Browsing by Author "García García, Ana Angélica"

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Diseño de un sistema de gestión de seguridad y salud ocupacional en el HG-III-DE
(2013) Bernal Quizhpe, Mercy Karina; García García, Ana Angélica; Astudillo Ochoa, Sonia Margoth
The current thesis shows the Design of an Occupational Safety and Health Management System for the Military Hospital. It includes the identification, assessment and prevention of occupational risks, as well as, techniques and suggested formats which will contribute to a better implementation of the system. The first and second chapters describe the general information of the company, fundamental concepts, legal basis and useful theoretical issues, that have contributed to the development of this work. The third, fourth and fifth chapters develop the current situation of the hospital regarding occupational safety and health, which forms the beginning to perform the qualitative risk identification and assessment by workstation, based on the Triple criteria Method. Then, this analysis is conglomerated by areas and the risk assessment is made through specific methods, which are:William Fine Method, measurements and estimations made by external organizations,OCRA Method,NIOSH equation, REBA method, a Test for evaluate the work with data display screen and an adapted questionnaire. Finally, it allows elaborating the occupational risk prevention by areas. The sixth chapter explains the development of the Occupational Safety and Health Management System, being based on the Deming cycle (better known as PDCA) and considering the aspects that it should have according to the current situation of the hospital. The last section presents the appropriate conclusions and recommendations which will allow to have an adequate implementation of the system in the HG-III-DE.
Estudio Transversal: Factores de Riesgo para Alergia Alimentaria en Adolescentes de Cuenca y Santa Isabel, Ecuador
(2017) Morillo Argudo, Diana Alexandra; García García, Ana Angélica; Zúñiga Carpio, Gabriela Alexandra; Córdova Jimbo, Diana Paola; Rodas Espinoza, Claudia Rosana; Andrade Tenesaca, Dolores Susana; Ochoa Avilés, Angélica María
BACKGROUND:Food allergy in adolescents has been widely associated with risk factors. The aim of this investigation was determined, among adolescents of Cuenca and santa isabel, the prevalence of food allergy and its association with reported risk factors determined by self-report and skin prick test.
Evaluación de factores de riesgos psicosociales del personal docente de las facultades de Filosofía, Ciencias Químicas, Ingeniería, Ciencias Agropecuarias, Ciencias de la Hospitalidad, Psicología, Odontología y Dirección de Investigación de la Universidad de Cuenca
(Universidad de Cuenca, 2021-02-11) Hurtado Calle, Christian Leonardo; García García, Ana Angélica
teaching is becoming an occupation with a high level of psychosocial risk due to the high levels of overload as it requires high concentration, precision, and attention, added to the insufficient labor resources that are necessary to achieve the goals. Therefore, this study evaluated the psychosocial risk factors that affect the teaching staff of the Faculties of Philosophy, Chemical Sciences, Engineering, Agricultural Sciences, Hospitality Sciences, Psychology, Odontology and Research Directorate of the University of Cuenca, through the application of the INSST questionnaire designed for this purpose. A descriptive cross-sectional study was carried out that consisted of collecting information through the survey and analysis in the FPSICO 4.0 program, where it was found that teachers from the aforementioned faculties are exposed to high and very high risk levels in the following factors: Participation / Supervision (53.98%), Workload (45.57%), Psychological Demands (28.31%), Role Performance (21.68%), Relationship social support (21.68%), Work Time (21.24%), Interest in work Compensation (8.85%), Variety content (5.75%) and Autonomy (1.77%). Furthermore, in Workload factor there was a significantly higher percentage of female teachers with high and very high risk compared to male teachers (p = 0.005). In conclusion, Participation / Supervision and Workload were the most important psychosocial risk factors in this population, being the female teachers most exposed to the latter.
Evaluación de las fuentes de consumo de sal y de la ingesta de Sodio mediante encuestas alimentarias en niños sanos de 7 a 12 años de zonas rurales del cantón Cuenca
(Universidad de Cuenca, 2020-12-03) Apolo León, John Robinson; Hernández López, Alisson Nathaly; Astudillo Neira, Diana Ligia de Lourdes; García García, Ana Angélica
OBJECTIVE: To evaluate the sources of salt consumption and sodium intake in healthy children between 7 and 12 years of age in rural areas of the Cuenca canton. METHODS: Cross-sectional study in 45 schoolchildren. Two dietary evaluation questionnaires were applied: Frequency of Consumption of Salt-bearing Foods Questionnaire (CFC) and 24-hour Reminder (R24h). Statistical differences were established on the average sodium consumption / day between parishes using the ANOVA test and between sex using the student's T test. The assessment of the dietary intake was carried out based on the energy provided per day of the macronutrients and the NOVA system (classification of food according to the level of processing). RESULTS: Cooked rice was consumed 2 to 3 times / day by 40% of participants; the mote cooked daily by 48.9% of children, the fried, cooked or scrambled egg; chicken consommé and dry chicken were consumed 2 to 4 times / week by 64.4%, 44.4% and 42.2% of respondents, respectively. The average sodium consumption was 1.93 ± 0.4 g / day, without significant demographic differences (parish p = 0.69; sex p = 0.52). The energy intake / day of carbohydrates was 62.3 ± 7.9%, fats 26.3 ± 8.5%, proteins 11.5 ± 2% and fiber 1.5 ± 0.5%. Unprocessed foods contributed 57.8 ± 13.2% of the total energy / day, culinary ingredients 18.9 ± 8.6%, processed foods 11.1 ± 6.5% and ultraprocessed foods the 12.1 ± 10%. CONCLUSIONS: The main foods that provide salt were rice, corn, egg and chicken. Average daily sodium intake exceeded international health recommendations, with low fiber intake and a higher intake of minimally processed foods and culinary ingredients.
Food allergy, airborne allergies, and allergic sensitisation among adolescents living in two disparate socioeconomic regions in Ecuador: a cross-sectional study
(2020) Morillo Argudo, Diana Alexandra; Andrade Tenesaca, Dolores Susana; Rodas Espinoza, Claudia Rosana; Perkin, Michael; Gebreegziabher, Tesfalem Lukas; Zúñiga Carpio, Gabriela Alexandra; Andrade Muñoza, Diana; Ramírez Jimbo, Patricia Liliana; García García, Ana Angélica; Ochoa Avilés, Angélica María
Background: Allergic diseases are under-investigated and overlooked health conditions in developing countries. We measured the prevalence of food allergy (FA), airborne allergic disease, and allergic sensitisation among adolescents living in 2 socio-demographically disparate regions in Ecuador. We investigated which risk factors are associated with these conditions. Methods: A cross-sectional study involved 1338 students (mean age: 13 ± 0.9 years old) living in Cuenca (n = 876) and Santa Isabel (n = 462). History of allergic symptoms (noted by parents or doctor) to food, house dust mites (HDM), pollen, and pets were recorded. Sociodemographic characteristics, environmental exposures, and parental history of allergic disorders data were collected. Sensitisation to 19 food and 20 aeroallergens was measured by skin-prick testing (SPT). FA and airborne allergic diseases (to HDM, pollen, cat, or dog) were defined as a report of allergic symptoms noted by doctor, together with a positive SPT (wheal size ≥3 mm). Logistic regression models were used to identify environmental and parental factors associated with allergic conditions. Results: FA was prevalent among 0.4% (95% CI 0.2%–0.9%), and food sensitisation among 19.1% of the adolescents. Shrimp was the most frequent food linked with FA and food sensitisation. Risk factors associated with FA could not be evaluated due to the low prevalence. Food sensitisation was higher among adolescents exposed to family smoking (OR 1.63, 95% CI 1.14–2.34, p = 0.008) and those with parental history of allergic disorders (OR 1.68, 95% CI 1.13–2.49, p = 0.01), but less common among adolescents owning dogs (OR 0.59, 95% CI 0.41–0.84, p = 0.003). Airborne allergic diseases were prevalent amongst 12.0% of the adolescents (95% CI: 10.4–13.9, n = 1321), with HDM as the primary allergen (11.2%). Airborne allergic diseases were less common among adolescents with more siblings (OR 0.79, 95% CI 0.65–0.96, p = 0.02) and those who lived with farm animals in the first year of life (OR 0.47, 95% CI 0.23–0.95, p = 0.04), but, most common among adolescents with a smoking family (OR 1.67, 95% CI 1.04–2.70, p = 0.03) and with a parental history of allergic disorders (OR self-perceived: 2.62, 95% CI 1.46–4.71, p = 0.001; OR diagnosed by a doctor: 4.07, 95% CI 2.44–6.80, p < 0.001). Conclusions: FA and airborne allergies are less prevalent in Ecuador than in developed regions; there is a great dissociation between the prevalence of allergic disease and allergic sensitisation. Shrimp and HDM were the most prevalent allergens. Risk factors identified in this study to be related to allergic diseases should be considered by physicians, health practitioners, and epidemiologists in Ecuador.
Sedentarismo, actividad física, condición física y factores de riesgo para la salud, en puestos de trabajo de oficina de la Universidad de Cuenca
(2017-08-31) García García, Ana Angélica; Andrade Tenesaca, Dolores Susana
The human evolving has restricted physical activity and has increased sedentary lifestyle, especially at work, resulting in non-communicable chronic diseases that produces premature mortality, high disease costs, poor productivity and absenteeism. The aim of this thesis was to determine the level of physical activity, sedentary behavior and physical fitness in public employees of University of Cuenca and its association with some health risk factors. A cross-sectional study, with a correlational scope, was performed in 65 employees of University of Cuenca, in whom levels of physical activity, sedentary behaviors and physical fitness (by accelerometers, SIT-Q-7d questionnaire and ALPHA-FIT battery, respectively), body mass index, waist circumference, blood pressure and capillary blood glucose. The studied variables were presented in percentages and the associations were assessed through logistic regression models. 62.5% reached physical activity recommendations according to WHO and ACSM, but 62.8% didn’t have a healthy physical fitness. Moreover, great proportions of abdominal obesity (56.9%), overweight/obesity (56.3%) and pre-hypertension/hypertension (21.5%). Moreover, participants spent 93.4% of the day in light physical activities and 60.6% of this time comes from sedentary behaviors, in especial from occupational domain (3.7 hours/day). In conclusion, work environment is a strategic area to carry out studies and establish preventive and corrective interventions, aims to reduce the burden of non-communicable chronic diseases.
Síndrome de intestino irritable en personal de enfermería de un hospital de Cuenca-Ecuador
(2021) Morillo Argudo, Diana Alexandra; García García, Ana Angélica; Ochoa Avilés, Angélica María; Chacón Molina, Jéssica Priscila; Cabrera Beltrán, Jennifer María
Irritable Bowel Syndrome in nursing staff at a hospital in Cuenca-Ecuador BACKGROUND: Irritable bowel syndrome (IBS) is a common functional-digestive disorder in health personnel, with significant repercussions on life quality, work, healthcare system and society. The aim of this study was to determine the frequency of reported IBS and its subtypes in the nursing staffs' medical records of a public hospital, in Cuenca - Ecuador. METHODOLOGY: A cross-sectional, descriptive study, with a randomized sample of nursing workers of Hospital Jose Carrasco Arteaga, Cuenca- Ecuador; between June 2017 and April 2018. According to Rome III criteria, medical records were assessed looking for IBS diagnosis and the subtype. Finally, sociodemographic, occupational and psychological factors among the nursing staff was also described. RESULTS: Two-hundred and fourteen medical records were evaluated (average age: 38.7 ± 10.4 years, 95.3% women). A diagnosis of IBS was found in 7.0% (15/214) of the personnel evaluated. The most frequent IBS subtypes were undetermined (46.7%, 7/15) and mixed (26.7%, 4/15). Twenty percent of the nursing staff with IBS, had mental disorders diagnosis (anxiety, depression and/or dysthymia), the same percent worked shifts. CONCLUSION: The diagnosis of IBS reported in the nursing staff medical records, in Cuenca- Ecuador was lower than expected (7%). The most frequent IBS subtypes were undetermined subtype, followed by mixed subtype.