J. M. Acosta Nuñez, Gessi Maribel Sandoval Balarezo, Mónica Guadalupe Paredes Garcés, Fanny Alexandra Supe Supe
{"title":"Labor load in critical areas and “TISS 28”","authors":"J. M. Acosta Nuñez, Gessi Maribel Sandoval Balarezo, Mónica Guadalupe Paredes Garcés, Fanny Alexandra Supe Supe","doi":"10.56294/saludcyt2023385","DOIUrl":"https://doi.org/10.56294/saludcyt2023385","url":null,"abstract":"Introduction: nursing as the backbone of the global health care system. The workload in critical care units affects the quality of health care. The creation of therapeutic support units for medical specialties has increased their complexity. The Simplified Therapeutic Intervention Scoring System (TISS-28) determines workload. The lack or absence of the application of these tools within the ICU has evidenced a workload and caused adverse effects for the external and internal user.\u0000Objective: to determine the nursing workload by means of the TISS-28 Prognostic System in the Intensive Care Unit of the Hospital General Docente Ambato.\u0000Methods: a prospective, descriptive, cross-sectional, correlational, descriptive study was conducted during the period from June to August 2019; in the Intensive Care Unit of the Hospital General Docente Ambato.\u0000Results: there is a deficit of nursing staff in the shift from 19 to 35%. The workload increases adverse events: Health Care Associated Infections, medication errors, deteriorating the quality of health care. Multiplying the workload of nursing staff in Intensive Care Units.\u0000Conclusions: The TISS-28 scale has proven to be a reliable method to determine and distribute workload. Workload increased adverse events deteriorating the quality of health and the incidence of burnout syndrome in health care personnel.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114154330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Andrés Martínez Gutiérrez, Ruth Alba Hernández Espinosa, Lenin Alexander Quel Mejía, Andrea Blanco Silva, F. Rodríguez Núñez, Marcos Manuel Vásquez Mendoza, Erick Josue Fabre Morales, Gabriela Esmeralda Jarrín Vallejo
{"title":"A Review of Surgical and Anesthetic Care in Quito, Ecuador","authors":"José Andrés Martínez Gutiérrez, Ruth Alba Hernández Espinosa, Lenin Alexander Quel Mejía, Andrea Blanco Silva, F. Rodríguez Núñez, Marcos Manuel Vásquez Mendoza, Erick Josue Fabre Morales, Gabriela Esmeralda Jarrín Vallejo","doi":"10.56294/saludcyt2023400","DOIUrl":"https://doi.org/10.56294/saludcyt2023400","url":null,"abstract":"Introduction: Surgical and anesthetic care are critical components of healthcare services in Quito, Ecuador. The region has made significant advancements in technology, training, and infrastructure, which have improved the quality of care and outcomes for patients. However, there are still challenges and opportunities that need to be addressed to ensure that patients have access to high-quality surgical and anesthetic care.\u0000Objective: The objective of this review is to examine the developments, challenges, and opportunities in surgical and anesthetic care in Quito, Ecuador.\u0000Methods: The review was conducted through a comprehensive search of 20 relevant articles and studies on surgical and anesthetic care. The search was conducted using online databases such as PubMed, Google Scholar, and ScienceDirect. The articles and studies included in the review were selected based on their relevance to the research question and their quality and validity.\u0000Results: The results of the review indicate that there have been significant advancements in technology, training, and infrastructure for surgical and anesthetic care in Quito, Ecuador. However, the shortage of medical professionals, limited resources, and other challenges remain to be addressed.\u0000Conclusions: the review highlights the developments, challenges, and opportunities in surgical and anesthetic care in Quito, Ecuador. The findings of the review have implications for policymakers, healthcare providers, and medical professionals in the region, highlighting the need for continued investment in these critical medical services to ensure that patients have access to high-quality surgical and anesthetic care.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127098148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ernesto Díaz-Ronceros, Ángel David Hernández-Amasifuen, W. Marín-Rodriguez, Daniel Andrade Girón, J. Ausejo-Sánchez, A. Muñoz-Vilela, A. Neri-Ayala
{"title":"Design and implementation of a low-cost orbital shaker for laboratories","authors":"Ernesto Díaz-Ronceros, Ángel David Hernández-Amasifuen, W. Marín-Rodriguez, Daniel Andrade Girón, J. Ausejo-Sánchez, A. Muñoz-Vilela, A. Neri-Ayala","doi":"10.56294/saludcyt2023397","DOIUrl":"https://doi.org/10.56294/saludcyt2023397","url":null,"abstract":"Orbital shakers are of great importance in plant culture laboratories, however, the high cost of this equipment often makes it impossible for researchers to acquire them. Therefore, the objective of the study was to design and implement a low-cost orbital shaker for plant culture laboratories. The type of research was applied and experimental. As results, the 3D printed design of the support structure was obtained, as well as the control system based on an ATmega328P microcontroller. The range of the revolutions per minute of the orbital shaker was between 0 and 350rpm. It is concluded that the orbital shaker meets the objective set out in this research, obtaining an implementation cost of USD 153.50 US dollars.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124125691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Axel Gandhi Urgiles Ruiz, Wilson Adrian Huailas Suquilanda, Hermel Medardo Espinoza Espinoza, Zoila Katherine Salazar Torres
{"title":"Incidence of type 2 Diabetes Mellitus at the health post of the Parroquia Tres Cerritos in adults. Period august 2019 – august 2022","authors":"Axel Gandhi Urgiles Ruiz, Wilson Adrian Huailas Suquilanda, Hermel Medardo Espinoza Espinoza, Zoila Katherine Salazar Torres","doi":"10.56294/saludcyt2023358","DOIUrl":"https://doi.org/10.56294/saludcyt2023358","url":null,"abstract":"Background: Diabetes is a major global health problem, with an estimated 537 million adults living with diabetes in 2021, with a projected increase to 783 million by 2045 (1).\u0000Aim: To determine the incidence of Type 2 Diabetes Mellitus in adults at the Tres Cerritos Parish Health Post. Period August 2019 – August 2022.\u0000Methods: It is an observational cross-sectional study, with a sample of 46 adults of both sexes, for the collection of sociodemographic information on the population with type 2 diabetes mellitus, the PRAS (HEALTH CARE RECORD PLATFORM) was used. For the statistical analysis, the Epi Info program and Excel were used.\u0000Results: Based on the PRAS, it was determined that the patients treated at the Tres Cerritos Health Post diagnosed by the doctor with Type 2 Diabetes Mellitus, had an incidence of 17 x 1000 Inhabitants, that is, 0.17% over a period of 4 years. in a significant number they belong to the female sex, more frequently they are those who fluctuate between 24 to 54 years of age, 41.30% of the total of the patients investigated presented Diabetes Mellitus type 2 as the only diagnosis, 19.56% Diabetes Mellitus type 2 + Obesity and 10.87% Diabetes Mellitus type 2 + Arterial Hypertension; These last two risk factors being the most important in the evolution of this pathology.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121189303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rita Guadalupe Shulca Tipantuña, Carola del Rocío Cortez Flores
{"title":"Caregiver syndrome in primary caregivers of dependent older adults","authors":"Rita Guadalupe Shulca Tipantuña, Carola del Rocío Cortez Flores","doi":"10.56294/saludcyt2023387","DOIUrl":"https://doi.org/10.56294/saludcyt2023387","url":null,"abstract":"Introduction: the older adult undoubtedly needs special care to perform daily activities due to age, illness or disability, they require the presence of a caregiver the same performs activities in order to meet the needs.\u0000Objective: to determine the prevalence of caregiver overload in primary caregivers of dependent older adults.\u0000Methods: quantitative, descriptive, non-experimental cross-sectional study. It is considered a correlational study, using the Zarit and Barthel scales in a population of 119 primary caregivers. The study was based on ethical considerations governed by the Helsinki code, which emphasizes the protection of the rights and the guarantee and welfare of the people participating in research.\u0000Results: the results showed that most of the caregivers were women (63 %) of middle and old age (80,7 %). The level of overload in the primary caregivers is established at 66 % in which overload and intense overload are obtained according to Zarit. Pearson’s correlation analysis revealed a significant correlation between the overload syndrome and the level of dependency of the older adult.\u0000Conclusion: it is evident that caregiver overload is present in one third of the caregivers giving a prevalence of 55,4 % of overload distributed between mild and intense; there is a need to implement effective support and care measures for caregivers, in order to improve the quality of care and protect their health and well-being.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114254382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing care of children with the Omicron variant","authors":"Guadalupe Belen Toapanta Ochoa, Miriam Ivonne Fernández Nieto","doi":"10.56294/saludcyt2023317","DOIUrl":"https://doi.org/10.56294/saludcyt2023317","url":null,"abstract":"Introduction: Since the beginning of the COVID-19 pandemic, variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been identified, one of which is Omicron, which has caused alarm due to its high transmission rate and mutations affecting the pediatric population.\u0000Objective: To carry out a review to identify the main clinical-epidemiological characteristics of pediatric patients infected with SARS-CoV-2 variant B.1.1.529.1 and the nursing management protocols.\u0000Methods: A literature review was conducted according to PRISMA using keywords in Spanish and English in databases via PubMed, Cochrane library in the period December 2019 - January 2023 through gaps and MeSH descriptors.\u0000Results: Of the total articles found, 30 met the inclusion criteria and were categorized into: 1. COVID-19 Omicron variant epidemiology in pediatric population (n₌ 9), 2. Clinical manifestations and complications of pediatric patients with Omicron variant (n₌ 16), 3. Nursing protocol for the management of pediatric patients with Omicron variant (n₌5). No studies addressing the epidemiologic profile by age group were obtained. The main clinical manifestations and complications by age range were identified. To date, there are no nursing care protocols to address the needs of children with COVID-19.\u0000Conclusion: Protocols for the management of pediatric patients and the training of nursing staff on the real impact of the virus and its variants in children, with an impact on physical health, should be created and proposed.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121786227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julio Ismael Hidalgo Ruiz, Wilson Adrian Huailas Suquilanda, Zoila Katherine Salazar Torres
{"title":"Incidence of pediatric patients with diarrheal diseases in the health post tres cerritos - pasaje in the period 2020 - 2022","authors":"Julio Ismael Hidalgo Ruiz, Wilson Adrian Huailas Suquilanda, Zoila Katherine Salazar Torres","doi":"10.56294/saludcyt2023398","DOIUrl":"https://doi.org/10.56294/saludcyt2023398","url":null,"abstract":"Objective: This study aims to determine the incidence of diarrheal diseases in pediatric patients of the Tres Cerritos Health Post in the Pasaje Canton during the period 2020 - 2022.\u0000Methods: A cross-sectional observational-descriptive study was conducted. The pediatric population studied consisted of 5,774 children, among whom 76 cases of acute diarrhea were observed in children of both sexes. The PRAS system (Plataforma Registro de Salud) was used for data collection. Statistical analysis was carried out with Epi Info and Excel, presenting qualitative variables with frequency values (f), percentage (%) and quantitative variables with measures of central tendency and dispersion (mean, median/standard deviation, interquartile range).\u0000Results: According to the data collected in PRAS, an incidence of acute diarrhea of 13.16 per 1,000 inhabitants was determined. The average age of the affected children ranged from 2 to 9 years, with a predominance of the male sex (54%). The most affected age group was 2 to 4 years (49%). The most frequent symptomatology was diarrhea (42%), followed by the combination of diarrhea and vomiting (16%).\u0000Conclusion: The incidence of diarrhea in the Tres Cerritos Health Post was relatively low in the pediatric population. This is due to the fact that respiratory pathologies predominated during the study period, affecting the male sex more frequently.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117015375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brenda Miroslava Carrión Ramírez, Héctor Manuel Córdova Medina, Maria Viviana Murillo Párraga, Guillermo Segundo Del Campo Saltos
{"title":"Health and Inclusive Higher Education: Evaluation of the Impact of Policies and Programs for People with Disabilities in Ecuador","authors":"Brenda Miroslava Carrión Ramírez, Héctor Manuel Córdova Medina, Maria Viviana Murillo Párraga, Guillermo Segundo Del Campo Saltos","doi":"10.56294/saludcyt2023361","DOIUrl":"https://doi.org/10.56294/saludcyt2023361","url":null,"abstract":"This study explored the inclusion of students with disabilities in higher education, focusing on policies, practices, and challenges within a specific faculty. The research question analyzed barriers and strategies for inclusion. A mixed methods approach was adopted, combining quantitative and qualitative analysis of data collected through surveys, interviews, focus groups, and document review, with the participation of students with disabilities, faculty, and administrative staff. The findings demonstrated notable progress in inclusion, reflected in concrete policies and practices, such as scholarship programs, reasonable accommodations and assistive technologies. However, challenges persist in the training and sensitization of faculty and administrative staff, as well as in the removal of physical and architectural barriers. Analysis of the results showed a general trend towards greater inclusion in higher education, but inequalities still exist in access, participation and academic success for these students. A holistic and collaborative approach is needed to foster an inclusive culture that values and respects diversity and individual differences. This study provides valuable data for the continuous improvement of policies and practices in the field of inclusion of students with disabilities in higher education, underscoring the importance of treating inclusion as a dynamic and ever-changing process that demands the commitment and collaboration of the entire educational community. Areas for improvement and ongoing challenges were identified, emphasizing the need to continue working on specific strategies and policies to ensure equal opportunities and foster an inclusive culture that benefits all students, regardless of their individual characteristics and needs.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131219835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Byron Rubén Martínez Salazar, Luis Eduardo Martínez Salazar, Jennifer Belen Mosquera Arevalo, Christian Gabriel Villa Clavijo, Lady Alexandra Tapia Quiroga
{"title":"Diagnostic and therapeutic challenges in a pediatric patient with anencephaly, hydrocephalus and epilepsy: Case report","authors":"Byron Rubén Martínez Salazar, Luis Eduardo Martínez Salazar, Jennifer Belen Mosquera Arevalo, Christian Gabriel Villa Clavijo, Lady Alexandra Tapia Quiroga","doi":"10.56294/saludcyt2023359","DOIUrl":"https://doi.org/10.56294/saludcyt2023359","url":null,"abstract":"Introduction: A 5-month-old female patient with an intrauterine diagnosis at 5 months of anencephaly plus hydrocephalus with a poor prognosis. Obtained by caesarean section at term. She stayed 4 days in pediatric intensive care and was then discharged. He attended due to a clinical picture characterized by a convulsive crisis at 7:00 p.m. and 8:00 p.m. She was hospitalized for 22 days presenting macrocephalus, tension hydrocephalus, external ventricular drain in place, gaze at the rising sun, spontaneous eye opening. She is under sedation and analgesia with infusion of midazolam and fentanyl, connected to mechanical ventilation through an endotracheal tube.\u0000Case report: present a complex clinical case where the patient presents anencephaly plus hydrocephalus and epilepsy without evidence of cerebral lobes.\u0000Conclusion: Anencephaly, hydrocephalus and epilepsy are serious neurological conditions, due to the significant impact that can be present in the life of the person suffering from these medical conditions. It is extremely rare that the patient presents epilepsy and each time the episodes are more violent until the loss of consciousness.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130106482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Alexandra Castro Sánchez, William Andrés Jiménez Hurtado
{"title":"Nursing staff experiences for the prevention of ventilator associated pneumonia","authors":"Jessica Alexandra Castro Sánchez, William Andrés Jiménez Hurtado","doi":"10.56294/saludcyt2023380","DOIUrl":"https://doi.org/10.56294/saludcyt2023380","url":null,"abstract":"Introduction: Pneumonia associated with mechanical ventilation (VAP), is one of the main conditions of intubated patients, in this sense nursing professionals play a fundamental role in its prevention, since they provide direct care to the patient in order to achieve early recovery and avoid complications that lengthen hospital stay or even cause death.\u0000Methods: The present research was qualitative with a phenomenological approach, in which 7 nurses from the Intensive Care Unit participated, for the collection of information a semi-structured interview was used and the data were analyzed with the Atlas. Ti.\u0000Results: The participants recognized its importance in the prevention of VAPM, in terms of care they demonstrated to have a broad knowledge, although not completely, they are also aware of the factors that hinder its prevention and the benefits achieved by preventing pathology.\u0000Conclusions: There are several strengths that were identified in nursing professionals, when caring for these patients, however, the most remarkable was being proactive, since, although they have managed to provide good care, although not in its entirety, it has been by their own interest and based on self-education. Likewise, there are several limitations that they face, among which stand out the lack of resources, as well as the lack of knowledge to perform some care, so it is recommended to establish a training plan and protocolized training in the manipulation of the airway.","PeriodicalId":184806,"journal":{"name":"Salud Ciencia y Tecnología","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121152894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}