Browsing by Author "Andrade, Diana"

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Aplicación de la estrategia de atención integral de enfermedades prevalentes de la infancia
(2013-04) Quizhpe Peralta, Arturo; Uphoff, Eleonora; Encalada, Lorena; Andrade, Diana; Barten, Francoise
Introduction: the strategy of Integrated Management of Childhood Illnesses (IMCI) developed by the World health Organization and the UNICEF is aimed at reducing infant mortality and at promoting the rational use of antibiotics. Objective: to evaluate the performance of the above-mentioned strategy for children with acute respiratory infections in Ecuador, in terms of diagnosis and treatment, particularly antibiotic therapy. Methods: the medical histories of patients aged two months to five-years old, who had been diagnosed with ARI and treated at 2 primary health care centers in urban or rural areas in the period of July 2010 through June 2011, were checked. Data about the characteristics of the patients, the diagnosis and the treatment followed were retrospectively collected. Results: in both primary health centers and in most of the medical records, information about the lines of treatment and administration of antibiotics was missing. Data collected on 1 063 patients revealed that over-prescription of antibiotics occurred more frequently in health centers located in rural areas (6.5 %). Conclusion: future research should focus on identifying the causes of failure in the IMCI implementation. The inaccessibility to health centers may be an example of associated causes, especially in rural areas. The contextualization of the IMCI strategy may be needed to improve child health, to promote the rational use of antibiotics and to reduce the spread of antimicrobial resistance.
Plataforma basada en ecgML para el estudio de las complicaciones cardiovasculares en el adulto mayor con síndrome metabólico
(Universidad de Cuenca, 2015) Parra, Freddy; Andrade, Diana; Cruz, Julio; Solano-Quinde, Lizandro; Palacio-Baus, Kenneth; Encalada, Lorena; Wong, Sara; Universidad de Cuenca; Dirección de Investigación de la Universidad de Cuenca; DIUC
This research is part of DIUC- PROMETEO project Heart rate variability and insulin sensitivity in the elderly population of Cuenca. In this paper preliminary results of the development of a database for the study of metabolic syndrome and cardiac complications are shown. The main objective of this project is to integrate data collected on the project within an open framework. The proposed system is a flexible solution based on ecgML that can integrate different types of variables: ECG in SCP-ECG format, demographic, clinical, anthropometric and biochemical variables. Presently, the platform developed is used for the management of the multiparametric information of DIUC-PROMETEO project. Data from 180 elderly people have been registered. MS prevalence is close to 40%. From this population, 117 ECG records are available for cardiological studies.
Schoolchildren"s perceptions and practices on the causes, gravity and treatment of acute respiratory infection, Azuay, Ecuador, 2012.
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-12) Quizhpe Peralta, Arturo Octavio; Encalada Torres, Lorena Esperanza; Andrade, Diana; Alessio, Silvina; Barten, Francoise
Objective: To identify the perceptions and practices of schoolchildren belonging to different social strata about the causes, severity, and treatment of acute respiratory infection in Azuay province, Ecuador in 2012. Methodology: A descriptive study was conducted in a convenience sample of 498 schoolchildren in the sixth and seventh year of primary school, from both urban and rural areas of Azuay. We talk with the responsible people for the schoolchildren care about the aim of the study, and the informed consent was obtained. For quality control we performed a pilot study in a different institution than this study. Data were analyzed using SPSS version 15, we used frequencies, percentages and measures of central tendency such as middle and standard deviation, and chi-square was used to find statistical significance. Result: The average age of participants was 10.8 years. Children came from both urban and rural regions, and belonged to low or middle social strata. Those of low social strata and of feminine gender more commonly used drugs in the home before receiving medical care (42.3% and 45.0%). A higher percentage of female children (41.9 %) were aware of antibiotics, while the males had better knowledge of bacterial resistance (26.3%). The health-care centers and school were the main source of information on antibiotics and bacterial resistance, although children’s access to information overall was low. The level of knowledge of the causes and the severity of acute respiratory infection was inadequate in a high proportion of both boys and girls. The majority of participating schoolchildren, independent of their status identified that "taking care in cold weather" is an appropriate measure of prevention and protection against ARI, but very low percentages of them considered rest, no smoking, healthy food, protection and nasal cleaning as self-care practices to prevent ARI. Conclusions: Only a limited percentage of boys and girls had appropriate knowledge and perceptions about the severity of acute respiratory infection, the use of antibiotics and antibiotic resistance. Programs to contain antibiotic resistance require multilateral and comprehensive approaches that involve the community with an emphasis on the school, children, parents and their families.