Browsing by Author "Guerra Astudillo, Gabriela Mireya"

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Barreras para el acceso a salud reproductiva enfrentadas por mujeres que residieron en la Provincia del Azuay y que fallecieron por causas maternas durante el año 2017
(Universidad de Cuenca, 2020-06-22) Guerra Astudillo, Gabriela Mireya; Vega Crespo, Bernardo José
The Sustainable Development Objectives include in its goals the decrease of maternal mortality rates. During the year 2017, Ecuador registers 211 maternal deaths, even though in 2018 they decreased to 154, the year 2019 shows a tendency to an increase in deaths. Objective: Identify the barriers to health service access that are faced by women, residing in the Azuay province, who died due to maternal causes in 2017. Methods: This is a mixed study: quantitative descriptive centered around nine cases of maternal deaths, and qualitative that retraces six interviews appertaining to each case. The analysis was executed with the statistics program SPSS and ATLAS.ti respectively. Conclusions: A risk profile made specifically for maternal mortality doesn't exist in terms of sociodemographic characteristics and those pertaining to reproductive health, although all women in this study who died due to this cause coincide in their complete lack of pregnancy planning. The Three Delay Model structured around emergency, proves to be insufficient for the purpose of an integral approach to the problematic, which is why a new proposal develops, "The Barriers, Delays and Four Moments Model" that mainstreams the gender perspective and analyzes maternal mortality as an effect of delays in the promotion of sexual and reproductive health, pregnancy prevention, health control and the moment during an emergency. There exist barriers related to gender, culture, economy, geography, as well as structural pertaining to the legal and sanitary system.
Barriers and Advantages of Self-Sampling Tests, for HPV Diagnosis: A Qualitative Field Experience Before Implementation in a Rural Community in Ecuador
(2024) Delgado Lopez, Dayanara Alejandra; Neira Molina, Vivian Alejandra; Vega Crespo, Bernardo José; Guerra Astudillo, Gabriela Mireya
Características de trauma encéfalo craneal en el área de emergencia del Hospital Vicente Corral Moscoso entre los meses de octubre del 2011 a mayo del 2012
(2014) Guerra Astudillo, Gabriela Mireya; Guerrero Lojano, Diana Alejandra; Díaz Heredia, Favian Eduardo; Roldán Fernández, José Vicente
Objetive. Determine the characteristics of the Brain Trauma Cranial treated in the emergency area Vicente Corral Moscoso Hospital between the months of October 2011 to May 2012. Material and methods. With a descriptive design information from the clinical records of 753 patients seen in the emergency area diagnosed with Trauma Encéfalocraneal was collected. The variables age, sex, etiology, type of BTC treatment and alcohol intake at the time of care were analyzed. Results. During the period of study of 59711 cases seen in the emergency area 753 ( 1.26 %) were trauma Craneoencephalic . 65% of the cases were male and 35% female. The most commonly found in children from one to nine years (36.25% ), followed by the subgroups of 10 to 19 years (19, 65%) and 20-29 years (15%). According to the Glasgow most TECs were Leves (68.79%). The main etiology of BTC was the fall from standing height (32.8% ) , as are the second leading cause falls from 1 meter or more in height ( 29.2 %). 14% of patients were under the influence of alcohol. Discussion. The results are similar to published literature and provide a situational analysis on the characteristics of head injury and its management to comply with the recommendations into effect. Follow-up studies are needed from hypotheses generated by these findings. Keywords: BRAIN INJURY, CRANIOCEREBRAL TRAUMA, HEAD INJURY, ACCIDENTAL FALLO, AND EMERGENCY TREATMENT.
Conocimiento y prácticas de prevención de cáncer de cuello uterino en mujeres con lesiones histopatológicas. Cuenca, Ecuador 2021
(2021) Ortiz Mejía, José Stalin; Ortiz Segarra, José Ignacio; Guerra Astudillo, Gabriela Mireya; Pérez Paredes, Verónica Andrea; Vega Crespo, Bernardo José; Neira Molina, Vivian Alejandra; Mora Bravo, Lorena Viviana
Knowledge and practices are essential to promote health, prevent disease, maintain health, and cope with diseases in general and cervical cancer in particular. The objective of this study was to describe the sociodemographic characteristicsand prevention practices in women with histopathological lesions of the cervix, for which 174 female patients,between 30 and 89 years of age,were interviewed at the SOLCA and Vicente Corral hospitals in the city of Cuenca. The results show that the participants, mostlyliving in urban and marginal urban areas, married, with primary and secondary education, with economic difficulties and mestizo self-identification, more frequently presented histopathological lesions of the LIEAG, LIEBG and Cancer type. Although they have information about HPV, very few know that it is the main cause of CCU, that it is transmitted sexually, that there are vaccines and early detection tests. Among the facilitating factorsto carry out the Pap smearare:the follow-up visit, medical recommendation, own initiative and recommendation of a friend or relative; while personal factors, problems in the health service, economicand familydifficulties, constitute the main barriers.