Browsing by Author "Jaramillo Monge, Julio César"

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Conocimiento y autoexamen del cáncer testicular en estudiantes de cuarto año de la carrera medicina de la Universidad de Cuenca del ciclo de septiembre 2024 a febrero del 2025
(Universidad de Cuenca, 2025-05-09) Yanchapaxi Velasco, Daniela Lizeth; Jaramillo Monge, Julio César
Background: Testicular cancer is a rare disease compared to other types of cancer, but it has a high incidence among young men aged 15 to 40 years. In recent decades, its prevalence has increased significantly, raising concerns. According to the World Health Organization (WHO), this malignant tumor has seen a 60% rise in Latin America over the past 20 years. Objective: To evaluate the knowledge and practice of testicular self-examination among fourth-year medical students at the University of Cuenca during the academic cycle from September 2024 to February 2025. Methods: A descriptive study was conducted using a structured questionnaire. This instrument included questions about knowledge of testicular cancer, associated risk factors, and the practice of testicular self-examination. Results: 72% of the students received information about testicular cancer, but 49% considered the sources unclear or insufficient in quality. 27.5% did not receive any information at all. 33.3% were unaware of the risk factors, as well as the signs and symptoms of the disease. Regarding self-examination, 43.1% had performed it at least once, although 35.2% had not done so in over a year. Additionally, 41.2% were unaware of the basic steps for proper self-examination. Conclusion: There is a need to improve education about testicular cancer and promote the regular practice of self-examination among medical students.
COVID-19 vaccine acceptance in Azuay province, Ecuador: a cross-sectional online survey
(2021) Colebunders, Robert; Jaramillo Monge, Julio César; Obimpeh, Michael; Acurio Páez, Fausto David; Boven, Annelies; Vega Crespo, Bernardo José
We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.
Determinación de la calidad percibida por los usuarios del servicio de consulta externa del Hospital Vicente Corral Moscoso. Cuenca. 2019
(2019-10-14) Naranjo Guachichullca, Andrea Pamela; Pineda Gómez, Silvia Lorena; Jaramillo Monge, Julio César
Background: World Health Organization (WHO) defines health as physical, mental and social wellbeing sate of full, and not just the absence of disease (1). This means that there must be several factors to achieve the level of health so desired and both the individual, the community and the state must fulfill their role in order to achieve it (2), Objective: to determine the quality of care perceived by users of the external consultation service of the Vicente Corral Moscoso Hospital. Cuenca 2019. Methodology: it is a quantitative descriptive and cross- sectional study. The study was carried out at the Vicente Corral Moscoso Hospital, Cuenca 2019, in a population simple of 383 users, the SERVQHOS validated questionnaire was applied, the SPSS program was used for the analysis of collected data. The discrete variables were operationalized in number and percentages while the continued variables in average and standard deviation. In addition, the Kruskal- Wallis and chi square statistical tests were applied. Results: The degree of satisfaction perceived by users is high, 78,9% report being satisfied and very satisfied with the quality of care received. The dimension with greater satisfaction corresponds to the ¨security¨ with 64,75%, meanwhile the dimension with the highest degree of dissatisfaction is ¨reliability¨ because 9,92% of users reported being dissatisfied and /or very dissatisfied. The lowest qualification item scored was ¨the waiting time¨ with 31,1%. It was obtained, with statistical significance (p <0,05). Conclusions: high levels of satisfaction were found with the care provided by the Vicente Corral Moscoso hospital, indicating a high level of quality offered by said health house.
Oferta de médicos del primer nivel de atención en la provincia del Azuay, año 2018
(Universidad de Cuenca, 2021-11-11) Sarango Quezada, María Joaquina; Timbe García, Leticia Anabell; Jaramillo Monge, Julio César
Background: Despite the increase in physicians in recent years, population health indicators related to PHC goals do not show improvement. The availability and distribution of primary care physicians are important because they are responsible for the execution of actions related to the essential goals of PHC. General objective: Describe the supply of first level care physicians in the province of Azuay through the relationship between standards and observed distribution, in 2018. Methodology: A quantitative, descriptive and cross-sectional study was carried out. Data were obtained from the page of the National Institute of Statistics and Censuses (INEC) of the database "Health Resources and Activities 2018 - Health Statistics" published on March 31, 2020. We worked in Excel, using proportions, rates, and reasons. The results were presented using tables and maps made with the geographic information system software Quantum GIS. Results: 56% of first-level doctors are concentrated in the Cuenca canton, this together with Girón reached the WHO recommendation on medical personnel of 23 x 10 000 inhabitants. However, there was a significant shortage of top-level doctors in these cantons, as well as in the rest of the province's territory. Conclusion: The province of Azuay presents a deficit in the supply of doctors, very evident in the case of doctors of the first level of health, in addition there is an inadequate urban-rural distribution of medical personnel.
Satisfacción percibida de los cuidados del parto y puerperio inmediato y mediato en usuarias atendidas en el servicio de obstetricia del Hospital Vicente Corral Moscoso. Cuenca 2019
(2020-01-08) Muso Guanoluisa, María del Carmen; Orozco Pilatuña, Lourdes Carolina; Jaramillo Monge, Julio César
Background: user/patient satisfaction is that rational or epistemological experience based on previous expectations and the behavior of the service, it is influenced by perspectives, moral values, culture, personal needs and the health structure as such. Objetive: to determine the satisfaction perceived by the users about the care of childbirth and immediate and mediated postpartum care in the obstetrics service of the Vicente Corral Moscoso Hospital, 2019. Methodology: an observational, descriptive, cross-sectional study, to determine the level of satisfaction perceived by users, about the care of childbirth and immediate and mediated postpartum care, in obstetrics service of the Vicente Corral Moscoso Hospital. The COMFORTS scale was used. In the statistical analysis, frequency distribution, percentages and measures of central tendency were used. Results: The predominant age group was 80.8% young adults, 39.4% cohabit unmarried couples, 56.9% high school, 80.3% unemployment, 50.7% rural residents. Of the total sample, 199 (56.06%) users are satisfied with the attention received globally. In the dimension, childbirth care, 65.4% corresponds to very satisfied; care in the puerperium, 48.7% very satisfied; newborn care, 53% corresponds to satisfied; and logistics and environment, 51.8% are satisfied. Conclusions: the dimension with the highest level of care satisfaction during the period of childbirth and the dimension with the lowest level of satisfaction of the care concern in the newborn. The main factors that cause dissatisfaction are the information received, the attention provided to the couple or support person, the time the nurse spent teaching the couple the care of the postpartum woman and newborn, the handling of the newborn before a choking and the cleanliness and the quantity and quality of the food during the hospital stay.
Valoración del estado nutricional en preescolares mediante el uso de la cinta MUAC y curvas de crecimiento OMS. Escuela de Educación Básica Víctor Manuel Albornoz Cabanilla, Cuenca-Ecuador, año lectivo 2024-2025
(Universidad de Cuenca, 2025-03-12) Machuca Chabla, Paola Doménica; Cuenca Gavilanes, Katherine Micaela; Jaramillo Monge, Julio César
Background: The nutritional assessment of the preschool child population is essential for their correct physical and cognitive development. In Ecuador, although there are common anthropometry techniques and updated instruments such as the MUAC tape, there is no updated application of these same in preschools and locally. Objective: To determine the nutritional status in preschoolers through the use of the MUAC tape and WHO growth curves at the Víctor Manuel Albornoz Cabanilla Basic Education School, Cuenca-Ecuador, School year 2024-2025. Methodology: This observational, descriptive, cross-sectional study recorded weight, height, and mean arm circumference of 123 boys and girls between 2 and 6 years of age, on growth curves standardized by the WHO and the MUAC tape, after applying bioethical instruments: consent and informed assent; measurement: SECA brand stadiometer and scale, MUAC Z-score tape and statistical tables in Excel 2019 and SPSS 26. Results: The age of 4 years predominated and 52.0% were male. They were found in: Weight/Age: 1.62% severe low, 6,50 % low, 1.62% risk of overweight, 0.81% overweight; Height/Age: 12,19% low; 0.81% severely low; Weight/Height: 8,13% moderate acute malnutrition; 5.69% risk of overweight; 0.81% overweight; BMI/Age: 0,81% emaciation; 6.50% risk of overweight, 0.81%obesity; CMB/Age: 5.69% mild malnutrition, 44.71% mild overnutrition and 0.81% moderate. Conclusion: Less than half of students have an altered nutritional status, however these are figures that generate alarm and require attention to avoid complications.