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Published January 1, 2024

Salud, Ciencia y Tecnología

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Editorial Salud, Ciencia y Tecnología

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Salud, Ciencia y Tecnología

ISSN-L: 2796-9711

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2024-01-31 Original
Self-care in patients with type 2 diabetes mellitus, in primary health care to avoid diabetic foot

By María Belén Espíndola Lara, Angel Rafael Borja Cabrera, Cinthya Anabel Ortiz Martínez, Diana Nathalie Navarrete Tinajero, Alba Maribel Viteri López, Fanny Paola Egas Medina, Anthony Steeven Vilca Ruiz

Introduction: Type 2 Diabetes mellitus is a chronic, multifactorial disease, characterized by an alteration in carbohydrate metabolism. Objective: Determine self-care in patients with Type II Diabetes Mellitus to prevent complications such as diabetic foot. Methodology: Quantitative, descriptive quasi-experimental study that includes a total of 20 adults from the Guaytacama parish of the city of Latacunga-Cotopaxi-Ecuador, for data collection a survey validated by experts in the area and with a reliability index was used. Cronbach's Alpha 0.9, inclusion and exclusion criteria were applied and data tabulation was carried out using the SPSS statistical tool. Results: At the beginning of the survey, it was determined that the patients had deficient knowledge about their disease and the care that it entails; after the intervention of the health personnel, the patients have clear information about self-care. Conclusion: Diabetes mellitus is a disease that in the long term can cause disability, which is why the role of health personnel is fundamental in addressing education, since this helps to promote self-care, in order to avoid complications that can cause disability, and consequently psychological problems that worsen the quality of life of patients.

 

2023-12-10 Systematic reviews or meta-analyses
Gender and self-regulation in students

By Carolina Contreras-Saavedra, Fabiola Sáez-Delgado, Carla Contreras-Saavedra, Javier Mella-Norambuena, Yaranay López-Angulo

Introduction: the literature states the importance of self-regulation and gender in school contexts. Therefore, it is necessary to review the published evidence on how the two variables interact.
Objective: to describe research that addresses the variables gender and self-regulation in school contexts.
Methods: a review was carried out using the PRISMA method, searching three databases, Scopus, Web of Science (WOS), and Scielo in July 2023, considering studies in early childhood, primary and secondary school contexts.
Results: Nineteen out of 94 articles identified were analyzed. All of these are quantitative and mostly explanatory. The reported results indicate that female students showed higher levels of self-regulation than male students There are clear differences in results across cultures, and gender is used as a predictor and moderator of self-regulation and other variables. On the language used to refer to gender, 17 publications were found that use terms referring to biological rather than gender differences.
Conclusions: The results show the importance of the gender variable on self-regulation when used as a predictor and moderating variable. The need to take care with the language used to refer to gender and to justify the reasons for collecting data on this variable is evident, for the respective interpretations of the studies.

2024-03-22 Review
Effects of gamification on the development of soft skills such as creativity and communication in university students

By Sonia Rivera-Valderrama, Luis Efren Rua Sánchez, Guadalupe Citlalli Alfaro Rodas, Jazmin Isabel García Guerra


Teaching processes through gamification for university students constitute a fundamental activity that allows the individual to enhance skills for the improvement of the activities used and the acquisition of satisfactory results, both in primary and secondary education as well as in secondary and higher education. Thus, this review article establishes an analytical look at the implementation of gamification as a technique that strengthens soft skills such as communication and creativity in university students; For this, a total of 20 articles are used that define the categories of analysis and also constitute an investigative vision on the effective strategies that allow the individual to apply competencies in academic spaces of the university and in professional practices. As a result, significant application processes are defined from gamification to increase creativity and communication as skills that will help the individual to develop capabilities and competencies in the areas of knowledge.

2024-02-18 Short communications
Evidence-based design: a critical success factor for the implementation of Care Management Models

By Javier Rojas-Avila, Katiuska Lídice Reynaldos-Grandón

Introduction: Health institutions are inserted in an organizational conglomerate and where each of the organizations that make up society are subject to management as a fundamental pillar for their permanence in the system. There is an element that in the evidence of the implementation of care management models has not been raised as a critical success factor and that is essential in the organizational structure. This is evidence-based design (EBD). Therefore, the objective of this article is to explain the relevance of DBE in the implementation of care management models.
Development: The design of healthcare facilities is a complex process that not only creates and allocates physical spaces, but also shapes the dynamic flows of patients, staff, visitors, equipment and information. In this context, it is relevant that nurse managers are participants in the prior planning and programming process, so that they are involved in making structural decisions that allow patients' needs to be resolved.
Conclusion: With the current unprecedented increase in hospital construction, it is imperative to integrate the institutional management model, the financing model and the care management model and consider the environmental characteristics that influence the well-being of patients, visitors and personnel are identified and incorporated into future hospital designs.

2024-01-03 Case Report
Gastric trichobezoar in a 4-year-old female patient with surgical resolution. Case report

By Freddy Alexander Aldaz Vallejo, Tatiana del Rosario Pérez Landázuri, Devora Estefania Manzano Quisimalin, Jennifer Carolina Martínez, Estefany Elein Bonilla Ortiz, Jhoselyn Misheel Guerrero Ramos

Introduction: Bezoars are indigestible substances that accumulate in the gastrointestinal tract, most often in the stomach. Gastric Trichobezoar (GT) is the most common bezoar found in the stomach. According to their content, bezoars are divided into plant bezoars, capillary bezoars, lactose bezoars and medicinal bezoars. The most common complications reported over the years include gastric mucosal erosion, gastric or small bowel ulceration and perforation, gastric outlet obstruction, intussusception, obstructive jaundice, protein deficiency enteropathy, pancreatitis, and death. The treatment is surgery.
Clinical case: A 4-year-old female patient presents with cough and odynophagia, accompanied by abdominal pain located in the epigastrium, which persists and is exacerbated by movements, does not radiate, is accompanied by an unquantified rise in temperature, imaging studies are performed where it draws attention. Abdominal echo with report of mass at the level of the epigastrium, abdominal x-ray was performed with evidence of levels. They performed a simple abdominal tomography which confirmed the presence of a foreign body in the stomach classified as a bezoar.
Evolution: Exploratory laparotomy + gastrostomy + trichobezoar extraction + gastric raphia was performed, a procedure without complications. Stable patient, without oxygen support, no signs of respiratory distress, tolerates feeding, better pain control, with good post-surgical evolution.
Conclusions: Trichobezoars are extremely rare and pose diagnostic and treatment problems. Although laparoscopy currently seems to have promising results in expert hands, laparotomy remains the most successful surgical treatment. Postoperative psychological treatment is essential to correct patients' psychological and behavioral alterations and prevent their recurrence.

Introduction: During the pandemic, nursing staff in the palliative care unit had to quickly adapt to an unknown situation, marked by uncertainty and constant changes in their action protocols.
Objective: Determine the perception of nursing care in patients with terminal-stage cancer in times of pandemic in the palliative care unit in a hospital in the city of Guayaquil.
Method: Qualitative, exploratory and phenomenological approach, guiding an interview with 15 nurses of the palliative care service.
Results: The absence of an institutional model of palliative care in the hospital stands out, although the Ministry of Public Health (MSP) guidelines themselves are used and are not socialized. Despite the dedication of the health team, there are shortcomings in resources, a lack of specialized training and the need to select personnel with a vocation for palliative care. The needs of the patients include the eradication of symptoms and the relief of physical discomfort, while the needs of the nurse refer to the change in the service due to the emotional impact produced by the suffering of the patients. During the course of Covid-19, the isolation of the patient was generated, promoting their loneliness and anguish, in addition, the lack of resources, medical assistance and the support of their families predominated.
Conclusions: Comprehensive care, covering medical, psychological, social, economic and spiritual aspects, emerges as a crucial factor to alleviate physical discomfort, provide emotional support and preserve the dignity of patients during this stage.

Current Issue
2024-01-31 Original Scientific Articles

By María Belén Espíndola Lara, Angel Rafael Borja Cabrera, Cinthya Anabel Ortiz Martínez, Diana Nathalie Navarrete Tinajero, Alba Maribel Viteri López, Fanny Paola Egas Medina, Anthony Steeven Vilca Ruiz

2024-04-01 Original Scientific Articles

By Walter Sepúlveda-Loyola, Aline Gil Panont, Jordana Cordeiro Maluf, Vanessa Suziane Probst, Lorena Oliveira Bezerra, Lauanda da Rocha Rodrigues, Alejandro Álvarez-Bustos, Juan José Valenzuela- Fuenzalida

2024-02-16 Original Scientific Articles

By Oubellouch Hicham, Soulhi Aziz

2024-02-20 Original Scientific Articles

By Yoneisy Abraham-Millán, Rosa María Montano-Silva, Yanelilian Padín-Gámez, Douglas Crispin-Rodríguez, Lauren Danitza Leyva-Manso, Ana Maura Ortiz-Figueroa

2024-02-14 Original Scientific Articles

By Miguel Enrique Sanchez-Hechavarria, Ramon Carrazana-Escalona, Sergio Cortina-Reyna, Victor Ernesto González-Velázquez, Elys María Pedraza-Rodríguez, Adán Andreu-Heredia, Erislandis López-Galán

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By Luís Carlos Cortez González, Josué Francisco Vázquez López, Alejandro Morales Jinez, Diana Berenice Cortes Montelongo, Tirso Duran Badillo

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2024-02-07 Original Scientific Articles

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2023-12-30 Original Scientific Articles

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2024-02-26 Original Scientific Articles

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2023-11-03 Original Scientific Articles

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2023-11-03 Original Scientific Articles

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2023-12-12 Original Scientific Articles

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2023-12-23 Original Scientific Articles

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2023-12-24 Original Scientific Articles

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2023-11-11 Original Scientific Articles

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2023-11-11 Original Scientific Articles

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2023-12-13 Original Scientific Articles

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2023-10-27 Original Scientific Articles

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2023-11-21 Original Scientific Articles

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2023-12-25 Original Scientific Articles

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2023-12-10 Original Scientific Articles

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2024-01-14 Original Scientific Articles

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2024-04-04 Original Scientific Articles

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