Carmita Perez - Academia.edu (original) (raw)
Uploads
Papers by Carmita Perez
pub.bsalut.net
... esta localización no se puede auscultar bien el latido arterial con el fonendoscopio. La dete... more ... esta localización no se puede auscultar bien el latido arterial con el fonendoscopio. La determinación del ITB mediante un doppler y un esfigmomanómetro de mercurio se consideran la prueba de referencia o gold estándar. ...
Tutor: Ramón Flores MSc. Quito, abril, 2011 AUTORIZACIÓN DE LA AUTORÍA INTELECTUAL Yo, Carmita Pa... more Tutor: Ramón Flores MSc. Quito, abril, 2011 AUTORIZACIÓN DE LA AUTORÍA INTELECTUAL Yo, Carmita Paolina Rosero Pérez, en calidad de autor (a) del trabajo de investigación realizada sobre "Cuento infantil en la formación de valores de los niños/as de educación inicial en el Centro Infantil "Semillitas de Ternura" del barrio de San Luis de la ciudad de Atuntaqui, durante el segundo trimestre del año lectivo 2010-2011", por la presente autorizo a la UNIVERSIDAD CENTRAL DEL ECUADOR, hacer uso de todos los contenidos que me pertenecen o de parte de los que contienen esta obra, con fines estrictamente académicos o de investigación. Los derechos que como autor (a) me corresponden, con excepción de la presente autorización, seguirán vigentes a mi favor, de conformidad con lo establecido en los artículos 5, 6, 8; 19 y demás pertinentes de la Ley de Propiedad Intelectual y su Reglamento.
Atención Primaria, 2006
Objective. To study the relationship between the presence of peripheral artery disease (PAD) and ... more Objective. To study the relationship between the presence of peripheral artery disease (PAD) and the morbidity and mortality at 6 years, and the ankle-brachial index (ABI) as a predictor of morbidity and mortality in type 2 diabetes mellitus. Design. Retrospective cohort study. Six years follow-up. Setting. Urban health centre. Participants. A total of 269 type 2 diabetics, of which 63 had PAD in 1996: 20 were previously diagnosed and 43 had an ABI of ≤0.90. Principal measurements. An appointed was made with the patients to find out the incidence of fatal and non-fatal microvascular and macrovascular events and the histories were reviewed. Six patients were excluded as all their data were not available. Results. Thirty nine patients had died, of whom 19 had PAD in 1996 (30.1%) and 20 did not (9.7%) (P=.001). Sixteen patients died in the group with an ABI ≤0.9 (30.2%) and 21 (10.1%) in the group with normal ABI values (P=.001). 7 (13.2%) patients died due to a cardiovascular cause with a pathological ABI, and 8 (3.9%) with a normal value (P=.009). The presence of PAD has been associated with a higher probability of having a non-fatal episode of ischaemic cardiac disease (P=.04), a cerebrovascular accident (CVA) (P<.001) and ulcers (P=.006). A low ABI has been associated with a higher probability of presenting with a fatal or non-fatal cardiovascular event (P<.001). After the multivariate analysis an increase was observed in cardiovascular (odds ratio [OR] =2.81; 95% confidence interval [CI], 1.16-6.78), CVA (OR=3.47; 95% CI, 1.19-10.07), and cardiac failure (OR=6.75; 95% CI, 1.34-33.81), morbidity and mortality in diabetics with an ABI of ≤0.90. Conclusions. The type 2 diabetics with PAD present with a higher morbidity and mortality. The ABI is a good predictor of cardiovascular disease and heart failure morbidity and mortality.
pub.bsalut.net
... esta localización no se puede auscultar bien el latido arterial con el fonendoscopio. La dete... more ... esta localización no se puede auscultar bien el latido arterial con el fonendoscopio. La determinación del ITB mediante un doppler y un esfigmomanómetro de mercurio se consideran la prueba de referencia o gold estándar. ...
Tutor: Ramón Flores MSc. Quito, abril, 2011 AUTORIZACIÓN DE LA AUTORÍA INTELECTUAL Yo, Carmita Pa... more Tutor: Ramón Flores MSc. Quito, abril, 2011 AUTORIZACIÓN DE LA AUTORÍA INTELECTUAL Yo, Carmita Paolina Rosero Pérez, en calidad de autor (a) del trabajo de investigación realizada sobre "Cuento infantil en la formación de valores de los niños/as de educación inicial en el Centro Infantil "Semillitas de Ternura" del barrio de San Luis de la ciudad de Atuntaqui, durante el segundo trimestre del año lectivo 2010-2011", por la presente autorizo a la UNIVERSIDAD CENTRAL DEL ECUADOR, hacer uso de todos los contenidos que me pertenecen o de parte de los que contienen esta obra, con fines estrictamente académicos o de investigación. Los derechos que como autor (a) me corresponden, con excepción de la presente autorización, seguirán vigentes a mi favor, de conformidad con lo establecido en los artículos 5, 6, 8; 19 y demás pertinentes de la Ley de Propiedad Intelectual y su Reglamento.
Atención Primaria, 2006
Objective. To study the relationship between the presence of peripheral artery disease (PAD) and ... more Objective. To study the relationship between the presence of peripheral artery disease (PAD) and the morbidity and mortality at 6 years, and the ankle-brachial index (ABI) as a predictor of morbidity and mortality in type 2 diabetes mellitus. Design. Retrospective cohort study. Six years follow-up. Setting. Urban health centre. Participants. A total of 269 type 2 diabetics, of which 63 had PAD in 1996: 20 were previously diagnosed and 43 had an ABI of ≤0.90. Principal measurements. An appointed was made with the patients to find out the incidence of fatal and non-fatal microvascular and macrovascular events and the histories were reviewed. Six patients were excluded as all their data were not available. Results. Thirty nine patients had died, of whom 19 had PAD in 1996 (30.1%) and 20 did not (9.7%) (P=.001). Sixteen patients died in the group with an ABI ≤0.9 (30.2%) and 21 (10.1%) in the group with normal ABI values (P=.001). 7 (13.2%) patients died due to a cardiovascular cause with a pathological ABI, and 8 (3.9%) with a normal value (P=.009). The presence of PAD has been associated with a higher probability of having a non-fatal episode of ischaemic cardiac disease (P=.04), a cerebrovascular accident (CVA) (P<.001) and ulcers (P=.006). A low ABI has been associated with a higher probability of presenting with a fatal or non-fatal cardiovascular event (P<.001). After the multivariate analysis an increase was observed in cardiovascular (odds ratio [OR] =2.81; 95% confidence interval [CI], 1.16-6.78), CVA (OR=3.47; 95% CI, 1.19-10.07), and cardiac failure (OR=6.75; 95% CI, 1.34-33.81), morbidity and mortality in diabetics with an ABI of ≤0.90. Conclusions. The type 2 diabetics with PAD present with a higher morbidity and mortality. The ABI is a good predictor of cardiovascular disease and heart failure morbidity and mortality.