La presente investigación será de enfoque cuantitativo pre experimental. Ya que se interviene en la variable de estudio. Dadas las características, se optó por trabajar con el diseño pre experimental de nivel aplicativo, ya que son convenientes para probar o medir el efecto de una intervención. Se implementará un grupo pre experimental constituido por los pacientes ostomizados hospitalizados en donde se aplicará el programa educativo de enfermería diseñado por el Área Especializada de la Clínica. Para lo cual, se formalizarán dos medidas para estimar el nivel de autocuidado mediante una encuesta con un cuestionario de pretest antes de la intervención y la misma herramienta cuestionario se aplicará como un post test, luego de la aplicación de las sesiones de aprendizaje antes del alta. La población muestral pre experimental estará conformada por una muestra por convenien...

Bartonellosis a case of pregnancy in eruptive phase, confirmed by immunological studies and pathological diagnosis is presented. It was a woman of 37 weeks primigravida was admitted with sporadic uterine contractions and papuloeritematosa trombocitopemia eruption. Had history of travel to endemic area five months earlier, then had fever for two weeks. The liver was 3 cm and spleen at 5 cm below costal margin. He studied with hypertension and treatment began with alpha-methyldopa 1 g every 12 h. platelets decreased to 29 000, DHL, 496, and traces of albuminaria. Cesarean section was performed by hypertensive disease of pregnancy and trombocitopemia, women with newborn of 1970 g and Apgar 8. Postoperatively there was rapid remission of hypertension. Skin biopsy was compatible with Peruvian wart, the outcome was favorable. A review of the literature is made.

Bartonellosis a case of pregnancy in eruptive phase, confirmed by immunological studies and pathological diagnosis is presented. It was a woman of 37 weeks primigravida was admitted with sporadic uterine contractions and papuloeritematosa trombocitopemia eruption. Had history of travel to endemic area five months earlier, then had fever for two weeks. The liver was 3 cm and spleen at 5 cm below costal margin. He studied with hypertension and treatment began with alpha-methyldopa 1 g every 12 h. platelets decreased to 29 000, DHL, 496, and traces of albuminaria. Cesarean section was performed by hypertensive disease of pregnancy and trombocitopemia, women with newborn of 1970 g and Apgar 8. Postoperatively there was rapid remission of hypertension. Skin biopsy was compatible with Peruvian wart, the outcome was favorable. A review of the literature is made.