of pediatric patients with acute respiratory failure, through an initial assessment, primary and secondary evaluation, with the purpose of avoiding complications during the management of pediatric patients with Acute respiratory failure in the Pediatric Emergency Area Unit (UPAE).

http://preprints.ibict.br/handle/1618034/119 2021-05-10T17:46:36Z

Preprint title (English): Comprehensive evaluation of the patient with obesity candidate for bariatric and endocrine metabolic surgery (in Spanish) Author(s): Vargas Córdova, Ronnal Paricio; Arias Trujillo, Adriana del Consuelo Editor responsible for the desk review: Jarrín Yerovi, Luis Gustavo Abstract (English): Currently, obesity is considered a pandemic, the incidence of which has tripled in the last 30 years, and has generated increasing public health problems. Based on the guidelines of the American Association of Endocrinologists (AACE), the Society for Obesity, the American Society for Metabolic and Bariatric Surgery (ASMBS), the Association for Obesity Medicine and the American Association of Anesthesiologists, the present document, in order to become the roadmap that guides the procedure to be followed in patients suffering from this chronic disease and who attend the San Francisco General Hospital. Obesity is recognized as a global disease and is a pathology characterized by the use of various medications due to related comorbidities, such as: cardiovascular disease, type 2 diabetes mellitus, chronic kidney disease, non-alcoholic fatty liver, metabolic syndrome and various types of cancers . This protocol contains the highest level of evidence available to date, in relation to the surgical and non-surgical management of the patient with a diagnosis of obesity, including topics such as the identification of candidate patients for bariatric procedures, type procedures that should be offered, as well as preoperative and intraoperative management and follow-up post-operative care. Since the publication by the American Society for Metabolic and Bariatric Surgey (ASMBS) in 2013 of the guidelines for the management of patients with obesity, there has been a significant increase in publications that support excellent results for the treatment of patients with obesity and type 2 diabetes mellitus by bariatric and metabolic surgery. In 2016, the publication of the Diabetes Surgery Summit (DSS2) marks a difference in the management of patients with type 2 diabetes mellitus, which is why they have grown substantially and the evidence shows that the bariatric metabolic management of these patients is superior to medical management and lifestyle changes when assessing glycemic control and remission of comorbidities. With the prior evaluation of the multidisciplinary team, we will have scientific information of the highest level that allows us to have a patient with optimal recovery applying the criteria of Enhanced Recovery after Bariatric Surgery (ERASb) Obesity in Ecuador has become a public health problem, so in the pediatric population, overweight and obesity have increased since 1986, going from 8% to 26% by 2012 in the 11-year-old group. 19 years old. The prevalence of overweight and obesity in the adult population in Ecuador is 62.8%, according to sex, the prevalence of overweight and obesity is 5.5% higher in women (65.5%) than in men (60%), and the highest rate of obesity and overweight occurs between the fourth and fifth decades of life, with prevalences higher than 73%.

http://preprints.ibict.br/handle/1618034/118 2021-05-10T14:51:44Z

Preprint title (English): Depression, socio-family factors and physical dependence in elderly aged in a hospital in Quito (in Spanish) Author(s): Calderón Masón, Diego Fernando; Calderón Suasnavas, Gabriela Fernanda; Calderón Suasnavas, Vanessa Alexandra Editor responsible for the desk review: Jarrín Yerovi, Luis Gustavo Abstract (English): INTRODUCTION. Depression is common in the elderly and is associated with various social, economic and physical factors. OBJECTIVE. To identify the association and interaction between depression, social and family conditions and dependence in elderly adults with social security in a Quito hospital consultation. MATERIALS AND METHODS. An observational, descriptive, cross-sectional study was carried out. 390 older adult patients who met the inclusion criteria (178 men and 212 women) participated. The MINI International Neuropsychiatric Interview for the diagnosis of depression and the Katz, socio-family of Gijon scales and demographic data were used. The association was established through chi square, calculation of prevalence Odds and, for the interaction of variables, binary logistic regression models were developed. RESULTS. The prevalence of depression was 26.4% (103; 390) with 15.4% (60; 103) of mild depressive episode. Depression showed an association with belonging to social groups (p = 0.049), dependence (p = 0.006) and social risk situation (p = 0.000). In the binomial logistic regression with the socio-family variables, the greatest weight fell on bad social relationships (Exp B: 1.8); in the model with the significant variables, in the dependency (Exp B: 2.6). The models correctly classified the depressed. Several variables became significant when interacting with risk and social problem. CONCLUSIONS. There is an association between depression and dependency, social risk and belonging to social groups. The profile of depressed people was dependent people, at social risk and who did not belong to social groups. The variables interact with each other.

http://preprints.ibict.br/handle/1618034/117 2021-05-10T14:26:03Z

Preprint title (English): Comparison of antibiotic therapy in complicated appendicitis in pediatrics. Preliminary report (in Spanish) Author(s): Ascanio, Wuilian; Ríofrio, Priscila; Mier Jiménez, Jorge; Cáceres, Freud Editor responsible for the desk review: Jarrín Yerovi, Luis Gustavo Abstract (English): Introduction. Acute appendicitis is the most frequent surgical pathology in pediatrics and requires adequate management with antibiotics postoperatively, especially in the complicated phase of the disease. Objective. To compare the triple antibiotic therapy scheme vs a double scheme used in patients postoperative on in our unit. Materials and methods. Prospective study of the Pediatric Surgery Unit of the Carlos Andrade Marin Specialties Hospital, which included a total of 90 patients operated on for complicated appendicitis, of whom 55 received ampicillin + metronidazole + gentamicin and 35 ceftriaxone + metronidazole. The variables of hospital stay, complications and cost of each scheme were compared. Results. There were no significant differences between the two groups of patients in relation to the analyzed variables. Conclusions. No statistically significant differences were found between both schemes in this preliminary report, with the difference that with the triple scheme the frequency of administration is lower and exposure to the side effects of aminoglycosides is avoided.