Medicina

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Subject: search.filters.subject.HIPERTENSIÓN ARTERIAL

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    Impacto de los factores ambientales en la aparición de preeclampsia grave (Revisión de la literatura)
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2022-09-01) Martínez Quinteros, Andrea Soledad; Belalcázar Sánchez, Yajaira Monserrath, Dra
    Preeclampsia is a vascular placental pathology that affects around 5% of all pregnant women worldwide, characterized by the presence of high blood pressure and proteinuria from the 20th week of gestation. It represents the fourth cause of perinatal morbidity and mortality and, in turn, is one of the main causes of induced prematurity and intrauterine fetal growth restriction. Currently, climate change is a fact that must be taken into account within the risk factors in the development of various pathologies, which allows health professionals to develop skills and attitudes in the field of climate change. Seasonal and climatic factors seem to be involved in the development of this pathology, however, there are insufficient studies that examine all individual, socioeconomic and environmental factors, including the meteorological or climatic variant, as influential factors in the development of severe preeclampsia. The seasonality of preeclampsia has been observed at the time of delivery by different studies carried out in regions with different climatic and economic conditions. The present work will consist of a systematic review of the available bibliography in scientific journal publications with a good level of evidence of publications made in the last 10 years, in Spanish, English and French languages. Information will be collected from databases such as Medline, Intra Med, PubMed, The Cochrane, SciELO, Hyper Article en Ligne (HAL), BASE, Scinapse, Semantic Scholar, among others. In addition, bibliographic data and citations of scientific articles and degree works available in the virtual library of the Technical University of Ambato and in universities at an international level will be included, taking the line of research belonging to Human Health itself that corresponds to the Domain of Food Systems, Nutrition and Health of the Faculty of Health Sciences of the Technical University of Ambato.
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    "Prevalencia y factores de riesgo para hipertensión arterial en adultos mayores en áreas urbanas y rurales del cantón Ambato”
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2020-07-01) Peñaherrera López, Lizbeth Andrea; Zavala Calahorrano, Alicia Dra. Ph.D.
    This research was focus to determine risk factors and prevalence of Arterial Hypertension in older adults in urban and rural areas of Ambato city during March 1, 2019 to March 1, 2020. This research was part of daily care, mainly in primary care centers where apparently healthy old adults went some hours per day. It was a qualitative, descriptive study. 173 patients participate and had a checkup medical consultation. The prevalence of high blood pressure was 14.45% in the studied areas in the Ambato city. It was more frequently found in those people over 80 years old. Also, it was found that 40% of the patients with hypertension had high blood pressure grade II according to the AHA /ACC 2017 classification. The highest risk factor for hypertension patients were the absence of treatment adherence. This is part of a complex economic and social situation which can deteriorate the prognosis for older adults.
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    “Parto pretermino en embarazo gemelar con incidencia de bajo peso al nacer y prevalencia de hipertensión inducida por el embarazo”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-09-01) Sánchez Jaya, Lucio David; Frías Raza, Edison Tarcisio Dr. Esp.
    The case corresponds to a pregnant patient of 34 years of age, who is referred from the Totoras health center on 06/06/2017 at 04.55 pm to the emergency service of the general teaching hospital Ambato, presenting abdominal pain type contraction of great intensity, pulsatile holocranial headache accompanied by lower limb edema. At the physical examination, conscious, oriented, afebrile, hydrated, oral, wet oral mucosa, Glasgow 15/15, blood pressure (BP): 140/90 mmHg, heart rate (HR): 85 beats per minute (bpm), respiratory rate ( FR): 20 breaths per minute (rpm), temperature (T) 36 ° C, oxygen saturation (SatO2) 95%, normoelastic and normothermic skin, slightly depressed abdomen painful to palpation at epigastric level pregnant uterus according to gestational age twin pregnancy, 2 live fetuses, twin: 1 fetal heart rate (FHR): 148 beats per minute (bpm), rhythmic, cephalic, twin 2 poralic 143 beats per minute (bpm), bottom uterine height (AFU): 39 centimeters (cm), uterine height (AU): 3 contractions in 10 minutes of 35 seconds duration, negative percussion fist, negative ureteral points, vaginal touch inguinogenital region, posterior cervix 4 cm dilatation effacement of 40% flat membranes without evidence of bleeding transvagin l. She is diagnosed with Pregnancy of 36.5 weeks by date of last menstruation + Preterm labor + twins plus gestational hypertension, constant controls and monitoring is performed after which hydration, analgesia, Tocolytics are administered and complementary tests are requested. : Leukocytes 9600, hemoglobin (Hb): 14 g / dl, hematocrit (Hct): 45.8%, Platelets: 251000, Glucose: 65.8 mg / dl, Urea: 19.7 mg / dl, Proteinuria: 100, Obstetric ultrasound: twin 1 cephalic live 34.1 weeks adequate amniotic fluid biophysical profile 10/10 male twin sex 2 poral 31.4 weeks amniotic fluid suitable biophysical profile 10/10 female. They decided to enter the Obstetric Center on 06/06/2017 at 7:00 p.m., in fetal assessment and monitoring, on June 8 an emergency caesarean section was performed due to fetal wellbeing commitment, presenting type 2 fetal monitoring and premature rupture of the membranes of 2 hours evolution with heavy meconium amniotic fluid, obtaining RN 1 cephalic alive with male 1940 gr, live pelvic RN 2 with weight of 1400 g female newborns enter neonatology for premature and low birth weight.