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Vol. 2 (2022)

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Authors in this issue:

Editorial Board Jhossmar Cristians Auza-Santiváñez, Armin A. Quispe-Cornejo, Juan Pablo Hayes Dorado, Benita Díaz Pérez Javier Gonzalez-Argote Daniella Cancino Jiménez William Castillo González, Carlos Oscar Lepez, Mabel Cecilia Bonardi, Darío Alvarez, Adrián Alejandro Vitón-Castillo, Javier Gonzalez-Argote Fasi Ahamad Shaik Sandra Elizabeth Bayser Learsys Ernesto Campello-Trujillo, Marta María Capote-Fernández Hugo Ricardo Bartoncello Sonia Alicia Fuentealba, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares Ingrid del Carmen López, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares Patricia Adriana Roussel Marité Romina Zaldarriaga Giménez Inés Noemi Kancheff Delma Noemi Miranda Patricia Elizabeth Pérez Vargas, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares Ana Beatriz Martínez Duarte Estela Morales-Peralta, Alicia Martínez de Santelices Cuervo, Liorna Tabares Hernández, Miguel Alfonso Álvarez Fornaris, Hilda Roblejo Balbuena Isabel Galeano Consuelo Casanova Diaz, Diana Valdés Massó, Elena López González, Igmar Limonta Pérez, Lourdes Hernández Cuétara Oscar Alfredo Cabrera Estela Morales-Peralta, Miguel Alfonso Álvarez Fornaris, Roberto Lardoeyt Ferrer Libertad E. Valdés Izquierdo, Ana Claribel Herrera Wainshtok, Lidia Ahymé Varela Rodríguez, Isidoro Alejandro Solernou Mesa Liliana Nancy Oporto Karina Susana Pachi Rosa Haydee Acosta Sonia Evelyn Schmidt Liliana Margo Alvarez Odalys Ulloa Chávez, Lourdes Hernández Cuétara, Rafael Páez Oliva, Lidiana Martínez Muñoz, Beatriz Hernández González, Kiria Hernández Ferreras Matias Orsetti, Yamila Bertolini, Andrea Fabiana Villaalta, Fernanda Creo, Patricia Santillan Nairobi Hernández Bridon Aremí Claudia Lujano Guzmán, Oscar Caicho Caicedo Adrián Alejando Rojas-Concepción, Guillermo Luís Herrera-Miranda, Yanin Arteaga-Prado Nataly Elizabeth Bautista Atiaja, Miriam Ivonne Fernández Nieto Yessenia Alexandra Tixe Manobanda, Miriam Ivonne Fernández Nieto Deyni Valeria Ruíz Aucatoma, Mery Susana Rodríguez Gamboa Sayana del Rocio Lascano De la Torre, Nadihezka Amanda Cusme Torres Kely Estefanía Llango Lema, Juan Carlos Céspedes Cueva Dayana Stefania Casa Peñaloza, Tannia Jacqueline Fiallos Mayorga David Fernando Miniguano Miniguano, Tannia Jacqueline Fiallos Mayorga Fabiola B. Chasillacta, Fabricio R. Nuñez Karla Estefania Espinosa Jacho, Marlene del Pilar Suárez Paez Tania Erika Moya, Mayra Alexandra Sánchez Zurita Jorge López Valdés, Lourdes Hernández Cuétara, Carlos Rivero Vergara, Yamilia Mendoza Zapata, Odalys Cozo Marrero Paola Fernanda Moyolema Chicaiza, Laura Yolanda Flores Chiliguano Norma Beatriz Ríos, Ana María Mosca Andrea Yussara Acurio Sarzona, María Aurora Simbaña Quishpi Robinson Ali Garay Pardo, Ricardo Adrián Parra Libertad Valdés Izquierdo, Wilmer Quintana Morejón, Daymi Borroto Bravo, Ana Claribel Herrera Wainshtok, Lourdes Hernández Cuetara Leticia Viviana Toapanta Moposita, Laura Yolanda Flores Chiliguano Pablo Joan Garcés Barros, Marianela Mejías Lizbeth Estefanía Lara-Espinosa, Luis Geovanny Rojas-Conde Patricia Alonso Galbán, Tania Izquierdo Pamias Carlos Alberto Gómez Cano, Verenice Sánchez Castillo, Yenncy Ballen Losada, Maria Alejandra Bermudez Monje Idana Beroska Rincon Soto, Velia Graciela Vera Calmet, Haydee Mercedes Aguilar Armas, Mirtha Mercedes Fernández Mantilla, Guelly Jeannelle Villalobos Sánchez Kevin Alexis León Panoluisa, Luis Geovanny Rojas-Conde Erika Gabriela Achachi Manotoa, Roberto Carlos Torres Cruz Miriam Virginia Valdés Fernández, María de los Ángeles Peña Figure Mercy Balseca Valle, Darwin Noroña Salcedo Rodrigo Ardiles-Irarrázabal, Lorena Marcela Galaz Ildefonso, Francisca Milania Olivares Acevedo, Thalia Pavez Olivares, Anerine Fernanda Sanderson Araya, Constanza Belén Venegas Carvajal Lissette Johana Villacis Freire, Verónica Graciela Jiménez Ayala Kevin Julian Aya Roa, Isaura Arreguin Arreguin, Carlos Alberto Nuñez Colin, Jose Manuel Herrera Paredes Paola Micaela Lasluisa-Toalombo, Daniela Alexandra Rosero Freire, Angela Carolina Jacome-Lara, Luis Fabian Salazar-Garcés Odalys Lago Carballea, Mercedes Martínez Cruz, Jorge Luis Ferreiro Corrales, María Caridad Ledesma Baño, Keilan Duarte Hernadez, Odisleydi Ferreiro Lago Julian Steve Guzmán Rodríguez, Idana Beroska Rincon Soto, Nayibe Soraya Sanchez Leon Ratna Sari Dewi, Burniadi Moballa, Anny Maryani, Ni'matut Tamimah, Dimas Hafidz Bramansyah, Muhammad Wahyudin Flor María Paguay Hidalgo, Mayra Alexandra Sánchez Zurita Oscar Caicho Caicedo, Alexandra Esther Chichande Lara, Danny Manuel Nicolalde Rodríguez, Maricela Briones Loor, Viviana Muñoz Cáceres Eugenio Alexander Garnica Serrano, Janneth Medina Murcia, Mario Hernán González Briñez, Boris Ernesto Cendales Ayala David Israel Zambrano Acosta, Graciela De Las Mercedes Quishpe Jara Gabriela Lissette Peralvo Veloz, Gloria Isabel Ramírez Gavilanes Angel Echevarria-Cruz, Ernesto Alejandro Gracia-Peña, Diego Ernesto Suárez López, Abel García Acosta, Malena Prieto Suárez Emilio Vidal Borras, Beatriz Hernández González, Yolennis Castillo Piña, Mildre Marrero Hidalgo Lizeth Esthefania Poaquiza Aman, Eulalia Isabel Analuisa Jiménez Joselyn Ivette Freire Freire, Carmen Alicia Llerena Cruz Alexandra Cristina Córdova Lascano, Hortensia Senaida Ortiz Suárez Sergio Ivan Garijo, María Cecilia Netri, Javier Origlia, Nancy Arias, Hugo Lopez Faray, Norberto Fabian Lopez, Maria Florencia Unzaga, Miguel Victor Piscopo Yoshinori Hayashi, Koji Masuda, Shigeyuki Haruyama Arief Rahman, Sri Gunani Partiwi, Ratna Sari Dewi, Naning Aranti Wessiani Arushi Jha, Naresh Chandra Gupta, Bratati Dey Yohanes T. Wibowo, Nurhadi Siswanto, Mokh Suef Redi Bintarto, Anindito Purnowidodo, Djarot B. Darmadi, Teguh Dwi Widodo Shigeyuki Haruyama, Kojiro Fujiama Sumathi Subbarayan, Hannah Grace Gunaseelan Shankar Madkar, Sanjay Pardeshi, Mahesh Shivaji Kumbhar Yoshie Ishii, Shigeyuki Haruyama Manik Chandra Borah, Parimita Saikia, Anup Kr Bordoloi, Bhairab Sarma Isabel Zea Quispe, Misael Ron, Estela Hernandéz-Runque, Evelin Escalona, Valentina Trovat-Ascanio Mayra Alexandra Chimborazo Caizaguano, Verónica del Pilar Cantuñi Carpio Jhoselin Tatiana Barrera-Cruz, Verónica Sofía Quenorán–Almeida Swetapadma Dash Raghad Mourad, Julaihi Bin Wahid Nagaraj Doddam Reddy, Ganesh Narasimhan Andi Basuki, Andreas Syah Pahlevi, Madziatul Churiyah, Ari Gunawan Kumar Siddamallappa Ujjappanahalli, Vijay Ramnath Sonawane, Nisarg Gandhewar Jayakumar Venkata Alamelu, Asaithambi Mythili Himani Sharma, Basheer Shajahan, Rajesh Elangovan, Manikandan Thirumalaisamy Gayathri R Babu, Shivaprasad Govindappa Manu Yadakere Murthygowda, Ravikumar Guralamata Krishnegowda, Shashikala Salekoppalu Venkataramu Erika Quisbert, Natalia Molinari Jonathan Martínez-Líbano, Jovania Gallegos Bulnes, Nicole Oñate Torres, Ivette Villagra Arancibia Roberto Carlos Torres Cruz, Nelly Hiralda Tapia Tapia, Verónica Paulina Herrera Calderón, Martha Lucia Guallichico Maura, Blanca Ofelia Pallango Espin Yolanda Elizabeth López Romo, Marlene Elizabeth Cumbajin Montatixe, Silvia Graciela Morales Mayorga, María Aurora Simbaña Quishpi, Carmen Alicia Llerena Cruz Rashel Lizbeth Cordero Alvarado, Tatiana Pilar Guaita Pintado, Andrés Felipe Mercado González, Ignacio Guillermo Quinde Morocho Katherine Ochoa Galarza, Willian Moyano Calero Danny Manuel Nicolalde Rodríguez, Oscar Caicho Caicedo, Esther Ramírez García Paul Alexis Chuquitarco Marín, Luis Mario Chunchi Ayala, Kelly Paola Gómez Guapizaca, Carla María Taimal Sárez Liliana Estela Lopez, Carlos Oscar Lepez Ramona Spindola Danny Francis Gómez Romero Carlos Jesús Canova Barrios Marianela Mejías, Yeisy Cristina Guarate Coronado, Ana Lucía Jiménez Peralta Robinson Ali Garay Pardo, Ricardo Adrián Parra Gabriela Vacheli Rodrigues, Gislaine Aparecida dos Santos Pinheiro, Roberta Azevedo Silvino Godoy, Patrícia Facina Brandão, William Alves dos Santos Bruna Nischiyama Monteiro, Leonardo Neves Portugal, Mara Regiane da Silva Lima, Patrícia Facina Brandão, William Alves dos Santos Gladys Eugenia Moreno Pilozo, Marlon Andrés López García, Daisy Maribel Gavilanes Acosta, Cristian Stalin Chicaiza Llamba, Yolanda Maribel Venegas Ortiz Letícia Gomes da Silva, William Bedóia de Albuquerque Júnior, Érica Ramos da Silva Santos, Tatiane Rodrigues Zaram Alcântara, Aline Albuquerque Cirimbelli Souza, Patrícia Facina Brandão, William Alves dos Santos Daniella Cancino Jiménez, Katiuska Lídice Reynaldos-Grandón Nayeli Lisbeth Piloso Bazurto, Gabriela Paola Valenzuela Sánchez Roberto Alejandro Pérez Freire, Ana Gabriela Pacha Jara Byron Eduardo Zavala-Soledispa, Betty Janeth Soledispa-Cañarte, Pilar Asunción Soledispa-Cañarte, Glenda Marcela Sarmiento Tomalá, Alfonso Corte López María del Cisne Vega Cobos, Julio Cesar Ojeda Sánchez, María José Rivera Mena, Gabriela Michelle Vanegas Contreras Bryan Esteban Maldonado Piña, Juan Antonio Coyago Íñiguez, Jery Estefano Maldonado Piña, Daniela Lorena Barros Narváez Stephany Tamara Pintado Chamba, Marisa Arcos, Samantha Nicole Becerra Garzón, Kimberly Yessenia Tirado Jiménez Grace Maleny Atarihuana Hidalgo, Andrés Felipe Mercado González, Andrea Carolina Yépez Idrovo, Pedro Martin Flores Flores Germania Elizabeth Ortiz Freire, Claudia Gabriela Clavijo Rosales, Andrea Melissa Márquez Torres, Paola Yessenia Quito Ochoa Samantha Nicole Becerra Garzón, Raul David Vera Pulla, Stephany Tamara Pintado Chamba, Kimberly Yessenia Tirado Jimenez Andrea Melissa Márquez Torres, Luz María Bojorque Bojorque, Germania Elizabeth Ortiz Freire, Paola Yessenia Quito Ochoa Andrea Carolina Yépez Idrovo, Walter Viterio Jaramillo Loaiza, Grace Maleny Atarihuana Hidalgo, Bryan Patricio Ortiz Encalada Kimberly Yessenia Tirado Jiménez, Carmen Isabel Guapisaca Vargas, Erika Lucia Tirado Rodas, Samantha Nicole Becerra Garzón, Stephany Tamara Pintado Chamba Giselle Marina Flores Siranaula, Claudia Gabriela Clavijo Rosales, Carla María Taimal Sarez Lisseth Tatiana Quiridunbay Pasato, Carlos Enrique Flores Montesinos, Bryan Patricio Ortiz Encalada Paola Yessenia Quito Ochoa, Luz María Bojorque Bojorque, Andrea Melissa Márquez Torres, Germania Elizabeth Ortiz Freire, Santiago Martín Sánchez Peralta Tanya Fernanda Ordóñez Castillo, Julio César Ojeda Sánchez, Fernanda Elizabeth Verdesoto Herrera, Guissella Dayanara Martínez Dias Carla María Taimal Sárez, Esteban Adrián Reiban Espinoza, Giselle Marina Flores Siranaula, Paul Alexis Chuquitarco Marín Fernanda Elizabeth Verdesoto Herrera, Jorge Luis Yánez Castro, Tanya Fernanda Ordóñez Castillo Guissella Dayanara Martínez Dias, Esteban Rigoberto Guerrero Cevallos, Jonathan René Martínez Díaz, Tanya Fernanda Ordóñez Castillo Esthefany Belén Guartambel Cajamarca, Esteban Rigoberto Guerrero Cevallos, John Stalyn Guapisaca Gaona, Anthony Daniel Armijos Ayala John Stalyn Guapisaca Gaona, Esthefany Belén Guartambel Cajamarca, Danilo Gustavo Muñoz Palomeque, Mónica Fernanda Angamarca Coello Ana Pacheco Faican, Luis Cervantes Anaya, Emilio Iñiguez Katherine Valentina Tenemaza Ortega, Freddy Rosendo Cárdenas Heredia, Santiago Martín Sánchez Peralta, María José Ordoñez Vázquez Kelly Paola Gómez Guapizaca, María Daniela Carpio Toro, Jessica Alexandra Estrada Morocho, Glenda Iris Montenegro Ortiz Jessica Alexandra Estrada Morocho, Rolando Espinoza Cárdenas, Kelly Paola Gómez Guapizaca, Glenda Iris Montenegro Ortiz José Gabriel Gutiérrez Solano, Rosa Elizabeth Solornazo Bernita Valentina Trovat Ascanio, Misael Ron, Estela Hernández-Runque, Ligia Sánchez-Tovar, Jesús Hernández, Marco Jiménez Grace Pamela López Pérez, Melani Dayana Carrera Casa, Gissela Lizbeth Amancha Moyulema, Yadira Nathaly Chicaiza Quilligana, Ana Belén Guamán Tacuri, Joselyn Mireya Iza Arias Esther del Rocío Benavides Rovalino, Mónica Guadalupe Paredes Garcés, Carmen Marlene Salguero Fiallos, Carola del Rocío Cortéz Flores, Libia Marina Toapanta Toapanta, Soraya Margoth Heredia Nugra Valeria Isabel Espín López, Verónica Sofia Quenorán Almeida, Devora Estefanía Manzano Quisimalin, Grace Pamela López Pérez, Ana Lucia Jiménez Peralta, Tatiana Elizabeth Rivera Aguilar Tannia Elizabeth López Pérez, Renato Sebastián Manzano Pérez, Rodrigo Javier Manzano Pérez, Lilian Fabiola Zumbana Herrera Andrés Santiago Cañar Romero, María José Vintimilla Espinoza Verónica Sofia Quenorán Almeida, María Eugenia Bonilla Sánchez, Nieves Liseth Cañaveral Estrella, Eveline Prissila López Solis, Lizeth Estefanía Navas Fonseca, Brenda Brigitte Pombosa Bravo Libertad E. Valdés Izquierdo, Ana Claribel Herrera Wainshtok, Lidia Ahymé Varela Rodríguez Diego Ernesto Suárez López, Dianet Redondo Rodríguez, Roldán Valdez Gonzales, Silvio Casabella Martínez Daniela Alejandra Cáceres Fonseca, Jessica Liseth Ochoa Vásconez, Rosa Jimena Laverde Ortiz, Katherine Gabriela Villavicencio Haro, Diego Armando Auqui Carangui Gladys Eugenia Moreno Pilozo, Andrea Verónica Castillo Ramírez, Mónica Valeria Larrea Idrovo, Diana Carolina Valle Valles, Luis Oswaldo Remache Guamán Marcela Lichtensztejn Laura Isabel Vera Portilla, Melissa Fernanda Froment Blum, Mónica Valeria Larrea Idrovo, Gabriela Carolina Lara Pérez, Marlon Andrés López García Alberto Antonio Sosa Osorio, Mercedes Ortega Sánchez, Yanelka Bouza Jiménez Mayra Viviana Chipantiza Barrera, Alicia Bélgica Yánez Borja, Martha Lorena Alvear Arévalo, Lourdes Maricela Lozada Lara, Alexandra Belén Rodríguez Chicaiza Marlon Andrés López García, Tatiana Elizabeth Lara Abril, Lissette Carolina López Lasinquiza, Gabriela del Carmen Vargas Caiza, María Belén Vargas Congo Tita Fernández de Jiménez, Roberto Carlos Jiménez Fernández, Jhossmar Cristians Auza-Santiváñez Sthefany Cumandá Martínez Palacios, Diego Xavier Chango Azanza, Andrés Felipe Mercado González, Javier Fernando Pinos Vazquez Gabriela Michelle Vanegas Contreras, Andrés Felipe Mercado González, Diego Xavier Chango Azanza, Juan Bernardo Flores Siguenza, María del Cisne Vega Cobos, Javier Fernando Pinos Vázquez Edison Andrés Tixe Lluglla, José Francisco Ramos Cevallos, Andrea Verónica Castillo Ramírez, Katherine Gabriela Villavicencio Haro, Lizbeth Micaela Vargas Congo, Pablo Ernesto Pino Falconi, Yessenia del Cisne Gaona Bermeo Ángel Rafael Borja Cabrera, Grace Kelly Guevara Benítez, Fausto Andrés Guamán Pintado, María Salome Argotti Zumbana, Adriana del Rocío Lascano Sánchez, Alexandra Elizabeth Ramírez Suque, Amanda Yadira Analuisa Sisalema Pablo Leandro Figueroa Libertad E. Valdés Izquierdo, Lidia Ahymé Varela Rodríguez, Ana Claribel Herrera Wainshtok Hyona Brazolin Beltrão, Cristina Gonçalves Reis Brito, Daniele Costa Sousa, Maria Eduarda Ferreira da Silva, Patrícia Facina Brandão, William Alves dos Santos Camilo Andrés Silva-Sánchez, Katiuska Lídice Reynaldos-Grandón Camilo Andrés Silva-Sánchez, Katiuska Lídice Reynaldos-Grandón Miguel Andrez Valencia-Contrera Javier Gonzalez-Argote, Carlos Oscar Lepez Wanda Alcalá, Ana María Azario, Stella Maimone, Silvia Villa, Andrea Novau, María Laura Vernazzi Martha Lira Garibay, Liliana Rosa Miguela López, Adriana Verónica Petro, Diego Germán Cristal, Gavi Micaela Utus Andray, María Anabella Danesi, Carlos Alejandro Bascary, Paola Dorina Pesarini, Paula Carolina Carrizo, Carlos Oscar Lepez Judit Figueira-Teuly, Carlos Canova-Barrios, Carlos Oscar Lepez Matilde Bolaño García, Keguin González Castro, Nixon Duarte Acosta, Gregorio Peña Coronado, José Manuel Pacheco Ricaurte, Narlys Patricia Villalobo Ropain ,

Published: June 5, 2022

Contents

2022-06-10 Editorial
Author Guidelines

By Editorial Board

2022-07-23 Editorial
Science education from the approach of innovation, science and technology

By Jhossmar Cristians Auza-Santiváñez, Armin A. Quispe-Cornejo, Juan Pablo Hayes Dorado, Benita Díaz Pérez

2022-10-30 Editorial
Open abstracts and open citations: towards open science with high standards

Open science denotes a set of associated practices and ideas, such as accessibility, reproducibility, (data) sharing and collaboration. Revista Salud, Ciencia y Tecnología, despite being a young journal, has aligned itself to these two initiatives that mark a substantial step as open access journals and Crossref members: open abstracts and open citations. The Initiative for Open Abstracts (I4OA) is a collaboration between academic publishers, infrastructure organizations, librarians, researchers and other stakeholders to advocate and promote the unrestricted availability of abstracts from the world's scholarly publications. On the other hand, the Open Citations Initiative (I4OC) is a collaboration between academic publishers, researchers and other stakeholders to promote the unrestricted availability of structured, separable and open scholarly citation data. Although standardizing and ensuring the quality of article metadata is a time-consuming and exhaustive task, we feel highly committed to ensuring that the journal grows not only in the number of articles published but also in editorial standards, which will undoubtedly allow us to increase our visibility and position ourselves in international bibliographic databases.

By Javier Gonzalez-Argote

2022-12-03 Editorial
Accreditation of professional skills and their relationship with quality in health

Quality in health is measured through indicators, which show its status, considering its different attributes, one of them being professional competence. The importance of the certification of the development of competencies in the training process of future health professionals and its impact on the quality of services, poses a challenge and has great relevance at the level of individual providers, professional societies and higher education institutions. The accreditation of professional competencies is a necessary element to promote the improvement of the quality of health care in Chile, so the certification of these scientific-technical competencies could become one more tool for assuring the quality of health care.

By Daniella Cancino Jiménez

2022-11-18 Editorial
Salud, Ciencia y Tecnología and its entry to Scopus: new commitments, challenges and challenges

A great news fills with joy the whole community of the Journal Salud, Ciencia y Tecnología: the review process concludes with an affirmative answer and its inclusion in the Scopus database. We are pleased with the Journal's entry into Scopus as it is the largest database of high quality journals and literature abstracts, refereed on the Internet. Since its creation, the editorial team has discussed and adapted the journal to the highest international standards of quality and editorial transparency, through a process of continuous improvement, by means of a dynamic, constant and systematic search in order to identify opportunities for adjustments, corrections and improvement of the standards. This process, costly in time and resources, made it possible to achieve a project with sustainability and quality standards at the level of the best bibliographic databases. Salud, Ciencia y Tecnología moves and aspires to move towards the highest quality standards that result in the availability and visibility of the research results of those who are the main actors, the authors. We congratulate all those who make this project possible on a daily basis: editors, proofreaders, translators, reviewers, authors and readers. In one way or another, we are all facing a new stage of work that is much more committed and demanding.

By William Castillo González, Carlos Oscar Lepez, Mabel Cecilia Bonardi, Darío Alvarez, Adrián Alejandro Vitón-Castillo, Javier Gonzalez-Argote

2022-12-31 Editorial
The importance of promoting Engineering, Health, Science and Technology Research of Asia-Pacific Region

The Asia-Pacific region is a rapidly growing and dynamic area that encompasses a wide range of cultures, languages, and religions. It is also home to some of the most technologically advanced and rapidly developing countries in the world. Therefore, it is important to promote engineering, science, and technology research in the Asia-Pacific region in order to fully understand and appreciate the complex issues facing this area. One of the most important reasons for promoting engineering, science and technology research in the Asia-Pacific region is to gain a deeper understanding of the social, economic, and political issues that are unique to this area. For example, researchers can study the impact of rapid urbanization on local communities and the challenges facing small and medium-sized enterprises. They can also study the potential of new technologies such as the Internet of Things (IoT) and artificial intelligence (AI) to address these challenges. In conclusion, promoting engineering, science and technology research in the Asia-Pacific region is essential to fully understand and appreciate the complex issues facing this area. By bringing together researchers from different fields and fostering collaboration, it is possible to gain new insights and perspectives, and develop effective solutions to the challenges facing the Asia-Pacific region. This will not only benefit the region but also the world in the long run.

By Fasi Ahamad Shaik

2022-05-06 Original
Motivation and work performance in the nursing staff of a public institution of the Autonomous City of Buenos Aires

Introduction: Motivation is an internal state that generates behaviors which trigger into actions in a specific direction and for a specific purpose.

Objective: To describe the relationship between motivation and work performance in the nursing staff of a public institution in the Autonomous City of Buenos Aires.

Methods: An observational, descriptive, cross-sectional, descriptive study was conducted between November 2021 and January 2022 in nursing professionals of a public institution in the Autonomous City of Buenos Aires. The sample consisted of 60 nursing professionals from a public institution selected by non-probabilistic convenience sampling. Two instruments were used: approach to motivation in three dimensions and a competency-based work performance evaluation.

Results: The sample was characterized by being mostly females aged between 34 and 53, with a professional nursing degree. The professional performance in the three dimensions was of medium level in more than 96% of the sample studied, and it is noteworthy that there were no people with high performance. The inferential analysis between general motivation and the 3 dimensions of professional performance had a statistically significant positive correlation, so it can be stated that, in the three dimensions, the higher the general motivation, the higher the professional performance.

Conclusions: One of the most important findings is the statistically significant positive correlation between motivation and professional performance. That demonstrates the need to work on future research where intervention strategies are evaluated in order to qualitatively characterize and raise both indicators in light of the obtained results.

By Sandra Elizabeth Bayser

2022-05-29 Original
On-the-job education as an active source of skills in the professional training of the stomatologist

Introduction: One form of organization of the teaching-learning process is on-the-job education and it is essential to contribute to the improvement of this process. Objective: To describe the development of skills in on-the-job education as an integrating practice of the contents received. Methods: A descriptive study was carried out with 38 students of the Stomatology career of the Faculty of Medical Sciences "Miguel Enriquez", Havana, in February 2020, to whom a survey was applied. Results: 70.83% of the 5th year students consider that they are able to deploy clinical skills, 35.71% of the 4th year students and 66.66% of the 5th year students think that their teachers fulfill their functions in an appropriate way in this process. Conclusions: Very few 4th year students and more than half of the 5th year students assume to be able to develop skills in the clinic and appreciate that their professors perform their functions satisfactorily.

By Learsys Ernesto Campello-Trujillo, Marta María Capote-Fernández

2022-06-17 Original
Influence of training on professional performance in nursing professionals of a private institution in the Autonomous City of Buenos Aires

Introduction: The improvement of professionals is a gradual process that occurs throughout life and through it significant learning is developed that influences professional, labor and social activity; all of which requires the harmonic linking of preparation and improvement with work.

Objective: To analyze the influence of training on the professional performance of nursing professionals in a private institution in the Autonomous City of Buenos Aires.

Methods: A descriptive, observational, cross-sectional study was carried out between February and March, with a sample of 25 nursing professionals. Three evaluation instruments were used.

Results: 56% of the sample was female, the average age was 43.8±11.7, 68% of the sample had a Bachelor's degree in Nursing, and the average years of training were 10.9±8.0. The results found show that there are high overall training needs. No significant differences were found when comparing job performance dimensions in those who had received training or were currently undergoing training and those who had not or were not.

Conclusions: There are high general and specific training needs, with low organizational management towards training motivation and stimulation. On the other hand, no relationship was found between training and professional performance; however, this study leaves open the possibility of developing other types of qualitative studies that analyze this problem in depth.

By Hugo Ricardo Bartoncello

2022-06-17 Original
Protocol for falls in hemato-oncology patients from the vision of Nursing Leadership in the services of the FUNDALEU Foundation

Introduction: The Protocols of protection for hemato-oncological patient care are based on the adequacy of existing and scientifically validated scales.

Objective: To describe the advances related to the implementation of protection protocols for the care of hemato-oncological patients from the point of view of Nursing Leadership in the services of the FUNDALEU Foundation.

Methods: A non-experimental, observational, descriptive and cross-sectional study was conducted in May 2020.

Results: In terms of sociodemographic variables, the sample was represented mostly by women, aged between 38 and 45 years, graduates who have worked for more than 7 years in the service. Regarding the means recorded for different aspects of knowledge of protocols adapted for patients in the institution, it is worth noting that all of them were positive. It was found that for the three items (cytopenia, mental status and sensory deficit) the ANOVA test had statistical significance (p<0.001) between these groups. With the assessment of the fall risk protocol, the corresponding care can be planned and carried out (p < 0.001).

Conclusions: there are no difficulties in terms of knowledge about the use of the care protocol for hemato-oncological patients. The nursing attitudes point out as difficulties that the items cytopenia, mental status and sensory deficit are not sufficient, so that sometimes the updates with respect to the fall risk protocol are not up to date.

By Sonia Alicia Fuentealba, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares

2022-06-18 Original
Patient Handoff: relationship between internal communication and the role of teamwork in the services of the Hospital de Clínicas José de San Martín

Introduction: The on-call pass is one of the means of coordination within each service that is used to schedule, manage and evaluate patient care.

Objective: to describe the behavior of variables of the perception of nursing human resources on the quality of internal communication in on-call duty and the modalities of teamwork.

Methods: An observational, descriptive, cross-sectional study was carried out. The sample consisted of 71 units of analysis. A semi-structured, self-administered questionnaire was used.

Results: In relation to knowledge about internal communication during on-call duty, positive responses prevailed, with the Teamwork indicator standing out with 94.4% of positive responses (P = 0.006). Positive attitudes related to internal communication during the on-call duty shift dominated, with a predominance of strategic vision and complementarity with 99% positivity each (P < 0.001). In relation to practices in the on-call pass; all responses resulted negative above 70% (P<0.001), highlighting Performance evaluation over Internal communication with 90% negativity.

Conclusions: Most professionals show knowledge of the dimensions of internal communication by virtue of teamwork. The attitudinal aspect of the nursing human resources showed favorable aspects to the on-call pass in relation to internal communication, taking into account criteria such as strategic vision, teamwork, responsibility, face-to-face transmission and confidentiality.

By Ingrid del Carmen López, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares

2022-06-18 Original
Impact of a quality management model of an immunization service of the Hospital de Alta Complejidad El Cruce

Introduction: The horizontal integration of health services can be strengthened through process management that makes it possible to conceive how to work through systems that cross departmental, service and functional boundaries, by showing the internal relationships of users and providers.

Objective: To describe the results of the implementation of the quality management model in the vaccination center of the Hospital el Cruce during the period 2015-2016 compared to subsequent periods (2017-2018).

Methods: An analytical, non-experimental study was conducted in health systems and services at the Hospital de Alta Complejidad en Red El Cruce, comprising the evaluation of care quality indicators in the period from 2015 to 2018, a longitudinal and retrospective approach.

Results: 57.7% (75) were female and 42.3% (55) were male. Using Spearman's test found only in the case of time and quality of care a statistically significant negative correlation. When it was analyzed that the number of doses discarded by years, in the second period (2017-2018) specifically in 2018 no doses were discarded in any of the vaccines, and secondly in 10 vaccines were not discarded in both periods.

Conclusions: The results of the evaluation with a focus on improving the quality of care were evidenced. The multidimensional analysis provided relevant information that helped to find the causes that allowed the setting of objectives, possible solutions to the problem, as well as the evaluation of improvements.

By Patricia Adriana Roussel

2022-06-22 Original
Satisfaction with the nurse in primary care: experiences in a primary health care center in La Pampa

Introduction: Nursing as a health educator is the first to have contact with the patient who enters a service to consult or alleviate any ailment.

Objective: to analyze satisfaction in relation to the care received by nursing staff in a primary health care center in the town of Winifreda, department of Conhelo in the province of La Pampa.

Methods: An observational, descriptive, cross-sectional, prospective, descriptive study was carried out. A total of 174 patients were included. Three evaluation instruments were used, one for sociodemographic analysis and two for satisfaction analysis.

Results: The study sample was 88.51% female and the remaining 11.49% were male. The average age was 39.81. Sixty percent of the sample attended preventive activities, while 20% of the respondents reported following up on care plans. Of the respondents, 82.9% obtained an appointment on the same day. Cronbach's Alpha for the AMABLE Questionnaire was 0.810; and for the Baker Questionnaire 0.826.

Conclusions: Most patients perceive the care provided by nursing professionals as adequate, which is closely related to the quality of care, nursing services, participant health, and community care. In the context of primary health care, the people who attended the nursing consultations rated the care they received positively.

By Marité Romina Zaldarriaga Giménez

2022-06-20 Original
The quality of nurse-patient communication: experiences in the context of rurality in the province of Chaco

Introduction: The quality of the encounter between the nurse and the patient makes the difference between a humanized practice and an instrumental one; for this reason, an interpersonal relationship, beyond the execution of procedures and techniques, is a great opportunity for growth and maturation for the patient and the nurse herself.

Objective: to analyze the communication between the patient and the nurse in the context of rurality in the San Pedro Pescador neighborhood of Chaco province.

Methods: Observational, descriptive, retrospective, cross-sectional, retrospective study in the province of Chaco from January to March 2022. The sample consisted of 11 nurses and 72 patients. A questionnaire of sociodemographic and labor data elaborated ad hoc for the study was used; and on the other hand, a nurse-patient communication questionnaire comprising aspects related to the quality of communication in both samples.

Results: the female sex prevailed with 81.8% and 55.6% in nurses and patients, respectively. The average age of nurses was 44.6±14.1 and 41.1±15.2 in patients. Significant differences were found in the perceptions of nursing staff and patients regarding the use of medical terminology by nurses and regarding the coverage of nurse-patient communication needs.

Conclusions: The perceptions of both groups show a good assessment of the nursing staff which is in accordance with the self-perception of the nursing staff, of communication in a highly effective condition during their care.

By Inés Noemi Kancheff

2022-06-23 Original
Professional competencies of nursing personnel in maternal and newborn care: a comparative study in the Neonatology and Obstetrics

Introduction: Competencies are understood as an integrated combination of knowledge skills and attitudes conducive to adequate and timely performance in various contexts of the health team.

Objective: to carry out a comparative analysis of the competencies of the nursing staff in the care of the mother and newborn in the Neonatology and Obstetrics services.

Methods: An observational, descriptive, retrospective, cross-sectional, retrospective study was carried out. The sample consisted of 65 nurses from a public institution of the Autonomous City of Buenos Aires, of whom 34 belonged to the Neonatology service and 31 to the Obstetrics service.

Results: 84.62% were female, the average age was 45.09±9.94, and 63.08% had a degree in Nursing. Higher values were obtained in the obstetrics service in the three dimensions; on the other hand, there were significant differences between the own and crossed competencies in both the Neonatology and Obstetrics services (intra-service competencies); and on the other hand, no differences were found between the values of the own and crossed competencies between services (inter-service competencies). It can be affirmed that the nursing staff of the obstetrics service possesses as a whole higher own and cross competencies than those of the neonatology staff.

Conclusions: In this study it was found that the staff of the Obstetrics area possesses overall higher number of competencies in maternal and infant care with respect to that of Neonatology.

By Delma Noemi Miranda

2022-06-23 Original
Pre-induction: Are there differences in the use and implementation of the electronic medical record in relation to the level of training and work experience? Experiences in the nursing staff of a private oncohematological institution.

Background: Induction is the knowledge that the person entering should acquire regarding the history of the organization, its structure, marketing and commercial scheme; company policies regarding personnel, hygiene and safety, environment; occupational health programs, quality, culture, mission, values.

Aim: To describe the perception of induction in the use of the oncohematologic electronic health record (EHR) for the safe administration of antineoplastic chemotherapy.

Methods: Descriptive, cross-sectional research; the sample consisted of 55 units of analysis. A semi-structured questionnaire was used as an instrument.

Results: There is a statistically significant difference in the perception of organizational culture (P = 0.040) and between seniority in the institution with the induction of EHR training (P = 0.012), with professional nurses of 1.26±0.44 and for Licensed 1.06±0.24, seniority in the institution ranged in groups of 1-4 years and 5 to 9 years. Cytostatic preparation and seniority in the institution (P=0.020). The group with more than 25 years of seniority in the institution have the responsibility for the preparation of cytostatics 4.90±0.30 (P<0.05).

Conclusions: It is not homogeneous how the organizational culture is perceived by the different professional levels. In relation to seniority, the majority are female, graduates and young adults. EHR induction is perceived by professionals as an institutional strategy for patient safety culture. Likewise, EHR practices show that it is used by qualified personnel in the administration of cytostatics.

By Patricia Elizabeth Pérez Vargas, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares

2022-06-25 Original
Patient safety indicators in a private institution of the Autonomous City of Buenos Aires

Background: Patient safety, is trying to avoid injury to or patients assisted by healthcare personnel, is an essential component in quality of care. In recent times, patient safety is considered as paramount in daily practices.

Aim: to analyze the patient safety culture of nursing staff in a private institution in the Autonomous City of Buenos Aires.

Methods: an observational, descriptive, cross-sectional, retrospective, descriptive study was carried out. The sample consisted of 76 nursing professionals, selected by non-probabilistic convenience sampling. The Hospital Survey on Patient Safety Culture in its Spanish version was used as an instrument.

Results: 68.4% were female, the average age was 42.05 years and 52.6% of the personnel had a professional nursing degree. None of the dimensions acquired values in the order of 4 average points.

Conclusions: The analysis of patient safety culture, in the perception of the nursing teams under study, with different types of management, has shown that patient safety is not strengthened; in our study a "neutral" or "low" safety score prevailed. Therefore, it is understood as crucial to raise the awareness of managers in each type of administrative sphere and of health professionals for the promotion of patient safety culture, as well as the training of these professionals.

By Ana Beatriz Martínez Duarte

2022-06-27 Original
Knowledge about some aspects of Genetics in physicians of primary care

Background: The national program for diagnosis, management and prevention of genetic diseases is being conducted in our country with the main goal of a community-based scope, being applied by general comprehensive physicians. Mistakes in interpreting basic concepts in Genetics usually appear among family doctors and may disturb the proper development of the program.

Aim: To identify training needs among professionals working in primary health care.

Material and Methods: A descriptive and transversal research was conducted. An evaluation instrument validated by experts, was applied to18 doctors working in the primary health care areas of the Faculty of Medical Sciences Miguel Enriquez, who voluntarily accepted to participate in the research.

Results: In most cases amniocentesis concept was no correct. This mistake was also observed in the literature. Doctors graduated after 2009, who were taught Medical Genetics as a curricular subject, had the best results.

Conclusions: The design of postgraduate courses in Genetics, for doctors working in primary healthcare, must also include practical features of the program, and emphasize on some concepts necessary for the development of the Genetics program.

By Estela Morales-Peralta, Alicia Martínez de Santelices Cuervo, Liorna Tabares Hernández, Miguel Alfonso Álvarez Fornaris, Hilda Roblejo Balbuena

2022-06-26 Original
Aggressions suffered and determinants of physical and non-physical violence towards nursing staff by patients and accompanying persons

Background: The relationship between healthcare personnel and those accompanying patients can give rise to cases of aggressiveness in relation to an accumulation of misunderstandings, resentments or fears, which should be detected and defused before they could give rise to aggression.

Aim: to analyze the determinants of physical and non-physical violence towards health personnel by patients and accompanying persons.

Methods: An observational, descriptive, cross-sectional study was carried out. The scope of the study included the nursing staff working in the pediatric critical areas of a hospital in the Buenos Aires metropolitan area. The study included a sample of 63 units of analysis.

Results: The sample was predominantly female (76.2%), with an average age of 45.3 years and a predominance of 66.7% of the personnel with a degree in nursing. A total of 90.5% had a history of violence by patients and/or companions. The most frequent type of violence was insults (73.7%). The result of the application of the model based on Cronbach's alpha in our sample was 0.863.

Conclusions: A considerable number of nursing staff experience verbal abuse, threats and physical abuse. This study contributes to the general understanding of violence in the nursing field in the Argentine context; however, more knowledge is needed on the consequences of workplace violence and its implications through the development of multicenter studies or with larger populations.

By Isabel Galeano

2022-07-03 Original
Diagnostic value of mouth opening width in patients with temporomandibular disorders

Background: Mouth opening amplitude allows the evaluation of joint and muscle function, constituting a valuable tool to diagnose alterations in the stomatognathic system.

Aim: To characterize the buccal opening amplitude of patients who attended the temporomandibular disorders consultation of the Dr. Miguel Enriquez Hospital, in the period January 2017-January 2020.

Methodology: A retrospective observational descriptive study was carried out in the period January 2017-January 2020, forming a database from the information obtained directly from the medical records. Literature review and synthesis was performed and descriptive statistics were used for data analysis by means of absolute frequency distribution expressed in percentages.

Results: Normal mouth opening width predominated in 61% of the cases. Severe mouth opening restrictions below 20 mm affected 7% of the females and 21% of the males. Twenty-three percent of the 30-39 year-old group presented severe limitations below 20 mm, while 19% of the 19-29 year-old group presented hypermobility. 65% of the patients who attended before 1 month of symptom onset recorded limitation of mouth opening.

Conclusions: In patients diagnosed with temporomandibular disorders, normal mouth opening amplitude predominated, so the ability of the individual to perform this movement within the established range is not necessarily an indicator of absence of joint and/or muscle damage.

By Consuelo Casanova Diaz, Diana Valdés Massó, Elena López González, Igmar Limonta Pérez, Lourdes Hernández Cuétara

2022-07-06 Original
Head nurse leadership styles and nursing staff motivation

Background: Nursing leadership is a process that promotes the improvement of health and living conditions of the population.

Aim: To analyze the leadership styles of the head nurse and the motivation of the nursing staff in a public institution in the Autonomous City of Buenos Aires.

Methods: This research had a quantitative approach. The study design was non-experimental, descriptive and cross-sectional. The sample consisted of 133 nurses, selected by non-probabilistic sampling.

Results: The sample consisted of 133 units of analysis, of which 63.16%, the average age was 40.13 and personnel with a Bachelor's degree in Nursing predominated with 61.65%. Regarding the leadership styles of the head nurse, the autocratic and democratic styles prevailed, and to a lesser extent the participative and permissive styles. When analyzing the decision-making styles, autonomy prevails; however, freedom and responsibility were found with average scores. Communication styles (assertive, verbal, written) had similar scores in the positive order.

Conclusions: Our study describes that the predominant style was autocratic in contrast to democratic, permissive and participative leadership styles. Given the importance of leadership in meeting current and future challenges, these results indicate the urgent need to empower decision-makers in developing better leadership styles, with the aim of promoting transformational leadership. Future research should focus on leadership development interventions.

By Oscar Alfredo Cabrera

2022-07-12 Original
Didactic strategy to increase knowledge of the clinical method in genetics

Background: The current challenges of Clinical Genetics include the integration into medical practice of the fundamental tools that constitute the diagnostic process, with the basic knowledge of the specialty. However, in training professionals, there is a tendency to prioritize the application of technology. Aim: To increase the knowledge that supports the application of the clinical method in residents of Clinical Genetics.Methods: A quasi-experimental study of longitudinal strategy, educational intervention type (before and after design) was carried out with 25 resident physicians of Clinical Genetics, who gave their consent to participate. Two equivalent instruments were applied, validated by expert criteria, which consisted of five forced choice questions, true and false type, where knowledge necessary for the diagnosis related to Medelian inheritance, congenital defects, molecular genetics, dysmorphic signs and diagnostic tools were explored. Mac Nemar's Chi-square was applied for dichotomous nominal qualitative variables in related or paired samples with a significance level of 0.05, in order to demonstrate the impact of the intervention on each of the evaluated topics. The educational intervention consisted of an interactive talk. Results: It was found that with the educational intervention the knowledge related to dysmorphic signs and diagnostic tools increased statistically significantly. Conclusion: The educational intervention raised the level of knowledge on the subject of dysmorphic signs, as well as on diagnostic tools.

By Estela Morales-Peralta, Miguel Alfonso Álvarez Fornaris, Roberto Lardoeyt Ferrer

2022-06-18 Original
Experiences with the AELI® KINETEST in support of improved patient care

Background: With the permanent goal of improving the doctor-patient relationship and favoring the latter to assume a proactive position in the pursuit of their health, the AELI® KINETEST methodology is implemented, accepted in the OSPI since 2017, employs a different way of performing diagnosis and treatment, with a marked intention to achieve comprehensive vision of the patient, encompassing personal, family, work and other context. The methodology per se complements the clinical method and the behavior used in conventional medicine, highlights the ease in its application focused on the person and allows a rational and diverse use of the therapeutic arsenal, with high possibilities of being learned through teaching and constitute a starting point for research.
Aim: To describe the results of patient care with AELI® KINETEST.
Methodology: This is a retrospective, descriptive, cross-sectional study. The population consisted of 582 patients of the Hospital Universitario Clínico Quirúrgico "Dr. Miguel Enríquez", in the period from March 2016 to March 2019.
Results: Predominant positive evolution from the second consultation, in which they found asymptomatic 84.4% and in the third consultation 91%.
Conclusions: AELI® KINETEST is a methodology that promotes health from an integral vision of the human being, allows personal growth, control of symptoms in the short term and rapid reincorporation into work and family, the results show social acceptance and point to an immediate inclusion in the learning of health sciences.

By Libertad E. Valdés Izquierdo, Ana Claribel Herrera Wainshtok, Lidia Ahymé Varela Rodríguez, Isidoro Alejandro Solernou Mesa

2022-07-20 Original
Evidence-based nursing practice and prevention of falls in hospitalized patients

Background: The risk of falls in hospitalized adult patients is a very important topic to develop and investigate since a fall can produce irreparable harm. Every hospitalized patient can suffer a fall which can produce an adverse event.
Aim: To analyze the relationship between the evidence-based nursing practice environment and its relationship with knowledge about fall prevention in hospitalized patients.
Methods: An observational, descriptive, cross-sectional study was conducted. The sample consisted of 73 nurses.
Results: The sample consisted of 80.8% female nurses. The average age was 37.7 ± 8.4. The average age was 37.7 ± 8.4. 50.7% of the sample had a Professional Nursing degree. The mean score of the health personnel knowledge survey on fall prevention was 15.1 ± 7.8 points (95% CI: 13.2444 to 16.8926). No relationship was found between evidence-based nursing practice setting and health care staff knowledge of falls prevention (P=0.2742).
Conclusions: Adequate levels of both evidence-based nursing practice setting and health care staff knowledge of falls prevention were found. Both indicators were independent and no relationship was found between them or with sociodemographic variables. Therefore, it cannot be affirmed that the level of knowledge regarding falls is a factor that affects the intention to behave in accordance with the implementation of evidence-based practice.

By Liliana Nancy Oporto

2022-07-22 Original
On-call communication in intensive care areas in the nursing staff

Background: The on-call process is considered an essential component for continuity of care, since it allows optimizing resources, prioritizing activities and guaranteeing comprehensive care.
Aim: To describe the perception of the quality of information communication during the on-call process in intensive care areas.
Methods: A cross-sectional observational study was carried out. All intensive care area personnel were invited to participate on a voluntary basis. The sample finally consisted of 56 nursing professionals.
Results: 76.8% were female. Less than three quarters of the respondents received training or induction on on-call duty, although more than 90 % of the respondents reported that training in this area is important. 71.4% report more than three interruptions during the pass and 55.4% say that communication was effective. About 30 % of the sample faced family conflicts.
Conclusions: From the nursing staff's perspective, the quality of on-call communication was characterized by shortcomings in terms of the environment, protocolization of the on-call pass, environmental conditions and the relationship with family members.

By Karina Susana Pachi

2022-07-23 Original
Working conditions, ergonomic risks and their effects on the health of nursing personnel

Background: Risks related to posture, strain, fatigue and stress are capable of affecting the health of healthy people or worsen pre-existing injuries.
Aim: to describe the occurrence of musculoskeletal injuries and ergonomic working conditions in the nursing staff of a public institution in the Buenos Aires suburbs.
Methods: an observational, descriptive, cross-sectional, descriptive study was carried out between March and May 2022 in nursing professionals of a public institution of the Buenos Aires suburban area. The sample consisted of 40 nursing professionals.
Results: 70% of the sample belonged to the female sex. The mean age was 43.45 ± 1.51 (range: 24-58). Thirty percent had pre-existing health problems, while 17.5% had health problems caused by the work performed in this service. Injuries to the neck, upper back, lower back, and one or both ankles/feet stand out. The predominant work regime was interval work with rest breaks in 57.5%, and 42.5% reported that it was continuous. 77.5% indicate that there is some potential environmental risk, where physical (45%), mechanical (25%), biological (22.5%), psychosocial (20%), ergonomic (17.5%) and chemical (15%) stand out.
Conclusions: It can be concluded from the findings of this study that the causes of musculoskeletal disorders in nursing staff may be multifactorial, as are the solutions to this problem. In general, the staff was exposed to sound, mechanical and visual hazards.

By Rosa Haydee Acosta

2022-07-23 Original
Quality of nursing records in a sector of the Public Hospital of the City of Oberá

Background: Records are the main source of information regarding the patient's situation, and should contain complete and accurate information, as they allow retrospective evaluation of the care and attention provided.
Aim: to analyze quality indicators of nursing records in a sector of the Public Hospital of the City of Oberá (Misiones) in Argentina.
Methods: A retrospective, descriptive design was used for this study. The study was carried out from October 2021 to February 2022. The sampling process consisted in the selection of the patients' medical records, which finally consisted of 195 nursing records.
Results: In relation to the distribution of compliance with nursing records according to the dimensions, problems are denoted in the home record, complete Kardex record (Digital Medical History System - RISMi) and complete record of nursing notes records.
Conclusions: The evaluation of the quality of nursing records denoted that there are problems and weaknesses in terms of content, process and structure. The results of this study affirmed that nurses have failed to understand and apply the basic concepts of nursing diagnosis, planning, implementation and evaluation. This is alarming for the quality and effectiveness of nursing education, as well as for staff development and training programs for nurses.

By Sonia Evelyn Schmidt

2022-07-23 Original
Influence of the nursing practice environment on job performance

Background: evidence-based clinical practice places nurses within a professional discipline that provides the foundation for interventions to be original, innovative and individualized.
Aim: to analyze the relationship between the nursing practice environment and job performance.
Methods: An observational, retrospective cross-sectional study was designed, taking as study sample 53 staff nurses in the year 2022 in a public health facility in the Autonomous City of Buenos Aires.
Results: When correlating the dimensions of the evidence-based nursing practice environment with the global work performance indicator, a statistically significant correlation was found with the capacity, leadership and support to nurses by nurse managers (rho=0.354; P=0.0092). On the other hand, correlations with the dimensions nurse involvement in facility issues (rho=-0.144; P=0.3038), nurse rationale for quality of care (rho=0.149; P=0.2874), staffing size and adequacy of human resources (rho=0.149; P=0.2874), and physician-nurse relationships (rho=0.150; P=0.2841) were not significant.
Conclusions: This study provided evidence that nurses' perceptions of their practice environment were favorable, except for adequacy of staffing and resources. Nurses' job performance levels were found to be affected by nursing managers' ability, leadership and support of nurses.

By Liliana Margo Alvarez

2022-07-24 Original
Behavior of child maltreatment in children with intellectual disabilities

Background: child abuse is a serious social problem, of universal character that has historical, cultural and psychological roots where the fundamental rights of boys or girls are violated.
Aim: to characterize child abuse in children with intellectual disabilities, enrolled in the "Omar Torrijos" Special Education School of the San Miguel del Padrón municipality, during the period 2017-2019.
Method: a descriptive cross-sectional study was carried out, related to child abuse in children with an intellectual disability. The work included 45 children from the 4th and 5th grades, who met the inclusion requirements. To achieve this purpose, indirect and projective techniques were applied, such as drawing, the technique of the three wishes, the three rocks, and the three fears, as well as the FF-SIL test. In addition, questionnaires were applied to tutors and teachers.
Results: the presence of child abuse was found in 26 children, favored by various adverse situations, such as family conflicts, addictions and psychiatric disorders, which led to neglect or abandonment, physical abuse and psychological abuse. The impact of these conditions on their health was verified, which resulted in hyperactivity, aggressiveness, emotional disorders and shyness of the children.
Conclusions: child abuse is a health problem in disabled children, which requires effective joint work between health and educational institutions.

By Odalys Ulloa Chávez, Lourdes Hernández Cuétara, Rafael Páez Oliva, Lidiana Martínez Muñoz, Beatriz Hernández González, Kiria Hernández Ferreras

2022-08-13 Original
Unique care model through the incorporation of liaison nursing: experiences of its implementation at the Hospital Zonal General de Agudos "Prof. Dr. Ramón Carrillo"

Background: The rhythm of life of a puerperium requires a large percentage of attention in the recovery of her postpartum health and comprehensive care for her newborn.
Aim: To describe the experiences in the implementation of a Unique Comprehensive Care Model through the incorporation of liaison nursing.
Methods: An observational, descriptive, cross-sectional, descriptive study was carried out. The sample consisted of 109 pregnant women.
Results: During the last trimester of the year 2021, 80 deliveries and 32 cesarean sections were performed, where 80% of the women remained accompanied. Ninety-seven percent agreed to receive information about liaison nursing. 94% of the users confirmed receipt of messages about the provision of home care and the resource available for consultation on the care of newborns and women in puerperal state, 40% of consultations were received and communication with exchange/feedback was generated. 65% consulted on issues related to breastfeeding management, 13% made consultations linked to breast engorgement management, 15% consulted on how to manage colic and stool frequency.
Conclusions: The implementation of the strategy gave opportunity and the improvement plan constituted an improvement in the quality of care and organizational management in relation to the care of puerperal women, from an integral approach; on the other hand, it contributed to the woman and her environment to feel safe and with a more personalized care.

By Matias Orsetti, Yamila Bertolini, Andrea Fabiana Villaalta, Fernanda Creo, Patricia Santillan

2022-08-13 Original
Nasal Obstructive Syndrome in patients with orthodontic treatment

Background: Nasal Obstructive Syndrome, is more abundant among children than is generally assumed and may be the initial symptom of a bronchial asthma attack or be the state preceding sensitization of the lower airways.
Aim: To characterize SON in a sample of children aged 7 to 12 years.
Methods: Observational, descriptive, cross-sectional study of 194 children who were examined in the office.
Results: The prevalence of female sex was found to be 63.9% and the age group 7-9 years with 56.7%; the most prevalent dentomaxillofacial anomalies according to sex were: Bilabial incompetence with 51.5% and 48.4% antero-lower crowding. The 48.4% of the patients present Angle Class I. There are 34.5% of children treated in the specialty of Otorhinolaryngology who receive drug treatment; while 62.8% who maintain the habit of mouth breather.
Conclusions: In this study it was found that female patients and the age group 7 to 9 years were the most affected. At the age of 7 to 9 years, Class I prevailed and according to sex, Class II. There was evidence of a greater number of patients receiving medication treatment during orthodontic treatment, with the age group 7 to 9 years prevailing. A greater number of patients aged 7 to 9 years maintained the habit of mouth breathing despite orthodontic treatment.

By Nairobi Hernández Bridon

2022-08-27 Original
Validation of the instillation technique Advanced Wound Management in Veterinary Medicine (MAHVET)

Background: Most complicated and/or chronic wounds in veterinary medicine present a significant degree of inflammation in conjunction with local or systemic colonization or infection.
Aim: To describe the validation of the instillation technique Advanced Management of Veterinary Wounds (MAHVET).
Methods: A cross-sectional observational study was carried out to evaluate the validity of the technique. Forty-seven patients were included in the period 2018-2021.
Results: 96 % of the patients seen were domestic dogs, bites accounted for almost half of the cases seen (46.81 %). The MAHVET Instillation Technique consists of a constant instillation therapy for management of colonized or infected wounds in veterinary medicine.
Conclusions: The MAHVET Instillation Technique is considered a practical, economical tool with enormous benefits in the management of colonized or infected wounds; by using non-adherent interface, dressing removal pain is avoided and, by using antiseptics, damage to the perilesional skin is avoided and pain is reduced locally by instilling local anesthetics in an artisanal manner.

By Aremí Claudia Lujano Guzmán, Oscar Caicho Caicedo

2022-08-31 Original
Pedagogical model for the methodological work of the General Integral Medicine specialization

Introduction: for the development of a teaching-educational process with quality at the postgraduate level, it is necessary to improve the methodological work.
Aim: to design a pedagogical model for the work of the specialization in General Integral Medicine at the University of Medical Sciences of Pinar del Río.
Methods: descriptive and transversal research during the course 2020-2021; the universe was constituted by professors and tutors of the specialty of General Integral Medicine of the University Polyclinic "Dr. Modesto Gómez Rubio" of San Juan y Martínez, Pinar del Río. Theoretical and empirical methods were used.
Results: design of a pedagogical model for the methodological work of the specialization in General Integral Medicine.
Conclusions: the pedagogical model designed contributes to the improvement of the levels, activities and organizational forms and of the didactic, pedagogical and methodological preparation of teachers and tutors.

By Adrián Alejando Rojas-Concepción, Guillermo Luís Herrera-Miranda, Yanin Arteaga-Prado

2022-09-20 Original
Knowledge of Neonatal Metabolic Screening in Pregnant Women

Introduction: Neonatal screening is a laboratory test used worldwide for the detection of pathologies or metabolic deficits before the disease manifests itself, but of which there is little knowledge in pregnant women.
Objective: To determine the level of knowledge that pregnant women have about the Neonatal Metabolic Screening test.
Methods: This was a quantitative, descriptive, and cross-sectional research, developed in a public health institution in the province of Cotopaxi with a sample of 200 women. Data collection was carried out through a survey that allowed classifying knowledge into high, medium, and low.
Results: the highest percentage of pregnant women was in the medium level of knowledge (44 %), a considerable percentage of pregnant women was presented in a low level (43.5 %) and in a lower proportion a high level (12.5 %). The highest ratio of low knowledge was observed in the youngest pregnant women (15 to 20 years old) and the oldest (over 43 years old), as well as in those with primary and secondary education.
Conclusion: The level of knowledge that pregnant women has about neonatal metabolic screening on the general knowledge dimension of the test and the medical procedure, was medium in those aged between 21 and 42 years and low in those between 15 and 20 years., as well as in those aged 43 and over. This shows that there is a lack of knowledge about the test in pregnant women attending this health unit.

By Nataly Elizabeth Bautista Atiaja, Miriam Ivonne Fernández Nieto

2022-09-21 Original
Knowledge of sexually transmitted diseases in Ecuadorian high school students

Background: sexually transmitted diseases are infections that are spread from one person to another through non-responsible sexual contact.
Aim: to analyze the relationship between knowledge and the risk of sexually transmitted diseases in high school students.
Methods: a quantitative, descriptive and cross-sectional research was carried out in an educational unit in the city of Ambato, province of Tungurahua-Ecuador, with a sample of 250 high school students. The data collection technique was a survey aimed at finding out sociodemographic information, knowledge about sexually transmitted diseases and sexual practices.
Results: 42.8% of the people with a high risk exposure have a good level of knowledge, and 9.6% have a fair level of knowledge; whereas, in the population with a low risk level, 31.2% have a fair level of knowledge and 16.4% have a good level of knowledge.
Conclusion: knowledge about sexually transmitted diseases is not always sufficient to influence the sexual behaviors of high school students.

By Yessenia Alexandra Tixe Manobanda, Miriam Ivonne Fernández Nieto

2022-09-21 Original
Use of alternative and complementary therapies for pain relief in adults and older adults

Background: The use of alternative and complementary therapy is a relief option for a large number of pathologies that affect rural communities where its use is widespread due to accessibility and customs.
Aim: To analyze the use of alternative and complementary therapy to relieve.
Methods: a quantitative, descriptive and cross-sectional study was conducted in a rural community of the Ambato canton with a sample of 150 adults and 100 older adults. The Holistic Complementary and Alternative Medicine Questionnaire HCAMQ was used as a data collection instrument to evaluate a person's attitude towards alternative and complementary medicine.
Results: 61.6 % of the population had a good attitude towards alternative therapy, the main type of alternative and complementary therapy was phytotherapy (71.2 %) and the main pathology reported was musculoskeletal (67.6 %), followed by migraine (18.4 %), neurological conditions (9.2 %) and fibromyalgia (4.4 %).
Conclusions: the attitude of the research participants towards the use of alternative and complementary therapy for pain relief is favorable, since, in addition to using it, they are willing to try new options because they assume that these types of therapies provide good results, have fewer adverse effects, are low cost and are easily accessible.

By Deyni Valeria Ruíz Aucatoma, Mery Susana Rodríguez Gamboa

2022-09-21 Original
Application of the Joyce Travelbee Model in the person-to-person relationship with older adults

Background: Travelbee's person-to-person relationship model is one of the most useful models in the nursing field because it postulates how the nurse-patient relationship can help improve health status and life satisfaction.
Aim: To analyze the application of Joyce Travelbee's model in the person-to-person relationship with older adults.
Method: it is a quantitative, descriptive, cross-sectional study developed in the nursing home "Mons. Tomas Romero Gross" with a population of 115 older adults of both genders, the data collection was carried out through a survey of therapeutic relationship based on Joyce Travelbee's model.
Results: In the original encounter dimension most of the indicators were acceptable as well as emerging identities. In the empathy, compassion and transference dimensions the results were positive.
Conclusion: The person-to-person relationship between the nurse and the older adult was good because most of the indicators were acceptable, which is positive because it demonstrates the existence of a relationship between both agents; however, these levels of relationship must be improved to reach optimal levels and thus improve the assistance and care provided to this highly vulnerable population as well as to improve the quality of life in later years.

By Sayana del Rocio Lascano De la Torre, Nadihezka Amanda Cusme Torres

2022-09-20 Original
Quality of life for women in menopause

Background: Menopause is a physiological process in adult women, generally characterized by the cessation of menstruation, and consequently leads to a series of biological and psychological changes for women, which according to their intensity can cause a significant deterioration in the quality of life, ranging from muscular and joint discomfort, hot flashes, depression, fatigue, sexual problems and vaginal dryness.
Aim: To analyze the quality of life of menopausal women in the San Martin neighborhood, Latacunga - Ecuador.
Methods: An observational, descriptive, cross-sectional study was carried out with a quantitative approach. The sample consisted of women between 40 and 59 years of age, with a sample of 80 participants in the study.
Results: after the application of the Menopause Rating Scale (MRS) with a Cronbach's reliability of 0.86, whose data were collected personally and then tabulated in the SPSS version 26 statistical program. The results indicated that 26.25% of the women presented mild discomfort of climacteric symptoms, while 22.50% manifested them as intolerable discomfort, among the most frequent symptoms were depressed mood, irritability, muscular and joint discomfort, anxiety, physical fatigue, sleep difficulties, hot flashes, bladder problems, heart discomfort, sexual problems and vaginal dryness.
Conclusion: The quality of life of the women in this study group was affected by mild symptoms such as somatic, psychological and urogenital symptoms.

By Kely Estefanía Llango Lema, Juan Carlos Céspedes Cueva

2022-10-07 Original
Breastfeeding up to two years of life: myth or reality?

Background: Breastfeeding up to two years old is a practice endorsed by the WHO, due to the benefits it has for the child's development.
Aim: This study aims to find out the interviewed mothers' criteria on the feasibility or not of extending breastfeeding throughout this period, what they should do to carry on with it, and the challenges involved.
Methods: A qualitative methodology was used -in order to approach the individual in a deep and experiential manner- in 15 mothers belonging to the Guapulo community of the Pujilí canton in Ecuador. The interviewees were between 21 and 68 years old, with an average age of 38. 35% of those women were university graduates and the remaining 65% had a middle or primary education degree.
Results: Our results show not only favorable evaluations of breastfeeding, but also highlight the benefits of breastfeeding for the growth, emotional-cognitive development of the child and maternal well-being.
Conclusions: Mothers who breastfed their children up to 2 years old gave their favourable insights about that process and emphasized the benefits acquired by both the infant and themselves.

By Dayana Stefania Casa Peñaloza, Tannia Jacqueline Fiallos Mayorga

2022-10-03 Original
Sleep quality and sleepiness in university students of the nursing career at the Technical University of Ambato

Background: The quality of sleep of nursing students is conditioned by a deficient level, consequently preventing optimal performance in personal and academic activities.
Aim: To determine sleep quality and sleepiness in nursing students of the Technical University of Ambato.
Methodology: an observational, descriptive, cross-sectional study was carried out with a quantitative approach. The population consisted of 805 nursing students and the sample consisted of 460 students.
Results: after the application of the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI), with a validity of 0.86 Finn's R concordance coefficient and a reliability of 0.85 Cronbach's alpha, it was found that 98.3 % of nursing students presented an unhealthy sleep quality, which should necessarily seek medical treatment.
Conclusion: The nursing students presented a high percentage of affectation in the quality of sleep, which would be causing a sleep disorder.

By David Fernando Miniguano Miniguano, Tannia Jacqueline Fiallos Mayorga

2022-10-07 Original
Role of nursing personnel in primary health care

Background: professionals and services are linked to practices of a previous model, with a biopsychosocial health approach and applied to the development of community health.
Aim: To describe the perceptions on the role of nursing professionals in the activities they develop within the family, community and individual settings.
Methods: An observational, descriptive, cross-sectional, retrospective, descriptive study was carried out. A total of 110 units of analysis were included, selected by non-probabilistic convenience sampling. A survey was used as a data collection technique to evaluate the impact of nursing personnel in primary health care.
Results: In the family setting, 20.9% responded "always", in which the staff provides educational sessions (talks) within the home, especially in relation to the usefulness of the educational sessions given by the nursing professional, which have managed to generate changes within the family. At the individual level, 33.6% reported "always" regarding participation in follow-up activities, control and surveillance of the patient in charge. At the community level, 31.8 % of the responses "always" allowed observing the participation of the nursing staff in vaccination programs.
Conclusions: It can be concluded that the nursing professional focused on primary health care does not have a specific role, but underlies in helping several areas related to the individual, family and community.

By Fabiola B. Chasillacta, Fabricio R. Nuñez

2022-10-23 Original
Perceived Social Support in Patients with Diabetes Mellitus

Background: Diabetes mellitus is considered a worldwide chronic metabolic pathology, same that comprises a group of metabolic disorders which is considered in an elevated blood glucose level (hyperglycemia).
Aim: to analyze perceived social support in patients with diabetes mellitus.
Methods: a quantitative, descriptive, cross-sectional, descriptive study was carried out in patients with Type 2 Diabetes Mellitus attending the Loma Grande Type A Health Center. The sample consisted of 105 voluntary patients with DM2 over 60 years of age. A 12-item survey was used, which are closed questions previously validated for the topic of perceived social support in individuals with DM in the province of Cotopaxi.
Results: With respect to perceived social support, it is evident that 57% use the help of family members and that they always need emotional or physical support from them; in addition, 20% of patients need social support from a figure other than a family member.
Conclusions: Social support from the perspective of patients with DM2 at the Loma Grande Health Center shows a high level and is mostly provided by the family. The family environment was fundamental as a means of support for the patients, and to a lesser extent, but no less important, the support received from health personnel and friends. It is evident in this study how the presence and role of the family is constituted as a form of social support.

By Karla Estefania Espinosa Jacho, Marlene del Pilar Suárez Paez

2022-10-24 Original
Life habits of overweight and obesity in the pandemic period by COVID-19

Background: The pandemic caused by COVID-19 forced the population to be confined and socially distanced for a long period of time, for which reason they opted to modify their lifestyle habits. The personnel most at risk of suffering changes in their daily lifestyles and habits were healthcare personnel.
Objective: To identify the lifestyle habits predisposing to develop overweight and obesity during the COVID-19 pandemic in health personnel of the Pediatrics service of the Hospital General Ambato.
Methods: Observational, descriptive, cross-sectional study, using a survey comprising sociodemographic data, anthropometric measurements recorded in 2019 and 2022 from the occupational medical records of health personnel, and the FANTASTIC questionnaire, designed by the Department of Family Medicine at McMaster University in Canada, adapted and validated by specialists in Spanish, to measure and identify the lifestyles of people.
Results: 38.09% have a normal BMI in relation to a regular lifestyle, while one person had grade I obesity and presented a bad FANTASTIC, however, there is 28.57% of the population with a regular lifestyle habit and overweight.
Conclusions: The results of this study indicate that, during confinement, the dietary and lifestyle habits of the pediatric population of the Ambato General Hospital underwent transitions, with a tendency towards regular eating habits, and a tendency towards a more regular lifestyle.

By Tania Erika Moya, Mayra Alexandra Sánchez Zurita

2022-11-05 Original
Educational strategy for the training of herbalist promoters

Introduction: Both curricular and extracurricular implementation of MNT has implemented at different levels of training, from primary education to postgraduate training, with entry into a number of disciplines and subjects, both in open and/or closed curricula.
Aim: To describe the results of an educational strategy for the training of herbalist promoters in primary school students.
Methods: A descriptive study was carried out. An intentional sample was selected (100 students of 5th grade and 135 students of 6th grade) and 20 specialists in General Comprehensive Medicine. Students were surveyed and interviewed.
Results: 42.4% of the students considered that their knowledge of herbal medicine was quite adequate; 43.9% stated that the plant most used by the population is aloe vera; 34.8% stated that it is part of the culture of the population. Forty-two point eight percent stated that the plants are used to treat diarrhea, while 48.3% stated that the leaf is the most used. In general, the specialists in General Comprehensive Medicine value the strategy as pertinent.
Conclusions: The design of the educational strategy, allowed the analysis of the internal connections of systemic planning in primary education, from its theoretical foundations and the assessment of its relevance according to criteria of the specialists in General Integral Medicine, which made possible the training of herbal promoters in function of satisfying the learning needs of the community in these topics.

By Jorge López Valdés, Lourdes Hernández Cuétara, Carlos Rivero Vergara, Yamilia Mendoza Zapata, Odalys Cozo Marrero

2022-10-24 Original
Postpartum urinary incontinence in nulliparous and multiparous women

Background: Postpartum urinary incontinence is an area of growing interest at the health level because pelvic floor dysfunction caused by pregnancy and obstetric procedures leads to this condition and impacts women's quality of life.
Objective: To evaluate urinary incontinence in postpartum nulliparous and multiparous women.
Methodos: this is a quantitative, descriptive and cross-sectional study developed in the Health Center No. 2 of the city of Ambato in the province of Tungurahua, with a population of 120 nulliparous and multiparous women to whom the International Consultation on Incontinence Questionnaire-Urinary Short Form ICIQ-SF.
Results: 85% of postpartum nulliparous and multiparous women presented incontinence and it was mainly due to stress (laughing 26.7%, physical exercise 20.8% and coughing or sneezing 14.2%). The loss of urine was moderate (40%) and the loss was several times a day (40%), which significantly impacted the quality of life of those who suffer from it.
Conclusion: urinary incontinence is prevalent in postpartum nulliparous and multiparous women and was related to older age and multiparity because it was more frequent in those between 31 to 42 years old and in multiparity due to genitourinary physiological changes, gynecological conditions and procedures -obstetrics affect the functionality of the pelvic floor and lead to this condition.

By Paola Fernanda Moyolema Chicaiza, Laura Yolanda Flores Chiliguano

2022-10-24 Original
Influence of personal, professional and motivational factors in participation of nurses in continuing education

Background: continuing education allows for updating in post-graduation training. A direct relationship has been observed between attendance to such training and improvement of nursing practice.
Aim: to find out how personal, professional and motivational factors of nursing professionals influence participation in continuing education in a health care institution.
Methods: a descriptive, cross-sectional and correlational study was carried out in nurses from the Autonomous City of Buenos Aires. For the measurement of motivational factors, the Reasons for Participation Scale and the Instrument of Motivational Factors for Attendance to Continuing Education Courses were used. Descriptive and inferential statistics were used.
Results: there was a predominance of participants over 30 years of age (82.9%), female sex (85.2%) and with a partner (66.1%). The Chi-square test showed that personal and professional factors do not affect the participation of nurses in continuing education. A relationship was found between economic level and the number of hours of continuing education in the last year (χ2 22.014 ª; p<0.001). The motivational factors associated with participation in continuing education were: professional development and improvement (p=0.026) and professional service (p=0.001).
Conclusions: nurses' personal and professional factors do not influence their participation in continuing education. Professional development and improvement and professional service are the motivational factors associated with participation in continuing education activities.

By Norma Beatriz Ríos, Ana María Mosca

2022-11-02 Original
Level of knowledge and life style of older adults with type 2 diabetes mellitus

The purpose of this research is to determine the level of knowledge and lifestyle of a group of older adults with type 2 diabetes mellitus. For this purpose, a quantitative, descriptive study was carried out using the IMEVID survey to characterize aspects of knowledge and lifestyle of a group of 100 older adults suffering from type 2 diabetes mellitus in the canton of Pujilí, province of Cotopaxi, who attend the local health center, to whom the survey was applied. The results showed that according to the IMEVID survey, half of the population of older adults who participated in the study have an unfavorable lifestyle, followed by 48% of participants with an unfavorable lifestyle, and to a lesser extent a favorable lifestyle. This behavior corresponds to inadequate nutrition, sedentary lifestyle, low motivation to learn about the disease and lack of compliance with treatment. It was found that the population of older adults had unfavorable or unfavorable lifestyles, recognizing that in the domains of nutrition, habits and customs there was a negative tendency, which consequently generated a negative coping with diabetes mellitus. This result may be associated with a lack of motivation to seek information about the disease and a lack of compliance with medical, behavioral and pharmacological indications.

By Andrea Yussara Acurio Sarzona, María Aurora Simbaña Quishpi

2022-10-21 Original
Extra-occupational Psychosocial Factors that affect the nursing staff of the Hospital General de Agudos Parmenio Piñero

Introduction: contemporary society is characterized by being structured by social, economic, labor and academic dynamics that make greater demands on nurses every day.
Aim: to characterize the extra-occupational psychosocial risk factors affecting nursing personnel.
Methods: A descriptive, non-experimental, cross-sectional, quantitative research was carried out. The sample consisted of 150 health professionals. To measure the variables to be studied in this research, the Battery of instruments for the evaluation of psychosocial risk validated by the Ministry of Social Protection of the Republic of Colombia was used. Descriptive statistics were used.
Results: Regarding family relationships, it was observed that 47.4% of the respondents were not at risk in this dimension. Regarding the dimension of communication and interpersonal relationships, 20.1% of the respondents were found to be at very high risk. Regarding the characteristics of the dwelling and its environment, 59.7% were found to be at very high risk. When analyzing the influence of the extra-work environment on work it was observed that 28.6% are at very high risk.
Conclusions: Nursing personnel are exposed to extra-work psychosocial risk factors, so actions should be aimed at both promotion and prevention, as well as intervention of these factors so that they do not interfere in the future with the work environment or be the beginning of deterioration and physical as well as mental wear and tear in nursing personnel.

By Robinson Ali Garay Pardo, Ricardo Adrián Parra

2022-11-04 Original
Breast cancer, clinical-emotional correlation identified by applying AELI® KINETEST

Introduction: Breast cancer is a health problem with great impact nationally and internationally. It constitutes a challenge for the medical personnel who face it, requiring a multidisciplinary approach due to its complexity.
Aim: To describe the results of the application of the AELI® KINETEST protocol in patients with breast cancer.
Methods: A technological innovation, descriptive, longitudinal, cross-sectional, descriptive study was carried out using a qualitative methodology in the Bioenergetic Medicine Clinic of the Miguel Enriquez Hospital. The sample constituted by the 24 patients presenting said disease proven by biopsy in the period from January to December 2017.
Results: Breast cancer predominates more in the female sex in 95,8 %. There was correspondence between emotional conflict, biological laterality and anatomical location.
Conclusions: The use of the muscle test of the AELI® KINETEST protocol complemented the diagnosis of the emotional conflictual situation.

By Libertad Valdés Izquierdo, Wilmer Quintana Morejón, Daymi Borroto Bravo, Ana Claribel Herrera Wainshtok, Lourdes Hernández Cuetara

2022-11-18 Original
Early detection of anorexia in adolescence

Background: In adolescence, many young people have alterations in their eating behaviors, caused by different causes such as unhealthy diets, poor nutrition or following beauty stereotypes implanted in society as standards of acceptance.
Aim: to describe the behaviors and attitudes presented by adolescents of the Millennium Educational Unit compatible with anorexia.
Methods: a descriptive, cross-sectional and prospective study was conducted, the sample included 140 students.
Results: in relation to the concern about dieting, 43.6% of the respondents indicated that they have never proposed to go on a diet. 42.9 % indicate that they have never thought about the calories they are consuming, and 40.7 % indicate that on some occasion in their dietary intake they have thought about the appropriate amount of calories consumed. The majority of the students surveyed do not have an eating disorder, however, 20.7 % on some occasion did feel the need to vomit their food due to some influential factor in their eating. 52.9 % indicate that they never spend much time thinking about and dealing with food. Finally, 58.6% indicate that they always enjoy and try new foods.
Conclusion: the factors that influence the development of anorexia such as poor diet and scarce healthy eating programs do not occur, since students demonstrate to be informed about what eating disorders are and also have a correct diet in more of the surveyed population.

By Leticia Viviana Toapanta Moposita, Laura Yolanda Flores Chiliguano

2022-12-02 Original
Adoption of the role of the primary caregiver of the adult patient following a hospital stay

Introduction: The fundamental axis of the patient is his family, it produces a change within the family nucleus in a hospitalization situation, demanding greater dedication of time to the affected person and leaving aside daily situations such as work, education, personal care, rest, etc. It fosters a situation of stress and anxiety that increases over time and becomes a burden, generally making the caregiver ill.
Aim: To know the role of the main caregiver of an adult patient after a hospital stay.
Methods: The present study has a quantitative, descriptive, non-experimental approach; the population studied is made up of 120 main caregivers who are in charge of adult patients discharged from the hospital unit. Data collection was through a physical survey for the analysis of the data collected for the assessment of the role of the caregiver of the chronic patient.
Results: The main caregiver of an adult patient after a hospital stay in the majority respond that always with most of the questions asked in the survey having a percentage of 23%, while they respond that almost always with a percentage of 19%, sometimes with a percentage of 20%, almost never with a percentage of 19% and, never with a percentage of 19% this refers that caregivers focus on the most time their role to play.
Conclusions: The experience of caregiving involves responsibility and enormous effort, causing an increase in the caregiver's burden.

By Pablo Joan Garcés Barros, Marianela Mejías

2022-11-28 Original
Eating habits and knowledge in adolescents

Introduction: currently unhealthy diets cause health problems among the population. Therefore, it is necessary to apply an adequate dietary habit for a healthy life and thus reduce the risk of diseases in the future.
Objective: to analyze the dietary habits and knowledge of adolescents between 14 and 17 years of age, identifying the risk factors that may affect the health and well-being of the population studied.
Method: a quantitative approach methodology with descriptive scope was applied. A dietary questionnaire on eating habits, eating behavior and nutritional knowledge was applied.
Results: When analyzing the sample, risk factors that may affect the nutritional health of the studied population were identified, where most of the students have notions about these practices. Most of them have reliable knowledge about food consumption frequency and variety. However, the dimensions that evidenced lower reliability corresponded to food knowledge in adolescents.
Conclusions: The results obtained in the present research, allow us to conclude that the adolescents who made up the sample of this research possess reliable knowledge about the variables self-efficacy, frequency in food consumption, eating habits, knowledge of nutrition and food safety and behavior in hygiene practices, which indicates that most students possess notions about these practices, which can serve as protection.

By Lizbeth Estefanía Lara-Espinosa, Luis Geovanny Rojas-Conde

2022-11-29 Original
Integration of web 2.0 tools in specialty and health topics sites for the development of virtual communities of practice in the Infomed network

The aim of this work is to identify the behavior of specialty and health topics sites of the Infomed network, in terms of the integration of Web 2.0 tools to develop communities of practice in virtual environments. A descriptive study was carried out, which included all Infomed specialty and health topics sites, in the period January-October 2022. The variables used were: type of website; presence of discussion/distribution list, blog, forum, comments; time of publication of the site; editor's work time. Eighty-seven sites were studied. The integration of Web 2.0 tools in the development of these sites is still insufficient. Although approximately six out of ten sites (58.6%) already have the possibility of comments, slightly less than half contain a discussion list (49.4%) and the inclusion of professional blogs reaches only one fifth of the total. The elements to be considered in the design of a strategy for the development of virtual health practice communities were identified. The Infomed websites of specialties and health topics constitute the logical scenario for the construction of virtual communities of practice for the management of health knowledge in the Cuban context.

By Patricia Alonso Galbán, Tania Izquierdo Pamias

2022-11-25 Original
Analysis of the risks associated with the provision of services in respiratory diseases ward during the COVID 19 pandemic at the Hospital Maria Inmaculada

Objective: To evaluate the risks associated with the Covid 19 pandemic to workers in the ERA ward of the Maria Immaculada Departmental Hospital.
Method: The method used was descriptive with a qualitative and quantitative approach, in which a documentary review was carried out, a survey of a sample of 69 health workers in the service mentioned above and an interview with the Director of Human Talent and the Professional of the OHS Office.
Results: The findings confirm that the most relevant risks for these personnel were psychological, which affect their emotions; biological due to exposure to contagion; and ergonomic, due to long working hours.
Discussion: The valuation of the risks, in view of the position of the authors in their classification, and their high impact on the development of the personnel's functions, presented little accompaniment by the Hospital.
Conclusions: There were many risks identified in the OHS ward service that had significant labor, social and psychological consequences, resulting in greater support from the Hospital, since social distancing was a limitation for the mitigation of this risk.

By Carlos Alberto Gómez Cano, Verenice Sánchez Castillo, Yenncy Ballen Losada, Maria Alejandra Bermudez Monje

2022-11-16 Original
Anxiety and depression during the COVID-19 pandemic in inhabitants of Peru

The objective of this study was to establish the correlation between anxiety and depression in times of the pandemic in people who live in the city of Chiclayo - Peru. For this study, a quantitative investigation of correlational scope and cross-section was carried out. In this non-experimental research, we worked with a sample of 619 people from the city of Chiclayo-Peru, the population was selected through a non-probabilistic convenience sampling. The data was collected through the Goldberg Anxiety and Depression scale, a sociodemographic characterization sheet was also used. The results show that anxiety is more prevalent than depression and more persistent in women than men. Taking into account age, young people and adolescents were more affected, taking into account economic and occupational conditions.

By Idana Beroska Rincon Soto, Velia Graciela Vera Calmet, Haydee Mercedes Aguilar Armas, Mirtha Mercedes Fernández Mantilla, Guelly Jeannelle Villalobos Sánchez

2022-11-29 Original
Nursing diagnosis: Stress due to academic overload in high school students

Introduction: With the scientific and technological progress, the development of Information and Communication Technologies (ICT), the academic and social needs, the anxious world and the stress in the students, it is increasingly difficult and complicated to maintain a high performance. cognitive, psychic and optimal mental.
Objective: to identify factors related to stress due to academic overload in first, second and third years high school students according to current regulations in Ecuador.
Method: a methodology with a quantitative approach, with a descriptive scope, was applied. In addition, the Academic Stress Scale was used, which evaluates eight dimensions: Methodological deficiencies of the teaching staff, academic overload of the student, academic performance, interventions in public, exams, lack of value of the contents, participation difficulties. The questionnaire integrates 54 items; the response method integrates a 5-point Likert-type estimation scale. The instrument was applied to 110 students from the city of Latacunga in Ecuador. Multivariate statistical techniques such as principal component analysis and descriptive statistics were used to analyze sociodemographic data.
Results: The results indicate that the factors related to academic stress are information management, the dimension of academic performance in students, exams and interventions in public, to which the students of the investigated educational institution are subjected.
Conclusions: Students face various difficulties to execute the demands of the tasks. They are closely related to academic and performance stress, including those linked to human subjectivity such as emotions, feelings and experiences.

By Kevin Alexis León Panoluisa, Luis Geovanny Rojas-Conde

2022-12-02 Original
Nursing experiences in the care of patients with non-invasive high-flow oxygen therapy

Introduction: Noninvasive high-flow oxygen therapy is defined as therapy in which the individual is provided with a constant flow of oxygen above maximal inspiratory flow through a nasal cannula.
Aim: To determine nursing experiences in the care of patients with noninvasive high-flow oxygen therapy.
Method: Qualitative, phenomenological, descriptive and retrospective research between June-August 2022, the study participants were nursing graduates. After informed consent was signed by the study participants, semi-structured interviews were conducted with a total of 10 nurses.
Results: The experiences of the nursing staff were positive, most of the interviewees stated that they had no previous knowledge and were learning based on the transfer of knowledge from their coworkers, they were able to correctly perform the treatment and showed a rapid improvement of the patient's signs and symptoms, as they clearly identify the management of the cannula, its complications and nursing care to be executed during the procedure, they stated that the limitation was the lack of supplies within the hospital entity.
Conclusions: The theoretical experience obtained during their formative process is linked to practical experience; it significantly influences patient care, since, being a relatively new procedure, its practice is usually little used.

By Erika Gabriela Achachi Manotoa, Roberto Carlos Torres Cruz

2022-11-21 Original
Biological risk assessment in the clinical laboratory from the nurse's point of view.

Introduction: The nurse as an active member of the health care team is key in risk management.
Aim: To evaluate the level of biological risk in a primary health care clinical laboratory from the nurse's point of view.
Methods: Descriptive study in a primary health care clinical laboratory, selected by non-probabilistic and intentional sampling. The Safety Level Evaluation Method, implemented in the ASeC software, was applied.
Results: 34 % of negative aspects for safety were found, which is equivalent to an Unacceptable-Critical (I-C) level.
Conclusions. The risk assessment developed made it possible to determine the biological risk profile of the laboratory under study, ranked by importance. The intervention of the nurse in the fulfillment of her investigative, assistance and administrative functions made it possible to identify and evaluate the risks in order to avoid work accidents, damage to the community and the environment.

By Miriam Virginia Valdés Fernández, María de los Ángeles Peña Figure

2022-12-04 Original
Risk factors and psychological impact on highly vulnerable adolescents during COVID-19 confinement

Introduction: The confinement by COVID-19, caused the interruption of medical/psychological treatments with serious deterioration for the mental health of adolescents in condition of vulnerability.
Aim: To determine the influence of sociodemographic factors on the symptoms of depression, anxiety and stress in adolescents with medical/psychological treatment prior to COVID-19 confinement in the city of Riobamba, Ecuador.
Method: The research had a non-experimental, cross-sectional, descriptive, correlational, descriptive design aimed at 100 individuals aged 10 to 19 years, to whom a psychological measurement instrument was applied virtually and in person: DASS-21 Scale and a sociodemographic questionnaire that included questions on medical/psychological treatment prior to the pandemic. The descriptive and inferential analysis was performed with the SPSS statistical program to calculate Pearson's Chi-square and check the statistically significant relationships between the study variables and Odds ratio as a measure of probability of occurrence.
Results: The research revealed that confinement by COVID-19 determined greater affectation in the anxiety subscale, extremely severe and severe dimensions with 64% of the cases, moderate and mild with 36%. The statistical analysis of correlation between the DASS-21 Scale and sociodemographic characteristics determined significant association between the subgroup of adolescents with previous treatments and anxiety.
Conclusions: The risk factors analyzed, influenced 11% in the symptomatology identified by the DASS-21 with a probability of occurrence of 13.14 times for generating anxiety and 5.33 for depression in adolescents who interrupted medical/psychological treatments, during the pandemic health emergency.

By Mercy Balseca Valle, Darwin Noroña Salcedo

2022-12-04 Original
Need to enhance emotional intelligence in the face of suicide risk in nursing students

Objective: To describe the relationship and influence of trait emotional intelligence (EI) on suicide risk (SR) of young nursing students.
Methods: Quantitative, correlational and cross-sectional research. Non-probabilistic sampling, and 201 students participated. A survey with sociodemographic background was applied virtually; In addition, Emotional Intelligence was evaluated with the TEIQue-SF scale; and suicidal ideation through the Beck Hopelessness Scale.
Results: a moderate negative correlation is evidenced (r= -.376; p=0.000) for one of the trait EI factors and SR level.
Conclusions: a lower level of the well-being factor of the trait EI was related to a higher level of RS. Trait EI was associated as a protective factor against RS in these students. The training centers should implement programs that promote the development of EI as opposed to suicidal ideation.

By Rodrigo Ardiles-Irarrázabal, Lorena Marcela Galaz Ildefonso, Francisca Milania Olivares Acevedo, Thalia Pavez Olivares, Anerine Fernanda Sanderson Araya, Constanza Belén Venegas Carvajal

2022-12-04 Original
Knowledge about infections associated with health care in nursing students

Introduction: Health Care Associated Infections (HAI), are those diseases resulting from the presence of a microbial infectious agent, which were not identified, nor in incubation period at the time of an assessment in any health facility, hospital admission and stay or after a procedure.
Aim: To assess the knowledge of HCAI in fifth, sixth and seventh level nursing students of Universidad Técnica de Ambato.
Methods: Observational, descriptive, cross-sectional cohort study, with random probabilistic sampling, using the Instrument of Knowledge about Infection Associated to Health Care. The study population consisted of 226 participants.
Results: It could be evidenced that in relation to the subdivision of general knowledge 94.75 % had a correct knowledge, in hand hygiene 89.38 %, and in general precautions 64.60 % passed, however, in the general evaluation of the questionnaire 76.55 % passed.
Conclusions: The population of the high semesters of the nursing career has an appropriate knowledge about the associated infections in health, however, there is a discreet lack at the level of general precautions on biosafety.

By Lissette Johana Villacis Freire, Verónica Graciela Jiménez Ayala

2022-12-04 Original
Design and validation of a family functioning assessment instrument

Introduction: Family functionality is the form and capacity of function of the family nucleus, which can determine the level of personal, social and family development of each member, this is important for individual and collective health and disease processes.
Aim: To develop and validate a measurement instrument to assess family functioning from a theoretical proposal to be used in practice.
Method: Cross-sectional descriptive study, focused on the design and analysis of the psychometric properties of the measurement instrument for the assessment of family functioning, expert and construct validation was performed, which was applied to 110 people.
Results: The validity by experts showed that the instrument has clarity and relevance; the factor analysis demonstrated the instrument's two-dimensionality, in addition to being reliable with a Cronbach's Alpha of 0.878.
Conclusions: The family functioning assessment instrument is a theoretical instrument, built from the family functioning assessment model and allows assessing the level of functionality or family functioning; and proved to be valid and reliable.

By Kevin Julian Aya Roa, Isaura Arreguin Arreguin, Carlos Alberto Nuñez Colin, Jose Manuel Herrera Paredes

2022-12-12 Original
Marcadores serológicos asociados a mal pronóstico en pacientes Covid-19 positivos

Antecedentes: Covid-19 es una enfermedad causada por un nuevo coronavirus conocido como SARS-CoV-2. La proteína viral Spike se une a los receptores corporales ACE2 y determina su infectividad. Este proceso tiene muchos efectos en el huésped, causando daños en el sistema respiratorio y a nivel sistémico en general, evidenciados en la elevación de marcadores de laboratorio como la Interleucina-6, Ferritina y D-Dímero.
Objetivo: Analizar los biomarcadores (Interleuquina-6, Ferritina y D-Dímero) como factores de mal pronóstico en Covid-19.
Métodos: Se recolectaron los datos de los pacientes con Covid-19 que además tenían resultados de IL-6, D-D y Ferritina obtenidos a través de las bases de datos del hospital IESS Ambato.
Resultados: Reportamos 114 pacientes con Covid-19, a quienes analizamos los marcadores serológicos. D-D e IL-6 muestran una OR de 1,34 (C.I.: 1,14 - 1,58) y 1,26 (C.I.: 1,11 - 1,43) respectivamente. La ferritina tuvo una asociación positiva en la población femenina 1,11 OR (C.I.: 0,99 - 1,24), pero en la población masculina, no encontramos una asociación significativa 3,91 OR (C.I.: 0,46 - 32,99). Se encontró que las comorbilidades eran un factor protector con una asociación negativa de OR = 0,88. Las causas secundarias de muerte en los pacientes Covid-19 fueron la parada cardiaca y la neumonía (23,1%).
Conclusiones: Los marcadores IL-6, Ferritina y D-D fueron evaluados y demostraron ser herramientas valiosas para predecir el mal pronóstico en pacientes con Covid-19. Estos marcadores procedieron independientemente de otros factores como las comorbilidades. Los hallazgos de este estudio pueden ayudar al manejo y pronóstico.

By Paola Micaela Lasluisa-Toalombo, Daniela Alexandra Rosero Freire, Angela Carolina Jacome-Lara, Luis Fabian Salazar-Garcés

2022-12-06 Original
Prevalence of arterial hypertension and its risk factors in Pinar del Río

Introduction: cardiovascular diseases, especially arterial hypertension, constitute a health problem with high prevalence.
Aim: to characterize the prevalence of arterial hypertension and its risk factors in Pinar del Río in 2018 and 2019.
Methods: observational, descriptive and cross-sectional study in patients with arterial hypertension in the province of Pinar del Río during the years 2018 and 2019. Reports from the statistics department of the Provincial Health Directorate were used as a source for obtaining the information.
Results: the prevalence rate of hypertension was 27.31 and 28.50 per 100 inhabitants respectively in 2018 and 2019 of, with a variation of 4.35 %. The highest rate for both years was exhibited by Mantua municipality (36.52 and 37.17 per 100 inhabitants in 2018 and 2019 respectively). Smoking and sedentary lifestyle were the most prevalent risk factors (17 and 13 cases per 100 inhabitants). The highest smoking rates were exhibited in 2018 by Viñales and in 2019 by Mantua. Obesity and sedentary lifestyle showed higher prevalence in both 2018 and 2019 in Guane municipality. Viñales presented the highest prevalence of alcoholism, and La Palma of hypercholesterolemia.
Conclusions: there was an increasing trend in the prevalence of arterial hypertension and its risk factors between 2018 and 2019. The municipalities with the highest prevalence of arterial hypertension coincide with the highest prevalences of its risk factors.

By Odalys Lago Carballea, Mercedes Martínez Cruz, Jorge Luis Ferreiro Corrales, María Caridad Ledesma Baño, Keilan Duarte Hernadez, Odisleydi Ferreiro Lago

2022-12-06 Original
Ancestral knowledge and pedagogical projects with students of the Pijao ethnic group, Coyaima Tolima

Indigenous peoples possess a wealth of knowledge, traditional practices, cultural forms, and access to natural resources, as well as collective social organization and community life that contribute to factors of resilience in the face of adversity and uncertainty. Rural communities face the greatest risks of job automation, as their economies tend to have activities with a high proportion of repetitive tasks, low economic diversification, and emigration of highly skilled labor. Preparing rural economies to face the challenges and reap the benefits of technological change is crucial to make the most of the digital era for people and businesses. It is necessary to develop a learning management system based on the Moodle platform to improve the teaching and learning processes in the area of technology and informatics, since in the rural regions of Colombia the necessary policies to make the promises of digital technologies a reality for rural growth and welfare are an open debate. It is necessary to recognize the existence of a traditional episteme and analyze the plurality of knowledge in the tradition of knowledge, in the sociocultural scenarios that occur, in order not to perpetuate the forms of social, cultural, and educational reproduction under a unilateral vision of knowledge.

By Julian Steve Guzmán Rodríguez, Idana Beroska Rincon Soto, Nayibe Soraya Sanchez Leon

2022-12-31 Original
2D numerical model of downward push pull ventilation for protecting workers against airborne infection

Industrial clusters contributed significantly to the spread of Covid-19 worldwide, including in Indonesia. One of the causes is that maintaining a minimum distance of 1 to 2 meters between workers is often challenging due to the plant layout and work system design limitations. Therefore, an intervention to the workstation is needed to protect industrial workers from potential exposure to Covid-19 and other airborne infections. One technology that has a high potential to be applied to solve this problem is the air curtain/personalized ventilation. This research analyzes the effectiveness of downward push-pull air curtain in protecting workers from inhaling the infected microdroplet. The extent to which the downward push-pull ventilation can withstand the burst of microdroplets was studied by varying the air speed ratios of the air curtain. A 2D simulation was carried out with Salome, OpenFOAM, and ParaView softwares. Two scenarios were tested, i.e., the distance between the person who is coughing is 0.5 and 1 meter from the air curtain. For the distance of 0.5 meter, the results showed that the optimum velocity ratio between the pushed and pulled air was 0.17 with a droplet penetration percentage of 8.98 %. While for 1 m, the optimum velocity ratio was 0.25 with a droplet penetration percentage of 5.67%.

By Ratna Sari Dewi, Burniadi Moballa, Anny Maryani, Ni'matut Tamimah, Dimas Hafidz Bramansyah, Muhammad Wahyudin

2022-12-15 Original
Use of alternative medicine to treat Covid-19 symptoms

The use of alternative medicine helps to prevent the symptoms generated by Covid-19, among the methods is phytotherapy or herbal therapy, homeopathy acupuncture, among others, all with different functions such as moxibustion, for coughs, flu, lungs, pain body, breathing, etc. Although some people do not use it due to the few results in improving their health. In this article, the use of alternative medicine to treat symptoms of Covid-19 was analyzed through a quantitative exploratory approach, the population was taken through a simple random non-probabilistic sampling of 40 people from the Baños parish of Ulba between 30 At 60 years as results it was obtained that, among the most frequently used methods was phytotherapy with 65%, followed by homeopathy with 15% and acupuncture with 12.5%. It was concluded that it is important to know the benefits that contributes to health using alternative medicine such as medicinal plants to improve health and in this case to a virus that has affected and caused the death of countless people.

By Flor María Paguay Hidalgo, Mayra Alexandra Sánchez Zurita

2022-12-21 Original
Prevalence of allergic or contact dermatitis related to hand hygiene in a hospital institution

Introduction: Healthcare workers who are in contact with infected cases or work in a high-risk situation have increased hand washing frequency.
Aim: To determine the prevalence of allergic or contact dermatitis secondary to hand hygiene at Omni Hospital.
Methods: This is a quantitative, non-experimental, cross-sectional research, which allowed the collection of data and statistical analysis of the survey applied to health professionals corresponding to the Omni Hospital. The sample consisted of 393 participants selected by snowball sampling.
Results: 61.3% of the participants were women, the prominent age range was 31 to 40 years, and the service area with the highest number of respondents was the assistance area. It was determined that women have greater prominence to present allergic dermatitis (70%), those who exercise care activities correspond to about 65% and 30% performed hand washing more than 18 times during their workday.
Conclusions: The prevalence of allergic hand dermatitis in the study population was 80%, its risk factors included working as health professionals with direct relationship to the patient, having a history of allergic dermatitis, having underlying atopic dermatitis, using gloves in daily life and frequent hand washing.

By Oscar Caicho Caicedo, Alexandra Esther Chichande Lara, Danny Manuel Nicolalde Rodríguez, Maricela Briones Loor, Viviana Muñoz Cáceres

2022-12-22 Original
Challenge-obstacle stress and loss of productivity and activity: a correlational analysis focused on nursing staff

Introduction: Occupational stress, defined as a set of physiological and psychological reactions experienced by the organism when faced with environmental demands that exceed personal coping resources, can be seen as a reality inherent to the work context, especially in health care institutions.
Aim. To examine the association between challenge-obstacle stress and loss of productivity/activity of nursing personnel working in two private Colombian health care institutions.
Methods. This is a correlational-cross-sectional study based on the application of instruments: challenge-obstacle stress scale (ERO) and the Work Productivity and Activity Impairment Questionnaire in its Spanish version during the year 2022, which were applied to 95 nursing professionals and 51 nursing assistants.
Results. It was found that the average challenge stress is higher than obstacle stress and the percentage of work absences due to stress is very low. The ERO model was not associated with absenteeism, but significantly and positively predicted presenteeism, loss of activity and economic losses due to stress.
Conclusions. It is crucial to adjust interventions focused on the management of psychosocial occupational risks in health care workers according to the differential weight of challenge stress and obstacle stress in the explanation of productivity/activity loss.

By Eugenio Alexander Garnica Serrano, Janneth Medina Murcia, Mario Hernán González Briñez, Boris Ernesto Cendales Ayala

2022-12-15 Original
Life experiences of overcrowded families in the Comunidad Tingo Grande

Introduction: Overcrowding in the home is a risk factor, an aspect of danger often faced by household members, which increases the probability of frequent injuries or illnesses. In a country of 12 million inhabitants, with nearly 3 million homes, there is an alarming qualitative housing deficit.
Objective: To report life experiences of families that are overcrowded in the Tingo Grande Community.
Methods: This research is qualitative, uses the collection and analysis of data, is based on the real life of 5 households which are made up of more than 3 families which have conflicts on a daily basis.
Results: Open coding made it possible to distinguish four categories: a) emotional, b) family, c) communicative and d) economic. They have been reorganized to build a comprehensive model that formulates the main results for the phenomenon under study.
Conclusions: The quality of life of the population in a family agglomerate is affected by overcrowding. The main risk factor for family overcrowding is the low educational level. The lack of a stable job that does not allow enough income to support the home is also a risk factor.

By David Israel Zambrano Acosta, Graciela De Las Mercedes Quishpe Jara

2022-12-17 Original
Humanized nursing care to the palliative patient during hospital stay

Introduction: Humanized care in nursing practice is an urgent need in the palliative field due to the high vulnerability of this type of patients, physical and emotional deterioration, uncertainty and ignorance of the disease and care processes.
Objective: to identify the perception that palliative care patients and their families have of the humanized nursing care they receive during hospital stays.
Methods: it was a descriptive study, with a quantitative approach developed in a population of 15 patients over 18 years of age. The data was collected through the questionnaire "Perception of Behaviors of Humanized Nursing Care PCHE third edition.
Results: The results of the perception of humanized nursing care in palliative patients were unfavorable; globally, 93.3 % reported that this technique is only applied sometimes. In the dimension qualities of nursing, openness to communication and although not in significant percentages if compliance was always observed in frequency (13.3 %), however in the willingness to care dimension a percentage of 33.3 % He said that it never happens.
Conclusion: Based on the results, it can be said that within the health unit under study, humanized care is not applied adequately and opportunely to the palliative patient because these were unfavorable both globally and in each of its three dimensions.

By Gabriela Lissette Peralvo Veloz, Gloria Isabel Ramírez Gavilanes

2022-12-22 Original
Thromboembolic and hemorrhagic risk in permanent nonvalvular atrial fibrillation

Introduction: Atrial fibrillation is the most frequent cardiac arrhythmia in daily clinical practice and is associated with a marked increase in the risk of thromboembolic accidents.
Objective: to characterize the thromboembolic and hemorrhagic risk in patients with permanent nonvalvular atrial fibrillation.
Methods: an observational, descriptive and transversal research was carried out at the General Teaching Hospital "Abel Santamaría Cuadrado" of Pinar del Río during the period between July 2019 and July 2021. We worked with the whole universe and it was constituted by 92 patients.
Results: the incidence of atrial fibrillation increased as age increased, the male sex represented 64,2% of the sample. High thromboembolic risk was found in 60,86 % of the patients. Regarding risk factors, 68,4 % were older than 65 years, 61 % of the patients presented high risk of bleeding (53,26 %), there was a predominance of oral anticoagulants in patients with high risk of bleeding as well as in those at low risk, with 28,26 % and 31,52 % respectively.
Conclusions: Patients had a high level of thromboembolic risk and received anticoagulant treatment. The most frequent risk factors for bleeding were age, drugs and alcohol. Most patients had an elevated bleeding risk.

By Angel Echevarria-Cruz, Ernesto Alejandro Gracia-Peña, Diego Ernesto Suárez López, Abel García Acosta, Malena Prieto Suárez

2022-12-22 Original
Impact of the Diploma in Medical Education on the teaching performance of the specialist in General Comprehensive Medicine

Introduction: One of the tendencies of the postgraduate in the medical education in the academic field to world-wide level is the need to develop a process of evaluation with approach in performance and this requires of the preparation of the professors, specifically of familiar medicine.
Objective: To value the impact in graduated medical education course a contribution in the formation docent of the general integral medice specialist in Miguel Enriquez medical school.
Methods: A descriptive study was carried out with docent of the geral integral medice specialist graduated medical education course in a revision relationship, employment of theoretical methods, to apply an inquiry in the in 30 Miguel Enriquez medical school graduated.
Results: It was successful in the docent category, assistant professor (33.3 %), associate professor (43.3 %) and 3.3 % full professor post graduated, a (20,0 %) master’s in science and (3.3 %) PhD, was a high level the polities and ideology, methology and educative docent performance.
Conclusions: The medical educational course to general integral medice specialist permitted a surmounting level in professional and professoral superation in the graduated in the docent, academic process, besides, in the docent, educational, methology and political an ideology process.

By Emilio Vidal Borras, Beatriz Hernández González, Yolennis Castillo Piña, Mildre Marrero Hidalgo

2022-12-26 Original
Anxiety disorders in seniors during the COVID-19 pandemic

Introduction: The COVID-19 pandemic has affected different populations, of which the most vulnerable is the elderly, since in this population there are more risk factors than protective factors against a disease that has a varied symptomatology, all this has generated in the elderly a feeling of helplessness and insecurity, which can become symptoms of an anxiety disorder.
Aim: to analyze the anxiety level of older adults during the COVID-19 pandemic.
Methodology: it corresponds to a quantitative research design of descriptive observational and correlational cross-sectional cohort type.
Results: regarding demographic variables, it was found that most of the population studied were men between 60 and 79 years of age; the older adults of Santa Rosa parish have a moderate level of anxiety; 15 of the 21 symptoms evaluated by the Beck Anxiety Inventory (BAI) were presented with equal intensity in men and women.
Conclusions: the most frequent symptoms were strong and accelerated heartbeat, weakening of legs, fear of the worst happening, feeling dizzy, insecurity and trembling body, all these symptoms are found in the test used (Beck Anxiety Inventory or BAI); the most frequent anxiety level was moderate anxiety.

By Lizeth Esthefania Poaquiza Aman, Eulalia Isabel Analuisa Jiménez

2022-12-30 Original
Creation and validation of the format for health-nurse assessment in obstetric patients

Introduction: the obstetric patient is defined as a female patient who presents certain characteristics that occur due to alterations in maternal physiology and diseases developed during pregnancy, up to the delivery process.
Aim: to create and validate a health-nurse assessment form for obstetric patients during labor.
Method: a quantitative, cross-sectional and applied study was carried out with the participation of six experts in the health area; two obstetricians and four nursing graduates to validate the instrument, who gave their opinion on the wording and coherence of the items proposed. The pilot plan was carried out in 14 rotating nursing interns where the survey was applied and reliability was obtained with Cronbach's alpha. Once the validation and reliability were obtained, the instrument was presented to the study sample corresponding to 99 students of the fifth semester of the nursing career at the Technical University of Ambato.
Results: a Cronbach's alpha of 0.89 was observed, which is in a high reliability range; in addition, the format is valid, with an average acceptance rate of 1.00.
Conclusions: the application of the evaluation form to 5th semester nursing students determined that the instrument is appropriate (76.77 % TD), clear (60.61 % TD), appropriately timed (51.52 % TD), easy to apply (72.73 % TD), useful (75.76 % TD) and recommended for use (73.74 % TD).

By Joselyn Ivette Freire Freire, Carmen Alicia Llerena Cruz

2022-12-27 Original
Uses of chlorine dioxide as prevention and treatment of COVID-19 from the user's perception

Introduction: Chlorine dioxide was used as prevention and treatment of COVID-19, in pandemic times, however, there is still no evidence-based medicine to support its benefit.
Aim: to describe the perceptions of patients with COVID-19 about chlorine dioxide consumption.
Method: a qualitative methodology was used for a deep and experiential approach on the subject in 15 adults belonging to the Huachi Loreto parish of the Ambato canton, in Ecuador, the interviewees are between 30 and 45 years old, with an average of 38.9 years, being 60% adult men while the remaining 40% are adult women.
Results: the results show that chlorine dioxide was used for both treatment and prevention of COVID-19, what motivated its use was the lack of knowledge of the disease and its high mortality at the beginning of the pandemic, in addition to the influence of people close to the population under study and finally the effect of chlorine dioxide was only positive.
Conclusions: all persons who used chlorine dioxide either as treatment or prevention for COVID-19, for multiple reasons, reported no unfavorable effects, however, WHO, PAHO and the Ministry of Health of Ecuador prohibit its use as it lacks evidence-based medicine to justify its effectiveness.

By Alexandra Cristina Córdova Lascano, Hortensia Senaida Ortiz Suárez

2022-12-29 Original
First report of fatal renal coccidiosis in a Biguá (Phalacrocorax brasilianus) in coinfection with nematodes from Argentina

After being rescued from a state of weakness, a biguá (Phalacrocorax brasilianus) specimen under clinical management conditions underwent a remarkable general improvement before abruptly deteriorating until dying within a few hours as a result of acute renal failure. Clinical analysis and post-mortem histopathological findings demonstrated the presence of a large burden of gastrointestinal nematodes and severe renal involvement by Eimeriorina representatives. These latter were found to be the cause of extensive kidney damage sufficient to cause acute renal failure and to be considered the primary cause of death. Throughout this work, we obtained an overview of the pathogenesis and clinical manifestations of avian renal coccidiosis, which had been poorly documented previously. This coccidial finding, never before reported in this species, implies a high probability of recording a new species of Eimeria.

By Sergio Ivan Garijo, María Cecilia Netri, Javier Origlia, Nancy Arias, Hugo Lopez Faray, Norberto Fabian Lopez, Maria Florencia Unzaga, Miguel Victor Piscopo

2022-12-31 Original
A study on the method to visualize the product development cycle by predicting patent applications for each product

Knowing the growth process of a company's business and products is a valuable insight for innovation. While launching the first product is a prerequisite for innovation, the process after the launch of the first product is equally important. In many cases, a business is finally established after several generations of product launches. In this study, we show a method to visualize the product development cycle of each generation by predicting the transition of the number of patent applications for each product. Furthermore, as part of the discussion, we apply this method to Seiko Epson projector products and demonstrate that our results were valid. We observed that Seiko Epson repeats the product development cycle in the growth process of its projector business and products. Based on the findings, we discuss the method's applicability to the analysis of a company's business and product growth.

By Yoshinori Hayashi, Koji Masuda, Shigeyuki Haruyama

2022-12-31 Original
Measuring the social impact on employee engagement using agent-based simulation

Employee Engagement is a pattern of human interaction in an organization that presents excitement, dedication, and comfort in the work environment: the higher employee engagement, the more efficient way to reach the goals. Measuring the impact of employee interaction on employee engagement became essential for the organization. This study applied the social impact model to describe the interaction patterns of employees within an organization, including the intervention of leaders in groups. The agent-based simulation is constructed to simulate the behavior and interaction patterns. This study assessed the impact of 4 employee engagement aspects: recognition, care, commitment, and best friend. Agent leader and agent employee were the two primary roles of the simulation. The employee engagement survey has conducted by our university with more than 380 respondents, including the leader and staff. New trait adoption role as a pattern of employee engagement interaction has been formulated in this study and becomes a state of change of agent behavior in simulations. The level of employee engagement can be calculated and displayed in the dynamics of change with agent-based simulations. The four aspects of employee engagement show the effect of increasing the level of engagement with a variety of different patterns.

By Arief Rahman, Sri Gunani Partiwi, Ratna Sari Dewi, Naning Aranti Wessiani

2022-12-31 Original
Morphometric Analysis of Gandak River Drainage Basin Using Geographic Information System (GIS) And SRTM-DEM

Quantification of drainage networks in relation to geomorphology, lithology, climate, and tectonics gives important evidence of an area's hydro-geomorphic, denudation characteristics, and drainage development. The current research used the Shuttle Radar Topographic Mission (SRTM) DEM to investigate drainage morphometry and its impact upon the environment, as well as hydrological analysis of the Gandak river basin, which is a prominent tributary of the River Ganga in India. The morphometric characteristics of watersheds have been evaluated using avant-garde methods like those developed by Horton and Strahler. Their findings demonstrate that techniques for geographic information systems and remote sensing are more effective for computing and analysing morphometric parameters. Using the Arc GIS 10.5 programme, 17 morphometric parameters were determined. These parameters reflect the dendritic type of drainage pattern of Gandak watershed. Specifically, these watershed has a porous subsurface; hence, runoff is comparatively modest, as seen by the low drainage density, infiltration rate, and frequency of streams. The Gandak basin's low drainage density and coarse drainage pattern suggested an open opportunity for artificial recharge structures. The current morphological-based prioritisation is also supported by geological field verification. As a result, adequate soil erosion management techniques are required in this basin to protect the land from future erosion. This research will aid in the efficient use of water resources and the long-term development of the Gandak River basin.

By Arushi Jha, Naresh Chandra Gupta, Bratati Dey

2022-12-31 Original
Response surface methodology approach in achieving multi-response setup optimization in the machining process

A machining cost is constructed on many factors. All aspects potentially raise the additional charges resulting from not achieving dimension due to tool wear level. The accuracy of parameters determines the effectiveness of the machining process. However, these parameters are sensitive, so the different machines may not provide the same performance. The specific machining parameters become less suitable for others. This experimental approach is proposed to obtain the parameter used on other machines without reducing the performance. This multi-response study used a response surface methodology by selecting the material removal area, feed rate, spindle speed, and the number of repetitions as input have a dominant influence on the tool wear and the dimension deviation. A comprehensive range with the specified target is obtained by applying different weights. Testing on 11 units of machines from 3 other countries provides the same performance and contributes to saving 15% of machining time.

By Yohanes T. Wibowo, Nurhadi Siswanto, Mokh Suef

2022-12-31 Original
The effect of composite thickness as thermal insulation roof coating on room temperature reduction

The increasingly widespread use of galvanized roofs certainly has an effect on the occupants in the room below. Among them is a hot room temperature. For that reason, it is necessary to make new discoveries in the field of composites of natural materials to overcome them because most natural materials, especially natural stone, have low thermal conductivity, which means they can inhibit heat propagation. This study sought to ascertain how much andesite natural stone powder, combined with epoxy, can lower the room temperature when it is layered on a galvanized roof. Different amounts of natural stone powder applied to a galvanized roof results in different thermal conductivities. The temperature readings were taken at a height of 20cm above the roof, right at the bottom galvanic, as well as the temperature in the room below. Our results showed that adding andesite natural stone powder to the roof was able to lower the room temperature, and the thicker the composite layer in coating the galvanized roof, the lower the room temperature under the roof.

By Redi Bintarto, Anindito Purnowidodo, Djarot B. Darmadi, Teguh Dwi Widodo

2022-12-31 Original
A Study on the Relationship between "Managerial Decision Making" and "Factors Influencing Innovation Success" in Japanese Niche Top Firms

In Japan, there is a niche top company in the mower category of the agricultural machinery market, Company O, which has continued to grow by creating a series of new products that did not exist in the market. In this study, we report the results of our research on Company O, a niche top company, and how they have controlled the factors that affect the growth of the company in the innovation process and how the management has been involved in controlling these factors in order to create innovation in their products and market growth. We report the results of our research and discussion on how managers have been involved in the control of these factors and in decision making.

By Shigeyuki Haruyama, Kojiro Fujiama

2022-12-31 Original
A Review of Data and Document Clustering pertaining to various Distance Measures

Data is being generated at an increasing rate in a variety of fields as science and technology advance. The generated data are being saved for future decision-making. Data mining is the process of extracting patterns and useful information from massive amounts of data. The distance measure, which is used to calculate how different two objects are from one another, is one such instrument. We have conducted a comprehensive survey of how the distance measures behave when employed with different algorithms. Furthermore, the effectiveness and performance of some novel similarity measures proposed by other authors are investigated.

By Sumathi Subbarayan, Hannah Grace Gunaseelan

2022-12-31 Original
Machine learning based efficient routing protocol in wireless sensor network

Data loss and recovery are important factors that directly affect the efficiency of the wireless sensor network (WSN). The wireless channel characteristics have a significant impact on data transmission and reception. On the receiver side, the most difficult tasks are maximizing packet delivery ratio and recovering lost data. In some cases, cyclic redundancy check (CRC) based algorithms can provide better data recovery. The CRC method can be made adaptive by using channel characteristics to correct the error bits. This paper evaluates the performance of the proposed machine learning-based efficient routing protocol (ML-ERP). For data recovery, the CRC with channel impulse response (CIR) prediction based on sensor node location information was used. The data recovery capability of ML-ERP increased the network efficiency in terms of packet delivery ratio. Also, due to less data loss, the energy efficiency of the network was also improved by almost 6% over existing protocols.

By Shankar Madkar, Sanjay Pardeshi, Mahesh Shivaji Kumbhar

2022-12-31 Original
Trend analysis of technology by using F-trem japanese patent and core technology clarification with Quality Function Deployment (QFD) approach

When a company develops technologies or products, it is important to obtain the trend of technology. It is necessary to obtain the trend of technology from macro and micro perspectives. In this case, patent information was used in both macro- and micro- perspectives. The core technologies of the companies are used to analyze the trend of technology from the micro perspective. The QFD approach is used as a method to identify the core technology of a company. From the core technology obtained by the QFD method, the patent classification codes are identified. The changes in technology were obtained by using the patent classification code.

By Yoshie Ishii, Shigeyuki Haruyama

2022-12-31 Original
Patch Antenna with Slots for L and S – Band Communication

A slot loaded rectangular antenna is designed to resonate at three distinct frequencies. Initially, a simulation software (CST Microwave Studio) was used to design the antenna. This device was assembled by introducing one slot near the center and the remaining slots on both sides of the central slot, placed diagonally, to observe frequency variation leading to tuning the designed frequency. The addition of slots on the patch with variations in feed point location shows multiband frequency tuning behavior at three resonant frequencies. Variations of the slots distance with respect to each other along with changing the feed point locations are studied with tuning of the resonant frequency within the same band (L and S-Band). The RL values are not degraded for both simulated and measured results, thus antenna performance is not disturbed by multiband frequency behavior.

By Manik Chandra Borah, Parimita Saikia, Anup Kr Bordoloi, Bhairab Sarma

2022-12-31 Original
Ergonomic evaluation of the chicken hanger workplace in a bird processing company

Introduction: In the poultry processing industry, activities are developed that require the performance of multiple repetitive tasks, generally while standing upright; which increases the risk of developing musculoskeletal disorders in the upper extremities and lower back. These risk factors include: repetitive movements, forced postures, awkward and static postures, vibration and high and low temperatures. Affecting body segments such as neck, shoulders and back. Aim: To ergonomically evaluate the work station: "chicken hanger" of a poultry processing company, in the state of Aragua-Venezuela, during the year 2022. Methods: Quantitative, descriptive, non-experimental, field and cross-sectional research. The population and census sample is constituted by eight (8) workers. In the collection of information, the interview was applied to obtain sociodemographic and labor data, in the description of the work position the documented observation technique was used and for the determination of musculoskeletal discomfort the body schema of pain and the Check List OCRA method were used.
Result: The entire population is male, right-handed, average age 33 ±2.67, normal weight, average seniority 4 years ±2.36, with pain at the end of the workday in the shoulder, lower back, upper back and knees. Their Ocra Index was high on the right side and medium on the left side.
Conclusion: In the job "chicken hanger" there is a high risk of suffering musculoskeletal disorders in the upper limbs, with greater relevance in the right upper limb.

By Isabel Zea Quispe, Misael Ron, Estela Hernandéz-Runque, Evelin Escalona, Valentina Trovat-Ascanio

2022-12-30 Original
Adherence to the mediterranean diet in an urban population of the ecuadorian sierra

Introduction: Mediterranean diet is characterized by being balanced, varied, and includes the necessary nutrients for the life of the human being, the moderate intake of red wine has antioxidant characteristics, it prevents atherosclerosis becoming a cardiovascular protector, likewise the nuts contribute to the reduction of triglycerides.
Objective: Determine the adherence to the Mediterranean diet in an urban population of the Ecuadorian highlands.
Methods: Quantitative research, with a non-experimental descriptive correlational approach, cross-sectional, carried out in August 2022, which uses a questionnaire as a tool which was applied to a population of 133 people who constitute the sample of participants.
Results: The results were tabulated using the Excel 2016 version software, obtaining scientific data. The study reflects that 66.2% of the population shows low or poor adherence and 33.8% show good adherence to the consumption of a Mediterranean diet, in many of the respondents the intake of carbonated drinks, high-calorie products such as cakes or commercial confectionery has become a habit forming these as a fundamental part of their diets.
Conclusions: The mediterranean diet is a new concept for our country, however, there is a large amount of scientific evidence of the benefits that it brings to the nutritional status in addition to the prevention of non-communicable diseases such as diabetes and hypertension.

By Mayra Alexandra Chimborazo Caizaguano, Verónica del Pilar Cantuñi Carpio

2022-12-31 Original
Experiences of nursing staff in the management of chemotherapeutics

Introduction: Chemotherapy administration is a complex task that has some security problems; therefore, it is necessary to reinforce strategies and interventions in the nursing staff in order to avoid secondary and opposite events related with its management.
Objective: To distinguish nursing staff experiences in the administration of chemotherapy drugs.
Method: The study is a mixed exploratory, sequential design, with the first stage being a quantitative cross-sectional study and the second being a qualitative exploratory approach. Participants were 30 nurses which work in 6 different institutions from public and private of Ecuador. These institutions provide a health service in some areas as: oncology and hematology. They are located in the following 3 Ecuador's provinces: Pichincha (3 health centers), Ambato (1 health center), Chimborazo (1 health center) and Guayas (1 health center)
Results: The nurses' age was from 32 to 36 years old whereas the experience in the oncology area was 3 years. Around of 66.7% of them had information about secondary events management and protocols' administration in Chemotherapy in their institutions. Control of catheter in continuous and intermittent infusions prior to administration (33,7%), post-drug administration measures such as vein lavage (100%) and extravasation management (66,7%). 13,3% of nurses showed that have got training sessions for administration Chemotherapy drugs. The qualitative research project indicated that the worst experience is to manage an infiltration.
Conclusions: In summary, nursing staff must be highly specialized in the administration of chemotherapy drugs during the treatment and prevention of derived diseases. The majority of respondents indicate a high level of knowledge based on their experience; however, it is critical that institutional protocol training and socialization increase to avoid patient issues.

By Jhoselin Tatiana Barrera-Cruz, Verónica Sofía Quenorán–Almeida

2022-12-31 Original
Identifying Noise Sources & Alarm Hazards in ICUs – Occurrences. Tools to Minimize

ICU of a hospital is considered to be one of the most stressful and psychologically taxing working places because of the congregation of critically ill and severely injured patients. Patients with any life-threatening illnesses are admitted to the intensive care unit. ICU is a place where sophisticated equipment and machinery necessary to supervise and care for a seriously ill patient are strung together to meet the treatment needs of patients without the possibility of neglecting them. Part of the ICU architecture is medical device alarms. Clinical devices and other appliances sound hundreds of alarms per patient per day, creating a dissonance that can overwhelm, distract, and desensitize health care workers as well as patients. The hazards related to excessive noise and clinical alarms were conceived as a project when it was observed that the stress level of patients and care givers increased due to the noise coming out of these alarm systems. A study undertaken in one of the multispecialty Hospitals in Bhubaneswar to find out the possible sources of stress revealed that noise from alarms and other sources were proving to be a source of a hindrance for effective communication and contributing to patients’ stress. The results of our study indicate that behavioral modification alone is not adequate to control excessive noise. There is a need for further research involving the supportive involvement by clinicians, nurses, and paramedic and support staffs, along with effective medical device alarm management, and continuous process improvement methods and training.

By Swetapadma Dash

2022-12-31 Original
A comparative study on sustainability assessment level (BREEAM, LEED, and Estidama) to develop better environment sustainability assessment

The terms "Sustainability" and "Green Building" have become concepts of widespread interest. As a result, the research and development of sustainability standards and rating systems became an international trend. This paper evaluated three sustainability assessment standards to develop an overall assessment standard that can be applied worldwide. BREEAM, LEED, and Estidama were chosen as standards, and a scoring system for the developed method was proposed. A proposed assessment method (PAM) was developed with the following factors: energy (23%), water (15%), materials (15%), indoor quality (14%), land use, ecology, and management (10%), outdoor quality (9%), and finally innovation (4%).

By Raghad Mourad, Julaihi Bin Wahid

2022-12-31 Original
IOT Based secured Low cost Visitor Tracker using smart Application

Since the end of 2019, the world has been reeling with the COVID-19 pandemic. The drastic and dramatic spread has affected human lives and livelihoods as well as businesses across the world. Organizations across the world are uniting and coming forward to minimize the seriousness of healthcare. The survival of the human community should be the top priority during this time. To control spread, respective higher authorities impose restrictions on public gatherings, with strict action taken against those who exceed the maximum allowed people in public gatherings. Our IOT-based project aims to limit the number of people entering the academic blocks during COVID-19 in order to monitor overcrowding in these buildings. Our electrical circuit or device will monitor the number of people entering the academic blocks, and once the maximum allowed number of people is reached, the next person will not be allowed to enter the building, and the electrical circuit will ring a siren. This will also ensure that social distancing is maintained. Our project is based on Arduino. Several electrical components, such as an Arduino Uno, a prototype, a breadboard, a piezo-buzzer, ultraviolet sensors, and jumper wires, were used. Software simulations were carried out in the well-known online electrical circuit compiler, Tinkercad. A hardware simulation of our project was also made.

By Nagaraj Doddam Reddy, Ganesh Narasimhan

2022-12-31 Original
Innovation in Digital Personalized Learning based on gamifications for learning in SMA during and post COVID-19 pandemic

According to the UNICEF 2020 through the U-Report channel survey, it was stated that over 4,000 students were polled in 34 Indonesian provinces, with 87 percent of students acknowledging that they prefer to study at school. Furthermore, according to the Unesco-Unicef case study report, up to 66 percent of the 60 million students at various levels of education admitted to not feeling comfortable studying from home during the Covid-19 pandemic. However, the solutions offered cannot be implemented because, even if E-learning is used properly, it cannot solve the problem unless it is supported by the readiness of mature human resources. The purpose of this study is to reduce learning loss among high school students during online learning due to the pandemic. Therefore, with the development of gamification-based learning media innovations,an exciting and fun learning environment can be created while students gain a thorough understanding of the material. Furthermore, the existence of this learning media innovation can direct high school students who enjoy playing games to be delighted to receive learning materials that are designed to play. The goal of this research is to eventually serve as one of the steps towards a solution to raise students' academic achievement standards in the midst of a pandemic. This research is critical in order to overcome the pandemic's effects on education in Indonesia.

By Andi Basuki, Andreas Syah Pahlevi, Madziatul Churiyah, Ari Gunawan

2022-12-31 Original
A novel optimization of hybrid feature selection algorithms for image classification technique using RBFNN and MFO

A brain tumor develops when abnormal cells in brain tissue multiply uncontrollably. For radiologists, finding and categorizing tumors manually has become a demanding and time-consuming task. When radiologists or other clinical professionals need to extract an infected tumor area from an MR picture, they have to go through a lengthy and laborious process. To improve performance and simplify the segmentation process, we investigate the FCM-predicted picture segmentation techniques in this study. In addition, classifiers for automating the detection and reclassification of encephalon tumors receive input consisting of critical information obtained from each segmented tissue. We have assessed, verified, and demonstrated the experimental efficacy of the proposed method. The purpose of this research was to develop a novel MFO (Moth-Flame Optimization) based LLRBFNN model for the automatic detection and classification of benign and malignant brain tumors. In order to alleviate the burden of manually detecting encephalon cancers from MR images, the suggested LLRBFNN model parameters are improved via MFO training. The Modified FCM method removes outlying nodes from the LLRBFNN model, and the MFO algorithm keeps the current of node centres in the aforementioned model. The proposed MFO-LLRBFNN model was evaluated alongside the Decision Tree and the Random Forest. To prove the reliability of this model, an MFO-based LLWNN (Local Linear Wavelet Neural Network) model for autonomously detecting brain cancers was presented. We extracted features from MR images using the MFCM (modified fuzzy C-Means) segmentation algorithm and the GLCM (Gray Level Co-occurrence Matrix) technique.

By Kumar Siddamallappa Ujjappanahalli, Vijay Ramnath Sonawane, Nisarg Gandhewar

2022-12-31 Original
Machine learning approach to predict delay in smart infusion pump

Wireless smart infusion pumps are currently under development. It is critical to ensure that the patient receives the correct drug concentration. Practically, the performance of the pump has relied on the minimum startup delay. The minimization of the startup delay is prominent in open-type infusion pumps and rarely in closed types. The emphasis on reducing startup delay puts practitioners and caregivers at ease while ensuring patient safety. The startup delay of the infusion pump is based on the flow rate and the lag time. The prediction of the flow rate and lag time for an infusion pump is necessitated to ensure a safe drug dosage for the patient. Currently, machine learning methods and computational methods to predict the desired parameter are widely used in healthcare applications and medical device performance. The reduction of start-up delay can be achieved by predicting its associated parameters lag time and flow rate. The flow rate is dependent on the speed of the infusion pump, which has to be calculated based on the number of gears and revolutions. The speed of the pump has to be predicted for accurate flow delivery. Our present research attempts to predict the lag time of an infusion pump using different kernel functions of support vector regression (SVR). The performance of the SVR for each kernel function is compared with R2, RMSE, MAE, and prediction accuracy. The prediction accuracy of 99.7% has been obtained in optimized SVM.

By Jayakumar Venkata Alamelu, Asaithambi Mythili

2022-12-31 Original
DoS Attack Detection Mechanism in Wireless Sensor Networks

Wireless sensor networks (WSNs) are not like traditional networks in terms of their characteristics. Unlike WSN, in classic networks, networking mechanisms have decision-making power with reference to the management of an incoming packet only based on its internet protocol (IP) destination address. Assailant nodes can activate a denial of service (DoS) attack after entering the network. This research work focuses on tracing these collusive nodes by applying a trust-based scheme. The trust-based scheme includes measuring the degree of trust among all nodes. Nodes with minimum trust are designated as malicious nodes. Trust is measured based on the overall packets transferred during the time slot allotted. The node forwarding maximal packets and exploiting minimal assists will be tagged as malicious. The nascent architecture was deployed in NS2, and the outcomes were analysed based on particular performance metrics. To calculate trust, the overall packets forwarded by nodes in the allotted slot were considered. The node that transmits the largest number of packets and uses negligible assets was declared a vindictive node. This task implementation presents the approach in the NS2 software and analyses the results based on certain metrics.

By Himani Sharma, Basheer Shajahan, Rajesh Elangovan, Manikandan Thirumalaisamy

2022-12-31 Original
Unlock the Art of People Analytics through Workforce Competency Management

Data application in organizations has shifted its focus to meeting the legal requirements of employment. This shift in data use gradually altered the dynamics of the Human Resource Management (HRM) role, and organizations now expect high-quality analysis from HR professionals.
Various studies suggested that the use of Human Resource Analytics (HRA) would assist HR professionals in developing diverse viewpoints on their contribution to the financial targets of organizations through the creation of suitable measurements. Still, not many researchers have explored the role of HRA in increasing the business outcomes of Indian organizations. In this study, we analysed the role of HRA competencies in determining business outcomes as well as examined the gap existing in the expected and existing competencies of HR analysts in Indian organizations.
Our in-depth literature review prepared a conceptual framework based on Capability Motivation and Opportunity (CMO) model. A quantitative methodology was adopted to gather the data as it integrates the components of HRA competency and measures their impact on business outcomes. A structured questionnaire was designed and distributed to 230 HR professionals, including HRA users as well as HR managers who work in different organizations in the city of Bengaluru. The data were analysed using various statistical tools and SPSS software. Overall, our study provides a significant depiction of the role of HRA in determining business outcomes, as well as the gap between the competencies demonstrated by HR analysts and the competency levels expected of them.

By Gayathri R Babu, Shivaprasad Govindappa

2022-12-31 Original
Crowd Behavior Analysis and Prediction using the Feature Fusion Framework

The increasing number of people is a major cause of disasters that occur due to overcrowding. The gatherings of crowds in public places are a source of panic, which results in disaster. An analytical study was performed on crowd management. This is highly essential for the design of a well-planned public space, the possibility of surveillance in every area, and transportation systems. The disasters that occur due to uncontrollable crowd behaviour involve loss of property, fatalities, or casualties. To avoid this, the crowd's behaviour was analysed. A MFF (multi-level feature fusion) framework was designed in this paper to predict behaviour. The first level of multi-level feature fusion employs motion and appearance, the second level employs spatial connections, and the third level employs temporal features. The combination of these characteristics aids in the exploitation of crowd behaviour. Furthermore, MFF was evaluated considering the web dataset, considering accuracy, precision, and recall as parameters. Comparative analysis was carried out with various existing methodologies with an accuracy of above 99%.

By Manu Yadakere Murthygowda, Ravikumar Guralamata Krishnegowda, Shashikala Salekoppalu Venkataramu

2022-10-24 Systematic reviews or meta-analyses
Destete ventilatorio: revisión sistemática

Introduction: Mechanical ventilation is a life support treatment, in which using a machine that provides ventilatory and oxygen support, we facilitate gas exchange and work of breathing in patients with respiratory failure.
Aim: We propose to systematically review the literature with the highest level of evidence on weaning from mechanical ventilatory support.
Methods: The PRISMA method was used during the writing of this review.
Results: 957 references were found, of which 909 were eliminated because they were not empirical articles, did not address the aim of the review, or did not have the full text. Finally, 48 articles were included. The evidence indicates that the use of standardized weaning protocols or guidelines helps to decrease the total duration (days) of mechanical ventilation by an average of 25%.
Conclusions: Optimal management of mechanical ventilation and weaning requires a dynamic and collaborative decision to minimize complications and avoid delays in the extubation transition, so we must take into account several factors, such as the initial intubation facility, the patient's medical condition, the environment within which extubation will take place, the team acting in that process.

By Erika Quisbert, Natalia Molinari

2022-12-09 Systematic reviews or meta-analyses
Consecuencias psicológicas, emocionales y sociales del acoso callejero: revisión sistemática

Street harassment has a high prevalence; however, it continues to be a little-studied social problem. The lack of action by the authorities and the sensitivity of the victims discourages them from reporting, so it is a relevant issue to study. The objective of this research was to carry out a systematic review with the PRISMA methodology about street harassment and its possible consequences at a psychological, emotional and social level. A search was carried out in the Scopus, Web of Science and Pubmed/Medline databases between the years 2014 and 2021. In terms of the findings, 5 articles were found at the conclusion of the search for analysis. Conclusion: Street harassment is a societal issue that has a significant negative impact on victims' mental health and also has an impact on their families. It is said that greater sociocultural analysis is required, as well as possible governmental action, to lessen street harassment.

By Jonathan Martínez-Líbano, Jovania Gallegos Bulnes, Nicole Oñate Torres, Ivette Villagra Arancibia

2022-12-04 Systematic reviews or meta-analyses
Nursing staff performance in laparoscopic surgical procedures

Introduction: Laparoscopic surgery is the most widely used surgical technique nowadays because it produces fewer risks, complications and the recovery time is faster.
Aim: To identify the performance of nursing staff in laparoscopic surgery.
Methodology: A systematic review was carried out in the following databases: Pubmed, Scopus, Redalyc, Enfermería Investiga, Dialnet, SciELO, among others, in which 18 articles were selected.
Results: The benefits, complications and nursing performance in laparoscopic procedures, taking into account that this type of procedure is one of the best options when performing a surgical intervention.
Conclusion: Compared to laparotomy, laparoscopic procedures present advantages for the patient. Well-trained nursing personnel have the capacity to reduce the surgical time of the procedure thanks to their efficient performance, with their critical thinking they are capable of quickly handling risky situations preserving calm, concentration and the capacity to face such situations in the operating room.

By Roberto Carlos Torres Cruz, Nelly Hiralda Tapia Tapia, Verónica Paulina Herrera Calderón, Martha Lucia Guallichico Maura, Blanca Ofelia Pallango Espin

2022-12-06 Systematic reviews or meta-analyses
Palliative care in brain-dead patients

Introduction: Brain death is an injury at the brain level, which can cause irreversible damage, since death is the irreversible loss of brain functions.
Objective: To identify the role of nursing staff in patients with brain death with a serious prognosis and the impact of the caregiver.
Method: Systematic review of the literature through the selection of academic articles in different bibliographic sources.
Results: 20 original scientific articles were selected that determined the incidence of this condition in young adults and the importance of palliative care.
Conclusions: Brain death has a physical, psychological and emotional impact; The nursing staff is committed to the meticulous care of the patient focused on palliative care in order to alleviate pain, provide comfort, well-being, and a dignified death, providing emotional support to family members.

By Yolanda Elizabeth López Romo, Marlene Elizabeth Cumbajin Montatixe, Silvia Graciela Morales Mayorga, María Aurora Simbaña Quishpi, Carmen Alicia Llerena Cruz

2022-12-25 Systematic reviews or meta-analyses
Clinical and surgical approach of burns in primary care

Background: burns constitute one of the major health problems, since they can affect several systems, so it is necessary to have an adequate and multidisciplinary management according to the needs of each type of patient in order to avoid irreversible alterations. Most burn injuries can be of minor and major risk; those of high spectrum can cause significant morbimortality.
Objective: to determine the clinical and surgical approach to burns in primary care by means of a literature review.
Methods: a non-experimental, descriptive, literature review type study was carried out, including studies containing quantitative information on the clinical and surgical approach to burns in primary care. The information was collected from articles containing a time period of 5 years and indexed in the Pubmed database.
Results: burn management strategies could be assessed in terms of primary care as well as the clinical and surgical approach from the selected documents. The strategies used were the use of cold water and dressings, drugs, pressure methods and tissue grafts.
Conclusions: According to the review carried out by our team, it is possible to conclude that the establishment of the appropriate treatment (clinical and/or surgical approach) will depend on the type of burn given its severity and extent, the nutritional status and the intensity of the pain presented by the patient. It should be noted that an early treatment reduces the risk of developing complications.

By Rashel Lizbeth Cordero Alvarado, Tatiana Pilar Guaita Pintado, Andrés Felipe Mercado González, Ignacio Guillermo Quinde Morocho

2022-12-25 Systematic reviews or meta-analyses
Spirulina applications - marine plant: panoramic review

Spirulina is a blue-green seaweed, the green color is due to chlorophyll and the blue color is due to phycocyanin. Spirulina, having a high protein level, has been used for medical purposes. The aim of this work is to review the medicinal, nutritional and industrial applications that this seaweed has reached. In this work, a systematic review of articles and scientific publications related to the applications of spirulina was carried out. In order to obtain information, several databases were reviewed and 51133 articles were found, of which 20 were selected for analysis by means of inclusion and exclusion criteria, according to three criteria: applications in the areas of health, food and industry. In the articles reviewed, several applications in the area of health, treatments that have been an achievement and other treatments that are being tested, the benefits of spirulina have been increasing in certain foods that are attractive to people, being essential in the production. Spirulina in the context of health proved to be extremely useful, combating cardiovascular problems, dyslipidemia, it is an antioxidant that helps the regeneration of muscle fibers in athletes, optimizing the immune system. This seaweed, little known locally, has had a great impact at international level and has helped to combat a great number of pathologies, which is why we are looking to increase its production.

By Katherine Ochoa Galarza, Willian Moyano Calero

2022-12-31 Systematic reviews or meta-analyses
Patient perception of humanized care in the intensive care unit. Systematic review

Humanized care is a care philosophy that focuses on the patient's experience, visualizing it as a person and not just as a disease. The objective of the research was to identify the perception of the patient in relation to humanized care in the intensive care unit through a systematic review. A qualitative approach was adopted, based on an integrative literary review of 17 articles from the PubMed/Medline, Virtual Library in Health/LILACS, SciELO, CINAHL, and institutional repositories databases, to answer the research question. Regarding the results, 16 investigative articles and one review article were identified, where it was recognized that humanized care is characterized by three dimensions that are the qualities of nursing (friendly treatment, visualizing it as a person, respecting its beliefs), openness to patient-nurse communication (looking into the patient's eyes, explaining the procedures in advance) and the provision of care (delivery of necessary information, respect for privacy). It is concluded that hospitalized patients and those in intensive care favorably perceive the humanized care provided by the nursing staff, which in most cases is frequently promoted.

By Danny Manuel Nicolalde Rodríguez, Oscar Caicho Caicedo, Esther Ramírez García

2022-12-30 Systematic reviews or meta-analyses
Bacteriological profile of diabetic foot infections and their antibiotic treatment of choice

Introduction: Diabetes mellitus is a metabolic disease in constant increase and with alarming projections in terms of incidence; likewise, the complications associated with this pathology are very frequent, such as the development of ulcers at foot level and their infection, which represent the main reasons for hospitalization and lower limb amputations.
Aim: To describe the bacteriological profile of diabetic foot infections and their antibiotic treatment of choice.
Methods: The study was non-experimental systematic review type following PRISMA methodology, in databases such as Pubmed, ScienceDirect, Scopus, Lilacs and Dialnet, considering certain inclusion criteria as articles published between January 2017 - December 2022.
Results: A total of 9 articles were identified that met the eligibility criteria, identifying five most frequent bacteria such as Staphylococcus spp, Pseudomonas aeruginosa, among others. On the other hand, antibiotic groups such as penicillins associated with beta-lactamase inhibitors, third generation cephalosporins, among others, are drugs with high antibiotic sensitivity for the most frequent agents of diabetic foot infections.
Conclusions: Based on the review performed, it is possible to conclude that diabetic foot infections are generally polymicrobial, being the Gram-negative group bacteria the most predominant compared to the Gram-positive group; additionally, for the antibiotic treatment of diabetic foot infections, it should be considered to cover the most frequent infectious agents.

By Paul Alexis Chuquitarco Marín, Luis Mario Chunchi Ayala, Kelly Paola Gómez Guapizaca, Carla María Taimal Sárez

2022-08-07 Review
The role of nursing in intercultural health: challenges in the Argentine context

The aim of interculturality is to build a more democratic society through the conceptualization, description and evaluation of patterns of appropriation and reconstruction of meaning among different human groups. This scientific article aims to describe the role of nursing in intercultural health, with special emphasis on the challenges in the Argentinean context. Nursing is a profession that is changing the ways of approaching health from different roles, if current approaches are taken into account, given that different social groups demand in relation to their belief systems, and how they perceive themselves in different socio-cultural and historical contexts. Interculturality expands our performance in the field of health and education, creating new specialties that will take shape in our research advances, so it is important to invest sustainably for our full development, scientific, technological and human, in order to provide a better quality of life for all humanity and all existences of life, to value and create awareness of the cosmogony of all origins.

By Liliana Estela Lopez, Carlos Oscar Lepez

2022-08-24 Review
Oxygen therapy and high-flow nasal cannula in pediatrics

High-flow nasal cannulae (HFNC) seem to improve respiratory efficiency by flooding the nasopharyngeal anatomical space with a constant high flow, and contribute to the decrease of respiratory work and CO2 washout. A literature review was performed with the aim of this article is to describe the main elements about oxygen therapy and high flow nasal cannula in pediatrics. Oxygen therapy is indicated whenever there is a deficiency in oxygen supply to the tissues. HFNC consists of providing a flow of oxygen, alone or mixed with air, above the child's inspiratory flow through a nasal cannula. The oxygenation of the child, allows to protect its biological functions and its consequent decrease in the possibility of preventing complications that usually arise from hypoxemia. Regarding the advantages and disadvantages of high flow, when surveyed on the perception of the professionals, most of them consider that the CNAF improve the patient's comfort, decrease nasal trauma and facilitate the initiation and progression of enteral feeding.

By Ramona Spindola

2022-09-20 Review
Latin American Anthropological Philosophy: Ethnohistory and Archetype of the Decolonial Subject and its Pedagogical Practices

The aim of this article is to describe the philosophical, ontological, social bases of the Latin American context that served as support for the establishment of Lancasterian educational thought, based on scaffolding, cuts considered archetypal the present symbolic hermeneutical reflection that account for how It has been the process of pedagogical epistemological construction in Roman words "iuris tantum" that is to say, absolute presumption, in fact and in law (first in time and in law), what Latin history has registered and ours as well adopted it. The archetypal ethnohistorical hermeneutical method was used as a category of analysis: mentality, proposed by C. G. Jung for the interpretation of data, sources, texts, magazines, manuscripts, other official documents served as support to establish foundations and reflections. It is concluded in harmony with the author Cassirer, a reflection of philosophical anthropology that focuses on the concept of man as an symbolicum.

By Danny Francis Gómez Romero

2022-10-07 Review
Ethical aspects in the publication of scientific manuscripts: A literature review

Scientific publication is the pillar for the dissemination of knowledge, and in the case of health professions, its objective is to report experiences that allow improving the quality of care provided to patients. However, in recent decades there has been an increase in unethical behaviors linked to the production and publication of scientific manuscripts, which makes it essential to make researchers in training, new and experienced, aware of what these behaviors are and make some suggestions to prevent them. Based on the above, this article carries out a narrative literature review with the aim of grouping in a single document, the core ethical aspects in the dissemination of knowledge through the publication of scientific articles.

By Carlos Jesús Canova Barrios

2022-10-23 Review
Artificial intelligence in the field of nursing. Attendance, administration and education implications

Background: Research on artificial intelligence-based technologies in health care has increased over the last decade, with applications showing great potential to help and improve care.
Aim: to analyze the use of artificial intelligence in the field of nursing and its implications in care, administration and education.
Materials and methods: documentary research. The articles consulted were collected in the following databases: 39 articles in PubMed, 2 articles in academic Google and 1 article in Scielo, published between 2018 - 2022.
Results: 27 (64%) articles that mention the use of AI, to develop prototypes in patient care, 3 (7.15%) articles highlight the importance of AI in decision making, management and service quality and 3 (7.15%) articles mention the development of skills, thinking critical and confident.
Conclusions: greater participation of nurses is required in the design of care prototypes, which implies acquiring knowledge about technology and artificial intelligence as tools to provide quality care.

By Marianela Mejías, Yeisy Cristina Guarate Coronado, Ana Lucía Jiménez Peralta

2022-10-23 Review
Importance of rest and family relations as non-work psychosocial factors that affect nursing staff

Currently, the issue of staff well-being is addressed from many perspectives of the labor spectrum, but in the background of these approaches the intention to improve the rest conditions of health workers and thus influence their family relationships can be found. The ways in which health professionals perceive and take advantage of these rest periods and how they influence their family dynamics are an important part of the challenges of managing health personnel in institutions. Despite the current working conditions and demands, rest and family relationships stand as protective psychosocial factors for the well-being of the nursing professional. Regarding family relationships, the work-family conflict is the main problem on which the efforts of the institutions should be focused to improve the status of their professionals.

By Robinson Ali Garay Pardo, Ricardo Adrián Parra

2022-11-19 Review
Nursing duties in cases of placenta accreta. Bibliographic review

Introduction: With significant growth in recent times, placental accretism represents a large portion of maternal morbidity and mortality in Brazil, being attached to various pre-dispositions such as surgical delivery with the increase of its incidence, thus becoming a major challenge for public policies in the country.
Objetivo: Analisar através de literaturas as atribuições do enfermeiro frente ao acretismo placentário.
Method: This is an integrative literature review, following the development of stages that correspond to: 1. selection of the theme and elaboration of the research question; 2. search and choice of studies in the scientific bases; 3. categorization of the studies; 4. critical analysis of the included studies; 5. interpretation and discussion of the results; and 6. Presentation of the studies in the integrative review structure.
Results: Three articles from the last 10 years, between 2012 and 2022, were found in the Medical Literature Analyses and Retrieval System Online (MEDLINE) databases, inclusion criteria: full articles, indexed in the Virtual Health Library, exclusion criteria: constituted in articles in Portuguese, duplicates in other databases and that are not related to the search period between the years, above.
Conclusion: The role of nurses is essential to guide the early diagnosis, as well as perform educational, preventive, therapeutic, and monitoring of childbirth, leading to a broad and quality assistance. Trata-se de uma quebra de paradigma onde a enfermagem atua apenas na condução de tarefas de cuidados pessoais, frisando a necessidade de novos estudos relacionados a atuação do enfermeiro quanto administrador das routinas do cuidado.

By Gabriela Vacheli Rodrigues, Gislaine Aparecida dos Santos Pinheiro, Roberta Azevedo Silvino Godoy, Patrícia Facina Brandão, William Alves dos Santos

2022-11-19 Review
Health beyond the tribes: a literature review on nursing actions with Brazilian women of indigenous culture

Introduction: Nowadays, the health of indigenous women has been getting its space, being designated by the creation of women's care policies.
Objective: To identify the actions of the nursing team in a population of indigenous women.
Method: This is a quantitative, descriptive data analysis study. It has as inclusion criteria articles in Portuguese, taken from the last 10 years, with the main subject: women's health, health of indigenous populations and nursing.
Results: Three full-text articles were collected from national databases in Portuguese by the Banco de Dados de Enfermagem (BDENF). The inclusion criteria were articles from the last ten years, complete and indexed containing as main subject: women's health, health of indigenous populations and nursing.
Conclusion: It is concluded that due to the facts mentioned that the information on indigenous women's health and nursing care to this population are still few, in view of the errors in the health model offered in these assistance and administrative issues, which affect the health and quality of life, bringing a concern in the health of indigenous women. And the challenges for the professional to work at the village site, due to improvisation and the insecurity of the indigenous women for fear and insecurity of the unknown due to their culture and lack of basic information.

By Bruna Nischiyama Monteiro, Leonardo Neves Portugal, Mara Regiane da Silva Lima, Patrícia Facina Brandão, William Alves dos Santos

2022-11-15 Review
Symphic smallpox, a reemerging disease. Mini-review

Smallpox is a zoonotic disease spread primarily through direct contact with body fluids and active blistering wounds in the dermis of an infected person. The virus is believed to have been first isolated in 1958, the first case in an infant was reported in 1970, and an outbreak occurred in Central Africa (Democratic Republic of Congo) in May 2022. The pathology gradually worsened and then continued to spread outside the territory. When we talk about a new virus, it is necessary to understand the epidemiological pattern in space, which is different from the surface of the classical epidemic, and to know the available methods of prevention and antiviral treatment that can be considered, to know it is necessary to know the scientific evidence of how the virus appeared in our country. Antiviral drugs have been shown to be effective against the pathology in animal models and are clinically well tolerated. This resurgent pathology forces us to update our knowledge on the behavior, composition, treatment and use of smallpox vaccines, as they have proven to be useful against monkeys, so we need an evidence-based medical research literature to guide us in this matter. adopt new methods of prevention.

By Gladys Eugenia Moreno Pilozo, Marlon Andrés López García, Daisy Maribel Gavilanes Acosta, Cristian Stalin Chicaiza Llamba, Yolanda Maribel Venegas Ortiz

2022-12-01 Review
The nurse's assistance in puerperal depression in the absence of the support network for vulnerable women

Introduction: The puerperium is a period in which the woman's body recovers from the physical stress of pregnancy and childbirth, and may be more vulnerable to the manifestation of mental disorders. It is a neglected period of assistance directed to the mother, and most of the attention is directed to the baby, disregarding the psychological transformations that permeate the puerperal pregnancy period. Culturally, it seems that there is an expectation of the woman assuming motherhood promptly, without great difficulties, performing her role well, not having the opportunity to ask for help. Objetivo: Identificar casos de depressão puerperal em mulheres na ausência do apoio familiar e descrever os principais diagnósticos e intervenções de enfermagem.
Method: This is a quantitative, descriptive data analysis study. Its inclusion criteria were articles in Portuguese, taken from the last 10 years, with subject descriptors: Pregnant Women, Social Support, Postpartum Depression. Were part of the inclusion criteria complete articles of case reports.
Results: It is observed that women who did not receive support from family, spouse or friends demonstrate higher risk of having postpartum depression.
Conclusion: We conclude that the perception of support during and after pregnancy may be an essential and protective factor for many women not to suffer from postpartum depression.

By Letícia Gomes da Silva, William Bedóia de Albuquerque Júnior, Érica Ramos da Silva Santos, Tatiane Rodrigues Zaram Alcântara, Aline Albuquerque Cirimbelli Souza, Patrícia Facina Brandão, William Alves dos Santos

2022-12-05 Review
Organisational Learning: A Pathway for the Development of health Cultural Competence.

Introduction: The relationship established between the various users with professionals and health organizations, are influenced by multiple factors, which are multidimensional and multilevel. In order to achieve their effectiveness, it is essential to develop cultural competencies in healthcare teams, but it is necessary to understand how the organization favors the development and applicability of this type of competence.
Aim: To analyze the influence of organizational learning (OL) on the generation of cultural competence (CC) in the individual, professional and organizational focuses.
Methodology: Narrative review carried out in the following databases: Web of Science, Scopus and Scielo, with the search engines Cultural Competency, Organisational Learning, Health Facilities and with the Boolean connector AND.
Results: 11 articles published between 2001 and 2022 were analyzed, 18% (2) from the 2000s, 27% (3) from the 2010s and 55% (6) from the 2020s. The individual CC focus, is developed through AP with the achievement of intellectual and socioemotional skills, stimulating openness to new experiences. The professional focus of CC is favored by the AO that generates instances through collaborative work for the creation of knowledge. The social/organizational focus of the CC, considers that, a culturally competent care, needs to count on institutional commitment in the co-creation of knowledge.
Conclusions: The AO constitutes a tool to promote the development of CC in the individual, professional and organizational focuses, being a challenge for healthcare leaders and managers.

By Daniella Cancino Jiménez, Katiuska Lídice Reynaldos-Grandón

2022-12-16 Review
Direct and indirect methods used for the diagnosis of the Chagas disease in acute and chronic phase

Chagas disease or American trypanosomiasis is an infection caused by Trypanosoma Cruzi. This flagellated blood parasite reproduces in tissues and organs. Chagas disease presents two phases. The acute phase can be asymptomatic and the chronic phase that is characterised by symptoms that could affect not only the digestive and nervous system but the heart. This review aims to depict the main diagnostic direct and indirect methods of Chagas disease which have been applied to acute and chronic phases respectively. However, Chagas disease diagnosis does have some limitations: low sensitivity of indirect methods, related to low blood parasite concentration, and low specificity of parasitological methods. Therefore, the WHO recommends that two tests should be performed in parallel on different principles or using different antigens to establish a proper diagnosis of the disease. Although there are several diagnostic methods, there is no specific test to diagnose this pathology, as the effectiveness of the diagnosis depends on the antigen used and the stage of the disease.

By Nayeli Lisbeth Piloso Bazurto, Gabriela Paola Valenzuela Sánchez

2022-12-25 Review
Insulin resistance as a triggering factor of dyslipidemia

Insulin resistance (IR) is defined as a pathological state that is characterized by a decrease in the sensitivity of insulin in the tissues, on the other hand, dyslipidemia is a lipid level alteration that could develop from insulin resistance. This bibliographic review describes the main scientific contributions that demonstrate whether insulin resistance is one of the essential pathological conditions for developing some of the diseases that constitute serious public health problems, such as dyslipidemia, type 2 diabetes mellitus (DM2) and metabolic syndrome (MS).

By Roberto Alejandro Pérez Freire, Ana Gabriela Pacha Jara

2022-12-23 Review
Educational management as a driver of scientific and technological research: New horizons for innovation

Educational management is interpreted indistinctly as the organizational managerial activity most closely related to its actions. However, educational management is not limited only to considering technical and methodological aspects. Education aims at the integral formation of the individual, and someone is educated in order to achieve a purpose. Therefore, it is necessary to take into account the needs of all those who belong to and are involved in the educational institution from its own management. It is well known that technological innovation plays an increasingly important role as a factor of competitiveness for companies. The word "innovation" is constantly used as a synonym for progress, technological development, job creation and improvement of living conditions. Innovation is spoken of in the economic (e.g. technological innovation in companies) and social spheres (in areas such as healthcare, leisure, working conditions and transportation, among others). In this sense, the general objective of the research is to explain the influence of educational management on scientific and technological research, the pillars of innovation. From a methodological point of view, a documentary review is carried out on future projections within the framework of these variables, in order to integrate diverse experiences and models, taking as a reference the results obtained. It is concluded that all these changes are generating new forms of work and new economic scenarios, in which the keys to creating employment and improving the quality of life are based on innovative ideas applied to new products, processes and services.

By Byron Eduardo Zavala-Soledispa, Betty Janeth Soledispa-Cañarte, Pilar Asunción Soledispa-Cañarte, Glenda Marcela Sarmiento Tomalá, Alfonso Corte López

2022-12-29 Review
Montreal cognitive assessment test versus Phototest for diagnostic of cognitive impairment in older adults

Introduction: Cognitive impairment constitutes one of the most important socio-health challenges presented in society, it is characterized by a deterioration of cognitive functions such as language, memory, attention, thinking and calculation; given its epidemiology, instruments have been implemented for early diagnosis such as: the Montreal Cognitive Assessment Test and the Fototest.
Aim: To describe in a comparative way the internal validity of the MoCA test and Fototest for the diagnosis of cognitive impairment in older adults by means of bibliographic compilation.
Methodology: Narrative literature review using a systematic search, obtaining information from databases such as Pubmed, Science Direct and Scopus. With the help of search terms such as "Cognitive dysfunction" AND "Fototest"; Cognitive dysfunction" AND "Montreal".
Results: With the proposed research, 6 articles were found and analyzed, finding studies with higher sensitivity 0.94 and specificity 0.60 in favor of the Montreal assessment test for the diagnosis of cognitive impairment with respect to the Phototest. However, not enough studies were found for the Phototest, although, the latter presented advantages in application time and does not discriminate educational level.
Conclusions: In this review it was found that cognitive impairment in older adults is influenced mainly by age and educational level, taking into account the collection of information it was clearly evidenced that older adults with low educational level present lower cognitive development and higher risk of suffering cognitive impairment.

By María del Cisne Vega Cobos, Julio Cesar Ojeda Sánchez, María José Rivera Mena, Gabriela Michelle Vanegas Contreras

2022-12-30 Review
Survival of patients diagnosed with Burkitt lymphoma in people living with the human immunodeficiency virus.

Introduction: Burkitt type lymphoma (BL) is one of the most common neoplasms in patients with HIV due to the immune compromise they present. BL patients who live with human immunodeficiency virus (HIV) have a survival rate of approximately 69% two years after diagnosis. However, other authors mention that survival is only 50%, in patients on antiretroviral treatment (ART) and chemotherapy, two years after diagnosis. BL occurs between 50% to 70% more in HIV-positive people and a low CD4 lymphocytes count increases the predisposition to develop BL. Chemotherapy is the method of choice for the treatment of Burkitt-type lymphoma in HIV-positive patients.

Objective: Determine the survival of patients diagnosed with Burkitt lymphoma in people living with human immunodeficiency virus

Methodology: Narrative bibliographic review. For the bibliographic search, information collected from the following databases was used: PubMed in conjunction with the application of Boolean operators: AND, OR, NOT; and with the help of search MeSH terms like, “Burkitt lymphoma”, AND “HIV” AND “Treatment”.

Results: Patients have a higher incidence of Burkitt-type lymphoma due to their immunosuppression, which is why it is important that they correctly adhere to antiretroviral treatment and chemotherapy, since the survival of these patients can be between 45% and 50%, two years after de diagnosis

Keywords: Burkitt Lymphoma, Treatment, HIV

By Bryan Esteban Maldonado Piña, Juan Antonio Coyago Íñiguez, Jery Estefano Maldonado Piña, Daniela Lorena Barros Narváez

2022-12-30 Review
Management of Susac Syndrome

Introduction: Susac syndrome is a disease with autoimmune microangiopathic etiology of vascular endothelia that causes occlusion of arterial branches. Due to its high diagnostic complexity, it cannot be detected at the onset of the syndrome because most patients do not present the characteristic triad at a certain time, they start their picture with neurological manifestations which implies several differential diagnoses.
Aim: To describe the correct management of Susac Syndrome based on the main diagnostic criteria and the efficacy of pharmacological treatment.
Methods: A literature review study of articles from 2017 to 2022 on Susac syndrome was conducted in the following databases: Scopus, SciELO, Pubmed, Cochrane and Lilacs.
Results: This disease is characterized by the presence of a pathognomonic triad of encephalopathy, sensorineural hearing loss and retinal arterial occlusion. Consequently, it is vital to use different diagnostic methods: laboratory data, imaging studies and audiometry. Treatment regimens have been proposed, establishing corticosteroids and immunomodulators as the first line of treatment. When considering pharmacological treatments, not only the severity of SS must be contemplate but also the presence of comorbidities and characteristics according to each patient in order to define the appropriate pharmacological scheme for each patient.
Conclusions: Audiometric examinations are considered fundamental for the diagnosis since sensorineural hearing loss can be evidenced in low and medium frequencies, it is important to perform surgical interventions with the purpose of avoiding the progression of the syndrome.

By Stephany Tamara Pintado Chamba, Marisa Arcos, Samantha Nicole Becerra Garzón, Kimberly Yessenia Tirado Jiménez

2022-12-30 Review
Diagnosis of hip dysplasia in newborns

Background: Developmental dysplasia of the hip is a very frequent pathology in newborns being the most common hip disorder in pediatric orthopedics.
Aim: To describe the diagnostic methods of developmental dysplasia of the hip in newborns.
Methodology: A literature review was performed, and indexed articles were collected from databases: PubMed, Scopus and Web of Science, the search had no time limit.
Results:
In the diagnosis of developmental dysplasia of the hip (DDH) in newborns, determining the diagnostic methods is fundamental to be able to provide adequate treatment to patients; the diagnostic methods for DDH are clinical screening or selective ultrasonography. In addition, a complete clinical history, including risk factors and a physical examination with Barlow and Ortolani maneuvers accompanied by ultrasonography should be included. The most commonly used diagnostic method is selective ultrasonography. Clinical examination helps early detection and a referral for management of this, with the aim of avoiding long-term morbidities that compromise the patients' lifestyle.
Conclusions: The diagnostic methods for developmental dysplasia of the hip most commonly used in several countries are clinical screening and selective ultrasonography, where, the former is based on a complete evaluation of the newborn based on clinical history, assessing the history and risk factors for DDD, accompanied by maneuvers such as Ortalani and Barlow.

By Grace Maleny Atarihuana Hidalgo, Andrés Felipe Mercado González, Andrea Carolina Yépez Idrovo, Pedro Martin Flores Flores

2022-12-31 Review
Clinical features of monkeypox in adults

Introduction: Monkeypox or monkeypox (MPV) is a rare, self-limiting disease that has occurred in various regions of the world. It is endemic to western and central Africa. At the beginning the symptoms are non-specific such as headache, asthenia, lethargy, myalgia and fever that begins before the appearance of skin eruptions which go through stages of evolution (ranging from macules to scabs).
Objective: To describe the clinical characteristics of monkeypox in adults.
Methods: A bibliographic review was carried out, through an electronic search in the main databases (PubMed, Taylor & Francis, Scopus and ScienceDirect). It was included articles published between January 01 st, 2018 and October 25th, 2022.
Results: Characteristics of monkeypox at different stages of the disease were identified. Among the most prevalent lesions are vesiculopustular skin lesions, followed by fever, headache and pruritus; and among the least frequent were arthralgia, myalgia, odynophagia, and lesions in the oral and perioral region.
Conclusions: It is concluded that there are different clinical characteristics in each stage of monkeypox.

By Germania Elizabeth Ortiz Freire, Claudia Gabriela Clavijo Rosales, Andrea Melissa Márquez Torres, Paola Yessenia Quito Ochoa

2022-12-30 Review
Percutaneous cholecystostomy as a treatment for acute cholecystitis in patients at high surgical risk

Percutaneous cholecystostomy (PC) is a minimally invasive procedure used to treat acute cholecystitis in patients who are at high surgical risk. The standard treatment for acute cholecystitis is laparoscopic cholecystectomy, however, the management of patients with high surgical risk is often controversial. As a result, less invasive measures have been sought, such as percutaneous placement of a cholecystostomy tube, which allows for immediate adequate decompression and drainage of the inflamed gallbladder. Such treatment could be permanent or temporary, depending on whether the inflammation is under control or the patient is recovering from a critical illness. Having an early and accurate diagnosis and determining the severity of acute cholecystitis are essential for proper treatment. Due to the nature of acute cholecystitis, which can occasionally be life-threatening and limits the possibilities for other treatments due to the risk, there is no specific contraindication to percutaneous cholecystostomy. Nonetheless, there are indications for PC placement, and if placed early, its usefulness is significant and rapid. Moreover, clinical and technical success rates are both variable. The pathophysiology of acute cholecystitis predisposes to the placement of a percutaneous drain. Finally, cholecystostomy is one of the best options because it has positive effects for patients who are at high surgical risk.

By Samantha Nicole Becerra Garzón, Raul David Vera Pulla, Stephany Tamara Pintado Chamba, Kimberly Yessenia Tirado Jimenez

2022-12-31 Review
Benzene and chronic dermatological disorders in gas station workers

Introduction: Benzene is an aromatic hydrocarbon belonging to gasoline compounds, it generates dermatological alterations in chronically exposed people, particularly gas station workers, being ranked as the second most prevalent pathology according to the Institute for Occupational Safety and Health of the United States, causing labor losses and economic losses. This compound enters the human body by inhalation; however, cutaneous absorption also occurs producing a drying of the fatty mantle causing several dermatopathies.
Objective: To describe the chronic dermatological alterations caused by exposure to benzene in gas station workers.
Methodology: Narrative bibliographic review, using databases such as: PubMed, ProQuest, Web of Science, Scopus, Science Direct, Taylor & Fracis online, SciELO; we searched for original articles, bibliographic reviews, systematic reviews that were carried out from October 2012 to October 2022.
Results: From the selected papers the most prevalent dermatopathies due to benzene exposure were atopic dermatitis, irritant contact dermatitis, allergic dermatitis, neoplasms, infections, skin irritation and hypersensitivity, mucosal irritation, rash, redness, skin swelling, allergic hypersensitivity reactions, cutaneous melanoma, non-melanoma skin cancer, skin dryness, pruritus, rash, red blisters with itching, burns.
Conclusion: Gas station workers chronically exposed to benzene have generated several dermatopathies, the most prevalent being 90 % atopic dermatitis.

By Andrea Melissa Márquez Torres, Luz María Bojorque Bojorque, Germania Elizabeth Ortiz Freire, Paola Yessenia Quito Ochoa

2022-12-31 Review
Efficacy of negative pressure therapy compared to conventional treatment in pressure ulcers

Background: Pressure ulcers or decubitus ulcers are lesions caused by the persistent crushing of some vulnerable area of the body, affected patients can be of any age, as long as they have a state of inability of mobility together with a poor nutritional status. Taking into account the time required for the healing of this type of injuries, as well as the amount of resources and the complications it presents, different therapies have been tried, from wet cures to the most current ones such as negative pressure therapies.
Aim: To compare negative pressure therapy with conventional therapy for pressure ulcers.
Methodology: A bibliographic review was carried out in the following scientific databases: PubMed, Scopus, and LILACS.
Results: With the research it was possible to weigh the therapies applied for the management of pressure ulcers, being exposed the benefits of the different types of dressings used in conventional therapy and negative pressure therapy.
Conclusions: Conventional therapy is preferred in stage I, II and III ulcers, while, negative pressure therapy is used in stage IV ulcers combined or not with conventional therapy.

By Andrea Carolina Yépez Idrovo, Walter Viterio Jaramillo Loaiza, Grace Maleny Atarihuana Hidalgo, Bryan Patricio Ortiz Encalada

2022-12-31 Review
Brain death and organ and tissue donor management in the intensive care unit

Introduction: Brain death is defined as the irreversible cessation of all brain and brainstem functions. The timely management and maintenance of these vital functions and correction of the physiopathological alterations of the potential donor make organ donation possible, providing a second chance to patients who depend on a transplant.
Aim: To describe the concept of encephalic death in the patient and its current management as a potential organ and tissue donor in the intensive care unit.
Methodology: A non-experimental, descriptive, literature review study was carried out.
Results: The process of organ and tissue donation after encephalic death is a challenge in terms of diagnosis and subsequent hemodynamic management with the aim of maintaining tissue perfusion so that these have vitality and viability to be transplanted to the recipient patient.
Conclusions: It is recommended to use an established brain death protocol and apply it correctly, to avoid legal problems. Once the diagnosis has been made, it is possible to carry out the evaluation to establish whether the patient is a donor candidate or not. The pathophysiological changes that appear in the process of BD make these critical patients to be managed with extreme care. Donor maintenance is a major challenge for all health personnel in the intensive care area, since its treatment is extremely complex and the availability of donors is limited compared to the high demand of recipient patients waiting for an organ.

By Kimberly Yessenia Tirado Jiménez, Carmen Isabel Guapisaca Vargas, Erika Lucia Tirado Rodas, Samantha Nicole Becerra Garzón, Stephany Tamara Pintado Chamba

2022-12-30 Review
Role of vitamin D in patients with type 2 diabetes mellitus

Introduction: Vitamin D has been considered as a protective component for type II diabetes mellitus, this is because insulin sensitivity is stimulated by insulin receptor expression and peroxisome proliferation receptor activation, which is stimulated in an indirect way on insulin secretion and is going to be regulated by calbindin.
Aim: to describe the role of vitamin D in patients with type 2 diabetes mellitus.
Methodology: it is a narrative literature review. Information was collected through databases such as: Pubmed and Scopus. Time limit 5 years, English language.
Results: Vitamin D supplementation in diabetic patients contributes to decrease insulin resistance and during the analysis of glycemic controls, a decrease in glucose and glycosylated hemoglobin was observed. As for insulin resistance, the authors relate it mostly to prediabetes, this is because through the analysis in patients and after vitamin D supplementation, it may have a preventive effect for the development of type 2 diabetes mellitus.
Conclusions: Vitamin D has some acceptance as a treatment per se for type 2 diabetes mellitus.

By Giselle Marina Flores Siranaula, Claudia Gabriela Clavijo Rosales, Carla María Taimal Sarez

2022-12-31 Review
Main cardiac complications in patients with Post COVID-19 Syndrome

Background: Cardiac complications due to SARS-CoV-2 virus have caused great affections in the adult population. Post infection complications include pulmonary and extrapulmonary complications, also known as "Post COVID-19 Syndrome"; these patients are approached by complementary examinations since they present a non-specific clinical picture.
Aim: To determine the main cardiac complications in patients post COVID-19 infection.
Methods: A bibliographic search of articles published in the Pubmed database was performed.
Results: Acute cardiac injury was one of the most prevalent; other notable symptoms were arrhythmias, heart failure and, to a lesser extent, disseminated intravascular coagulation. Patients who develop shock after coronavirus infection are the result of myocardial injury in addition to other risk factors such as a history of elevated cardiac biomarkers and stay in intensive care units due to the viral disease. Another clinical manifestation with high prevalence in these patients is dyspnea, a symptom that is closely related to an intolerance to physical exertion and fatigue evidenced in periods of time less than 12 months after infection.
Conclusions: Cardiac complications were arrhythmias, acute coronary syndrome, heart failure, shock and disseminated intravascular coagulation; manifesting mainly with fever and dyspnea, also the most vulnerable patients were those with different comorbidities.

By Lisseth Tatiana Quiridunbay Pasato, Carlos Enrique Flores Montesinos, Bryan Patricio Ortiz Encalada

2022-12-30 Review
Chronic hematologic manifestations of benzene exposure in fuel dispatchers

Introduction: Benzene is an aromatic hydrocarbon considered carcinogenic due to its high toxicity, although in recent years its exposure has decreased, however, it has not been sufficient to prevent complications. Chronic exposure in concentrations greater than or equal to 1 ppm for a period of more than 8 hours a day for 10 constant years or when exposure exceeds 10 ppm for 1 year, there is a risk of developing hematological disorders.
Objective: Identify chronic hematological manifestations due to exposure to benzene in fuel dispatchers.
Methods: A narrative review was carried out, compiling information from January 2000 to November 2022 in scientific databases such as Pubmed, Environmental Pollution, Dialnet, SAGE, Taylor and Francis, Springerlink, Science Direct, Scielo; using key words.
Results: Hematological manifestations that develop after chronic exposure to benzene at any concentration include lymphoid leukemia, non-Hodgkin's lymphoma, acute myeloid leukemia, myelodysplastic syndrome, chronic myeloid leukemia, multiple myeloma, chronic myeloid leukemia and aplastic anemia.
Conclusions: There are various manifestations of chronic exposure to benzene, including chronic lymphatic leukemia, non-Hodgkin's lymphoma, acute or chronic myeloid leukemia, myelodysplastic syndrome and multiple myeloma; therefore, annual medical check-ups and the application of strategies to reduce the time of occupational exposure are recommended in order to diagnose and prevent hematological diseases, since there are currently no prevention regulations to guarantee the wellbeing of dispatchers.

By Paola Yessenia Quito Ochoa, Luz María Bojorque Bojorque, Andrea Melissa Márquez Torres, Germania Elizabeth Ortiz Freire, Santiago Martín Sánchez Peralta

2022-12-31 Review
Risks and benefits of Baby - Led Weaning, as a new proposal for the beginning of complementary feeding

Introduction: Adequate feeding of children is a worldwide challenge, that is why it is important to know how to do it from the first months of life, ensuring proper growth and optimal development. It is of interest new methods such as Baby - Led Weaning (BLW), which is focused on a feeding guided by the same child, being he/she able to automate his/her own feeding rhythm.
Aim: to describe the risks and benefits of Baby Led Weaning during the initiation of complementary feeding.
Methodology: narrative literature review in PubMed and Cochcrane databases.
Results: In comparison with those infants who were fed by baby led weaning, similar hemoglobin values were found, and the risk of asphyxia was the same in both groups. Choking can easily occur in infants who are initiating complementary feeding due to the fact of keeping the food constantly moving in the mouth and biting it for the first time. The findings are not sufficient to clarify the advantages and disadvantages of this new method.
Conclusion: in this review it was found that BLW should be implemented at the beginning of breastfeeding, especially in children who are able to maintain a sitting position, taking into account the information gathered, it was shown that one of the most frequent risks is choking and among the benefits is the ability to self-monitor satiety.

By Tanya Fernanda Ordóñez Castillo, Julio César Ojeda Sánchez, Fernanda Elizabeth Verdesoto Herrera, Guissella Dayanara Martínez Dias

2022-12-31 Review
Hematological alterations associated with antiretroviral therapy in patients with human immunodeficiency virus

Introduction: Hematological alterations are very frequent and of multifactorial origin, they have been related to an increased risk of pathology progression and morbimortality in patients infected by the human immunodeficiency virus. Although there is a wide variety of scientific studies on the prevalence and pathogenesis of these alterations in HIV-positive patients, there are few investigations in our environment that report on the positive or negative effect of the administration of antiretroviral drugs.
Objective: To determine the main hematologic alterations associated with antiretroviral therapy in patients infected by the human immunodeficiency virus.
Methodology: Narrative bibliographic review. The following databases were used for the research: PubMed, Cochrane and Scopus.
Results: The prevalence of at least one hematological alteration was 1.1-58.6% among HIV-infected patients receiving ART. The most frequent cytopenia was anemia followed by leukopenia and thrombocytopenia. Among the most significant risk factors, patients older than 50 years, female sex, zidovudine-based antiretroviral regimen, low BMI and CD4 T-cell count, high viral load, advanced stage and opportunistic infections were identified.
Conclusions: The toxicity of antiretroviral drugs and the clinical conditions of the HIV-positive patient result in altered hematopoiesis affecting all three cell lines, patients may present with anemia, leukopenia, thrombocytopenia and/or pancytopenia. Failure to monitor and identify these disorders has a serious impact on the natural history of the disease in the patient.

By Carla María Taimal Sárez, Esteban Adrián Reiban Espinoza, Giselle Marina Flores Siranaula, Paul Alexis Chuquitarco Marín

2022-12-31 Review
Main predictor scales of mortality associated with septic shock of abdominal origin in adults

Background: Sepsis is defined as a condition that causes organ dysfunction, the abdominal type is the second most frequent cause of admission to the intensive care unit, especially in countries with economic decline.
General aim: To describe the efficiency of the main scales predicting mortality associated with septic shock of abdominal origin in adults.
Methods: Literature review using Scopus, Pubmed and Cochrane databases.
Results: The research describes the efficacy of mortality predictor scales through 8 articles, mainly Sequential Organ Failure Assessment and Acute Physiology Assessment System and Chronic Health Assessment over others described in adult patients with septic shock of abdominal origin, demonstrating a great benefit of their use on mortality prediction.
Conclusions: The scales that predict mortality with the greatest predictive value include APACHE II and SOFA, although other systems such as SAPS II, MEWS, NEWS are also very significant with respect to prediction, and this will depend on the patient's situation and comorbidities. The need for a scale that includes gastrointestinal criteria to facilitate the diagnosis and timely approach to septic shock of abdominal origin, including gastrointestinal signs and symptoms, will be more effective in predicting mortality.

By Fernanda Elizabeth Verdesoto Herrera, Jorge Luis Yánez Castro, Tanya Fernanda Ordóñez Castillo

2022-12-31 Review
Efficacy and adverse effects of COVID-19 vaccine in pregnant women

Introduction: COVID-19 is a disease that emerged with a rapidly increasing number of cases and deaths since it was first identified in Wuhan city belonging to China on December 2019. By January 30, 2020 the World Health Organization (WHO) notified the outbreak as an international public health emergency and it is on February 11 of the same year that it took the name "COVID-19". Vaccination was one of the best strategies to prevent and avoid complications produced by SARS CoV-2.
Aim: To describe the literature on the efficacy and adverse effects of COVID-19 vaccine in pregnant women.
Methodology: Non-experimental narrative literature review carried out by searching for articles in the following databases: Scopus and PubMed.
Results: With the proposed research, 14 articles were found and analyzed, although the data are limited, women are more susceptible to coronavirus infection than the general population due to immunological changes.
Conclusions: Although in most of the literature and research, the administration of the vaccine against Covid-19 is safe and beneficial for pregnant women, it is important to mention that each pregnant woman responds differently to the vaccine.

By Guissella Dayanara Martínez Dias, Esteban Rigoberto Guerrero Cevallos, Jonathan René Martínez Díaz, Tanya Fernanda Ordóñez Castillo

2022-12-31 Review
Knowledge and factors associated with cervical cancer

Introduction: cervical cancer has higher prevalence and mortality rates in developing countries, despite the implementation of preventive strategies such as HPV vaccination and early detection of precancerous lesions there is still a lack of adherence.

Method: a non-experimental, narrative, literature review study was conducted. Results were obtained from PubMed, ScienciaDirect and Scielo in English and Spanish.

Results: we obtained 13 studies in which we found that knowledge about cervical cancer is highly variable, with low knowledge in resource-poor countries and a lack of knowledge about early detection or prevention in countries where knowledge is higher. Higher economic and educational stability is associated with greater knowledge and greater likelihood of early detection testing. Factors found in most articles are socio-cultural factors such as fear, embarrassment and lack of time.

Conclusions: there are several limitations to early detection of cervical cancer despite health systems implementing campaigns and health policies in developing countries should be strengthened due to high mortality rates.

By Esthefany Belén Guartambel Cajamarca, Esteban Rigoberto Guerrero Cevallos, John Stalyn Guapisaca Gaona, Anthony Daniel Armijos Ayala

2022-12-31 Review
Risk factors associated with the development of pulmonary thromboembolism in adult patients diagnosed with COVID-19

Introduction: COVID-19 infection encompasses several clinical manifestations ranging from cough, fever, myalgia, dyspnea, fatigue and rhinorrhea to an asymptomatic infection in some of the cases, to this is added and gains importance as a complication of COVID-19 coagulation diseases among which we find pulmonary thromboembolism (PTE), in fact it has been possible to identify patients who have come to die from this cause associated with SARS-CoV-2 infection.
Objective: To describe the risk factors associated with the development of pulmonary thromboembolism in adult patients diagnosed with COVID-19.
Methods: narrative literature review including meta-analyses, systematic reviews, review articles and research articles published in PubMed and Web of Science between 2020-2022.
Conclusions: it was determined that there are risk factors that favor the development of PTE associated with COVID-19, of which we mention some such as age, admission to intensive care units (ICU) and even the patient's sex, it should be emphasized that each of these is related to a greater or lesser extent so they should be considered and associated taking into account that distinction.

By John Stalyn Guapisaca Gaona, Esthefany Belén Guartambel Cajamarca, Danilo Gustavo Muñoz Palomeque, Mónica Fernanda Angamarca Coello

2022-12-31 Review
Update on keratoconus treatment guidelines

Keratoconus is an inflammatory condition, a corneal ectasia characterized by an increase in corneal curvature. It occurs during puberty and progresses until the third or fourth decade of life, this pathology has no gender significance since it affects men and women equally. The incidence is 1/2000 cases in the population. Clinically, this ectasia leads to myopia and irregular astigmatism. The etiology is still not well known. There are several types of therapeutic options currently available, therefore a thorough knowledge is needed, where the aim of each treatment is to stabilize the corneal surface, improve vision and prevent the progression of this pathology. The aim of this research work is to perform an exhaustive search regarding the update of the behaviors to be followed in the treatment of keratoconus. The methodology of this work is a bibliographic review, narrative, non-experimental study. The results in this research is to find new updates in the treatment of keratoconus both advantages and disadvantages of each one. The treatments depend on the progression of keratoconus and its classification, because if it is mild, protective measures such as glasses can be used, but if the keratoconus is more severe, more invasive treatments such as surgical methods are needed, it is relevant to know the progression for an adequate evolution of this pathology.

By Ana Pacheco Faican, Luis Cervantes Anaya, Emilio Iñiguez

2022-12-31 Review
Hyperuricemia as a predictor and screening tool for preeclampsia

Introduction: Preeclampsia is a hypertensive condition that negatively affects the pregnant woman and fetus, producing complications such as morbidity and mortality. Uric acid plays a role in the development of preeclampsia, although there is still no solid evidence to support this theory. This parameter is an additional tool in the screening for preeclampsia, which allows health personnel to identify and treat this complication early.

Objective: Describe hyperuricemia as a predictor and screening tool for preeclampsia.

Methods: The review was carried out in different databases such as Pubmed, Scopus and LILACS, using keywords obtained from Health Descriptors in Spanish and Medical Subject Headings in English. After the search and filtering of the results obtained, 8 articles were selected and analyzed accordingly.

Result: The elevation of serum uric acid concentration preceded by a hypertensive state in pregnant women, especially during the first trimester, especially in complicated pregnancies and with a high risk of developing preeclampsia. In addition, it has been suggested that the measurement of this and other biomarkers that contribute to oxidative stress may help in the control and early treatment of the disease.

Conclusion: Hyperuricemia can be useful as a predictor and screening tool for preeclampsia, allowing to determine the severity of the pathology and the appearance of complications.

By Katherine Valentina Tenemaza Ortega, Freddy Rosendo Cárdenas Heredia, Santiago Martín Sánchez Peralta, María José Ordoñez Vázquez

2022-12-31 Review
Risk factors associated with the development of Post COVID-19

Introduction: risk factors were one of the main problems associated with cardiovascular complications in patients post SARS CoV-2 infection. According to several studies, the main risk factors associated with the development of heart failure were hypertension and diabetes, associated with alterations in the Renin-Angiotensin-Aldosterone System and the ACE-2 receptor, as well as structural and functional alterations at the cardiac level.
Aim: to describe the risk factors associated with the development of heart failure after SARS CoV-2 infection.
Methods: narrative literature review using a systematic search through SciELO, ScienceDirect and PubMed databases.
Results: 14 articles were found and analyzed of which 7 articles explained and detailed the main risk factors while the other 7 articles described the pathogenic mechanisms associated with the development of post-infection heart failure.
Conclusions: The main risk factors associated with the development of heart failure are arterial hypertension, as well as diabetes mellitus, in addition to this thanks to the collection of information it was also evidenced that these factors are related to an increase in the mortality rate and deterioration in the quality of life of the patient.

By Kelly Paola Gómez Guapizaca, María Daniela Carpio Toro, Jessica Alexandra Estrada Morocho, Glenda Iris Montenegro Ortiz

2022-12-31 Review
Skin Manifestations associated with COVID-19

Introduction: The recognition of skin manifestations in patients with COVID-19 is very useful since its identification could help to diagnose SARS-COV-2 infection early and contribute to delaying the transmission of the virus.
Objective: Determine the skin manifestations associated with Covid 19.
Methods: A narrative bibliographical review was carried out; For the search for information, Scopus and PubMed databases were used with MESH/DECS descriptors using keywords, taking into account the last five years, in English and Spanish, and with inclusion and exclusion criteria for the articles to be analyzed.
Results: In Spain, 58 patients admitted to hospital for suspected COVID-19 infection presented skin lesions such as generalized maculopapular rash (20.7 %), Livedo reticularis (6.9 %), Urticaria (6.9 %) and others. non-specific eruptions in 22.4 %
Conclusion: The most frequent lesions are urticarial rash, erythematous/maculopapular/morbilliform confluent rash, papulovesicular rash, chilblain-like acral pattern, livedo reticularis/racemose pattern, vasculitic purpuric pattern, cataloging the most frequent skin lesions to maculopapular rash that affect the trunk. and acral regions, especially toes and plantar region.

By Jessica Alexandra Estrada Morocho, Rolando Espinoza Cárdenas, Kelly Paola Gómez Guapizaca, Glenda Iris Montenegro Ortiz

2022-12-31 Review
Neuropsychiatric complications from COVID-19

Introduction: COVID-19 manifests mainly as a respiratory disease, later with the course of the pandemic neurological symptoms were described, but mainly patients developed neurological complications, which manifested with neuropsychiatric symptoms in about 35.6 % of the cases with COVID-19 infection.
Aim: to determine neuropsychiatric complications due to covid-19.
Methods: a narrative review was carried out to gather information on neuropsychiatric complications due to COVID-19. For this purpose, indexed scientific articles published from 2020 to 2022, in Spanish and English, were consulted using scientific search engines such as PubMed and SciELO.
Results: The main neurological symptoms could be the consequence of multiorgan failure, severe infection or brainstem involvement. It has been reported that patients infected by SARS-CoV-2, after 3 weeks, developed altered mental status, encephalopathy, psychosis, neurocognitive syndrome (similar to dementia) and affective disorders. Persistent neurocognitive deficits were identified in patients with delirium even 18 months after discharge.
Conclusions: the effect of SARS-CoV-2 at the neuropsychiatric level is manifested as altered mental state, psychosis, depression, anxiety, neurocognitive syndrome, affective disorder, cognitive impairment, dementia, consciousness disorders. Thus, it is suggested that in the presence of risk factors such as critical patients or patients with encephalopathies, contact with persons with the infection should be prevented.

By José Gabriel Gutiérrez Solano, Rosa Elizabeth Solornazo Bernita

2022-12-30 Review
Workers with disabilities and significance of the Health-Work process. Making visible keys for prevention

People with disabilities at work have great potential and their incorporation into organizations would mean taking advantage of efficient and responsible human resources for the company. This research aims to frame some social elements related to the world of work from the perspective of workers with disabilities, as a phenomenon and invisible social reality. The structuring of training strategies for the protection of health at work, elaborated according to the specific limitations that these workers face in their work environment and their daily life, as well as the representations of these limitations in society, is identified as a key. Which condition their inclusion in the world of work. That is to say, the investment in the establishment of alliances for the differentiated training of workers with disabilities gains strength, taking into account their perspective, towards health, the prevention of occupational risks and accidents in the workplace, with the purpose of strengthening an environment of preventive culture and revealing the positive pole and the negative pole of the work process, with a view to favoring the quality of life of these workers. The incorporation into the labor market of people with disabilities must start from a process of social awareness from the very condition of disability, understanding it as a social construction that historically relegated millions of individuals to a diminished and inferior social position.

By Valentina Trovat Ascanio, Misael Ron, Estela Hernández-Runque, Ligia Sánchez-Tovar, Jesús Hernández, Marco Jiménez

2022-12-31 Review
National analysis of applied sedation in critical care patients

Introduction: Within the Intensive Care Unit, procedures such as sedation are performed in order to provide relaxation to the patient, for the use of sedatives parameters such as medical prescription, patient condition, type of sedation, adverse effects, etc. will be taken into account.
Objective: Analyze the use of sedative drugs in critically ill patients from a national to international perspective.
Methods: a descriptive and qualitative study was carried out, through a meticulous bibliographic search of the last 5 years, finally 35 articles were obtained in different databases such as Pudmed , Elsevier, Scielo, Wiley and Scopus.
Results: Among the main results, both national and international perspectives were found about the most frequently used sedatives in the intensive care service.
Conclusions: It was found that the sedatives with the highest risk of delirium are Benzodiazepines compared to Propofol, in turn the first-line sedative used in the Intensive Care Unit is dexmedetomidine.

By Grace Pamela López Pérez, Melani Dayana Carrera Casa, Gissela Lizbeth Amancha Moyulema, Yadira Nathaly Chicaiza Quilligana, Ana Belén Guamán Tacuri, Joselyn Mireya Iza Arias

2022-12-31 Review
Importance of the HPV vaccine in women and the role of nursing

Introduction: The human papillomavirus (HPV) is one of the most common infections of the reproductive tract, responsible for a variety of cancers and other conditions in both men and women, it is considered a sexually transmitted disease. Thus, becoming a public health problem, as an alternative, governments have implemented the HPV vaccine to the national scheme.
Objective: To know the role of the nurse in the prevention of HPV through the importance of the use of vaccines
Methodos: qualitative, descriptive research, through a bibliographic review in databases of high academic prestige such as: Pubmed, Redalyc, Elsevier, Scopus, Latindex, Investigative Nursing, through the structure of the PRISMA method. Results: The systematic review showed that the year 2018 is in which more publications on HPV, the main reason being ignorance about the application of HPV, health personnel being an important factor, reaching key points such as the school population, concentrating clearly on the management and prevention of the same
Conclusion: The misinformation about HPV came to have high rates of infection in various parts of the population, but the prompt action of both health services and nursing staff helped to significantly reduce the number of people infected with HPV.

By Esther del Rocío Benavides Rovalino, Mónica Guadalupe Paredes Garcés, Carmen Marlene Salguero Fiallos, Carola del Rocío Cortéz Flores, Libia Marina Toapanta Toapanta, Soraya Margoth Heredia Nugra

2022-12-30 Review
Management of neonates with Neonatal Chronic Obstructive Cholangiopathy. Kasai surgery

Introduction: Kasai surgery is a relevant clinical treatment to eliminate bile duct defects outside the liver.
Objective: Identify the management of neonatal patients with chronic obstructive cholangiopathy undergoing Kasai surgery and describe the care, approach, treatment and management of patients framed in line 4 of epidemiological research of the Faculty of Health Sciences of University.
Methods: The study was conducted according to the PRISMA guidelines for systematic reviews. The methodology is descriptive and qualitative.
Results: The treatment proves to be effective, close care of postoperative complications has a positive effect to improve the surgical effect and delay the progression of the disease, to this is added the low importance of the psychological state of the caregiver, which can lead to a poor communication and coordination, thus affecting the treatment and rehabilitation of newborns.
Conclusion: Chronic obstructive cholangiopathy mainly requires care focused on the needs of the newborn, better adherence to medication, nutrition and postoperative complications. Research on the specific care to be implemented in this pathology is not established, there are few studies related to the subject. Therefore, health personnel should emphasize the investigation of this pathology to improve the level of care, focusing on the creation of clinical guidelines that support the processes applied in neonates.

By Valeria Isabel Espín López, Verónica Sofia Quenorán Almeida, Devora Estefanía Manzano Quisimalin, Grace Pamela López Pérez, Ana Lucia Jiménez Peralta, Tatiana Elizabeth Rivera Aguilar

2022-12-31 Review
Methodological strategies to strengthen the teaching-learning process in basic education children

Game-based teaching and learning methodological strategies are tools that help transform learning into an interactive activity in the classroom, so this educational-social learning experience provides the elements of education. Practical-practical actions can be taken in teacher-student interactions to create meaningful environments with meaning. learning. The objective of this study was focused on identifying the incidence of the use of methodological strategies to reinforce the teaching-learning process in basic education children by combining data collected between 2018 - 2022. A descriptive, non-experimental documentary method was carried out. through a bibliographic review of different scientific articles and studies related to the subject from 2018 to 2022. The results obtained from the bibliographic review according to several authors mention that methodological strategies benefit the teaching-learning process in students and it is one of the very important factors to improve the quality of teaching and the diffusion of learning styles among students. From this study it is concluded that the incidence of methodological strategies was identified to reinforce the teaching-learning process in children. It is of the utmost importance for both the student and the teacher to have strategies to teach the classes and the children can develop their cognitive learning, psychomotor and linguistic.

By Tannia Elizabeth López Pérez, Renato Sebastián Manzano Pérez, Rodrigo Javier Manzano Pérez, Lilian Fabiola Zumbana Herrera

2023-02-01 Review
Risky sexual behaviors among university students

Introduction: Risky sexual behaviors are defined as any sexual activity that increases the risk of contracting sexually transmitted infections and unwanted pregnancies, they also include sexual relations with multiple sexual partners, not using or using condoms inconsistently, sexual relations under the influence of substance use. Being the university population one of the most affected.
Aim: Determine what are the risky sexual behaviors among university students. Method: The type of study of the present investigation is based on the non-experimental, descriptive model, of the bibliographic review type.
Results: Behaviors that may be considered RSC are the following: unprotected sex, sex under the influence of substances, sex with people who use drugs, multiple sexual partners, early initiation of sexual relations, and sexual relations with sex workers, paid sex or casual sex.
Conclusions: The large number of factors related to RSC creates the need to achieve interventions for risk groups, for this we can rely on the predictors of risky sexual behaviors and improvement in sexual health centers, this could result in a significant drop in morbidity and mortality associated with risky sexual behaviors.

By Andrés Santiago Cañar Romero, María José Vintimilla Espinoza

2022-12-31 Review
Transition from acute phase to rehabilitation of the critically ill patient

Introduction: The transition from the acute phase to the rehabilitation of the critically ill patient is guided by the passage from a critical phase to the hemodynamic stabilization of the individual, after ventilatory weaning, use of medication or prolonged stay, although a successful suspension does not guarantee the stability of the patient, because it may present future complications either physical, psychological or social. In addition, a prolonged stay causes the patient to experience abnormalities in his body and poses the risk of adding more than two diseases or disorders after recovery.
Aim: To analyze the complications that occur during the rehabilitation phase of the critically ill patient and to describe strategies to prevent them.
Methods: Qualitative research approach, descriptive scope and non-experimental cross-sectional design.
Results: Through implementation of exclusion and inclusion criteria, 15 articles were analyzed that provide relevant information about the proposed topic, encompassing the most frequent secondary complications and prevention strategies that can be carried out to favor the patient's rehabilitation.
Conclusions: The rehabilitation of the critically ill patient has complications generated by the long stay, however, approaches are implemented to suppress them, adequate mobilization ensures a prompt recovery and minimizes the consequences of prolonged use, whether mechanical ventilation, immobilization or nutrition.

By Verónica Sofia Quenorán Almeida, María Eugenia Bonilla Sánchez, Nieves Liseth Cañaveral Estrella, Eveline Prissila López Solis, Lizeth Estefanía Navas Fonseca, Brenda Brigitte Pombosa Bravo

2022-07-17 Case Report
AELI® KINETEST and Bioneuroemotion applied to multiple sclerosis. A case report

Background: Multiple sclerosis (MS) is an inflammatory and demyelinating disease of the central nervous system that mainly affects young adults. The clinical course of MS is markedly variable; its clinical manifestation is also very heterogeneous in symptoms and signs. Therefore, health professionals, in addition to individualized pharmacological treatment, are approaching new integrative approaches by taking into account other aspects of the individual. AELI® KINETEST and Bioneuroemotion offer another approach to MS treatment.
Case report: 36-year-old male patient with a history of MS diagnosed 4 years ago, symptomatic since one year before. He came for consultation with pain in the Achilles tendon and difficulty in maintaining the standing position for extended hours. Among the procedures used, time line protocol, transgenerational analysis and AELI® KINETEST protocol were performed, achieving symptomatic relief with imaging correlation.
Conclusions: In this patient with a diagnosis of MS, program conflict with the help of muscle testing is required with satisfactory evolution.

By Libertad E. Valdés Izquierdo, Ana Claribel Herrera Wainshtok, Lidia Ahymé Varela Rodríguez

2022-08-17 Case Report
Severe aortic insufficiency secondary to infective endocarditis in a patient with intraventricular septal defect, case report

Background: infective endocarditis is a septic condition predominantly of bacterial origin, although there is a fungal etiology of the native valvular endothelium of the heart, it is a disease associated with high mortality and complications, despite advances in its approach, its incidence has not decreased in the last 30 years.
Case presentation: 30-year-old black female patient, housewife, with a personal history of intraventricular septal defect. She went to the on-call department for presenting high fever at any time of the day accompanied by chills, with joint pain. She had undergone a curettage due to the presence of a fetal ovum. Three days prior to this, she had a fever of 38 degrees Celsius with no specific time of day, accompanied by chills, which was easily relieved with sodium metamizole. The fever persisted daily, which led to several hospital admissions, after which she was discharged home with no diagnostic cause. She was readmitted due to a chronic febrile syndrome, to which joint pain was added. Medulogram was performed and was not useful, suggesting iliac crest biopsy to rule out anarco-proliferative processes, and antimicrobials were not administered during this time.
Conclusions: infective endocarditis on native valves with negative blood cultures remains a challenge, despite medical advances in recent decades, and due to demographic changes of patients and the disease, it remains a complex pathology with high morbidity and mortality.

By Diego Ernesto Suárez López, Dianet Redondo Rodríguez, Roldán Valdez Gonzales, Silvio Casabella Martínez

2022-10-09 Case Report
Giant fibroadenoma of the breast, case report and literature review

The breasts are made up of skin, fat, epithelial structures and mesenchymal connective tissue, so it is common for different tumors of benign or malignant origin to appear in them. The literature indicates that approximately 85 % of all lumps are benign, especially in patients under 40 years of age. A rapid and exaggerated growth of the breast is attributed to this entity, causing remarkable asymmetry, aesthetic deformity and doubts as to the clinical and cytohistological diagnosis. The singularity of this type of entity justified the development of the present clinical case in order to deepen the knowledge and treatment of this subject. The present study dealt with a 32-year-old nulliparous patient, who presented asymmetric breast growth on the right side of 5 months of evolution, without treatment. She went to the clinic where a fibroadenoma of about 15 x 10cm was evidenced, after a benign histopathological diagnosis, a procedure was scheduled. During the surgical procedure these findings were confirmed and fibroadenoma was removed, procedure without complications. After 5 days of hospitalization the patient was discharged in good condition. In conclusions, a timely clinical, ultrasound and histopathological diagnosis will indicate the initial guidelines for prognosis and resolution of this pathology.

By Daniela Alejandra Cáceres Fonseca, Jessica Liseth Ochoa Vásconez, Rosa Jimena Laverde Ortiz, Katherine Gabriela Villavicencio Haro, Diego Armando Auqui Carangui

2022-10-24 Case Report
Osteogenesis Imperfecta. A case report

Introduction: Osteogenesis imperfecta (OI) is a rare genetic disease mainly caused by a dominant mutation in COL1A1 y COL1A2 collagen type I genes which codes for collagen type I alpha chains. The OI may also be the result of recessive mutations in other genes. Its clinical spectrum that goes from milder form to lethal perinatal forms. Clinical diagnosis might be established in a patient that presents repeated fractures, blue scleras, short stature, teething disorders and deafness.
Case report: The patient was 24 years old, third gestation, with an obstetric history of a dead child with osteogenesis imperfecta, who was supervised and controlled in a public institution. Several laboratory tests corroborated that the current gestation presented osteogenesis imperfecta, thus, a surgical procedure was scheduled at 38.2 weeks of gestation. During the transoperative period, we found the newborn, with the described characteristics, alive. The child was admitted to the neonatology service, where we confirmed multiple fractures in extremities and thorax. In view of this reserved prognosis, she died within 24 hours due to pulmonary complications.
Conclusions: An early diagnosis within the first three months of pregnancy is essential in order to establish a prognosis and timely treatment whenever it is necessary.

By Gladys Eugenia Moreno Pilozo, Andrea Verónica Castillo Ramírez, Mónica Valeria Larrea Idrovo, Diana Carolina Valle Valles, Luis Oswaldo Remache Guamán

2022-11-24 Case Report
Memory for music and Alzheimer's Disease. Case report

It is increasingly described that memory for music is preserved in people living with Alzheimer’s disease (AD). This article illustrates a case example of well-preserved memory for music in one non musician adult with AD at its moderate to advanced stage. During the four-year course of adapted music lessons he displayed an outstanding and increasing ability to learn new songs over time, despite his overall deterioration deepened due to the progress of the disease. Addressing the question if adults in late stages of AD are able to learn and recall new musical material, this case is relevant given the novel findings seen during this course of work, which can have implications in treatment planning, intervention design and to further explore the mechanisms of memory for music particularly in AD.

By Marcela Lichtensztejn

2022-11-06 Case Report
Craniosynostosis of the coronal suture. Case report and literature review

Introduction: craniosynostosis is a pathology identified by the early closure of one or more sutures of the cranial vault causing an evident craniofacial asymmetry, the form will depend on the place and time in which the synostosis occurs; the etiology is unknown, however there are factors involved such as the local dura mater, cranial base and fibroblast growth factors. Its diagnosis can be clinical, ultrasound and the confirmation is through 3D computed axial tomography, its treatment is surgical between 6 to 12 months, achieving improvable results in these ages.
Case report: it was based on a 6-month-old infant diagnosed in the third medical control for presenting craniofacial asymmetry, confirmed with cranial computed axial tomography with 3-D reconstruction (CAT), right coronal synostosis; therefore, she was operated at this age by neurosurgery, whose procedure was right hemicoronal suturectomy plus frontal bone remodeling, procedure without complications. In her later medical visit, a new CAT scan was requested, whose report indicates a permeable right coronal suture and frontal bone remodeling. The patient is currently evolving psychomotor and intellectually normal, with head circumference in the percentile for her age. It is concluded that timely diagnosis with minimally invasive endoscopic intervention is the best indication to solve this pathology, because it is safe, effective and durable, associated with a lower risk of blood transfusion, complications or reoperation.

By Laura Isabel Vera Portilla, Melissa Fernanda Froment Blum, Mónica Valeria Larrea Idrovo, Gabriela Carolina Lara Pérez, Marlon Andrés López García

2022-12-03 Case Report
Chylous ascites following mesenteric cyst resection. Case report and literature review

Introduction: chylous ascites (CA) is defined as the extravasation of milky fluid rich in triglycerides into the peritoneal cavity.
Aim: to describe the case of a patient who presented chylous ascites after undergoing surgery for resection of a mesenteric cyst.
Clinical case: 69-year-old patient with a history of having undergone surgery for a mesenteric cyst two months before presenting on this occasion with marked ascites observed by ultrasound and clinical examination. Diagnostic paracentesis was performed and showed abundant ascitic fluid (2500 ml) with a milky yellow appearance. A sample was taken for biochemical analysis of the fluid, which was positive, which together with the history of recent surgery confirmed the diagnosis of AQ.
Discussion: the usual cause in the adult population is obstruction due to abdominal neoplasms. Other causes include: abdominal trauma or secondary to abdominal surgery (associated with extensive retroperitoneal lymphadenectomies or with aortic surgery).
Conclusions: a complete anamnesis and physical examination are essential for the diagnosis of AQ. Therefore, in case of suspicion, emphasis should be placed on the causes, especially if its appearance is subsequent to interventional therapies. Optimal management would be aimed at conservative treatment based on nutritional therapy (of choice due to its high efficacy rate).

By Alberto Antonio Sosa Osorio, Mercedes Ortega Sánchez, Yanelka Bouza Jiménez

2022-12-05 Case Report
Nursing intervention in patients with cervical cancer

Introduction: Hysterectomy is one of the procedures performed for the removal of advanced stage cervical cancer.
Aim: To identify nursing interventions in patients with cervical cancer.
Case report: A 35-year-old female patient residing in the city of Latacunga, province of Cotopaxi. In the immediate postoperative period, it was evident that in a total abdominal hysterectomy the pain generated by the surgical intervention, as well as the alteration of the respiratory pattern and the possible risk of infection, are the main reasons why nursing interventions are based exclusively on satisfying the patient's needs based on the nursing care process.
Conclusion: It is important that the nurse in the recovery area has the specific preparation to be able to assess the early signs and symptoms that give warning signs of any problem that may occur in the patient.

By Mayra Viviana Chipantiza Barrera, Alicia Bélgica Yánez Borja, Martha Lorena Alvear Arévalo, Lourdes Maricela Lozada Lara, Alexandra Belén Rodríguez Chicaiza

2022-12-22 Case Report
Lennox Gastaut syndrome. Case report and mini-review

Introduction: Lennox-Gastaut syndrome is a form of childhood epilepsy that has a dramatic negative impact on the physical and developmental health of the patient. Being an age-related disorder, it is characterized by seizures, characteristic electroencephalogram, psychomotor retardation and behavioral disturbances. It is more common in males and usually begins before the age of eight years and peaks between the ages of three and five years.
Case presentation: This was a 5-year-old patient who was born prematurely product of which presented sequelae of hypoxia, who around 4 months was diagnosed with epilepsy, for which he received double antiepileptic therapy based on levetiracetam and valproic acid with partial control of his seizures until before the age of 5 years, At this time it was necessary to include a third drug to the usual therapy called clobazam, for which with the adjustment of doses until the age of 8 years he achieved a better control, however the sequelae of infantile cerebral palsy are marked.
Conclusion: It is one of the most difficult syndromes to treat and is often resistant to commonly used antiepileptic drugs. The long-term prognosis is poor; although epilepsy usually improves, complete absence of seizures is rare and, instead, psychological and psychiatric disorders worsen over time.

By Marlon Andrés López García, Tatiana Elizabeth Lara Abril, Lissette Carolina López Lasinquiza, Gabriela del Carmen Vargas Caiza, María Belén Vargas Congo

2022-12-25 Case Report
Superinfected multiple congenital hemangioma in the scrotal area: case report

Congenital hemangiomas are vascular tumors, which are classified as rapidly involuted and non-involuted. They mainly affect the Caucasian population, the distribution by sex is not significant. In most cases no treatment is required due to involution, however, when this is not the case the clinical picture of a hemangioma may be associated with complications such as: ulcers, soft tissue destruction, neoformations even with infection of the injured tissue. The present case report presents a 7-month-old patient with multiple congenital hemangiomas of non-involutive type that led to a process of ulceration with subsequent superinfection in the scrotal area involving soft tissue. The treatment was clinical and surgical, a selective beta-blocker was used, with a favorable prognosis of the patient.

By Tita Fernández de Jiménez, Roberto Carlos Jiménez Fernández, Jhossmar Cristians Auza-Santiváñez

2022-12-31 Case Report
Bayes syndrome and tachycardia-bradycardia syndrome: Consequences of atrial cardiomyopathy? Case report

The Bayes Syndrome and tachycardia-bradycardia Syndrome are different entities that present the same mechanism pathogenic, atrial myocardiopathy. There are several structural and electric abnormalities in this pathology described recently, having the fibrosis as the final event. Describes the case of an elderly patient with syncope, sinus bradycardia and advanced interatrial block in the baseline electrocardiogram. A 24 hours Holter was capable to demonstrate the presence of atrial fibrillation paroxistic with significant ventricular pauses in the finished of arrhythmic episodes. The dual-chamber pacemaker implant allowed to control the symptom properly.

By Sthefany Cumandá Martínez Palacios, Diego Xavier Chango Azanza, Andrés Felipe Mercado González, Javier Fernando Pinos Vazquez

2022-12-31 Case Report
Infectious endocarditis as a cause of septic shock in a young patient without risk factors. Case report

Infective endocarditis is a pathology that is usually associated with various risk factors, including previous heart surgeries or congenital heart disease. This disease generally presents with various clinical complications due to late diagnosis, reaching a mortality rate of around 24%. A clinical case of a 17-year-old male patient with no pathological history is presented, with fever of unknown origin plus syncope. An adequate diagnostic approach allowed the discovery of infective endocarditis, although with the development of complications that were the reason for procedures such as aortic valvuloplasty, aortic valve replacement, reconstruction of the aortic annulus, pericardiotomy, and multiple drainages of infectious collections. Despite the complications and high mortality of this pathology, the patient had a favorable prognosis.

By Gabriela Michelle Vanegas Contreras, Andrés Felipe Mercado González, Diego Xavier Chango Azanza, Juan Bernardo Flores Siguenza, María del Cisne Vega Cobos, Javier Fernando Pinos Vázquez

2022-12-31 Case Report
Congenital duodenal atresia. Report of a case

Introduction: Congenital defects of the digestive tract constitute a wide spectrum of diseases, which include: the development of atresias or stenosis of the intestinal tract, these anatomical characteristics can cause changes throughout infancy and during the neonatal stage. Most of the digestive malformations present are caused by genetic changes or syndromes, their diagnosis is made in the prenatal or neonatal period, mainly in cases with complete occlusion, while those with incomplete occlusion are diagnosed later
Case presentation: A 25 year old second gestation patient with no obstetric history attended her subsequent control at 20 weeks of gestation, presenting as a physical examination finding a fundal height discordant with gestational age by date of last menstrual period, which is why obstetric ultrasound was requested, At 28 weeks due to the onset of labor it was decided to terminate the pregnancy, due to premature product, the patient was admitted to the neonatology ward and after 10 days was operated by means of an open laparotomy, a procedure without complications.
Conclusions: Subsequent obstetric follow-up will allow timely diagnosis and treatment to improve the long-term prognosis.

By Edison Andrés Tixe Lluglla, José Francisco Ramos Cevallos, Andrea Verónica Castillo Ramírez, Katherine Gabriela Villavicencio Haro, Lizbeth Micaela Vargas Congo, Pablo Ernesto Pino Falconi, Yessenia del Cisne Gaona Bermeo

2022-12-31 Case Report
Mirizzi Syndrome. Clinical case

Introduction: Mirizzi syndrome is an acute or chronic inflammation caused by stones impacted in Hartmann's bag or in the cystic duct, it is important to recognize the 5 types of Mirizzi syndrome.
Objective: To analyze a clinical case related to Mirrizi Syndrome, describing the etiology and proposing its respective diagnosis and treatment.
Case Report: Currently there is still the debate on the treatment of Mirizzi Syndrome where conventional surgical intervention is not the first choice, but due to the complexity of the disease it must be performed.
Conclusions: Mirizzi syndrome is a rare complication in patients with cholelithiasis and its treatment should be based on the type to which it belongs, that is, a laparoscopic or conventional cholecystectomy should be chosen, taking into account the risk and benefit of the patient.

By Ángel Rafael Borja Cabrera, Grace Kelly Guevara Benítez, Fausto Andrés Guamán Pintado, María Salome Argotti Zumbana, Adriana del Rocío Lascano Sánchez, Alexandra Elizabeth Ramírez Suque, Amanda Yadira Analuisa Sisalema

2022-06-10 Short communications
The implementation of the FESCAS Program as a tool for strengthening quality of care

Quality is a basic principle of service delivery. The activation of healthcare quality mechanisms is the responsibility of health system administrators, in their role of governing the health system and correcting its limitations. The FESCAS Program - Component I is the National Program for Strengthening Health Teams for Quality and Safety created by Resolution No. 978/2022 of the Ministry of Health. The Program seeks to promote the culture of quality and safety in health care through the development of human talent competencies and the continuous improvement of processes, by means of economic incentives. The organizational change resulting from the implementation of the FESCAS program will undoubtedly contribute to improving patient care and the overall efficiency of healthcare institutions. Health care safety is a priority issue in health care institutions, and specifically for health care practice based on scientific foundations and solid training in health care safety are essential elements to increase the quality of care. Although it is too early to evaluate the results of this program, it is expected that the results derived from the evaluation and follow-up will show that the changes made have not only not deteriorated the parameters that make up the quality of care, but have consolidated acceptable standards, developing a positive dynamic of work and continuous improvement.

By Pablo Leandro Figueroa

2022-07-18 Short communications
AELI® KINETEST vinculated to the clinical method

Background: Kinesiology is a system that attempts to evaluate numerous aspects of structural, chemical and mental health through manual muscle testing combined with other standard diagnostic methods. AELI® is a methodology that synthesizes, with its own protocol, scientifically proven methods using the arm reflex muscle test as the main tool, thus complementing the clinical record that is performed in conventional medicine by applying the clinical method, allowing prevention, diagnosis and treatment of the human being in its interrelationship with people, animals and plants, and habitat in general.
Aim: To describe the contribution of AELI® KINETEST teaching to the clinical method.
Development: The clinical method consists of 5 stages: Formulation of the problem, search for information, formulation of the hypothesis, contrast and verification of the diagnosis, organized steps that every attending physician applies in the search for the diagnosis in each of his patients. By means of the application of AELI® KINETEST, all the stages of the clinical method are favored, of which in the Clinical Propedeutics and Medical Semiology subject, the first three have protagonism, through the contribution in the information in the anamnesis both proximate and remote and the physical examination in the clinical file, allowing the analysis of the patient from the biopsychosocial point of view, recognizing the fair role that emotions deserve in the life of a human being.
Conclusions: The application of AELI® KINETEST benefits all stages of the clinical method.

By Libertad E. Valdés Izquierdo, Lidia Ahymé Varela Rodríguez, Ana Claribel Herrera Wainshtok

2022-11-24 Short communications
Main nursing diagnoses and interventions for Hellp Syndrome

Introduction: HELLP Syndrome is one of the most severe forms of preeclampsia, worsening the maternal prognosis. Generally it affects multiparous women, with more advanced age, and the difficult diagnosis to be accomplished, it is important that these pregnancies be identified early by the health professionals for an adequate assistance, in order to avoid deaths and complications.
Objective: To identify the main nursing diagnoses and nursing interventions for HELLP syndrome carriers.
Method: A cross-sectional, descriptive and prospective data analysis study. In conducting this method, four steps were followed: identification of the problem, literature search of primary studies, identification of nursing diagnoses and nursing interventions. To proceed with the search, we used descriptors in Health Sciences (DeCS): Nursing Diagnosis, HELLP Syndrome, Obstetrics and in the Portuguese language.
Results: 11 nursing diagnoses specific to the Hellp Syndrome were described, diagnosed by the book: North American Nursing Diagnosis Association (NANDA), edition 2021-2023 and 55 nursing interventions related by the book: Nursing Interventions Classification (NIC).
Conclusion: We concluded that HELLP Syndrome is a serious complication of pregnancy, and it can be one of the aggravations of preeclampsia, presenting a great maternal and perinatal mortality, with difficult diagnosis. The nursing diagnoses and interventions for this disease provide nurses with effective decision making in their assistance to women with this obstetric emergency.

By Hyona Brazolin Beltrão, Cristina Gonçalves Reis Brito, Daniele Costa Sousa, Maria Eduarda Ferreira da Silva, Patrícia Facina Brandão, William Alves dos Santos

2022-11-24 Short communications
Pre-Exposure Prophylaxis and new technologies for treatment adherence in Chile

Based on the report of the "United Nations Program on HIV/AIDS 2019" and the low adherence to pre-exposure prophylaxis (PrEP) in risk populations in Chile since its implementation in 2019, a thought on the benefits that new technologies such as telemedicine currently have and how this influences access and adherence to therapy is presented, according to some of the current technological strategies implemented in the United States. On the other hand, Chile proposes telemedicine and telehealth guidelines, these are not aimed at improving access to therapy in risk groups. It proposed that extending telemedicine services to those who require PrEP could be beneficial in increasing adherence and access, also in decreasing HIV infections. Likewise, other countries in the region could use these innovations to get the same objective.

By Camilo Andrés Silva-Sánchez, Katiuska Lídice Reynaldos-Grandón

2022-11-24 Short communications
Organizational learning, diversity and inclusion of sexual minorities in the healthcare workplace

Sexual and gender minorities are exposed to discrimination in the workplace and, in particular, in healthcare organizations. The design of policies and strategies that favor the insertion of workers is a challenge for organizations and it is where organizational learning plays a relevant role to produce changes in mentality and behavior towards workers belonging to sexual minorities. The generation of organizational learning on issues of labor inclusion allows the integration of all teams within the organization, improving the work environment, productivity, profits and problem-solving capacity. The challenge is to address the changes in today's society and the new policies that protect and protect these diverse groups of health collaborators, without forgetting that individual learning does not guarantee organizational learning.

By Camilo Andrés Silva-Sánchez, Katiuska Lídice Reynaldos-Grandón

2022-12-21 Short communications
Methodological update of integrative reviews: an emphasis on the quality of the results

To date, there are numerous proposals of methodologies that guide secondary research of the integrative review type, which have made great contributions and have served as a basis for other methodological proposals. This article proposes a methodological emphasis on the quality of integrative reviews, which, in the opinion of the present author, are the ones that should be followed to achieve an integral review with excellent quality; to facilitate its learning, a mnemonic "Integra" has been generated: (I) Idea or study problem; (N) Question or aim; (T) Search tactics; (E) Execution or use of the search; (G) Degree and quality control of the results; (R) Filtered results; and finally, (A) Analysis and discussion. The proposed resource serves as a methodological tool for a critical and congruent synthesis of the literature, in a novel and related way, showing evidence of reflection or critical thinking; without detracting from the fact that an exhaustive search must be carried out as a previous step in order to identify the relevant articles published on the subject; a systematic integration of the results; and a critique of the scope, nature and quality of the literature in relation to the proposed research question.

By Miguel Andrez Valencia-Contrera

2022-06-21 Special paper
Strategies to raise the standards of quality, standardization, visibility and scientific impact of the Master's Degree in Integrated Management of Nursing Services

Introduction: Academic excellence constitutes one of the most important and controversial elements in contemporary higher education; since its determination is closely linked to the processes of administrative management and teaching performance. The objective of a master's degree is to train professionals in specific areas of knowledge who are capable of conducting research with high scientific rigor, as well as to develop their professional practice with a high level of specialization.

Objective: To describe the main results of the implementation of a strategy to raise the standards of quality, standardization, visibility and scientific impact of the Master's Degree in Integrated Management of Nursing Services.

Results: The main strategies implemented are presented, grouped in three stages. In the first stage, the restructuring of the thesis follow-up was developed with the creation of the Scientific Tutoring section and the standardization of the pre-project, project and thesis models, the decision to follow up the thesis virtually, with traceability and transparency. The second stage included the creation of a thesis evaluation committee, development of a master's thesis repository, thesis director bank, and curricular adjustments. The third stage included the creation of the Scientific Tutoring Microsite and the implementation of the thesis in scientific article format.

Conclusions: The implemented strategies developed have allowed to raise to 119 graduates in the last two years, of which 15 are theses in article format, to improve the flows of response and follow-up of theses.

By Javier Gonzalez-Argote, Carlos Oscar Lepez

2022-10-31 Special paper
Standards for Infection Control Nurse Practitioner Competency Standards

The main aim of this document is to contribute to improve the professional development of infection control nurses (ICN) and to be a standard for the certification and recertification of these professionals. In Argentina, until now, ICNs do not have a uniform academic training at national level. A framework of reference was outlined to measure or assess infection control professionals. These standards are intended to be used by the Higher Certification Committee (CSDC) of the Argentine Association of Infection Control Nurses (ADECI), the institutions that require a trained human resource, the ICUs that wish to position their role and the Secretariats and/or Ministries of Health of the Argentine provinces.

By Wanda Alcalá, Ana María Azario, Stella Maimone, Silvia Villa, Andrea Novau, María Laura Vernazzi

2022-11-24 Scientific congress article
Abstracts of the First International Meeting of Students, Researchers and Entrepreneurs: On the Multidisciplinary Globality of Science, Technology and Innovation

From this vital approach arises as an initiative, the I International Meeting of teachers-students, researchers and entrepreneurs, whose academic aim urges to present the binomial of academic cooperation of teachers and their research work with students, allowing the space to disseminate their scientific products, in lines and axes with current focus on the multidisciplinarity of knowledge, and advances in innovation, science and technology and its importance in the entrepreneurship of each country. In this sense, under the modality of papers, with evaluation by academic peers, the topics were presented from different Latin American countries, and various university institutions, making known in virtual formality, the valuable contribution that education promotes to intervene as social, political, economic actors in the dynamics of the local, national and international context. In sum, all the contributions contributed to reflect on the importance of education, the teaching work, the contribution and active participation of the student in research processes that in turn extend to its dissemination through events, scientific publications. The culture of educating entrepreneurs, as an exogenous activity of the university, is an academic space that articulates the processes of linkage with the organizations of the socio-productive environment, enabling the network of a basic platform of knowledge and concepts, processes and methodologies of management and administration, which allow to provide students with the essential skills to engage in an increasingly competitive, more interconnected and complex society.

By

2022-12-04 Scientific congress article
Overview of the 1st Transdisciplinary Congress on Wound Management: "Moving towards Transdisciplinarity in Chronic Wound Management"

The event was held on November 3rd and 4th, 2022 in the Autonomous City of Buenos Aires, organized by the Board of Directors of the Transdisciplinary Association of Wounds, Stomas and Incontinence (ATHEI), aimed at professionals and students of health sciences, with the participation of national speakers from leading institutions and international guests from Mexico, Costa Rica, Puerto Rico, Colombia, Chile and Spain, and members of ATHEI, with recognized professional careers. In this event the main topics covered were: wound healing, wound assessment algorithms, diabetic foot, vascular ulcers, pressure sores, incontinence-related dermatitis, pressure sores in pediatrics, ostomies, burns and pain management in chronic wounds. The need to promote development in this specialized area, allowed reflecting on challenges in public health and continuing education, and the articulation with institutions and actors in network, responding according to ATHEI's constitutive statute, projecting through professional practice based on evidence, with the use of standardized strategies and contextualized to the local reality and needs of people, families and communities that are the social value that scientific organizations have in the framework of institutional responsibility and is translated through the involvement with health teams, health technology providers and dialogue with the community giving way to the claim of the transdisciplinary approach to wounds with the excellence and quality it deserves.

By Martha Lira Garibay, Liliana Rosa Miguela López, Adriana Verónica Petro, Diego Germán Cristal, Gavi Micaela Utus Andray, María Anabella Danesi, Carlos Alejandro Bascary, Paola Dorina Pesarini, Paula Carolina Carrizo, Carlos Oscar Lepez

2022-12-24 Scientific congress article
Curricular integration in nursing. Review of the Conversatory allusive to the Argentine Nursing Day 2022

The Argentine Nursing Day is celebrated annually on November 21 and is used for planning curricular integration activities. The aim of this paper is to describe the activity of teachers and students allusive to the Argentine Nursing Day carried out by the Bachelor's Degree in Nursing as a curricular integration strategy. The "Conversatorio alusivo al Día de la Enfermería Argentina 2022: Prospectiva de Enfermería", was developed in the Autonomous City of Buenos Aires, in the Faculty of Health Sciences of the University of Business and Social Sciences, on November 24, 2022, through a synchronous meeting, with the contribution of teachers, students and institutional collaborators, the scientific program of this activity was elaborated, which was developed in compliance with the planned times and the motivation of the people present. The thematic areas of this activity were: Communication in Nursing, Nursing Specializations, Nurse Negotiator, Nursing Management and Decision Making, Nursing Leadership, Emotional Management, Nursing Education, Spiritual Care, Human Sciences in Nursing, and Nursing and Community. The management of the activity as a symbolic and meaningful experience for the profession, promoted a genuine contribution among peers through contributions with theoretical-practical analysis of issues and situations that cross the daily reality of nursing. The activity was valued with warmth among the participants and was maintained with exchanges that emphasized the interest in the topics addressed, in an atmosphere of respect, listening and effective feedback.

By Judit Figueira-Teuly, Carlos Canova-Barrios, Carlos Oscar Lepez

2022-12-30 Scientific congress article
Review of the IX Symposium on Curriculum and Educational Policies: "Educational policy and management in new post-pandemic scenarios"

The University of Magdalena, through the Faculty of Educational Sciences, organized the IX International Symposium on Curriculum and Educational Policies in a virtual version. It was held on November 17 and 18, 2022 in the City of Santa Marta, Colombia. This event has consolidated tradition and recognition in the academic community in the area of education as a result of the level achieved with the participation of prominent national and international academics, who with their contributions through conferences, panels, forums and workshops have configured an ideal setting. to socialize the product of their research, innovative actions or good practices in this area of knowledge. With 14 invited countries and 25 participating countries. Standing out the United States, Chile, Venezuela, Brazil, Peru, Spain, Morocco, Mexico, Bolivia, Ecuador, Argentina, Costa Rica, Italy and Colombia. With 9 lines of participation such as Social and educational inclusion, Education and child development, Educational technology, Education in rural contexts, Interculturality, Organization and educational management, Didactics of the disciplines, Educational public policies, Pedagogical practice and teacher training. It allowed the socialization of results and advances in research and educational innovations in the field of theory and curricular development and that of sector policies that allow the establishment of cooperation ties between national and international academic communities and contribute to permanent debate and reflection in the firm search towards and educational quality.

By Matilde Bolaño García, Keguin González Castro, Nixon Duarte Acosta, Gregorio Peña Coronado, José Manuel Pacheco Ricaurte, Narlys Patricia Villalobo Ropain

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