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6 results on '"del Carmen, María"'

4. Aislamiento de gérmenes oportunistas en pacientes internados en Unidad de Cuidados Intensivos

Author

Brizuela Centurión, Amanda María, Martí Ruiz, Analia del Carmen María, Fusillo Montanaro, José Domingo, Oleynick Goncalves, Alexis Fabián, and Ayala Careaga, Jessica Berenise

Subjects
drug resistance microbial, fármaco resistencia microbiana, COVID-19, unidades de cuidados intensivos, infección hospitalaria, intensive care unit, resistencia antimicrobiana, cross infections
Abstract

RESUMEN Introducción: La infección es una de las complicaciones que afecta frecuentemente al paciente crítico. Objetivo: Determinar la presencia de gérmenes oportunistas en pacientes internados en la Unidad de Cuidados Intensivos (UCI) durante el periodo de enero a junio del 2021 en el Sanatorio Adventista de Asunción. Materiales y Métodos: Estudio descriptivo, de corte transversal, en el periodo comprendido de enero a junio de 2021. Los datos fueron analizados por EPIINFO, utilizándose estadística descriptiva. En todos los pacientes evaluados se recogieron variables demográficas, comorbilidades, presencia del COVID-19, instrumentaciones realizadas (intubación, ventilación mecánica, traqueotomía), días de estancia en UCI, gérmenes aislados, tratamiento realizado, antibióticos más frecuentes utilizados. La variable "días de estancia en UCI" corresponde a la estancia total de los pacientes en dicha unidad. Resultados: Fueron incluidos 90 pacientes en el periodo de tiempo de estudio. De ellos: 72 fueron de sexo masculino que correspondió al (80%). La edad promedio fue de 55 ± 5,6 años. La estancia hospitalaria total de los mismos fue en promedio de 11 días (1-62). Las comorbilidades más frecuentes fueron: hipertensión, obesidad y diabetes mellitus II Los microorganismos identificados prevalentes fueron Escherichia coli (n=9), Acinetobacter baumannii (n=9), Enterobacter cloacae (n=3); Pseudomonas aeruginosa (n=5), Staphylococcus aureus (n=1) Candida spp. (n=13), Klebsiella pneumoniae (n=7), Acinobacter sp(n=18). La mortalidad global fue del 63,3% (57 pacientes). Conclusión: Acinobacter sp. fue el microorganismo que se aisló con mayor frecuencia. Los niveles de resistencia a los antimicrobianos fueron elevados siendo todos los gérmenes aislados ciprofloxacina resistente. ABSTRACT Introduction: Infection is one of the complications that frequently affects critically ill patients. Objective: To determine the presence of opportunistic microorganisms in patients admitted to the Intensive Care Unit (ICU) from January to June 2021 at the Asunción Adventist Sanatorium. Materials and methods: Descriptive, cross-sectional study, in the period January to June 2021. The data were analyzed by EPIINFO, using descriptive statistics. Demographic variables, comorbidities, presence of COVID-19, performed procedure (intubation, mechanical ventilation, tracheostomy), length of stay in the ICU, isolated germs, administered treatment, and most frequently used antibiotics were collected from all the patients evaluated. The variable "length of stay in the ICU" corresponds to the total hospital stay of the patients in that unit. Results: 90 patients were included in the study period. 72 were male, which corresponded to 80%. The average age was 55 ± 5.6 years. Their average hospital stay was 11 days (1-62). The most frequent comorbidities were hypertension, obesity and diabetes mellitus II. The prevalent identified microorganisms were Escherichia coli (n=9), Acinetobacter baumannii (n=9), Enterobacter cloacae (n=3); Pseudomonas aeruginosa (n=5), Staphylococcus aureus (n=1), Candida spp. (n=13), Klebsiella pneumoniae (n=7), Acinobacter sp (n=18). Overall mortality was 63.3% (57 patients). Conclusion: Acinobacter sp. was the most frequently isolated microorganism. Antimicrobial resistance levels were high, with all isolated germs being resistant to ciprofloxacin.

Published
2023

5. Sensitivity and Specificity of Troponins in AMI.

Author

González Elsy, Labrada, Labrada, Yabor, del Carmen, María, and María Isabel, Fong Betancourt

Subjects
TROPONIN, MYOCARDIAL infarction, BIOMARKERS, ELECTROCARDIOGRAPHY, ACUTE coronary syndrome
Abstract

A review was carried out to relate the presence of Acute Myocardial Infarction (AMI) by determining biomarkers, detailing their sensitivity and specificity, with the aim of determining the specificity and sensitivity of biomarkers in AMI. Different studies were evaluated, taking into consideration that they included clinical, electrocardiographic and enzymatic diagnosis, where the sensitivity and specificity of the different cardiac enzymes will be specified. The sex most affected with IMA was the female, after 60 years. Troponin T, of great importance in the prediction of events in patients with ACS. High values of brain natriuretic peptide have been associated with ventricular remodeling. The enzyme with the highest sensitivity and specificity for diagnosis is TnI. The CPK MB enzyme behaved with a higher sensitivity and specificity than TnT, in diabetic patients at Hospital General Ambato. [ABSTRACT FROM AUTHOR]

Published
2023

6. La gamificación como instrumento para el desarrollo del pensamiento lógico-formal en estudiantes universitarios.

Author

Silva, Castillo, Valdemar, Johny, Moreno, Rodríguez, Marivel, Rocío, Panizo, D'Angelo, and del Carmen, María

Subjects
*GAMIFICATION, *LEAD, *CRITICAL thinking, *COLLEGE students, *EDUCATIONAL innovations, *HIGHER education, *PHILOSOPHY education, *INFORMATION & communication technologies, *PROBLEM solving, *GAMES
Abstract

Play is a process that encourages social interactions. While its rules are discovered, playful activity leads man to understand the characteristics of society, its members and himself as a thinking being. In this context, gamification offers a series of techniques, mechanisms and elements that lead to valuing games as useful instruments for solving complex problems, which encompasses the application of logical-formal thinking and the understanding of the structures of thought, becoming a topic of interest for philosophy and education. As an educational tool, it has had growth and revitalization due to the rise of Information and Communication Technologies, the use of the Internet and the presence of social networks, while at the same time emphasizing autonomous learning, critical thinking and the adaptation of teaching strategies according to the demands of the digital society. Gamifying university academic activities leads to educational innovation, making the use of technologies essential for pedagogical processes, in order to capture the interest of the student, without losing sight of the essential meaning of education, which is the formation of individuals for their insertion in society, with a system of values consistent with solidarity, respect and cooperation. [ABSTRACT FROM AUTHOR]

Published
2023
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