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REPÚBLICA BOLIVARIANA DE VENEZUELA MINISTERIO DEL PODER POPULAR PARA LA EDUCACIÓN COLEGIO “NUESTRA SEÑORA DEL CARMEN” SAN CRISTÓBAL – ESTADO TÁCHIRA
PORCENTAJE DE LA POBLACIÓN QUE VISITA EL HOSPITAL CENTRAL JOSÉ MARÍA VARGAS DE SAN CRISTÓBAL, EDO. TÁCHIRA EN SUS DIFERENTES ÁREAS, QUE SON AFECTADOS POR CLAUSTROFOBIA. (AMBOS SEXOS, EDADES ENTRE 1 ! "# ANOS$
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REPÚBLICA BOLIVARIANA DE VENEZUELA MINISTERIO DEL PODER POPULAR PARA LA EDUCACIÓN COLEGIO “NUESTRA SEÑORA DEL CARMEN” SAN CRISTÓBAL – ESTADO TÁCHIRA
PORCENTAJE DE LA POBLACIÓN QUE VISITA EL HOSPITAL CENTRAL JOSÉ MARÍA VARGAS DE SAN CRISTÓBAL, EDO. TÁCHIRA EN SUS DIFERENTES ÁREAS, QUE SON AFECTADOS POR CLAUSTROFOBIA. (AMBOS SEXOS, EDADES ENTRE 1 ! "# A-OS$
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INDICE
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CAPITULO V C)'c*5"&)'"1@ A')";21
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INTRODUCCION
U'( ?)0&( " 5' 5' #&=) #&=) + #!("#)!') #!("#)!') + ('"&+( ('"&+(+; +; E" E" 5' #6)! ?5!# &!!(c&)' &!!(c&)'(* (* ( (*4) F5 !=!"'#( =)c) ) '&'4' =*&4!); C5('+) "( ('"&+(+ =!"'#( c)6) c)'"c5'c&( + "'#&!" (#!(=(+) ' 5' "=(c&) =F5) ) F5 " =!c&0 c)6) #(*% " +')6&'( c*(5"#!)?)0&(; c*(5"#!)?)0&(; U' =!)0*6( F5 " c*("&?&c( +'#!) + *(" +')6&'(+("% +')6&'(+("% 3)0&(" "=c?&c("% " +c&!% ( (F5**(" F5 +"c!&0' * #6)! ( (*4) c)'c!#); 5&' *(" =(+c =(+c $&#( "(c&)'" "(c&)'" #(*" c)6) 5#&*&-(! 5#&*&-(! 5' 5' ("c'")!% ("c'")!% (#!($"(! (#!($"(! 5' #'*% $&((! ' 6#!)% F5+(!" 'c!!(+) ' 5'( /(0&#(c&7' =F5(; E' 4'!(*% "#(" =!")'(" ') "5*' #'! 6&+) ")*) ( 5'( + "#(" "(c&)'"% "&') F5 =! =!&6 &6'# '#(' (' #6) #6)!! ' c5(*F c5(*F5& 5&! ! " "(c (c&7 &7'' F5 F5 &6=*& &6=*&F5 F5 c&! c&!!% !% !"# !"#!& !&cc cc&7 &7'' ) c)'?&'(6&'#); 5&-á /(.( c)'#!&05&+) =(!( **) *( !(*&+(+ + *)" c'#!)" 5!0(')"% ' F5 c(+( +( 6á" *(" =!")'(" 'c"&#(' c)6=(!#&! "=(c&)" =F5)"; L( c*(5"#!)?)0&( " 5'( + *(" ?)0&(" "=c?&c(" c)' 5'( =!$(*'c&( 6á" 6á" (*#(% "&' 60(!4)% ') #)+(" *(" =!")'(" 05"c(' (.5+( =!)?"&)'(* =(!( "5=!(! "5 =!)0*6(; S4' * IMSS JI'"##) M&c(') + S45!) S)c&(*K% *( c*(5"#!)?)0&(% " 5'( '?!6+(+ F5 =(!( F5&'" *( "5?!'% =5+ **4(! ( "&4'&?&c(! *( 65!# =)! "5&c&+&); L( c)6=*&c(c&7' c)6=*&c(c&7' (F5 =!"'# =5+ ') "#(! ( "&6=* $&"#(% "&'+) "#( "#( 5'( + *(" *(" 6á" ?5!#" !(-)'" =)! *( F5 !(*&-(6)" "#( &'$"#&4(c&7'% * F5 "# #!("#)!') &'#!?&! ' c("& #)+(" *(" (c#&$&+(+" c)#&+&('(" + *( $&+( + *( =!")'( (?c#(+(% =)! *) F5 *( $( +#!&)!('+)% /("#( * =5'#) +)'+ ') /(.( '(+( F5 /(c!; S)' S) ' 6á" *(" =!")'(" F5 =(+c' + "#( ?)0&(% F5 *(" F5 " ')" =5+(' )c5!!&!; T)+) "( =(!( * ?&' + 6)!(! *( c(*&+(+ + $&+( + *)" "!" "! " /56(')";
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Jc)' Jc)'"& "&' '# #"" ) &'c) &'c)'" '"c& c&' '# #"K "K 6+& 6+&(' ('# #
&'$"# &'$"#&4( &4(c&)' c&)'" " =!$&(" =!$&("%% #c; #c; S&'+) S&'+) * ?&'% ?&'% * (.5 (.5+(! +(! &'?)!6 &'?)!6(! (! ( *(" =!")'(" =!")'(" "*cc&)'(+(" ")0! *( C*(5"#!)?)0&(;
CAPÍTULO I PLANTEAMIENTO DEL PROBLEMA
E'#'+&,'+)" =)! ?)0&( c)6) 5' #!("#)!') + "(*5+ 6)c&)'(* F5 " c(!(c#!&-( =)! 5' #6)! &'#'") . +"=!)=)!c&)'(+) ('# )0#)" ) "(c&)'" c)'c!#("% F5 =!)+5c' ' F5&' *)" =(+c' '&$*" + ('"&+(+ +"c)'#!)*(+)"; C)6)% =)! 6=*)% ( *)" &'"c#)" J'#)6)?)0&(K ) ( *)" *54(!" c!!(+)" Jc*(5"#!)?)0&(K; E* M('5(* +&(4'7"#&c) . E"#(+"#&c) + *)" T!("#)!')" M'#(*" JDSMIV% APA% 1@@:K c*("&?&c( c*("&?&c( ( *( C*(5"#!)?)0& C*(5"#!)?)0&(( +'#!) + *)" T!("#)!')" T!("#)!')" + ('"&+(+ ('"&+(+ c)6) 5'( 3)0&( E"=c?&c( " +c&!% 5' #6)! &'#'") . "=c?&c) ( "(c&)'" . )0#)" c)'c!#)"; C5('+) *( =!")'( " '?!'#( ( " )0#) ) "(c&7' =!&6'#( ('"&+(+ &'#'"( + ?)!6( &'6+&(#(; L( =!")'( #&'+ ( $&#(! *( "(c&7' ?70&c(% (5'F5 !c)')c F5 * 6&+) " c"&$) ) &!!(c&)'(*; E* =!)0*6( (F5 =!"'# =5+ ') ')#(!" ( "&6=* $&"#(% "&'+) 5'( + *(" 6á" ?5!# ?5!#" " !(-)' !(-)'" " =)! =)! *( F5 !(*& !(*&-( -(6) 6)"" "#( "#( &'$ &'$"# "#&4 &4(c (c&7 &7'% '% * F5 "# #!("#) #!("#)!') !') &'#!?&! ' 65c/(" ) 6)! +&c/) ' c("& #)+(" *(" (c#&$&+(+" c)#&+&('(" + *( $&+( + *( =!")'( (?c#(+(% =)! *) F5 *( $( +#!&)!('+)% /("#( * =5'#) +)'+ ') /(.( '(+( F5 /(c!; S)' 6á" *(" =!")'(" F5 =(+c' "#( ?)0&(% F5 *(" F5 =)+(6)" &6(4&'(!; T)+) "( =(!( * ?&' + 6)!(! *( c(*&+(+ + $&+( + ')")#!)"% *)" "!" /56(')"; E"# #6( (0(!c( 65c/)" ("=c#)"% )=&'&)'" . c)'c=#)" ') +?&'&+)"% F5 " &!á' c)')c&'+) + (c5!+) ( *(" &'$"#&4(c&)'" ( !(*&-(!; L( =!"'# &'$"#&4(c&7' "
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JUSTIFICACION DEL PROBLEMA
E"# =!).c#) =!).c#) " **$( ( c(0) c(0) c)' * ?&' ?&' + (.5+(! &'?)!6(! &'?)!6(! ( *(" *(" =!")'(" =!")'(" ")0! *( C*(5"#!)?)0&( C*(5"#!)?)0&(%% +* F5 =)c) " c)')c =!) F5 ( *( $- " * 6á" ?!c5'#; E" + ')#(!% F5 #)+)" *)" #&=)" + #!("#)!')" + ('"&+(+ ?70&c( )c("&)'(' ('45"#&( . +&"c(=(c&+(+ "&4'&?&c(#&$(% (=(!# + "#(! (")c&(+) ( (*#(" #("(" + "5&c&+&); S&' 60(!4)% ' )c("&)'"% ")' +&(4')"#&c(+(" &'(+c5(+(6'# &+'#&?&c(+(" =)! * =!")'(* ("&"#'c&(*; E* =!)=7"&#) +* =!"'# #!(0() "% +"+ 5'( $(*)!(c&7' c!#&c(% +"#(c(! *( &+'#&?&c(c&7' (+c5(+( . )=)!#5'( + *)" #!("#)!')" + ('"&+(+ ?70&c(% "5" ?)!6(" + =!"'#(c&7'% "=c&?&c&+(+"% '#! )#!)" A+6á" /(. 5' =5'#) 0("#('# !*$('#% F5 ")' *(" (c#&$&+(+" F5 " $' (?c#(+(" =)! "#(% (*45')" + *)" ("=c#)" ")' L( S(*5+% *( =(!# L(0)!(*% S)c&(* . D&(!&(; P(!c $&+'# #)+) *) !?!'# ( "# #!("#)!')% =!) "# " 5' ='"(6&'#) F5 " /( 6('#'&+) +"+ /(c 65c/) #&6=)% &'c)!!c#) &'c)'"c&'# =)! ?(*#( + c)')c&6&'#);
@
OBJETIVO GENERAL
•
D#!6&'(! * =)!c'#( + *( =)0*(c&7' JA60)" ")"% +(+" '#! 1> . 98 ()"K F5 $&"&#( * H)"=&#(* C'#!(* )", M(!( V(!4(" + S(' C!&"#70(*% E+); Tác/&!( ' "5" +&?!'#" á!("% F5 ")' (?c#(+)" =)! C*(5"#!)?)0&(;
OBJETIVOS ESPECIFICOS
•
P!c&"(! *(" +&?!'c&(" '#! * 6&+) . *( ?)0&(;
•
D#!6&'(! *(" c(5"(" Jc)'"&'#" ) &'c)'"c&'#"K &'c)'"c&'#"K 6+&('# &'$"#&4(c&)'" =!$&(" + *( c*(5"#!)?)0&(;
•
E*(0)!(! "#!(#4&(" =(!( (.5+(! &'?)!6(! ( *( =)0*(c&7' "*cc&)'(+( ")0! *(" c)'"c5'c&(" + =(+c! "# #&=) + #!("#)!');
18
CAPITULO II MARCO TERICO
ANTECEDENTES I%&')%*432%* L)" c&'#?&c)" c&'#?&c)" E6)!. S#**( S#**( L)5!'c) L)5!'c) . M(##/ M(##/ L)'4)% + *( U'&$!"&+(+ U'&$!"&+(+ + E6)!. ' A#*('#(% !(*&-(!)' 5' #!(0() + &'$"#&4(c&7' =50*&c(+) ' *( !$&"#( COGNITION% ")0! 5'( + *(" c(5"(" + *( C*(5"#!)?)0&(; D)'+ ("45!(' F5 &"# 5'( !*(c&7' '#! *( c*(5"#!)?)0&( . * "=(c&) c!c(') ( '5"#!) c5!=)% * **(6(+) "=(c&) =!&=!")'(*; H6)" 'c)'#!(+) F5 *(" =!")'(" c)' 6á" '&$*" + c*(5"#!)?)0&( #&'' 5' (4!(+) "'#&+) +* "=(c&) F5 *" !)+(; E' "# 6)6'#)% ') "(06)" (' "& " *( +&"#)!"&7' ' *( =!c=c&7' "=(c&(* *( F5 **$( (* 6&+)% 6&+)% ) $&c$!"(; $&c$!"(; A60(" "(c&)'" "(c&)'" ")' =!)0(0*"; =!)0(0*"; N5"# N5"#!)" !)" !"5*#(+)" !"5*#(+)" 65"#!(' 5'( c*(!( !*(c&7' '#! * 6&+) c*(5"#!)?70&c) . *)" ("=c#)" 0á"&c)" + *( =!c=c&7' "=(c&(*. L(" =!5 =!50(" 0(" '5 '5!)'(* '(*" . + c)6=)!#(6&'#) 65"#!(' F5 #!(#(6)" + ?)!6( +&"#&'#( * "=(c&) F5 " (*c('-( c)' *( 6(') F5 * F5 "#á 6á" *)"; % c)'c*5. * +)c#)! L)'4); A/)!(% *)" c&'#?&c)" c&'#?&c)" "#á' ('(*&-('+) ('(*&-('+) c76) *( 4(6( + ++&?!'c &?!'c&(" &(" &'+&$&+5(* &'+&$&+5(*"" ' *( =!c=c&7' "=(c&(* " !*(c&)'( c)' * 6&+); S(06)" F5 *)" "5#)" c)' 6á" '&$*" + c*(5"#!)?)0&( "50"#&6(' *(" +&"#('c&(" /)!&-)'#(*" . ")0!"#&6(' *(" $!#&c(*"; P(!c F5 5' 6(.)! "=(c&) =!&=!")'(* &6=*&c( 5'( 6(.)! "'"(c&7' + ('45"#&( "& " $ &'$(+&+) ) !"#!&'4&+);% (4!4(;
11
E"#á E"#á &'$ &'$"# "#&4 &4(c& (c&7' 7' " + 4!(' 4!(' &6= &6=)!# )!#(' ('c& c&(( =(!( =(!( "# "# #!(0( #!(0() )%% .( F5 ') ')"" =!)=)!c&)'( 5'( + *(" =)"&0*" = )"&0*" c(5"(" F5 =!)+5c' "# #!("#)!')% '#! )#!( $(*&)"( &'?)!6(c&7'; O#!) #!(0() #!(0() + 4!(' "&4'&?&c(c&7' "&4'&?&c(c&7'%% ?5 * !(*&-(+) !(*&-(+) =)! *( L&c; E' P"&c)*)4(% P"&c)*)4(% R(F5* P,!- D(- ' C50(% ' * 288@; L*(6(+) “T!("#)!')" + ('"&+(+ ?70&c( ' * (+5*#) 6(.)!; V(*)!(c&7' c!#&c( . 6(') #!(=,5#&c)”; E* =!)=7"&#) +* =!"'# (!#c5*) "% +"+ 5'( $(*)!(c&7' c!#&c(% +"#(c(! * $(*)! F5 #&' *( &+'#&?&c(c&7' (+c5(+( . )=)!#5'( + *)" #!("#)!')" + ('"&+(+ ?70&c( ' *(" =!")'(" 6(.)!"% "5" ?)!6( ?)!6("" + =!"' =!"'#( #(c& c&7' 7'%% "=c "=c&? &?&c &c&+ &+(+ (+" " . *)" *)" =!&'c =!&'c&= &=(* (*" " 6c( 6c('& '&"6 "6)" )" + &'#!$'c&7' 6+&c(6'#)")" . ="&c)#!(=,5#&c)"; E"#( =*(#( F5 L( ('"&+(+ ?70&c( " (F5**( F5 " =!"'#( ('# "(c&)'" 0&' +?&'&+(" ) ?!'# ( )0#)" "=c?&c)" F5 ') ")' ' " 6&"6)" =*&4!)")" =!) F5 * ('c&(') *)" $ c)6) #(*; E' c)'"c5'c&( "# #!(#( + $&#(! *)" )0#)" ?70&c)" ) 0&' *)" (?!)'#( c)' 5' #6)! c"&$) F5 =5+ **4(! (* (#(F5 + =á'&c); =á'&c); C)'c*5.'+) C)'c*5.'+) F5 *(" ?)0&(" ?)0&(" ")' #!("#)!')" #!("#)!')" + ('"&+(+ ('"&+(+ + 4!(' =!$(*'c&( ' *( =)0*(c&7' (+5*#( 6(.)! F5 =5+' c)'+5c&! ( +& ?5'c&)'(0&*&+(+% 6(*"#(! 6)c&)'(* . "5&c&+&)% . F5 ' 65c/(" )c("&)'" "#á' &'?!( +&(4')"#&c(+(" !F5&!&'+) + 5'( (#'c&7' "=c&(*&-(+( =(!( "5 &+'#&?&c(c&7' . (0)!+(; E' * #!(#(6&'#) + *(" ?)0&(" ' * (+5*#) 6(.)! " +"#(c(' *(" #!(=&(" c)4'&#&$)c)'+5c# c)4'&#&$)c)'+5c#5(*" 5(*" . *(" #,c'&c(" + =)"&c&7'; =)"&c&7'; S /(' 6=*( 6=*(+) +) 6+&c( 6+&c(6' 6'#)" #)" c)' 05 05')" ')" !"5*#(+)" !"5*#(+)" +"#(cá' +"#(cá'+)" +)" *)" &'/&0&+)!" &'/&0&+)!" + *( !c=#(c&7' !c=#(c&7' + "!)#)'&'( "!)#)'&'( . *(" 0'-)+&(c=&' 0'-)+&(c=&'(" (" + (cc&7' c)!#(; A5' "#á ' &'$"#&4(c&7' "& * #!(#(6&'#) "&6=* J="&c)#!(=,5#&c) c)4'&#&$)c)'+5c#5(*K ) * c)60&'(+) J+ #!(=&( c)4'&#&$)c)'+5c#5(* c)' 6+&c(6'#)"K% ")' 6á" ?&c(c"% =!) " +"#(c( * =(=* F5 54(' *(" #,c' #,c'&c &c(" (" ') 6+& 6+&c( c(6 6'#) '#)"( "("" ="&c ="&c)# )#! !(= (=,5 ,5#& #&c( c("" ' c5(* c5(*F5 F5& &!( !( + *(" *(" (*#!'(#&$("; D&c/) #!(0()% #!(0()% " + 4!(' $(*)! .( F5 (=(!# + '5#!&!% '5#!&!% =!6&# (6=*&(! (6=*&(! . +"(!!)**(! +"(!!)**(! + 5'( 6('!( 6á" (c'#5(+( *)" )0#&$)" + "#( &'$"#&4(c&7';
12
BASES TEORICAS
L( =(*(0!( =(*(0!( c*(5"#!)?)0&( c*(5"#!)?)0&( " 5' ')*)4&"6) ')*)4&"6) (c5(+) (c5(+) ' 1>@ 1>@ =)! =)! 5' =!)?")! + *( *( U'&$!" U'&$!"&+( &+(++ + P(!&"% P(!&"% B'(6 B'(6&' &' B(** B(** J1>991> J1>991>@9K; @9K; E"#( ?)!6( ?)!6( +* *(#&' claustrum Jc!!))% c!!(+)K . * 4!&4) Q J?)0&( #6)! &!!(c&)'(* /(c&( (*4)K; S4' *( A")c&(c&7' A6!&c('( + P"&F5&(#!(% M&+) " *( !"=5"#( ')!6(* ( 5' =*&4!) !(*; C)' *(" ?)0&("% * 6&+) " &!!(c&)'(* ) c"&$); E" 5'( !"=5"#( (')!6(* ( 5' =*&4!) =*&4!) #!!&0* F5 " &6(4&'( &6(4&'( ) " (4!( &!!(c&)'(* &!!(c&)'(*6'# 6'#; ; L(" M% =!")'(" =5+' +"(!!)**(! !(cc&)'" ?70&c(" ( *)" ('&6(*" J=)! 6=*)% *(" (!(("K% (c#&$&+(+" (c#&$&+(+" J=)! 6=*)% 6=*)% $)*(!K% ) "(c&)'" "(c&)'" ")c&(*" J=)! 6=*)% 6=*)% c)6! ' =0*&c) ) "&6=*6'# "#(! ' 5' '#)!') =0*&c)K; L(" ?)0&(" (?c#(' ( =!")'(" + #)+(" *(" +(+"% + #)+)" *)" á60&#)" + *( $&+(% . ' c(+( =(!# +* 65'+); S4' *( P"&c)*)4( D(.('&!( M(c&(" L(* “T)+)" '(c6)" c)' *( c(=(c&+(+ + "'#&! 6&+)% =!) ")" 6&+)" F5 " +"(!!)**(' ")' =5!(6'# 5'( 6('!( + c76) . F5, (=!'+6)"; L(" ?)0&("% #6)!" &!!(c&)'(*"% ' "# "'#&+) ') ")' +&?!'#" + *)" 6&+)" ')!6(* ')!6(*" " (+(=#(# (+(=#(#&$) &$)"; "; D5!('# D5!('# * c5!") c5!") + +"(!!)**) + +"(!!)**) . 6(+5!(c 6(+5!(c&7' &7' c(+( c(+( F5&' (=!'+ ( #'!* 6&+) ( c&!#(" c)"(" 5 )0#)"% #(* $- =)! &'"#&'#) '(#5!(*; L( '&c( +&?!'c&( '#! * +"(!!)**) + 5' 6&+) ')!6(* . * +"(!!)**) + 5'( ?)0&( " &!!(c&)'(* &'(=!)=&(+(; L(" ?)0&(" /(' "&+) "#5+&(+(" "#5+&(+(" ' *( ="&c)*)4( ="&c)*)4( +"+ "5" &'&c&)"; &'&c&)"; 3!5+ J1@2@K 3!5+ J1@2@K 6('( *(" ?)0&(" +"+ +)" ?("" +* =!)c") +* =!)c") '5!7#&c); '5!7#&c); L( =!&6!( " L( !=!"&7' . "5 #!('"?)!6(c&7' ' ('45"#&(% ?(" F5 F5+( *&4(+( ( 5' =*&4!) #!&)!; D5!('#
19
*( "45'+( " $(' c)'"#.'+) #)+)" *)" 6+&)" + 6+&)" + +?'"( +"#&'(+)" ( &6=+&! 5' c)'#(c#) c)' "# =*&4!)% F5 F5+( c)6) 5' /c/) #!&)!”; S4' * IMSS JI'"##) JI'"##) M&c(') M&c(') + S45!) S)c&(*K% S)c&(*K% *( c*(5"#!)?)0&( c*(5"#!)?)0&(%% " 5'( '?!6+(+ F5 =(!( F5&'" *( "5?!'% =5+ **4(! ( "&4'&?&c(! *( 65!# =)! "5&c&+&); P(!( * D!; A$&*) M'+- 3*)!" L(" =!")'(" F5 =(+c' + "# 6&+) ( *)" "=(c&)" c!!(+)" "5*' $&#(! $&#(! ' c)'"c5'c&( *)" ("c'")!"% ("c'")!"% * 6#!)% 6#!)% *)" #'*"% *(" /(0&#(c&)'" /(0&#(c&)'" =F5("% /("#( *(" =5!#(" 4&!(#)!&(" *" =5+' =!"'#(! +&?&c5*#(+"% (" c)6) #(60&,' * 5") + F5&=)" =(!( #,c'&c(" + +&(4'7"#&c) 6,+&c) c)6) * TAC; E=*&c(% F5 "5* (=(!c! +"=5," + /(0! $&$&+) 5'( =!&'c&( #!(56á#&c( ' 5' "=(c&) c!!(+); C)6) F5+(!" 'c!!(+( ' 5' ("c'")!% 5' c("#&4) ' 5'( /(0&#(c&7' =F5(; S (4!4( (4!4( F5 c)6) 5' 6=* 6=*)% )% " 'c5'# 'c5'#!(' !(' *)" 99 6&'!) 6&'!)"" c/&*' c/&*')" )" F5 ?5!)' !"c(#(+)"% #!(" 5')" c5('#)" 6"" + "#(! 0() #&!!(% *( c5(* "!( 5'( " "(c& (c&7' 7' F5 F5 c(5"( c(5"(! !(( 5' c)*( c)*(=" =")) &'6 &'6+& +&(# (#)) ( c5(* c5(*F5 F5& &!! c*(5 c*(5"# "#!)? !)?70& 70&c) c)%% "! "!(( &6=)"&0* F5 (*45'( =!")'( F5 =(+-c( "# #!("#)!') #!(0( ' 5'( 6&'(; S7*) c)' (c!c(!" ( 5'( 6&'(% . "#(! c)'"c&'# + *) "#!c/) + "5" "=(c&)"% =)+!( =!+! * c)'#!)*% *) c5(* +"c(!#( F5 c5(*F5&!( + *)" 99 #!(0((+)!" c/&*')" "( 5' c*(5"#!)?70&c); ' " c(") ' =(!#&c5*(!% *( $'#(( " F5 " 5'( "(c&7' c)*c#&$(W "& "#5$&!( 5' "7*)% *( c5"#&7' " "!( 6á" c)6=*&c(+(% =(!( +#!6&'(! F5 " 'c&!!) c)6=(!#&+) =5+ 6&#&4(! c5(*F5&! !&"4) + F5 /(4( (c#) + =!"'c&( $'#)" + c*(5"#!)?)0&(; L) F5 " " =!)0(0* F5 "5?!(' *)" 6&'!)" " “"#!," =)"#!(56á#&c)”; L( c*(5"#!)?)0&( c*(5"#!)?)0&( c)6) )#!(" ?)0&(" " =5+ =5+ (+F5&!&! (+F5&!&! =)! &6&#(c&7'% &6&#(c&7'% "& (*45& (*45&'' * c5'#( 5' "5c") ) $! 5'( =*c5*( ) 5'( ')#&c&( . * **4( ( &6=!"&)'(! 65c/)% )
1:
#(60&,'% &'+&!c#(6'#% =)! !c&0&! &'?)!6(c&7' ")0! =!&'c&(" +"(4!(+(0*" ' "=(c&)" c!!(+)" ) $! ( (*45&' =("(! =)! 5'( =!&'c&( + "# #&=);
1
CAPITULO III MARCO METODOLOGICO
T32 5' I%6'+&3*437% E* =!"'# =!"'# #!(0() #!(0() " ?5'+(6'#( ?5'+(6'#( ' * #&=) + &'$"#&4(c& &'$"#&4(c&7' 7' + c(6=) =(!( c(6=) =(!( *( c5(* C(!*)" S(0&') ' "5 ##) E* =!)c") + I'$"#&4(c&7' "(*( F5 " 0("( ' &'?)!6(c&)'" )0#'&+(" +&!c#(6'# + *( !(*&+(+% =!6&#&,'+)* (* &'$"#&4(+)! c!c&)!(!" + *(" c)'+&c&)'" !(*" ' F5 " /(' c)'"45&+) *)" +(#)"; E' )#!(" =(*(0!("% * &'$"#&4(+)! ?c#( 5'( 6+&c&7' + *)" +(#)"; S&' 60(!4)% F5, #('#) +(#)" " =5+' )0#'! c)'"&+!('+) *(" !"#!&cc&)'" + c(+( "#5+&) c)6) =)! *( c(!'c&( + !c5!")" 6(#!&(*"% /56(')"% 6)'#(!&)"% ?"&c)"; B("(+)" ' *) *) F5 =*('# =*('#( ( * * M('5(* + T!(0() T!(0() + G!(+) G!(+) + *( U'&$! U'&$!"&+(+ "&+(+ P+(474&c( E=!&6'#(* L&0!#(+)! J1@@>K; A* !"=c#) A!&(" J1@@@K =*('#( ")0! *( &'$"#&4(c&7' + c(6=) *) "&45&'# 8' *( &'$"#&4(c&7' + c(6=) *)" +(#)" " !c)*c#(' +&!c#(6'# + *( !(*&+(+ +)'+ )c5!!' (. 9$, E"# #&=) + &'$"#&4(c&7' " #(60&,' c)')c&+( c)6) &'$"#&4(c&7' &' " .( F5 " !(*&-( ' * =!)=&) "&#&) +)'+ " 'c5'#!( * )0#) + "#5+&); E**) =!6&# * c)')c c) ')c&6 &6&' &'#) #) 6á 6á"" ( ?) ?)'+) '+) + +** &' &'$" $"#& #&4( 4(+)! +)!%% =5 =5+ + 6( 6(' '( (!! *) *)"" +(# +(#)" )" c) c)'' 6á 6á"" "45!&+(+; P)+!(6 P)+! (6)" )" +? +?&'& &'&!*( !*( +&c +&c&' &'+) +) F5 " * =!)c =!)c") ") F5% 5#& 5#&*&*&-('+ ('+)) * 6,# 6,#)+) )+) c&'#?&c)% =!6&# )0#'! '5$)" c)')c&6&'#)" ' * c(6=) + *( !(*&+(+ ")c&(*; JI'$"#&4(c&7' =5!(K% ) 0&' "#5+&(! 5'( "(c&7' =(!( +&(4')"#&c(! 'c"&+(+" .
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=!)0*6(" ( ?c#)" + (=*&c(! *)" c)')c&6&'#)" c)' ?&'" =!ác#&c)" J&'$"#&4(c&7' (=*&c(+(K; L( &'$"# &'$"#&4(c& &4(c&7' 7' + c(6=) c)6) " 5'( !*(# !*(#&$( &$( . c&!c5'"c!& c&!c5'"c!&#( #( á!( á!( + + "#5+&) "#5+&)%% ( #!($," + *( c5(*% *)" +(#)" " !c)4' + 6('!( +&!c#( + *( !(*&+(+ ' "5 (60&'# '(#5 '( #5!( !(*% *% c) c)'' *( (= (=*& *&c( c(c& c&7' 7' + + +# #!6 !6&' &'(+ (+)" )" &' &'"# "#!5 !56 6'# '#)" )" + ! !c) c)* *cc cc&7 &7'' + &'?)!6(c&7'% c)'"&+!á'+)" + "#( ?)!6( F5 *)" +(#)" ")' =!&6(!&)"W =)! c5('#) " !c)4' ' "5 !(*&+(+ c)#&+&('(% '(#5!(*% )0"!$('+)% '#!$&"#('+) ) &'#!!)4('+) ( *(" =!")'(" $&'c5*(+(" ' * =!)0*6( &'$"#&4(+);
P2:*437% ; M0'+&)* S4' T(6(.) T(6(.) . T(6(.)% T(6(.)% J1@@K% XL( =)0*(c& =)0*(c&7' 7' " +?&' +?&' c)6) *( P2:*437% S4' #)#( #)#(*& *&+(+ +(+ +* +* ?'76 ?'76') ') ( "#5+& "#5+&(! (! +)'+ +)'+ *(" *(" 5'&+(+ 5'&+(+" " + =)0 =)0*( *(c& c&7' 7' =)" =)" 5' 5'(( c(!(c !(c#!" !"#&c( c)6' )6' *( c5(* " "# "#5+& 5+&( . +( )!&4' ( *)" +(#)" + *( &'$"#&4(c& &'$"#&4(c&7'XJP;11: 7'XJP;11:K; K; E' *( =!"'# =!"'# &'$"#&4(c&7 &'$"#&4(c&7'' *( =)0*(c&7' =)0*(c&7' )0#) + "#5+&) "#5+&) "#(!á c)6=!'+&+) c)6=!'+&+) =)! *)" $&"&#('#" $&"&#('#" +* H)"=&#(* H)"=&#(* C'#!(* )", M(!( V(!4(" + S(' C!&"#70(*;
M0'+&)* E' "# "'#&+)% A!6(" J1@@9K% ")"#&' F5 5'( 65"#!( " 5'( =(!# ) "50c)'5'#) + 5'( =)0*(c&7' "*cc&)'(+( c)' *( ?&'(*&+(+ + ('(*&-(! . )0#'! =!)=&+(+" + ,"#(; L( 65"#!( "#(!á !=!"'#(+( =)! 188 $&"&#('#" +* H)"=&#(* C'#!(* )", M(!( V(!4(" + S(' C!&"#70(*;
T<4%34*+ ' I%+&)0='%&2+ *)* * )'42'4437% 5' 5*&2+ S4' A!&(" J1@@@K% *(" #,c'&c(" + !c)*cc&7' + +(#)" ")' *(" +&"#&'#(" 6('!("
1
+ )0#'! &'?)!6(c&7'; P)! )#!( =(!#% "# (5#)! =*('#( F5 *)" &'"#!56'#)" ")' *)" 6+&)" 6(#!&(*" F5 " 6=*(' =(!( !c)4! . (*6(c'(! *( &'?)!6(c&7'; E' ?5'c&7' + *( '(#5!(*-( +* "#5+&) . + *)" +(#)" F5 " !F5&!'% ' =!&6! *54(! " "&#( *( #,c'&c( + *( 'c5"#(% 'c5"#(% + #&=) c5"#&)'(!&) c5"#&)'(!&) c)' =!45'#(" c!!(+("% .( F5 " 5'( #,c'&c( F5 =!6&# )0#'! + 5'( 6('!( 6á" =!c&"( *( &'?)!6(c&7';
V*35'> 5' 3%+&)0='%&2 E'#'+&,'+)" E'#'+&,'+)" =)! V(*&+ V(*&+-% -% *( *( c5(*&+(+ c5(*&+(+ +* &'"#!56'#) &'"#!56'#) =(!( 6+&! *)" !("4)" !("4)" ) c(!(c c(!(c# #!" !"#& #&c(" c(" F5 F5 " =!# =!#'+ '+!! 6+& 6+&!; !; P)! P)! 6+& 6+&)) + *( $(*&+ $(*&+(c (c&7 &7'' " #!(# #!(#(( + +#!6&'(! "& !(*6'# * c5"#&)'(!&) 6&+ (F5**) =(!( *) F5 ?5 c!(+); G!(c&(" ( "5 c(=(c&+(+ =(!( "#('+(!&-(! *)" +(#)"% =!6&# "5 #!(#(6&'#) &'?)!6á#&c) . ('á*&"&" "#(+ "#(+" "#& #&c) c) c)' c)' =!c& =!c&"& "&7'; 7'; P)! c)' c)'"& "&45 45& &'# '#% % $(*& $(*&+( +(!á !á '5 '5"# "#!( !( &'$ &'$"# "#&4 &4(c (c&7 &7'' * P"&F5&(#!( M(5!&c&) C;
C2%?3*:335*5 5' 3%+&)0='%&2 C)/' J1@@K . H5cY J1@@
A%@3+3+ 5' 5*&2+ L54) + "! !c)4&+)" !c)4&+)" *)" +(#)"% " ")6#!á' ")6#!á' ( 5' ('á*&"&" ('á*&"&" +"c!&=#&$)% +"c!&=#&$)% =)! 6+&) + 4!á?&c)";
1>
CAPITULO V CONCLUSIONES
•
E* 6&+) " =(!# + *( $&+( 6)c&)'(* ')!6(*% " 5'( 6)c&7' =!&6(!&( 5'#) c)' *( (*4!(% *( ='( . *( &!(; P!) =)! * c)'#!(!&)% 5'( ?)0&( c)'$&!# 5'( !"=5"#( + 6&+) ' (*4) &6=)"&0* + c)'#!)*(!% 5' #!("#)!') ="&c)*74&c) F5 4'!( 5' 6&+) (c!0(+) &!!(c&)'(*;
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C5('+) C5('+) c)'?!)'# c)'?!)'#(6) (6)"" "(c "(c&)' &)'" " !(*6 !(*6'# '# =*&4! =*&4!)"(" )"("%% * 6&+) 6&+) " 5'( "#!(#4&( "#!(#4&( + (5#)=!)#cc& (5#)=!)#cc&7'% 7'% "&' 60(!4) "#(6)" "#(6)" **')" **')" + 6&+)" &!!(*&"#( &!!(*&"#( . c!7'&c)"% '#! *)" c5(*" *(" ?)0&(" )c5=(' 5' *54(! +"#(c(+);
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E"#) E"#) "5* "5* c(5"(! c(5"(! 5' +#!& +#!&)!) )!) + *(" !*(c& !*(c&)' )'"" ")c&(* ")c&(*"; "; E"#('c( E"#('c(6& 6&'#) '#) =!)?"&)'(* . *(0)!(*% ) 5' +#!&)!) + *( $&+( ")c&(*% ?(6&*&(! . (6)!)"(% /("#( 5' =!"&"#'# 6(*"#(! . "'"(c&7' + =(!á*&"&" $&#(*;
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N) #&' 5'( '&c( c(5"(% +0' !5'&!" $(!&)" ?(c#)!" =(!( F5 5'( =!")'( *( +"(!!)**; +"(!!)**; S)' &6=)!#('#" &6=)!#('#" *(" &'?*5'c&(" &'?*5'c&(" c5*#5!(*" c5*#5!(*" . ")c&(*"; P)+6)" P)+6)" +"(!!)* +"(!!)**(! *(! c*(5"# c*(5"#!)?) !)?)0&( 0&( =)! (=!'+& (=!'+&-( -( $&c(!& $&c(!&)% )% " +c&!% +c&!% =)! $! c)6) c)6) (*45&' =!&6'#( 5' 6&+) &'#'") ' 5' "=(c&) =F5)% ) &'c*5")% =)!F5 ')" (+$&!#(' + 5' =*&4!) = *&4!) =)#'c&(*;
•
S =5+ "5=!(! c)' *( 45( . * (=).) (+c5(+) + 5' =!)?"&)'(*;
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L(" ?)0&(" $&' + *( =!)?5'+&+(+ + *( 6'# &'c)'"c&'#% F5 '&'45'( c('#&+(+ + ?5!-( + $)*5'#(+ c)'"&'# =5+ "! =*'(6'# ?&c(- =(!( c)'#!)*(!*(";
28
ANEXOS
PERFIL CLÍNICO SÍNTOMAS
SIGNOS S3+&'=* N')632+2 E=!"&7' ?(c&(* #'"(;
S3+&'=* N')632+2 T'"&7'% &'c(=(c&+(+ + !*((!"; D&?&c5*#(+ =(!( c)'c'#!(!"% =,!+&+( + &'#!," ' (c#&$&+(+" /(0(*";
C)'+5c#( "#!)#&=(+(% #&c"% c)6!" *(" 5("% ?56(! &'&'#!!56=&+(6'#% &'F5+ ="&c)6)#!&-% &!!&#(0&*&+(+ +5!('# * (6' ?"&c)% #!6)! ?&');
M(!)"% ="(+-% "'c)=% &!!&#(0&*&+(+% &'#)*!('c&(; D&"#5!0&)" +* "5) ="(+&**("% +&?&c5*#(+ =(!( c)'c&*&(! * "5)% #6)!" 6(* +?&'&+)"% #!!)!% ?(#&4(% +0&*&+(+;
M(')" ?!(" . /6+(";
C?(*(% c))!+&'(c&7' =)0!; T60*)!% =(!"#"&(";
S3+&'=* C*)5326*+40*) S3+&'=* C*)5326*+40*) P(*=&#(c&)'"; T(F5&c(!+&( "&'5"(*; P!"&7' "50 "#!'(*% +)*)! =!c)!+&(* ') E*$(c&7' #!('"&#)!&( + *( =!"&7' !*(c&)'(+)" (* !c&c&); "&"#7*&c(; B)c/)!')"; S)=*) "&"#7*&c) ?5'c&)'(*; S3+&'=* R'+3)*&2)32 S3+&'=* R'+3)*&2)32 D&?&c5*#(+ =(!( !"=&!(!% ("?&&(% H&=!$'#&*(c&7' ")?)c(c&7' M(.)! ?!c5'c&( + "5"=&!)"; S3+&'=* G*+&)23%&'+&3%* I'c)6)+&+(+ =&4á"#!&c(; S'"(c&7' + **'5!(% +&"=="&(% !5c#)"% (c&+-; D&(!!(% c)'"#&=(c&7'% (')!&(% /&=!)!&( c)6=5*"&$(; S3+&'=* G<%3&20)3%*)32 P)*&5!&(; A6')!!(% ?*5) . c7*&c)" 6'"#!5(*" c"&$)";
21
BIBLIOGRAFIA
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A5#)!" $(!&)"; J2889K; C*(5"#!)?)0&(; ;=!$&"*;c)6["[c'#!)="&c)*)4&([c*(5"#!)?)0&(;("= ;=!$&"*;c)6["[c'#!)="&c)*)4&([c*(5"#!)?)0&(;("=\\
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B(+)" L; A!#5!)% “3)0&(" E"=c&?&c("”; U'&$!"&+(+ + B(!c*)'(; N)$&60! +* 288; P(4; ; ;+&=)"&#;50;+5[+"=(c[0&#"#!(6[2::[9<8[1[119;=+?
A5#)!" $(!&)"; C)'"c5'c&(" + *( c*(5"#!)?)0&(; ;?)0&(";)!4[c*(5"#!)?)0&([c)'"c5'c&("[\
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A-5c'( G(!c&(; J288< ;YcY6+&c(*c'#!)?5"c;)!4[c)'+&#&)'[+)c56'#[1211><\\
•
A5#)!" $(!&)"; T!("#)!')" ?70&c)"; ;c'#!)#(+&;c)6[#!("#)!')"?)0&c)"[\
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A5#)!" $(!&)"; A'"&+(+ . ?)0&("; ; 4)"(*5+;c)6[S(*5+]M'#(*[('"&+(+]?)0&(";/#6\
22
•
M(#. P(#!&c&(; 2811; P!c=c&)' "=(c&(*; ;*65'+);"[*65'+)"(*5+[2811[8[1['5!)c&'c&([198<12<:;/#6*\
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A'45*) E+5(!+); 2811; C*(5"#!)?)0&(; ;[[0*)4";*c)!!);c)6[*(0&)*)4&("#5='+([2811[18[1@[c*(5"#!)?)0&([\
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M(!&) M(!&) T(6(.) T(6(.) . T(6(.) T(6(.)%% 1@@ 1@@>; >; E* =!)c") =!)c") + *( &'$"# &'$"#&4( &4(c&7 c&7'' c&'# c&'#?&c ?&c(; (; ;#"&"+&'$"#&4;0*)4"=)#;c)6[2811[8<[=)0*(c&)'.65"#!(#(6(.). #(6(.);/#6*\ #(6(.);/#6*\
P!P!- D; R(F5 R(F5* *%% “T!(" “T!("#) #)!' !')" )" + ('"& ('"&+ +(+ (+ ?70&c ?70&c(( ' * (+5* (+5*#) #) 6(.) 6(.)!; !; V(*)!(c&7' c!#&c( . 6(') #!(=,5#&c)”; C'#!) + &'$"#&4(c&)'" ")0! “E'$c&6&'#)% L)'4$&+(+ . S(*5+”; 288@; ;"*+;c5[4(*!&("[=+?["&#&)"[4!&c50([?)0&(](+5*#)"]6(.)!";=+?
A5#)!" $(!&)"; E#&6)*)4&( + *( =(*(0!( C*(5"#!)?)0&(; ;#&6)*)4&(";+c/&*;'#[^c*(5"#!)?)0&(\ D!; A$&*) M'+-; 2818; C*(5"#!)?)0&(; ;0*)4;c&'c&("6+&c(";c)6[(!c/&$"[@9\ A5#)!" $(!&)"; 3)0&(; ;=".c/&(#!.;)!4[6'#(*/(*#/[=/)0&("\
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2:
