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Auquilla Díaz, Nancy Eulalia

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1969-09-13

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0000-0002-4847-0656

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

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Ecuador

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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.

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Auquilla Díaz

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Nancy Eulalia

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Now showing 1 - 6 of 6
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    Primary healthcare providers' views on improving sexual and reproductive healthcare for adolescents in Bolivia, Ecuador, and Nicaragua
    (2013) Jaruseviciene, Lina; Auquilla Díaz, Nancy Eulalia; Vega Crespo, Bernardo José; Lazarus, Jeffrey Victor; Auquilla Díaz, Nancy Eulalia
    Objectives: To elicit the views of primary healthcare providers from Bolivia, Ecuador, and Nicaragua on how adolescent sexual and reproductive health (ASRH) care in their communities can be improved. Methods: Overall, 126 healthcare providers (46 from Bolivia, 39 from Ecuador, and 41 from Nicaragua) took part in this qualitative study. During a series of moderated discussions, they provided written opinions about the accessibility and appropriateness of ASRH services and suggestions for its improvement. The data were analyzed by employing a content analysis methodology. Results: Study participants emphasized managerial issues such as the prioritization of adolescents as a patient group and increased healthcare providers' awareness about adolescent-friendly approaches. They noted that such an approach needs to be extended beyond primary healthcare centers. Schools, parents, and the community in general should be encouraged to integrate issues related to ASRH in the everyday life of adolescents and become 'gate-openers' to ASRH services. To ensure the success of such measures, action at the policy level would be required. For example, decision-makers could call for developing clinical guidelines for this population group and coordinate multisectoral efforts. Conclusions: To improve ASRH services within primary healthcare institutions in three Latin American countries, primary healthcare providers call for focusing on improving the youth-friendliness of health settings. To facilitate this, they suggested engaging with key stakeholders, such as parents, schools, and decision-makers at the policy level.
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    Mejora de la salud sexual y reproductiva del adolescente en América Latina: reflexiones de un Congreso Internacional
    (2015) Pozo Córdova, Kathya; Venkatraman, Chandra Mouli; Decat, Peter; Nelson, Erica; De Meyer, Sara; Jaruseviciene, Lina; Vega Crespo, Bernardo José; Segura, Zoyla Esmeralda; Auquilla Díaz, Nancy Eulalia; Hagens, Arnold; Braeckel, Dirk Van; Michielsen, Kristien
    En febrero de 2014, un congreso internacional sobre la promoción de la Salud Sexual y Reproductiva de los adolescentes (SSRA) tuvo lugar en Cuenca, Ecuador. Su objetivo era compartir evidencia sobre proyectos y programas de intervención eficaz en SSRA en América Latina, y vincular esta evidencia a la política de SSRA y al desarrollo de programas. Más de 800 personas participaron en un evento de tres días con sesenta y seis presentaciones. Este documento resume los puntos clave del congreso y del proyecto CERCA (Cuidado de la Salud sexual y Reproductiva para Adolescentes enmarcada en la comunidad). Su objetivo es orientar la investigación futura y la política de SSRA en América Latina. 1. El contexto es importante. Los comportamientos individuales están fuertemente influenciados por el contexto social en el que se producen a través de factores determinantes a nivel individual, relacional, familiar, comunitario y social. Las normas de género, actitudes y facilidad de comunicación son dos factores determinantes. 2. Acción innovadora. Hay evidencia limitada e irregular de los enfoques eficaces para llegar a los adolescentes con intervenciones que necesitan llevarse a escala. Sin embargo, existen varios ejemplos que fueron presentados en el congreso y que se ven prometedores e innovadores porque proporcionan una educación integral de la sexualidad a través de los métodos convencionales y el uso de nuevos medios de comunicación, la mejora del acceso a servicios de salud, y uso de intervenciones comunitarias para llegar a los adolescentes, familias y su comunidad. 3. Mejor medición. Los diseños de evaluación y los indicadores elegidos para medir el efecto e impacto de las intervenciones no siempre son sensibles a los cambios sutiles y graduales. Esto puede crear una brecha entre la eficacia de medidas y el impacto percibido por las poblaciones beneficiarias. Por lo tanto, una conclusión es que necesitamos más pruebas para determinar mejor los factores que obstaculizan el progreso en la SSRA de América Latina, para innovar y responder con flexibilidad a los cambios en la dinámica social y las prácticas culturales, y para medir mejor el impacto de las estrategias de intervención existentes. No obstante, este congreso proporcionó un punto de partida para construir un esfuerzo común entre las multi agencias y multi-país que genere evidencia específica sobre SSRA con el objetivo de orientar la toma de decisiones políticas y programas. En una región que aún tiene barreras de acceso a la educación y los servicios de SSRA y se encuentran las tasas de embarazo adolescente más altas del mundo, los participantes coincidieron en que no hay tiempo que perder.
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    Factorial validation of the Attitudes toward Women Scale for Adolescents (AWSA) in assessing sexual behaviour patterns in Bolivian and Ecuadorian adolescents
    (2014) Jaruseviciene, Lina; Auquilla Díaz, Nancy Eulalia; Vega Crespo, Bernardo José; Lazarus, Jeffrey Victor
    Abstract Background: Adolescents' health is greatly influenced by social determinants, including gender norms. Although research has shown that there is an association between gender attitudes and adolescents' sexual behaviour, few studies have assessed this relationship carefully. The Attitudes toward Women Scale for Adolescents (AWSA) is widely used to assess gender attitudes among adolescents; however, to our knowledge it has not been applied in Latin America. Objective: To apply AWSA in Latin America for the first time, to perform a factorial validation of this scale and to assess the relationship of gender attitudes and sexual behaviour in Bolivian and Ecuadorian adolescents. Design: This cross-sectional study was carried out in 2011 among 14-18 year olds in 20 high schools in Cochabamba (Bolivia) and six in Cuenca (Ecuador) as a part of a larger project. Schools were purposively selected. A Spanish version of the 12-item AWSA was employed for this study. The assessed aspects of adolescent sexual behaviour were: reported sexual intercourse, reported positive experience during last sexual intercourse and reported current use of contraception. The psychometric properties of AWSA were investigated, and both explanatory and confirmatory factorial analyses were performed. Results: The number of questionnaires included in the analysis was 3,518 in Bolivia and 2,401 in Ecuador. A factorial analysis of AWSA resulted in three factors: power dimension (PD), equality dimension (ED) and behavioural dimension (BD). ED showed the highest correlates with adolescent sexual behaviour. Higher scores of this dimension were associated with a more positive experience of sexual relationships, a higher current use of modern contraception and greater sexual activity among girls. Conclusions: This study revealed a three-factorial structure of AWSA and demonstrated that by employing factors, the sensitivity of AWSA increases as compared to using the scale as a whole to assess sexual behaviour. This could have important implications for future research on gender and the sexual experiences of adolescents. Keywords: Latin America; adolescents; contraceptive use; gender attitudes; sexual behaviour.
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    Infecciones neurológicas en pacientes con VIH como consecuencia de la afectación al sistema nervioso central
    (2023) Guamancela Auquilla, Daniela Elizabeth; Guamancela Auquilla, Christian Geovanny; Abad Vicuña, Guido Esteban; Auquilla Díaz, Nancy Eulalia
    The neurological affection is a very frequent fact among the patients or individuals who suffer from HIV. This is a neurotropic virus that can affect the nervous system in any of its sectors and at any stage of infection. Second-arily, the central nervous system may also be affected by opportunistic infections or neoplasias related to the de-gree of immunosuppression. The methodology used for this research work is part of a documentary bibliographic review. The data collection technique is made up of electronic materials, the latter such as Google Scholar, PubMed, among others, relying on the use of descriptors in health sciences or MESH terminology. The infor-mation obtained here will be reviewed for further analysis. Given the continuous decline of the immune system of HIV-infected patients, they will always be exposed to a high health risk, in regards to contracting other types of diseases such as cancer, chronic diseases, opportunistic diseases that affect the central nervous system. Among the most prevalent opportunistic diseases in these patients are neurocryptococcosis, low CD4 lympho-cyte count, long evolution of HIV/AIDS infection and abandonment of antiretroviral therapy are high risk factors
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    Embarazo en adolescentes y su asociación con la disfuncionalidad familiar, en las áreas de intervención del proyecto “CERCA”, Cuenca provincia del Azuay
    (2022) Auquilla Díaz, Nancy Eulalia
    Family dysfunction can act as a risk factor for teenage pregnancy. The research addresses adolescent pregnancy and the association with family dysfunction, due to the restructuring that occurs in the functions of family members, by creating new needs. Family dysfunction is considered a risk factor for adolescent behavior and in particular for the presence of adoles-cent pregnancy. It is intended to describe the characteristics of family functionality and establish the association between adolescent pregnancy and family dysfunction, in pregnant adolescents of the Sexual and Reproductive Health Project (CERCA) in the city of Cuenca - Ecuador in 2014 in a sample of 49 surveys of adolescents in a situation of pregnancy, and thus disseminate data on this reality, through a descriptive, retrospective, quantitative study. The CERCA Project survey, the Mirna García-Méndez Family Functioning Scale, descriptive and inferential statistics with percentage differences, P value, OR in the SPSS program were used. The women reported significant differences in: not being unsuccessful, not consuming liquor, having the same talent and freedom as men, needing information about sexuality, communication with the mother; in men: being a good person, having relationships without being in love, assuming expenses on a date, a girl can ask out, being better leaders, good communication about sexuality with the partner, friends and father, the father should have more authority and they get better results. 59.1% of men (P=0.394) and 40.9% of women (P=0.083) belonged to dysfunctional families. There was no statistical association between teenage pregnancy and family dysfunction (P=0.071). Women seek equity, need information and communication about sexuality. In men, the criterion of masculine superiority prevailed. The highest percentage of family dysfunction corresponded to men. There was no statistically significant association between teenage pregnancy and family dysfunction
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