Person:
Ortiz Segarra, José Ignacio

Birth Date

1958-03-19

ORCID

0000-0001-9650-1341

Scopus Author ID

57193435511

Afiliación

Universidad de Cuenca, Cuenca, Ecuador
Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador

País

Ecuador

Organizational Units

Organizational Unit

Facultad de Ciencias Médicas

La Facultad de Ciencias Médicas de la Universidad de Cuenca fue creada en el año 1867, convirtiéndose en una de las facultades más antiguas. La Facultad de Ciencias Médicas es un lugar donde la pasión por la salud y el compromiso con el bienestar se fusionan para formar profesionales altamente capacitados en diversas disciplinas del área de la salud. Nos enorgullece ofrecer un amplio programa académico de calidad que abarca varias áreas importantes para el bienestar de nuestra comunidad. Ofrecemos un entorno de aprendizaje enriquecedor y vanguardista, con docentes altamente capacitados y recursos actualizados. Valoramos la vinculación con lo colectivo y la investigación científica, con compromiso social al igual que ética. Nuestros graduados son reconocidos por su excelencia y están preparados para afrontar los desafíos de un mundo en constante evolución.

Job Title

Investigador

Last Name

Ortiz Segarra

First Name

José Ignacio

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Now showing 1 - 10 of 17

Efectos de la capacitación en el uso de herramientas informáticas en la docencia médica
(2013) Falconí Ontaneda, Felix Atair; Ortiz Segarra, José Ignacio; Cabrera Solis, Vanessa Elizabeth; Espinoza Berrezueta, Verónica Alexandra; Mayorga Álvarez, María de los Ángeles; Guachún Guachún, Mayra Alejandra
Objective: To evaluate the effect of an educational strategy, aimed at teachers and undergraduate and graduate students in the area of health, for the application of information and communication technologies ICTs as support in the training process. Methods: We used a quasi-experimental design involving 477 students and 123 teachers, the same group was seen before and after training as exposed as above. The educational program included techniques for searching, processing, presentation and communication of information. The measure of effect was established as changes in the use of ICT for teachers and students, based on the McNemar test. Results: After the training process, teachers significantly increased their ski ls in the use of 50% of the tools and equipment and telemedicine resources and ethical September 6. Students improved significantly by 80% in the use of tools, 100% of telemedicine equipment and resources and September 5 ethical values selected for the study.
Limitación Funcional y Factores Asociados en Adultos Mayores de la Zona 6 de Salud en Ecuador
(2016) Freire Argudo, Ulises Vicente; Álvarez Serrano, Marlene Elizabeth; Soliz Rivero, Gardenia; Tenemaza Alvarracín, David Fernando; Ortiz Segarra, José Ignacio
OBJECTIVE: To estimate the prevalence of functional limitation (FL) and socio-demographic factors, health problems and chronic diseases associated to senior adults population from 6th health zone.METHODS: This is an observational cross-sectional research performed from June to December of 2015 at primary care units influence area from 6th health zone of Ecuador. 714 elderly people were included and randomly selected from 33 primary health care units.RESULTS: Average age was 76±8.31 years (min: 65; max: 102 years), 63.8% of them were female. Prevalence of functional limitation in BLA (Basic Life Activities) was 17.65% and 62.61% for IAL (Instrumental Activities of Life). Associated factors with FL in BLA were: age ˃ 75 years, illiteracy, cognitive impairment, depression, social problems and fall hazard. Age ˃ 75 years, illiteracy, cognitive impairment, depression and the risk of falling were found to be associated factors to limitations in IAL.CONCLUSIONS: The functional limitation in elderly adults is associated with aging and depends of several determinants. The knowledge of these factors will contribute for early detection of dependency and to improve health attention coverage and quality
Intelligent pillbox: automatic and programmable sssistive technology device
(IEEE, 2017) Parra Ullauri, Juan Marcelo; Valdez Solis, Wilson Fernando; Guevara Toledo, Andrea Patricia; Cedillo Orellana, Irene Priscila; Ortiz Segarra, José Ignacio
Assistive Technology (AT) maintains and improves the individual's functioning and independence, thereby promoting their well-being. But today only 1 from each 10 people in need have access to AT due to high costs and a lack of awareness, availability, personal training, policy and financing. By 2050, more than 2 billion people will need at least 1 assistive product with many elderly needing 2 or more. Elderly make important contributions to the society. Though some people aged well, other become frail, with a high risk of disease. In this paper, we propose a first approach related the design of AT device. This uses open source technologies and gives a new choice in taking medication dosages. "The Intelligent PillBox" allows the organization of several medication schedules that health disorders presented in elderly need basically. Arduino Mega 2560 was took as the principal controller. This prototype contains; a programmable alarm system with an automatic opening and closing system, an interactive user interface and a notification system through GSM network. The development of this device is focused in the support of elderly people and other vulnerable groups that may need for an assisted care.
MOOCEP: a method for building massive open online courses for elderly people the analysis activity
(IEEE, 2017) Ortiz Segarra, José Ignacio; Cedillo Orellana, Irene Priscila; Rodríguez Chiriboga, Paul Andrés; Beltrán Vázquez, Paola Margarita
By the year 2060, the elderly population will double its current size in comparison to the results presented in the last census, according to the Administration on Aging (AoA). By that time an important part of the elderly population will be involved in technology. Moreover, it should be taken into account that the technological needs of elderly people will differ from those of the rest of targets. However, elderly people may not be fully aware of their situation concerning their lifestyle (e.g., own well-being, rights, nutrition); therefore, e-Learning can be used to improve their knowledge and integration with peers. Hence, the Massive Open Online Courses (MOOCs) can work as online resources designed to help expanding the knowledge of elderly people by means of technological tools. Even though a complete method to build MOOCs for elderly people has been proposed previously, this paper details the analysis phase, which constitutes the first step in the method. This proposal will help MOOC developers during the elicitation of the requirements towards building effective MOOCs ocused on elderly people. In order to demonstrate the feasibility of this proposal, a MOOC related to nutrition recommendations for elderly people will be presented.
Intelligent pillbox: evaluating the user perceptions of elderly people
(UCLan Chipre, INSPIRE Interdisciplinary Science Promotion & Innovative Research Exploration, 2017) Valdez Solis, Wilson Fernando; Cedillo Orellana, Irene Priscila; Parra Ullauri, Juan Marcelo; Guevara Toledo, Andrea Patricia; Ortiz Segarra, José Ignacio
Pillboxes represent a good solution in the adherence to medical prescriptions for elderly people. They are built taking into account aspects as ergonomic criteria, several doses of medicine and another consideration about their design. Therefore, we have presented a pillbox prototype which helps elderly people in taking all doses of medicine. This paper presents the next step towards a useful device, here is presented an empirical evaluation of the “Intelligent Pillbox” by using the Technology Acceptance Model to evaluate the ease of use perception, usefulness perception and intention to use in the future of this new technological device. The evaluation consists of a quasi-experiment which was performed by 45 elderly people, who attended to institutions focused on work with this priority group in several integration activities. Results show positive perceptions of this solution that indicates the intention to use in the future and provide us insights about possible improvements.
Barriers and facilitators to cervical cancer screening among under-screened women in Cuenca, Ecuador: the perspectives of women and health professionals
(2022) Neira Molina, Vivian Alejandra; Ortiz Segarra, José Ignacio; Vega Crespo, Bernardo José; Andrade Galarza, Andrés Fernando; Guerra Astudillo, Gabriela; Ortiz Mejía, José Stalin; Flores Salinas, María Antonieta; Mora Bravo, Lorena Viviana; Verhoeven, Veronique; Gama, Ana; Dias, Sonia; Verberckmoes, Bo; Vermandere, Heleen; Michelsen, Kristien; Degomme, Olivier
Background: Cervical cancer screening is a cost-effective method responsible for reducing cervical cancer-related mortality by 70% in countries that have achieved high coverage through nationwide screening strategies. However, there are disparities in access to screening. In Ecuador, although cervical cancer is the second most common cancer in women, only 58.4% of women of reproductive age have ever been screened for cervical cancer. Methodology: A qualitative study was performed to understand the current barriers to screening and to identify strategies that could increase uptake in Azuay province, Ecuador. Seven focus group discussions (FGDs) were conducted with under-screened women and health professionals (HPs). The FGDs were recorded and transcribed. Content analysis was done using the socio-ecological framework to categorize and analyse the data. Results: Overall, 28 women and 27 HPs participated in the study. The two groups perceived different barriers to cervical cancer screening. The HPs considered barriers to be mainly at the policy level (lack of a structured screening plan; lack of health promotion) and the individual level (lack of risk perception; personal beliefs). The women identified barriers mainly at organizational level, such as long waiting times, lack of access to health centres, and inadequate patient–physician communication. Both groups mentioned facilitators at policy level, such as national campaigns promoting cervical cancer screening, and at community and individual level, including health literacy and women’s empowerment. Conclusions: The women considered access to health services the main barrier to screening, while the HPs identified a lack of investment in screening programmes and cultural patterns at the community level as major obstacles. To take an integrated approach to cervical cancer prevention, the perspectives of both groups should be taken into account. Additionally, new strategies and technologies, such as self-administered human papillomavirus (HPV) testing and community participation, should be implemented to increase access to cervical cancer screening
Parámetros dietéticos y alimentación habitual de adultos mayores. Cuenca 2018 – 2019.
(2019) Tenemaza Alvarracín, David Fernando; Freire Argudo, Ulises Vicente; Ortiz Segarra, José Ignacio; Ortiz Mejía, Pedro Fernando; Cobos Torres, Ángel Ignacio
Objective: to describe the dietary parameters and eating habits of the elderly who were treated in health centers of the first level, in the city of Cuenca-Ecuador. Population and methods: the descriptive study involved 102 elderly adults belonging to the senior clubs of the first level health centers. The students of the Community Cycle of the medical career applied a validated form, with questions of sociodemographic conditions, dietary parameters and eating habits, with prior training and signing of the informed consent. Results: the average age was 76 ± 7.20 years, between 65 and 95 years, the majority was, married and retired women with primary education, they were unemployed and with low socioeconomic status. Almost everyone eats breakfast, lunch and dinner, with a normal consistency. One in four AM ingests vitamin, mineral and herbal supplements. They choose foods by taste and lower cost. Eight in ten people cannot prepare their food. Six in ten people feed poorly, it does not matter if they like or dislike what they eat. Conclusions: the parameters and eating habits of the AM are related to aging and several determining factors. The knowledge will serve to propose healthy eating and prevent related diseases.
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.
Use of antenatal corticosteroids for preterm birth in Latin America: Providers knowledge, attitudes and practices
(2013-01-01) Ortiz Segarra, José Ignacio
Background: Antenatal corticosteroids administered to women at risk of preterm birth is an intervention which has been proved to reduce the risk of respiratory distress syndrome, intraventricular hemorrhage, and neonatal mortality. There is a significant gap in the literature regarding the prevalence of the use of antenatal corticosteroids in Latin American countries and the attitudes and opinions of providers regarding this practice. The aim of this study was to assess the knowledge, attitudes and practices of health care providers regarding the use of antenatal corticosteroids in women at risk of preterm birth in Latin America. Methods. This was a multicenter, prospective, descriptive study conducted in maternity hospitals in Ecuador, El Salvador, Mexico and Uruguay. Physicians and midwives who provide prenatal care or intrapartum care for women delivering in the selected hospitals were approached using a self-administered questionnaire. Descriptive statistics was used. Results: The percentage of use of ACT in threatened preterm labour (TPL) reported by providers varies from 70% in Mexico to 97% in Ecuador. However, 60% to 20% of the providers mentioned that they would not use this medication in women at risk and would limit its use when there was a threatened preterm labour. In only one country recommended regimens of antenatal corticosteroids are followed by around 90% of providers whereas in the other three countries recommended regimens are followed by only 21%, 61%, 69% of providers. Around 40% of providers mentioned that they would administer a new dose of corticosteroids again, regardless the patient already receiving an entire regimen. Between 11% and 35% of providers, according to the countries, mentioned that they do not have adequate information on the correct use of this medication. Conclusions: This study shows that the use of this intervention could be improved by increasing the knowledge of Latin American providers on its indications, benefits, and regimens. © 2013 Aleman et al.; licensee BioMed Central Ltd.
Rol del auto muestreo para el diagnóstico del virus del papiloma humano
(Universidad Técnica de Ambato, 2022) Viñansaca Atancuri, Lourdes Catalina; Verhoeven, Veronique; Parrón Carreño, Tesifón; Morales Díaz, María Angélica; Dávila Sacoto, Santiago Arturo; Ortiz Segarra, José Ignacio; Mejía Chicaiza, Jorge Victoriano; López Sigüenza, Diana; Espinoza González, María Elena; Neira Molina, Vivian Alejandra; Vega Crespo, Bernardo José; Mora Bravo, Lorena Viviana; Vega Crespo, Bernardo José
Introducción: Durante el año 2020, se reportaron 604127 nuevos casos de cáncer de cuello uterino (CC) y 341831 muertes por ésta causa a nivel mundial. En el mismo año, se identificaron 1534 nuevos casos y 813 muertes por CC en Ecuador. El programa nacional de prevención del CC, centra sus esfuerzos principalmente en la citología vaginal y la vacunación para adolescentes en el sistema de atención primaría, sin embargo, solamente el 58,4% de las mujeres en edad reproductiva se ha realizado una prueba de tamizaje a lo largo de su vida en el país. Se han identificado diferentes barreras para el acceso al tamizaje del CC, entre ellas: tiempos de espera prolongados, dolor, vergüenza, desconocimiento y falta de percepción de riesgo entre las más importantes. Las técnicas de auto muestreo, han incrementado las coberturas y han alcanzando a mujeres que tradicionalmente no accedían a las pruebas de detección precoz. Objetivos: Identificar la aceptabilidad de las pruebas de auto muestreo en mujeres de zona rural. Comparar la sensibilidad, especificidad de las pruebas de orina y auto toma con la toma tradicional con espéculo, para el diagnostico de el VPH. Método: La presenta investigación forma parte del proyecto “Haciendo accesible la detección del cáncer de cuello uterino a través del auto muestreo: un paso hacia la igualdad en salud mediante el empoderamiento de las mujeres en un contexto intercultural, financiado por el VLIR UOS” (CAMIE). En su fase cualitativa realizo un estudio, fenomenológico, mediante grupos focales de discusión (GFD) con mujeres de zona rural de la parroquial El Valle del cantón Cuenca. Los grupos focales fueron grabados y trascritos, su análisis se realizó utilizando en programa Nvivo. En su fase cuantitativa, se realizó una invitación a participar en el estudio, a las mujeres que acudían al servicio de salud, mismas que luego de firmar el consentimiento informado, procedieron a la recolección de orina, muestreo por auto toma y toma tradicional con espéculo. Las muestras fueron procesadas en el departamento de biología molecular de la Universidad de Cuenca. Principales resultados: Cualitativos: Un total de 47 mujeres participaron en 7 GFD. La participantes consideran la técnica de toma de Papanicolaou es dolorosa, invasiva y vergonzosa; en tanto que los métodos de auto toma, tienen ventajas como la privacidad, ahorran tiempo de espera, son más cómodos y menos dolorosos. Cuantitativos: Se procesaron las muestras de orina, auto toma y toma normal para el diagnóstico de VPH de 120 participantes. La toma con espéculo, fue usada como prueba de oro. La sensibilidad y especificidad fue de 89% y 95% para la prueba de orina; 94% y 92% para la prueba de auto toma. Conclusiones: Las pruebas de auto muestreo, constituyen una estrategia válida y aceptada para el tamizaje primario del VPH a nivel comunitario. La aplicación de estas técnicas sumadas a estrategias educativas permitirá romper barreras en el acceso a la detección oportuna del CC