Limitaciones en el manejo de Mieloma Múltiple  en Ecuador

Garrido, David; Granja, Manuel F

doi:10.29166/rfcmq.v44i2.2686

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…In this context, health authorities must take action to overcome the reduced access to hematology services in the majority of the provinces. Besides, there is reduced availability of bone marrow transplant (BMT) centers in Ecuador, as only one institution in Guayaquil offers this service [ 11 ]. This last aspect is preoccupying, especially when many deceased patients have HN in which BMT is the first line of treatment.…”

Section: Discussionmentioning

confidence: 99%

The Mortality burden of hematological malignancies in Ecuador

Garrido¹,

Orquera

Rojas

et al. 2021

Nepal J Epidemiology

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Background: The Hematological neoplasms (HN) are a heterogeneous group of cancers that originated in the hematopoietic or lymphoid tissues. There is reduced information published regarding HN mortality in Ecuador. This study aims to present the crude and age-specific mortality rates for HN in the Ecuadorian population. Methods: We performed a cross-sectional study through the national database of defunctions published by the Ecuadorian National Institute of Statistics and Census, 2019. We used the ICD-10 codes to classify the HN. Results: During 2019, 1462 deaths were reported, 53.83% were males, 87.96% of mestizo ethnicity, and 78.32% residents in urban areas. The median age was 62 years, with an interquartile range of 34. The crude mortality rate obtained was 8.49 per 100000 inhabitants, and the higher age-specific mortality rates was 43.29 per 100000 inhabitants aged ≥ 60 years, contrasting with the 2.63 per 100000 inhabitants in people aged < 20 years. Considering each ICD-10 group, we found the following rates by 100000 inhabitants; C85 2.04, C91 1.92, C92 1.46, C90 1.11, C83 0.70, C95 0.48, C81 0.38, C84 0.16, C82 0.10, C96 0.05, C93 0.04, C86 and C94 0.02, and C88 0.01. Conclusion: In Ecuador, during 2019, approximately eight people died due to HN by 100000 inhabitants, affecting mainly people aged ≥ 60 years. The most frequent neoplasms were Non-Hodgkin lymphomas, similar to other reports globally. These results should be analyzed considering some deficiencies in the Ecuadorian health system and the national registry. Therefore, we suggest conducting more studies regarding HN.

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Section: Discussionmentioning

confidence: 99%

The Mortality burden of hematological malignancies in Ecuador

Garrido¹,

Orquera

Rojas

et al. 2021

Nepal J Epidemiology

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“…In 1992, the English mining company Rio Tinto Zinc (RTZ) invaded the Salinas parish to exploit silver, copper and other materials. This led to an anti-mining movement in the Bolívar province, initially led by the Matiaví Salinas commune [60]. The community did not accept the mining company's offers.…”

Section: Relevant Environmental Background and Challenges To Overcomementioning

confidence: 99%

“…The community did not accept the mining company's offers. The local government legitimized the defense of the territory according to their customs, way of life and autonomy, and the legal, economic and political system [60,61]. At the beginning of this century, the discussion about climate change and its possible effects on the Andean páramos, such as increased temperatures and changes in water regimes, winds and fog became more widespread, unnoticed by the population [62,63].…”

Section: Relevant Environmental Background and Challenges To Overcomementioning

confidence: 99%

Challenges Facing Andean Communities in the Protection of the Páramo in the Central Highlands of Ecuador

2023

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In the rural parish of Salinas, located in the central highlands of Ecuador, most of the communities are settled in a páramo ecosystem, whose deterioration has become a concern since the beginning of the century. The scarcity of water that some communities have experienced has led to a reconsideration of economic activities, as part of a community process that began 50 years ago, which has currently allowed them to overcome extreme poverty. This research aims to analyze the socio-technical reconfiguration process these communities have undergone in their new role as conservationists that has simultaneously ensured their livelihoods. The methodology applied is a qualitative approach based on a discourse analysis. The results indicate a process of applying social technology to protect the páramo. The availability of economic resources, a new mentality and the exercise of authority are key starting elements for the latter, and through strengthened organizations, permanent reflection, creativity, and the search for sustainability, the primary objective can be reached: the protection of the páramo.

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Limitaciones en el manejo de Mieloma Múltiple en Ecuador

Cited by 2 publications

References 13 publications

The Mortality burden of hematological malignancies in Ecuador

The Mortality burden of hematological malignancies in Ecuador

Challenges Facing Andean Communities in the Protection of the Páramo in the Central Highlands of Ecuador

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