Person: Huiracocha Tutivén, María de Lourdes
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Birth Date
1964-02-21
ORCID
0000-0001-5638-1867
Scopus Author ID
56595192000
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Afiliación
Universidad de Cuenca, Cuenca, Ecuador
Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
País
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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Profesor (T)
Last Name
Huiracocha Tutivén
First Name
María de Lourdes
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Publication Child development and nutritional status in Ecuador(2019) Huiracocha Tutivén, María de Lourdes; Orellana Paucar, Adriana Monserrath; Abril Ulloa, Sandra Victoria; Huiracocha Tutivén, Mirian Sofía; Palacios Santana, Gicela; Blume, StuartWe assessed the development, nutritional status, and complementary feeding of 12- to 23-month-old children from Cuenca, Ecuador in 2013. Ecuador, an upper-middle-income country, developed a child policy in accordance with World Health Organization (WHO) guidelines. We collected cross-sectional survey data. Child development was assessed using the Integrated Management of Childhood Illness Guide–2011. The nutritional status was defined with WHO Child Growth Standards−2006. We investigated nutrient density, WHO Infant and Young Child Feeding Indicators, and nutrient supplementation intake of the complementary feeding. In all, 11.7% of children had “possible developmental delay,” stunting was identified in 29.4% of the children, and 25.3% faced overnutrition (overweight risk/overweight/obesity). The complementary feeding composition can be summarized as having adequate fat, high energy (MJ/day) and protein, and low iron and zinc. Children with “possible developmental delay” received less iron (P <.05) than children with normal development. Overall, 30.4% of children had minimum dietary diversity. A total of 47.7% of children received nutrient supplementation. This epidemiological profile of infants remains a challenge for Ecuador’s health programs.Publication Anexploratory investigation of the perspectives of educated parents on the gender roles and stereotypes in child and adolescent sexuality(2022) Huiracocha Tutivén, María de Lourdes; Orellana Paucar, Adriana Monserrath; Abril Ulloa, Sandra Victoria; Huiracocha Tutivén, Mirian Sofía; Clavijo, María IsabelThe exploratory research presented in this article investigated the perspectives on the gender roles and stereotypes in the care of children and their sexual education of a small group of educated parents, using a patriarchal model. The sample consisted of 30 parents of which 20 participated in in-depth interviews, and 10 in two focus groups, 5 in each group. All 23 women and 7 men possessed a third-level degree, and some held apostgraduate diploma. It was found that even educated parents reproduce patterns they learned within the traditional family. A man decides and enjoys free and dominant sexuality, while a woman is required to have a beautiful body and be a wife who submits sexually to her husband. The study concludes that the caringrole of women, the subalternity and maternalism-marianism of female identity, and the care of the body and the norms of beauty are the female characteristics that still dominate social thinking. However, due to the increasing participation of women in thelabor market, women are becoming gradually more autonomousPublication Su guagua no escucha nada: ecuadorian families confronting the deafness of a child(2015) Huiracocha Tutivén, María de Lourdes; Brito Roby, Liliana Alexandra; Perez Gonzalez, Maria Esther; Clavijo Castillo, Ruth Germania; Sempértegui León, Silvia Rocío; Huiracocha Tutivén, Martha Karina; Blume, StuartIn accordance with the social model of disability, this study proceeded from the assumption that parents’ experiences of a child’s hearing impairment reflect the circumstances of their lives rather than anything innate in the impairment itself. Few studies have explored the influence both of culture and social structure and of families’ economic and social resources. We studied families’ experiences of the diagnosis of hearing loss in Ecuador, a multicultural country in which family ties are strong but where pronounced social and economic inequalities persist and where many people have no access to health care. The study shows how inequality – and in particular the experience of poverty – shapes families’ experiences of acquiring a diagnosis and of trying to accommodate a child with special needs.Publication Parenting children with Down syndrome: Societal influences(2017) Arteaga, Jorge; Huiracocha Tutivén, Martha Karina; Huiracocha Tutivén, María de Lourdes; Almeida Herdoiza, Carlos Alberto; Blume, Stuart; Arteaga, AndreaPublication Programas de intervención nutricional y de actividad física en preescolares en Latinoamérica: Revisión bibliográfica(2017) Abril Ulloa, Sandra Victoria; Morales Avilez, Diana Elizabeth; Orellana Paucar, Adriana Monserrath; Yamunaque Leon, Janneth Soraya; Palacios Santana, Gicela Monserrate; Chilet Rosell, Elisa; Huiracocha Tutivén, María de Lourdes; Monsalve, Daniela; Sempértegui León, Silvia RocíoThe material presented in this paper consists of a literature review about educative interventions promoting healthy habits in preschoolers in Latin-America. Due to changes in food patterns as a consequence of various factors such as migration, globalization, technology development, urbanization and socioeconomic status, underwent the traditional diets of this region drastic nutritional changes with an increased number of processed foods high in sugar and saturated fat. This transition coupled with a low prevalence of physical activity led to an increase in the prevalence of overweight and obesity among the different age groups including preschoolers. In fact, obesity has become a pandemic phenomenon not only in Latin American but worldwide. As a consequence, the increase in the prevalence of Chronic Non-C ommunicable Diseases (NCDs) is a health problem that requires special and urgent attention within the Health System. Therefore, educational interventions for healthy eating and physical activity are important and necessary for different age groups, especially for preschoolers since that knowledge and habits acquired at this age will probably remain during adulthood.Publication Parents and grandparents of deaf children in Ecuador: concerns and expectations(2017) Orellana Paucar, Adriana Monserrath; Brito Roby, Liliana Alexandra; Blume, Stuart; Huiracocha Tutivén, María de LourdesDespite a growing number of anthropological studies of deaf communities, little attention has been paid to how socioeconomic and cultural factors influence the experiences and the concerns of hearing parents of deaf and hearing-impaired (DHI) children. This study draws on interviews with parents (and some grandparents) of DHI children in Ecuador, a country marked by profound inequality but also by considerable recent progress in poverty reduction and enhanced provisions for people with disabilities. Despite progress, many carers are nevertheless critical of the way in which new measures have been implemented, and of the schooling available to their child. They are also worried by their child’s vulnerability, the likelihood of discrimination, and the possibility of abuse.Publication Evaluación antropométrica de los preescolares de la zona urbana en Cuenca, Ecuador(2015) Diaz Granda, Ruth Cumanda; Huiracocha Tutivén, María de LourdesSe realizó un estudio transversal que incluyó 577 preescolares que acudieron a control del niño sano. Se excluyó a niños con patología. Se estudió peso, talla e IMC, según subgrupos de edad y sexo. Se obtuvieron frecuencias absolutas y relativas para las variables cualitativas; promedio y DE para las variables cuantitativas. Se determinó la comparabilidad de grupos según sexo (χ2 , p>0.05) y edad (U de Mann-Whitney, p>0.05). Se correlacionó y graficó: peso/edad, talla/edad e IMC/edad. La antropometría promedio para el grupo fue: peso 12.006 kg ± 2.636; talla 86.3 cm ± 10.0; IMC 16.1 kg m-2 ± 1.7; los varones presentaron medias mayores. El estado nutricional del grupo fue normal según la relación: peso/edad en 90.8%, talla/edad 75.6%, IMC/edad 77.5%. Presentaron baja talla/edad 24.3% y sobrepeso/obesidad 4.7%. Los varones tuvieron mayor frecuencia de bajo peso severo, bajo peso, baja talla severa, talla baja, riesgo de sobrepeso y sobrepeso. En los dos sexos, la correlación peso/edad, talla/edad y peso/talla fue >0.8; la correlación IMC/edad fue <-0.3. Se concluye que estuvieron presentes todos los tipos de malnutrición. El déficit de talla/edad fue el problema nutricional más importante. La correlación peso/edad, talla/edad y peso/talla fue positiva y alta. El mejoramiento de las condiciones de vida de los países latinoamericanos no evidenció mejora en las condiciones nutricionales de los niños estudiadosPublication Estado nutricional y hábitos del estilo de vida en preescolares de los centros infantiles en Cuenca – Ecuador Presentado en el Congreso en Investigación de la Salud: Enfoques, avances y desafíos. Universidad de Cuenca. Junio de 2016(Universidad de Cuenca, 2016) Abril Ulloa, Sandra Victoria; Molina Ochoa, Gabriela Estefania; Morales Avilez, Diana Elizabeth; Huiracocha Tutivén, María de LourdesOBJECTIVE: To describe the nutritional status and lifes-tyle habits in preschool children from 2 to 4 years in Children’s Centers of Good Living in the Ministry of Economic and Social Inclusion (MIES) in Cuenca - Ecuador. METHODOLOGY: It is a descriptive cross-sectional study. The nutritional status of 156 children was evaluated according to the criteria of the World Health Organization (WHO) 2007. A survey that included questions about caregiver type, type of family, social stratum, eating ha- bits, and hours in front a screen was performed. RESULTS: The 26.9% of children presented low height / age and 72.4% normal height. In the weight / age indicator showed about 0.6% underweight and 1.2% overweight and obesity. In the body mass index indicator / age no child presented emaciation, a 35.9% at risk of overweight and 8.3% overweight / obesity was observed. CONCLUSIONS: The prevalence of chronic malnutrition and overweight are high, which are characteristics of a country experiencing a nutrition transition.Publication Características epidemiológicas y clínicas de pacientes pediátricos con parálisis cerebral. Hospital Vicente Corral Moscoso. Cuenca, 2014 - 2015(2020) Arias Armijos, Miriam Patricia; Huiracocha Tutivén, María de LourdesObjective: to determine the epidemiological and clinical characteristics of pediatric patients with cerebral palsy at the Vicente Corral Moscoso Hospital, Cuenca. 2015Methodology: it is a descriptive, cross-sectional study, performed in patients less than 16 years old with cerebral palsy. The study variables, which were taken from the medical records, were: prenatal, natal and postnatal characteristics, socioeconomic status, family functionality, symptoms of cerebral palsy (CP), comorbidity. A descriptive analysis was carried out.Results: 72 patients were found with a mean age of 6.2 years (± 4 SD), the mean age of diagnosis was 8 months (± 10.8 SD), 80.6% had epilepsy, 53.9% in CT had brain atrophy, and in 43.1% the cause of admission was respiratory infection. Of the prenatal and neonatal antecedents, 54.2% were admitted to the neonatology unit, 38.9% received resuscitation, and 6.9% had neuro-infection. The 42.1% of the children's families had low-medium socioeconomic status.Conclusions: The epidemiological profile of children with CP in the study, which does not differ from the results of other studies, guide decision-making in the formation of CP care teams in the HospitalPublication Open source cardiology electronic health record development for DIGICARDIAC implementation(SPIE, 2015-11-17) Medina Molina, Ruben; Rojas Reyes, Rosendo Iván; Huiracocha Tutivén, María de LourdesThis article presents the development of a Cardiology Electronic Health Record (CEHR) system. Software consists of a structured algorithm designed under Health Level-7 (HL7) international standards. Novelty of the system is the integration of high resolution ECG (HRECG) signal acquisition and processing tools, patient information management tools and telecardiology tools. Acquisition tools are for management and control of the DIGICARDIAC electrocardiograph functions. Processing tools allow management of HRECG signal analysis searching for indicative patterns of cardiovascular pathologies. Telecardiology tools incorporation allows system communication with other health care centers decreasing access time to the patient information. CEHR system was completely developed using open source software. Preliminary results of process validation showed the system efficiency.
