Especialización en Atención Primaria en Salud
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Item Aplicación de la apitoxiterapia y los productos de la colmena en los pacientes con artritis reumatoidea que asisten al subcentro de salud de cachisagua cantón Guaranda de enero a julio 2013(2013) Galan Peñaloza, LilianaEste trabajo se realizó con el fin de sensibilizar a los pacientes con artritis, para recibir la apitoxina como un tratamiento complementario en las enfermedades reumáticas, y de esta manera reducir la aparición de las complicaciones. La investigación se realizó con un grupo de 20 pacientes, que padecen la enfermedad desde hace más de 6 años, que acudían al centro de salud permanentemente para encontrar un alivio a la enfermedad y poder evitar sus complicaciones, las cuales limitaban su funcionalidad, estos pacientes fueron referidos al 2do nivel de atención, donde no se brindó una atención con calidad, debido a la falta de especialistas que se dedican a este tipo de enfermedades, y por la carencia de medicamentos esenciales para las enfermedades reumáticas, es por esta razón que el interés en la medicina alternativa, especialmente en la apitoxiterapia se orientó a mejorar la calidad de vida de estos pacientes para prevenir la deformidades articulares y por ende la discapacidad. Estos 20 pacientes se les aplico la terapia con apitoxinas y los productos de la colmena, en un periodo de 6 meses, cada 15 días con una duración de 2 horas por sesión, y se obtuvo resultados asombrosos durante el tratamiento, gracias a las grandes propiedades que poseen todos los elementos que son producidos por la abeja. Hoy en día los pacientes utilizan este tipo de tratamiento como una alternativa, para mejorar sus condiciones de salud, y generar mejores expectativas en la resolución de las enfermedades reumáticas.Item Caries dental y alimentaciòn cariogènica de los estudiantes de la escuela Carlos Mantilla Jàcome en el primer periodo escolar 2013 – 2014 en el distrito metropolitano de Quito de la provincia de Pichincha.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Viteri Chiriboga, Guillermina ElizabethThe results of the work done in the School Carlos Mantilla Jacome has helped identify children of school age on the incidence eating food with high content cryogenic producing dental caries and loss of teeth, the lack of training aimed at parents, teachers and children of the school. The truth is that there is an enemy in the health of our children / as we looks at all times. It is a disaccharide, white, that unfolds Two monosaccharides by hydrolysis and besides being sweet, is soluble in water and sparingly soluble in alcohol: We know him as our sugar "Friend" and "friend" of all the children of the School Carlos Mantilla Jacome. Sugar, which accounts for more than one-sixth of the normal diet of a child / a, it began to use some 300 years ago. Its acceptance was slow and deliberate, since sugar cane to be transplanted Europe from the East. In our continent it made its arrival in the sixteenth century, brought (among other pests) by the Spanish conquerors. The outdated practice of sweetened foods with honey was replaced by the use of sugar, which, by its ease of obtaining, is present today in an exaggerated selection of products: sweets, soft drinks, sauces, drinks alcohol, chocolate, salt diet, snuff, drugs and others. All consume more sugar than is good for them especially children today and girls of school age who do not have any guidance in the home, worse in schools, although it is true that the Colgate Palmolive every year presents the campaign of oral health across the country in partnership with the Ministry of Health has failed to reduce 12índices of dental caries in the segment of children from four to twelve years. Among the educational institutions we show that 80% of teachers unaware that sugar itself lacks all nutritive value, contributing to the Diet nothing of importance, and interfering with the assimilation of some substances that are indispensable to us. Dentists (many of which "reward" children / as with pacifiers) are witnesses of the deleterious effect of the consumption of dextrose (componte of sucrose) in the formation of dental caries and subsequent result Fall of teeth. Sugar contributes to indigestion and development of peptic ulcers. Sugar, which causes dental caries and its derivatives are pests of our rampant civilization, when it has to do with pleasure, libidinous and erotic eating. Sugar comes and (sometimes) other diseases as originating diabetes, poor suffered by millions of people and whose consequences dire include gangrene, arteriosclerosis, some forms of blindness, cataracts and some blood clotting disorders.Item “Caries dental en niños de 6 a 12 años de edad del Centro Escolar Eloy Alfaro de la ciudad de Quito en el período escolar 2013 - 2014”(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Burbano Rodriguez, Melida MairaTooth decay is a present oral pathology worldwide and more or afflicting less force to certain population groups depending on the interplay of factors economic, social, biological. This study entitled "dental caries in children 6 to 12 years SCHOOL AGE ELOY ALFARO CENTER OF QUITO IN ciduad SCHOOL PERIOD 2013 - 2014 "has been a work in order to lay theoretical and practical bases of the predisposing factors of dental caries in children, conducting a survey of information about customs and habits of oral cleaning in an educational institution of the capital. From a total student population of 740 students, a sample of 255 was selected students, 117 men and 135 women, ranging in age range between 6 and 12 years, who were applied a survey to generate the required information. This study showed that there is little interest in children attend consultations Dental fear, lack of knowledge and tools for friendlier learning. The lack of commitment and guidance from parents and teachers at school It is also another major factor for children lack proper technique Planing and consequently favors the development of dental caries.Item Condiciones sociodemográficas, laborales y síndrome de burnout en profesionales de la salud en el Hospital Provincial Docente Ambato. Cantón Ambato. Provincia de Tungurahua. periodo 2013(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) González Chico, María GabrielaThe project was developed a research study, which had as its main objective determine the sociodemographic and labor conditions affecting syndrome Burnout in medical professionals Provincial Teaching Hospital Ambato improve the quality of work in the health system. The research took place in the Provincial Teaching Hospital during Ambato period 2013. Participants who are part of the research are a total 108 Health staff members formed by treating physicians, medical residents, nurses and licensed internal rotating working in this house health. The information obtained is collected it through the Maslach Scale Test for determine the burnout syndrome and a survey of health workers to determine job stress. The results were tabulated and explained in this process. Research conducted by we noted the presence of bad communication in the climate as a cause of burnout syndrome, as well as support the statistical data obtained through the instrumentsItem Consumo de alcohol y relaciones intrafamiliares en adultos, de la comunidad Santa Rosa de cerritos, del cantón Chillanes, provincia Bolivar.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-03) Gomez, MercyAttention the amount of families that disintegrate due to the consumption alcohol unduly. This work seeks to determine the incidence of alcohol consumption and the influence that has on families. It is a descriptive study, conducted through surveys of 30 adults in the community of Santa Rosa. Alcohol consumption is the problem most emphasized in the families in the community of Santa Rosa, therefore that it is necessary to look for alternatives of behaviour change that allows facing this situation that attacks both the parents, siblings, friends and family. In the culture of the community of Santa Rosa, large consumers of alcohol project aggressive feelings, which are often rejected by their own relatives, intends to integrate those affected the family and society. Consequently, in addition to the effects on the organism, are different effects that cause alcoholism in the family and work relationships: conflict, non-compliance with obligations and commitments, disintegration of the family. Therefore it was recommended: to make known the results of this research in order to raise awareness among persons who consume alcohol to decrease their intake because that cause damage to their family and social life. Alcoholism is scientifically proven that it is not a simple disease, is a social factor that affects the majority of adults in the community of Santa Rosa. The person who consumes alcohol suffers from physical and mental shape The prevention of alcohol consumption, and improve family relationships is a comprehensive educational process aimed at dealing with a problem that has existed and will continue to exist always, for this reason, and according to the findings in this research i have seen the need to develop an educational program for adults of the community of Santa Rosa in regard to this important topic. Numerous investigations have come to the conclusion that the behavior and attitudes of the parents toward their children is very varied, ranging from the more strict education up to the extreme permissiveness, the warmth to the hostility, or implication eager to most serene unconcern. Learning theorists recognize that the desire to harm others is only one of the factors that can lead to aggressive acts. In the case of the instrumental aggression, the aggressive behavior pursues different purposes of the damage or destruction. For example, the tantrums children can attract the attention of the teacher and let them get what they want and get more material gains.Item Control integral de salud de las trabajadoras sexuales y su riesgo de contagio de Enfermedades de Transmisión Sexual en el cantón Echeandía de enero a agosto del 2013(MAESTRIA EN ATENCIÒN PRIMARIA EN SALUD, 2013) RAMOS VEGA, ROSA DEL CARMENEl presente tema de investigación se sustenta en el control integral de salud de las trabajadoras sexuales y su riesgo de contagio de enfermedades de trasmisión sexual en el cantón Echeandía de enero a agosto del 2013, Se identificó la problemática latente y existente en la ciudad de Echeandía detectándose una falta de prevención en materia sexual para lo cual se planteó los siguientes objetivos: un diagnóstico situacional a través de la aplicación de una encuesta que permitió la obtención de datos primarios; una sustentación teórica en referencia a las principales teorías de atención integral dirigida a las trabajadoras sexuales, así como los riesgos de contagio para culminar con una propuesta alternativa de capacitación en prevención y control. Las enfermedades de trasmisión sexual es más un problema de carácter sanitario, el cual constituye uno de los aspectos más descuidados en las trabajadoras sexuales. Muchas de las mujeres que ejercen la prostitución desconocen las medidas necesarias para la protección de su salud, al igual que la mayoría de las trabajadoras sexuales no disfruta de una cobertura de salud pública por lo que se ven obligadas a realizar sus atenciones en la consulta particular; por lo que al no poder pagarla únicamente acuden cuando presentan alguna enfermedad. Las principales enfermedades de transmisión sexual que afectan a este grupo son: gonorrea, sífilis, chancro, herpes genital, papiloma, hepatitis B, clamidia, tricomoniasis VIH/SIDA Evidentemente las enfermedades de transmisión sexual derivan de una conducta sexual, y por lo tanto las causas que la producen están dadas por el comportamiento sexual de esta persona, el número de parejas sexuales que tenga, y el lugar donde se desarrolla su vida sexual. Por lo tanto hay una serie de factores que influyen en el contagio de las enfermedades de transmisión sexual, uno de estos es el tipo de relación que tengan las personas, el estar expuesta a una mayor cantidad de fluidos o mayor trauma de los tejidos involucrados, el riesgo de ETS será mayor. La determinación de una hipótesis que relaciona las variables de investigación con su respectiva Operacionalización que permitió elaborar el cuestionario para la obtención de la respectiva información. La revisión de literatura que es una consulta bibliográfica de los principales enfoques de la realidad social por la que atraviesa una trabajadora sexual y de igual manera aspectos relacionados con las formas de contagio de trasmisión sexual. Un marco metodológico en el que se indica desde el diseño de investigación hasta la manera de procesar los respectivos datos. La presentación de conclusiones y recomendaciones y el planteamiento de la propuesta alternativa. las personas, el estar expuesta a una mayor cantidad de fluidos o mayor trauma de los tejidos involucrados, el riesgo de ETS será mayor. La determinación de una hipótesis que relaciona las variables de investigación con su respectiva Operacionalización que permitió elaborar el cuestionario para la obtención de la respectiva información. La revisión de literatura que es una consulta bibliográfica de los principales enfoques de la realidad social por la que atraviesa una trabajadora sexual y de igual manera aspectos relacionados con las formas de contagio de trasmisión sexual. Un marco metodológico en el que se indica desde el diseño de investigación hasta la manera de procesar los respectivos datos. La presentación de conclusiones y recomendaciones y el planteamiento de la propuesta alternativa.Item Cuidados de enfermeria en el adulto mayor con hipertension arterial que asisten a la Unidad Operativa de Salud de la Parroquia de Nanegalito en el segundo semestre del año 2013.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Carrillo Aguilar, Ruth MarielaThis study was based on library research and field based on which an intervention plan is developed. The research is exploratory, descriptive, and used for data collection technique survey with a questionnaire. The study population are Older adults with hypertension who attend the Operating Unit Health Nanegalito Parish, 120 seniors who are the It is shown in this study. Hypertension is a silent disease that affects most the inhabitants of the town, has been identified risk factors, type of hypertension, lifestyle, treatment. Nursing applied this group of patients. The intervention plan implemented by the nurse will help help these patients to teach them how to improve their lifestyles, the importance of eating a balanced diet, low salt intake and practice of daily exercise will help improve their quality of life not only to individual as a patient but also involves family and community where it operates.Item Deformaciones en miembros inferiores y alteracion de la marcha en los niños que acuden al servicio de Rehabilitacion del Hospital Pediàtrico Alfonso Villagómez del cantón Riobamba.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-04) Velastegui, CynthyaThis research work has been determined to identify the most common strains in lower limbs and its involvement in the normal course of the march pate children focus group, with the objective of this is to improve the quality of life for infants means of establishing a customized physical rehabilitation and physiotherapy suitable for each infant tratamiendo also also training to parents and caregivers with regard to knowledge of the most common strains that may occur in children and early detection of abnormalities progress, which will better the quality of life of infants. Within the development of the research was necessary to identify the most severe cases of distortion and main point is socialization parents on lower limb deformities causes consequences and damages to their children and the measures they be taken to prevent such diseases and reduce the prevalence of these. This is a descriptive research because it is interested in defining the most common disfiguring diseases in children as well as recognize the types of gear that infants acquire by reason of each strain, it was necessary to take into account existing cases, making use of data collection techniques to perform a descriptive analysis of the problem. Consider the social health of children status, living environment, history of genetic diseases, the care they provide to their children parents as well as the different ages at which is each of them has become an essential part to throughout the investigation.Item Desnutrición crónica en niños y niñas de 6 meses a 3 años de edad, en la Comunidad el Tingo, perteneciente a la parroquia Simiatug, Cantón Guaranda, provincia de Bolívar en el periodo de Octubre a Diciembre del 2013.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud, 2014-03-01) Sisalema Rea, Maria de los AngelesThis research examines how to measure the prevalence of malnutrition among children / as the El Tingo Simiatug parish community, where 38% of the mothers have no education level, and the average age of childbirth produced from 18 to 29 years, with 42% in 42% this most mothers of children / as no stability at home being single mothers, the high number of children at home it is more than 5 children / as, with 42%, these results are developing a risk factor for the presence of malnutrition in their children / as. Most of the children are 2-3 years old, with 46%, this factor can paste the mothers of the children have a slight knowledge of malnutrition, 58%, but have heard that their children have a malnutrition problem evidenced by stunted or severely stunted in some cases, with 75% but can not identify it by themselves, part of this is that children / as not exclusively breastfed, 18%, but if they go to medical controls 100% with a frequency of 67%, these factors are those that determines the presence of malnutrition. Despite the lack of knowledge of mothers breastfeeding ends at 2 years old, 61% but introduce solid foods at an early age 50%, and with a frequency of only three meals a day which are 58% specifically only in a group of flours and meals 88%, with a monotonous food, no variety, and even more when they have a diet source of protein, 75%, these important factors of power are those that develop the child's normal growth or girl, and the lack of them can say that there is malnutrition in this group study.Item Diabetes tipo II y la insuficiencia renal aguda en pacientes de 40 a 65 años, que acuden al Centro de Salud Santa Ana, del cantón Santa Ana-provincia Manabí, período de 2013.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Zamora Cevallos, Angel LuisHealth Center in Santa Ana, the city of the same name, Manabi, Ecuador, a research project was developed in order to study the Type II diabetes and acute renal failure in patients aged 40-65 years. The objectives were aimed at identifying renal failure in patients Type II diabetics aged 40-65 years, and risk factors contribute to the presence of acute renal failure, substantiate the theories related to type 2 diabetes and acute renal failure and devise a self-care educational guide for Diabetics club 'learn, control, and I improve. The results determined that 100%, which considers diabetes causes danger, this shows the level of consciousness that has users about the risks of the disease, but not all do the glucose test required for controlling the same, most patients carry a disease control either oral drugs or insulin, 85.29% think that the diet helps a lot to control the disease without But as to the exercises most patients not takes basic outline of physical activity in all patients who come to the center Health Santa Ana. Of the episodes of increased blood pressure most Patients report that has happened more than once, with chest pain, or heart problems. As for patient knowledge if it has problems presented recurrent urinary tract 52.94% mentioned more once, but most single one or two once it has completed the protein test, and most corresponding to 76% have never monitoring of renal function performed by the medical specialist data indexed the criterion of the relative unimportance of diabetic patients care your kidneys, which could result in serious complications because of the most frequent complications in diabetics is kidney disease.Item El sedentarismo y el estado nutricional antropométrico en niñas y niños de la escuela Fray Vicente Solano del Cantón Chillanes, provincia Bolívar, período 2013.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Sánchez Sánchez, Ximena AlexandraThis research is based primarily on research field conducted among children in the school Fray Vicente Solano, from approach of the item entitled: Sedentary and Nutritional anthropometric CHILDREN IN SCHOOL FRAY VICENTE DEL SOLANO CANTON Chillanes. State Bolivar. PERIOD 2013. The research objective community, like many others in the country, They have a considerable number of students with rates of overweight and obesity, accompanied by a poor diet, a sedentary lifestyle product. These reasons were used to set various objectives sought provide members of the community, whether their parents, teachers and children themselves, an alternative solution to reduce or eliminate Complete the risk of diseases that come with a sedentary lifestyle; strengthen this with input from similar research articles research, texts, brochures, information networking, etc. To get to meet them was formulated the hypothesis that in context It proposes that: A sedentary lifestyle influences the anthropometric nutritional status in children School Fray Vicente Solano Chillanes Canton, Bolivar Province, Period 2013 - 2014 In order to prove the same number of strategies they were established research, among which is the survey as a technique for data collection field through a group work with students and looking to get questions that show the reality of their lives and customs of their homes.Item El auto cuidado en paciente diabético atendidos en consulta externa. Hospital IESS de Milagro.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-03) Bueno, SegundoDiabetes Mellitus is a chronic disease that is considered an epidemic in Ecuador, Latin America and the Caribbean, at the global level is a pandemic, it is located among the ten leading causes of disability, causes 4.6 million deaths each year and it is expected that for the period of 2011-2030 the population of diabetics would increase to 552 million (1 in 10 adults). In view of the increase in disease studies have been performed which identify the many aggravating factors in the diabetic patient that causes a high incidence of morbidity and mortality is considered a public health problem. It still required the implementation of comprehensive programmers of promotion, prevention and implementing guidelines of auto care in diabetic patients.Item El dengue y las medidas de prevención en la parroquia San José del Tambo cantón Chillanes provincia Bolívar en el periodo de octubre a diciembre del 2013.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Chico García, Johana DalilaThis work on preventive measures for dengue has as intended to inform the proper application of the same to us help reduce the incidence of this disease. Given that dengue is the most important viral disease transmitted by mosquitoes that affects humans; the vector mosquito is found in tropical and subtropical areas of our country, thousand people live in high-incidence area which has led to the presence of high rates of dengue cases for which there is an urgent need to return to pay attention to integrated dengue prevention and control strategies. We describe in this paper that most cases can be He solved at the level of primary health care, so it is necessary develop a guide to prevention of this disease. The research work consists of four chapters developed as follows: Chapter I. We talked about the theoretical framework is a thorough review the issue has philosophical foundation, axiological foundation, Legal foundation, Theoretical Foundations, Reference, Science and Conceptual. Chapter II Methodological Strategies, here plásmanos design research, type of research, research methods, techniques and research tools, techniques and medical instruments, population and sample, the procedure for the analysis and interpretation of results we completed the hypothesis or idea defend.Item El embarazo de adolescentes del centro de salud el Condado, distrito metropolitano de Quito. provincia Pichincha. periodo septiembre del 2013 a enero del 2014.(Universidad Estatal de Bolívar, Departamento de Posgrado. Especialización en Atención Primaria de la Salud., 2014-03) Benavidez Potilla, Astrid del SocorroThe research "Teen pregnancy Health Centre County, Metropolitan District of Quito, Pichincha Province. September period 2013 to January 2014 determined that the problem of pregnancy Adolescence is already a social, economic and public health problem considerable magnitude for both young people and their children, partner, family, environment and surrounding community. Some people called pregnancy teenager as the "replacement of love for sex" The general objective synthesized in a study of the situation the pregnancy that occurs with increasing frequency in adolescent age group which currently has a greater vulnerability to this phenomenon. In Chapter I, the theoretical framework is developed as support for the main Secondary data of pregnancy adolescents and their impact on the personal development, and an identification of the main factors that drive. In Chapter II, methodological strategies emphasizing that lists research design is field by taking raw data in situ and bibliographic also by gathering theoretical. Methods were considered deductive and inductive and research techniques as the survey. In Chapter III, analysis and interpretation of results situational analysis demonstrate the existing problems and the need to training and awareness of teen pregnancy, sex education and Reproductive patients attending the unit being studied and Health research. Finally a dissemination plan for the prevention of pregnancy is proposed adolescents.Item El embarazo no planificado y sus efectos sobre el rendimiento académico en las estudiantes de la Escuela de Enfermería, de la Universidad Estatal de Bolívar, cantón Guaranda, provincia Bolívar, marzo – julio del 2013(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Especialización en Atención Primaria en Salud, 2013) Miguez Quincha, María de LourdesItem El entorno social excluyente y autoestima de los adultos mayores que asisten al centro de salud de la parroquia Santa Ana. provincia de Manabi.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-03) Cárdenas, KarenIn the city of Santa Ana, Manabí, Ecuador an action project with the aim of improving the quality of life of older adults was developed. The next project is aimed at identifying the factors influencing the social environment in the esteem of the elderly in a study to verify the quality of life of our elderly, as it is common to consider normal depression in old age, in the belief that seniors are limited not only in the physical order but in the social aspect people. The proposal was raised by conducting a participatory diagnosis tube where priority as the main factor that has not been identified factors in the social environment that influences the self-esteem of older adults by attending the health center in Santa Ana, between the main factors identified that there is social exclusion of the elderly, there is a social environment with poor care for the elderly, lack of family and social affection for the elderly and adults with no major deterioration in health status. The importance of this research is based on the social conditions of the elderly, which promote exclusion and lack of affection and cause a poor quality of life. This study determines the daily activities in the elderly that can help prevent the risk of physical and emotional vulnerability. Diagnose the impact that the exclusion of the elderly in society and as part of this rejection affects their self-esteem through the use of surveys and then move to give solution to all the problems perceived by linking project implementation by applying occupational guidance and emotional therapy called "happy grandpa include me" where do the active participation of older family and society in order to provide them with a dignified old age with love respect and care for the elderly.Item El entorno social excluyente y autoestima de los adultos mayores que asisten al centro de salud de la parroquia Santa Ana. Provincia de Manabí. Período 2013(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano, 2014) Karen Ximena, Cárdenas SantosEn la ciudad de Santa Ana, Manabí, Ecuador se desarrolló un proyecto de acción con la finalidad de mejorar la calidad de vida del adulto mayor. El siguiente proyecto va encaminado a identificar los factores del entorno social que influye en el autoestima del adulto mayor mediante un estudio para verificar la calidad de vida de nuestros ancianos, ya que es común considerar la depresión normal en la vejez, por la creencia que los adultos mayores son personas limitadas no solo en el orden físico sino en el aspecto social. Se plantea la propuesta mediante la realización de un diagnostico participativo en donde tubo prioridad como factor principal que no se ha identificado los factores del entorno social que influye en el auto estima de los adultos mayores mediante que acuden al centro de salud de Santa Ana, entre los factores principales se identificó que existe exclusión social del adulto mayor, que hay un entorno social con deficiente atención para el adulto mayor, carencia de afecto familiar y social al adulto mayor y que hay adultos mayores con deterioro del estado de salud. La importancia de esta investigación está en función a las condiciones sociales del adulto mayor, que fomentan la exclusión y la falta de afecto y ocasionan una mala calidad de vida. Este estudio permite determinar las actividades cotidianas en el adulto mayor que pueden ayudar a prevenir los riesgos de vulnerabilidad física y emocional. Diagnosticaremos el impacto que produce la exclusión del adulto mayor en la sociedad y como esta parte de rechazo afecta en su autoestima mediante la aplicación de encuestas para luego pasar a darle solución a todos los problemas percibidos mediante la ejecución del proyecto de vinculación mediante la aplicación de una guía de terapia ocupacional y emocional denominada “abuelito feliz inclúyeme” donde haremos la participación activa de los adultos mayores la familia y la sociedad para así brindarles una vejez digna con amor respeto y atención al adulto mayor.Item El fenómeno cutting y el estado psicoemocional en las y los adolescentes de 10 a 14 años de la escuela BARTOLOMÉ DE LAS CASAS. comunidad Gradas. cantón Guaranda. provincia Bolívar.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-03) Bustillos, DianaAutolytic behaviors have become a major public health problem in the global context, to be within the top ten causes of Morbidity and Mortality , by ( INEC, 2011) death due to self-inflicted injury was the seventeenth cause overall mortality . There are several theories behind this phenomenon: cognitive behavioral theory Favazza defines these behaviors serve to regulate affect , reduce tensions. As for the theories of emotions phenomenal behavioral Heller considers emotion as a behavior in response to a situation. Since this is an increasingly common phenomenon among teens and young adults is clinically important to recognize the self- injury, described as cuts in oneself a sharp instrument like a knife , razor , glass , which in most cases occur in the arms , legs and stomach. ( Nock , 2010). For the diagnosis of self harm is important to have the protocol as proposed in the Spanish Journal of Pediatrics 2008. According to the classification by Simeon and Favazza and analyze our problem under investigation , the description of impulsive self-injurious behavior is the closest to reality is identified . In addition to the models presented motivations for self harm done , the most consistent finding in the scientific basis of the investigated group are: the regulation of affects Regarding therapy , cognitive behavioral and dialectical behavior therapy have been used in some studies reviewed. Materials and methods: qualitative work is quantitative, field , where observation and survey are used , as well as medical instruments medical history . Conclusions: psycho-emotional state interference in the cutting phenomenon is identified , being more affected 5 teens who already have harmed , and 10 who have had these thoughts in addition to other factors that put them at risk of falling into these behaviors.Item El sobrepeso y obesidad en el personal administrativo del distrito de Salud 02d02, canton Chillanes provincia Bolivar.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-03) Hurtado, JennyIn the present investigation examines several factors that identify the frequency of overweight and obesity being extremely important within the health of the administrative staff: well we have the consumption, food frequency, the low levels of physical activity this study was conducted in adults whose ranges of ages ranging between 29-64 years. With a total of 29 people who form the technical and administrative as well as physicians, nurses, statistical, financial, Secretariat, lawyers, psychologists. In order to be able to check the research took into account several research strategies, among which is: array of calculation of BMI, as a technique for obtaining data, surveys in relation to the consumption and frequency of food and other such as tobacco and alcohol conducted as group work with the companions of the process of promoting prevention of health, and equality and trying to get questions that demonstrate the reality of their lives and customs of their work and their homes . With data collected and analyzed is able to come to the conclusion that the sedentary life develop problems of overweight and obesity from early age, that nothing was done to remedy this situation and that genetic predisposition more prone to acquiring this disease. The results identified in the administrative staff are: Overweight and obesity 48.3 % grade 1 on 13, 8 % according to index increased waist we have that is a 41.4 % and very increased 37.9 %, the index hip similarly at risk we have 75.9 % females were the most affected. Conclusions: overweight and obesity are notable in the administrative staff. Our results showed a higher frequency of obesity in women, faced with this problem need to be educated on food consumption, diseases caused by the inadequate nutritional status, thus favoring the health care, modify the styles of life, nutrition, exercise and body image. So, that it has established make a proposal for education with what seeks to involve all the people in the institution to improve their quality of life through good nutrition and an active life concientizandolos on a life of quality.Item El VIH/SIDA e infecciones de transmisión sexual en las usuarias del SUBCENTRO DE SALUD DE SABANETILLAS del cantón Echeandía-provincia de Bolívar.(Universidad Estatal de Bolivar. Departamento de Postgrado, 2014-03) Cornejo Valverde, Nancy Matilde; Lucio Quintana, Araceli BeatrizThe current study takes as Topic: HIV/AIDS AND SEXUALLY TRANSMITTED INFECTIONS IN FEMALE PATIENTS OF A PRIMARY HEALTHCARE CENTER LOCATED IN THE RURAL AREA CALLED SABANETILLAS, BELONGING TO THE CITY OF ECHEANDÍA, PROVINCE OF BOLIVAR, DURING THE PERIOD FROM JULY TO DECEMBER 2013. Taking into account the background of the phenomenon to be investigated, and with the appropriate justification for conducting this study, establishing as a general objective the improvement of the prevention of sexually transmitted infections to reduce the incidence of HIV/AIDS in female patients attending the Primary Healthcare Center in Sabanetillas, Echeandia - Bolivar Province, among ages between 18 and 40, as they constitute a risk of spreading to the individual, family and social environment; and simultaneously, setting specific objectives to achieve our main objective. The study starts from a philosophical, axiological, and legal basis, taking into account scientific, conceptual and referential theory. Within the methodological strategies, this study lies within a fieldwork, descriptive type, not experimental; the study population was conformed by female patients attending the outpatient Primary Healthcare Center in Sabanetillas. The method used to collect the data is the questionnaire, which is given to patients who attends the Primary Healthcare Center in Sabanetillas, the tabulation of data from the research will be made in order to interpret the analysis, conclusions and recommendations, through this way, it is possible to confirm whether prevention of HIV/AIDS and Sexually Transmitted Infections is performed in this healthcare center.