LA U INVESTIGA: Revista Científica. Facultad Ciencias de la Salud. Volumen 3. Número 1

Los ámbitos de investigación expuestos en este número corresponden a salud, educación, comunicación; temática relacionados íntimamente con la problemática social, que trata de visibilizarla a través de la difusión científica. Desde una visión de caso clínico, como son aquellos artículos investigados en los centros asistenciales del país; o de análisis colectivo evidente en los artículos elaborados por académicos de la Universidad Técnica del Norte.• Adenoma pleomorfo metastásico a mama y pulmón. • Evaluación clínica y atención temprana de la potencialidad cerebromotriz innata en los recién nacidos vivos con factores de riesgo neonatal del hospital general San Vicente de Paúl. • Embarazo ectopico cervical a proposito de un caso • Ganglio centinela en cáncer de mama uso de azul patente en unidades de segundo nivel. • Morbimortalidad en recién nacidos pretérminos menores de 36 semanas, hospital IESS Ibarra año 2014. • Ruptura esplénica asociada con preeclampsia severa presentacion de un caso. • Enfermedad de Addison de etiología tuberculosa: presentación de caso clínico. • Estado de la independencia funcional en personas con discapacidad del cantón Otavalo. • Síntesis analítica sobre las bondades medicinales de la jícama (smallanthus sonchifolius) 2015. • Prevención de infecciones puerperales con Churiyuyo (kalanchoe pinnata), una experiencia de las parteras tradicionales en Napo Ecuador. • Valoración de las habilidades comunicativas en la relación fisioterapeuta paciente. • Objeto de aprendizaje móvil en el aula, para estudiantes de la carrera de Nutrición y salud comunitaria, Universidad Técnica del Norte. • Infecciones de vías urinarias asociadas a catéter vesical en mujeres embarazadas. Hospital San Vicente de Paúl, 2015. • Proceso enfermero en la satisfacción de las necesidades básicas en usuario colecistectomizado. • Satisfacción laboral de los profesionales de enfermerí

Concentração plasmática de cortisol, uréia, cálcio e fósforo em vacas de corte mantidas a pasto suplementadas com levedura de cromo durante a estação de monta Cortisol, urea, calcium and phosphorus plasma concentration in grazing beef cows supplemented with high chromium yeast during breeding season

Foi pesquisada a influência da suplementação com cromo (Cr) sobre a concentração plasmática de cortisol, uréia, cálcio e fósforo em vacas zebu mantidas a pasto e numa situação de estresse calórico durante a estação de monta. Foram utilizadas trinta vacas primíparas com peso entre 380 e 385kg. Os animais foram divididos em grupos de 15 vacas, formando o tratamento suplementado com Cr e o tratamento não suplementado (controle). As vacas pastorearam em piquetes formados por Brachiaria brizanta cv. Marandu. A fonte de Cr foi levedura enriquecida (1g Cr kg-1 de produto comercial) e foi adicionado à mistura mineral aportando 0,017% de Cr. Amostras de sangue foram tomadas em três períodos através de venipunção jugular e coletadas em tubos contendo heparina. As amostras de plasma foram analisadas para fósforo, cálcio, uréia e cortisol. Os dados foram analisados como um desenho de blocos ao acaso. O consumo médio diário de mistura mineral foi de 72,92g no grupo suplementado com Cr (12,40mg Cr/cabeça/dia) e 77,84g no grupo controle (0,78mg Cr/cabeça/dia). A concentração plasmática de cortisol, no grupo suplementado com Cr, foi menor que no tratamento controle (2,11mg dl-1 vs. 3,29mg dl-1). As concentrações plasmáticas de fósforo (6,36mg dl-1 vs 3,56mg dl-1) e de cálcio (12,87mg dl-1 vs 9,02mg dl-1) foram maiores no grupo suplementado com Cr durante o primeiro período, mas não existiram diferenças no segundo e terceiro períodos de colheita. Os níveis plasmáticos de uréia (17,13mg dl-1 vs. 17,70mg dl-1) não foram diferentes entre os grupos experimentais.<br>The influence of supplemental chromium (Cr) on plasma cortisol, urea, calcium and phosphorus concentration were investigated in grazing cattle in caloric stress situation during the breeding season. Thirty primiparous zebu cows with 380 to 385kg of body weight were assigned to the following treatments: 15 cows fed supplemental Cr and 15 cows without supplemental Cr (Control). The cows were grazing in Brachiaria brizantha pasture. Chromium was supplied as high-Cr yeast Sacharomices cerevisae (1gCr kg-1). Chromium was added to mineral premix to provide 0.017% of supplemental Cr. Blood samples were collected in three periods by jugular venipuncture in heparinized tubes. Plasma was analysed for phosphorus, calcium, urea and cortisol. Data were analysed as a randomised block design. Premix daily consumption was 72.92g in the supplemented cow (12.40mg Cr/animal/day) and 77.84g premix in the non supplemented cow (0.78mg Cr/animal/day) groups. The concentration of cortisol in Cr-supplemented group was lower than that in control treatment (2.11mg dl-1 vs. 3.29mg dl-1). Plasma phosphorus (6.36mg dl-1 vs. 3.56mg dl-1) and calcium (12.87mg dl-1 vs. 9.02mg dl-1) were higher in Cr-supplemented group in the first period but no differences were found between groups in other periods. There was no difference in urea level (17.13mg dl-1 vs 17.70mg dl-1) between supplemented and control group

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially