CIENCIAS DE LA SALUD.
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Item Evaluación del desempeño de las graduadas en la escuela de enfermería de la Universidad Estatal de Bolívar que trabajan en las unidades de salud de la provincia de Chimborazo en relación a la formación académica periodos 1992- 2008(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2008) Tixi Yánez, Adriana; Sanchez Gavilanez, Katherine; Manobanda Poma, Veronica; Vallejo Peralta, SaritaTraining for registered nurses requires a long period preparation corresponding to the theoretical foundation they receive in classrooms Bolívar State University and its application in different health institutions the country to strengthen the skills. This study aims to determine whether the knowledge acquired during the academic training help meet the needs of users, family and community, which will take steps to reinforce positive behaviors and correct weaknesses. For data collection, surveys were applied in different health institutions Chimborazo Province, in order to obtain information on Professional performance of graduates of the State University of Bolivar Results will be used exclusively for the study to be performed. In performing this work, the quality of professional performance of the former is determined students of the State University of Bolivar in the different levels of care; document also enables the support of knowledge contribute their intervention in solving health problems affecting the population, with a high degree responsibility, skills in the functions of teaching, service, research and administration. Los-nursing professionals are considered important elements of health team comprising network care service delivery streamlining work processes through the implementation of specific actions interacting with other members of Health Promotion and Protection prevention. This research is done in various health institutions in the Province Chimborazo where graduate professionals working in school Nursing, Faculty of Health Sciences and Human Being State University BolivarItem Ejecución del programa de fortalecimiento organizativo a través de la capacitación para la prevención y preparación frente a desastres, en la cabecera parroquial de Balzapamba.(Universidad Estatal de Bolivar. Facultad de Ciencias de la Salu y del Ser Humano. Escuela de Enfermería, 2008-01) Flores, Consuelo; Medina Altamirano, PatricioTITULO DE LA TESIS REALIZADA Evaluación del nivel de conocimiento sobre prevención y preparación frente a desastres en la población de la cabecera cantonal de Balsapamba, cantón San Miguel, provincia Bolívar. Fecha de realización de la investigación Abril – Agosto del 2007. BREVE DESCRIPCIÓN DE LA PARROQUIA Etimológicamente la palabra Balsapamba se compone de dos palabras: Balsa: Significa madera flotante Pamba: Pequeña planicie La parroquia Balsapamba se encuentra ubicada en la parte occidental del territorio correspondiente al cantón San Miguel ,Provincia de Bolívar con una población de 3022 habitantes de acuerdo al último censo realizado en el 2002, ocupa el valle del río Cristal conformado por todos sus afluentes hasta la piedra de limón que sirve también como punto de linde ración provincial. Las instituciones educativas que existen en la cabecera parroquial son. • Jardín Esther Rivadeneira • Escuela Manuel J Calle • Colegio 8 de Noviembre • Centro de Formación Artesanal Balsapamba. • Colegio a Distancia Monseñor Leónidas Proaño. Balsapamba es muy accidentado y desigual, su relieve presenta gritas profundas y alturas elevadas como el cerro Grande, Chuche, Padre Urco Aluzana, etc., cuenta con todos los servicios básicos Objetivos planteados de la tesis: Objetivo General Evaluar el nivel de conocimientos sobre prevención y preparación frente a desastres, para el establecimiento de estrategias que contribuyan a la seguridad y autoprotección a los habitantes de la cabecera cantonal de Balsapamba, cantón San Miguel. Objetivos Específicos • Elaborar un diagnóstico de la situación de riesgos en la cabecera cantonal de Balsapamba. • Determinar el nivel de conocimiento sobre prevención y preparación frente a desastres en los habitantes de la cabera parroquial. • Proponer un plan de capacitación sobre prevención y preparación frente a desastres, a las autoridades, organizaciones y habitantes de la cabecera parroquial de Balsapamba. RESULTADOS OBTENIDOS DE LA TESIS INVESTIGADA • La tabulación de resultados se ha realizado a través de la hoja de cálculo Excel, para el análisis de la información se ha utilizado porcentajes de acuerdo a lo que se presenta en los cuadros y gráficos, determinándose los siguientes aspectos: • La mayoría de la población no recibe información y capacitación ante riesgos y desastres, pese a encontrarse en un inminente peligro por su topografía e hidrografía. • La que de alguna manera a estado en la parroquia es la Defensa Civil, realizando la capacitación a los estudiantes • Desconocen acerca de las normas de comportamiento frente a desastres • Las autoridades no están capacitadas para actuar frente a desastres por la falta de apoyo institucional, además la población desconoce de la existencia del Comité de Apoyo Local. • No cuentan con mapas de riesgos y amenazas • Se requiere de un plan de capacitación y simulacros ante riesgos y desastres CONCLUSIONES DE LA INVESTIGACION REALIZADA • Todo desastre natural es imprescindible por lo que es importante estar preparados para cumplir acciones positivas cuando requieran de nuestro contingente. • Balsapamba se encuentra ubicado en una zona de alto riesgo por encontrarse en las estribaciones de la cordillera, con posibles deslaves y arrasamiento por el caudaloso río que cruza por el pueblo en época de invierno. • Los organismos de socorro deben realizar campañas de educación a la gente frente a desastres naturales acompañado de varios simulacros. • Los niños( as) son los más vulnerables frente a hechos de esta naturaleza por lo que requieren de mayor protección. • Consideramos que los niños y jóvenes son los más apropiados para captar mensajes de esta naturaleza, por lo que es importante realizar varias acciones y campañas educativas respecto a desastres naturales. COMENTARIO De la investigación realizada en la parroquia Balsapamba dando prioridad a la infraestructura de un plan de capacitación de fortalecimiento organizativo a través de la capacitación para la prevención y preparación frente a desastres, en la cabecera parroquial de Balsapamba, para reducir desastres, creo importante ejecutar este programa de capacitación en coordinación con principales actores, locales de la parroquia. RESUMEN DEL PLAN DE CAPACITACION Plan de capacitación de la Evaluación del nivel de conocimientos sobre prevención y preparación frente a desastres en la población de la cabecera parroquial de Balsapamba, cantón San Miguel. Ubicación de la propuesta: parroquia BalsapambaItem Evaluación de la aplicación del proceso de atención de enfermería en los pacientes con trastornos de vías biliares que ingresan a la sala de cirugía del hospital Alfredo Noboa Montenegro en la ciudad de Guaranda, periodo noviembre 2007-abril 2008(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud. Escuela de Enfermería, 2008-04-30) Cubi, Elena; Chela, Gladys; Flores, Jenny; Valdivieso Arroyo, ElenaLa evaluación de la aplicación del proceso de atención de enfermería en los pacientes con trastornos de vías biliares que ingresan a la sala de cirugía del Hospital Alfredo Noboa Montenegro en la ciudad de Guaranda, periodo noviembre 2007 - abril 2008; tiene como objetivo.- Evaluar a las enfermeras sobre la aplicación del proceso de atención de enfermería en pacientes con trastornos de vías biliares. El trabajo está dividido en los siguientes capítulos: CAPITULO I El Hospital Provincial “HANM” es una unidad del Sistema Nacional de Servicios de Salud del Ministerio de Salud Pública, ubicado en el segundo nivel de complejidad, se encuentra dentro del área uno ubicado en las calles José María Cisneros y Selva Alegre, contando con una cobertura poblacional de 178.089 habitantes de la provincia Bolívar, la misma que está distribuida en las cuatros áreas de salud como son: Guaranda, San Miguel, Chillanes y Echeandía. SALA DE CIRUGÍA. Es una unidad hospitalaria que corresponde al II nivel, encargada de brindar atención quirúrgica y traumatológica a pacientes de 15 años de edad en adelante, a través de acciones de fomento, protección, recuperación y rehabilitación de pacientes quirúrgicos y traumatológicos con un trabajo interdisciplinario. CAPITULO II PROCESO DE ATENCIÓN DE ENFERMERÍA Es un planteamiento para resolver problemas, basado en una reflexión que exige unas capacidades cognoscitivas, técnicas e interpersonales, cuyo fin es cubrir las necesidades del paciente y su familia”. Desde este punto de vista se puede decir que el proceso de enfermería constituye una estructura que cubre las necesidades del paciente, la familia y la comunidad. El objetivo principal del proceso de atención de enfermería es constituir una estructura que pueda cubrir, individualizándolas las necesidades del paciente, la familia y la comunidad. El proceso de enfermería implica la existencia de una relación con interacciones entre el paciente y la enfermera, en donde el objetivo es el paciente. La enfermera, corrobora sus datos con el paciente, participando conjuntamente en el proceso. Ello ayuda al paciente a enfrentarse con los cambios en su salud, tanto actuales como potenciales y su consecuencia es la atención sanitaria individualizada. CAPITULO III TRASTORNOS DE LAS VÍAS BILIARES: La mayor parte de los problemas de los pacientes con problemas VESICULOPATÍAS guardan relación con los cálculos vesiculares tomando el nombre de COLELITIASIS; y cálculos en los conductos biliares denominado COLEDOCOLITIASIS y la inflamación de la vesícula llamada COLECISTITIS COLECISTITIS Es la inflación de la vesícula biliar; puede ser aguda, crónica y es asociable y litiasis biliar y otros obstrucciones del paso de la bilis. Es más común en mujeres que en hombres, en personas sedentarias, obesas son afectadas con frecuencia. COLELITIASIS Definición.- Es la formación de cálculos en la vesícula. Es más frecuente en las mujeres que en los hombres. Los cálculos en la vesícula se forman de constituyentes sólidos de la bilis. Las piedras pueden presentarse en ambos sexos o en cualquier edad, pero más común prevalece después de los 40 años. Las piedras pueden estar presentes durante años sin síntomas. A veces parecen seguir con la colecistitis crónica. CAPITULO IV Los instrumentos concretos que se utilizó en esta investigación para recabar la información se baso en la encuesta y revisión documental de las historias clínicas, 5 enfermeras que trabajan en el servicio de cirugía, 70 historias clínicas: la cual esta divididas en 48 Historias clínicas de pacientes con colecistitis, 22 Historias clínicas de pacientes con colelitiasis. Llegando a las siguientes conclusiones: En cuanto a las encuestas realizadas a las enfermeras, el mayor porcentaje responden que siempre realiza la aplicación del proceso de atención de enfermería en los pacientes con trastornos de vías biliares, de lo cual no encontramos evidencias escritas que demuestren lo indicado. Teniendo como recomendación: Plantear al personal de enfermeras del servicio de cirugía un formato que le sirva en forma planificada y continua la aplicación del proceso de atención de enfermería al usuario con problemas de vía biliares, para dar respuesta a la necesidades del usuario que demanda los cuidados de enfermería en el Servicio de Cirugía del Hospital Alfredo Noboa Montenegro.Item Socialización del manual técnico administrativo de estimulación temprana en los centros comunitarios de cuidado diario, “Mi Segundo Hogar y San Francisco” del cantón Caluma(Universidad Estatal de Bolivar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2008-11-21) Naranjo, Norma; Mora, Liliana; Villacis Villegas, Vilma ElizabethEvaluación del nivel de conocimientos sobre estimulación temprana y su relación con la atención que brindan las madres cuidadoras a los niños de 0 a 5 años que asisten a los centros comunitarios de desarrollo infantil “ MI SEGUNDO HOGAR Y SAN FRANCISCO” del cantón caluma. El trabajo de investigación estaba centrado en la evaluación de conocimientos sobre estimulación temprana en el Programa Operación Rescate Infantil en la ciudad de Caluma en relación a dos centros denominados: “Mi Segundo Hogar” y “Centro San Francisco” Los Centros Comunitarios de Desarrollo Infantil además de ser un centro que brinda cuidado diario al niño, cumplen también con la responsabilidad de salud e higiene, alimentación y nutrición y sobre todo la atención en el programa de educación inicial que consiste en el desarrollo de su inteligencia, a través de la estimulación por medio de diversas actividades que permiten desarrollar habilidades, destrezas poniendo en práctica iniciativas y creatividades. El presente trabajo de investigación lo realizaron con el propósito de evaluar el nivel de conocimientos y la calidad de atención que brindan las madres cuidadoras, a los niños menores de 5 años el mismo que nos ayudara a conocer el nivel en la aplicación de los programas que deben ser realizados en los Centros de Cuidado Diario “Mi Segundo Hogar” y “San Francisco”. OBJETIVO GENERAL Relacionar el nivel de conocimientos sobre estimulación temprana que poseen las madres cuidadoras con la atención que brindan a los niños de 0 a 5 años en los centro comunitarios de desarrollo infantil Mi Segundo Hogar y San Francisco. OBJETIVOS ESPECÍFICOS. Evaluar el nivel de conocimiento sobre estimulación temprana a las madres cuidadoras. Verificar la aplicación de estimulación temprana en los niños de 0 a 5 años en los diferentes grupos de edad. Elaborar un manual técnico administrativo para los Centros de Cuidado Diario y socializarlo a través de un evento de capacitación para su aplicación. LA TESIS ESTA DIVIDIDA EN 5 CAPITULOS. En el capitulo I aborda de los siguientes temas: Programa enmarcada por la institución operación rescate infantil. Diagnóstico de los centros comunitarios de desarrollo infantil “mi segundo hogar” y “san francisco”. Estándares de calidad del centro de cuidado diario de “mi segundo hogar” y “san francisco” Definición de madre cuidadora y sus características. En el capitulo II se da a conocer todo sobre los contenidos de investigación científica de estimulación temprana. En el capitulo III consta del tipo de diseño metodológico, tipo de investigación y técnicas de recolección de datos las cuales se basaron: - Entrevista - Encuesta - Guía de observación. En el capitulo IV comprende del análisis e interpretación de resultados presentados en tablas y gráficos del cual se puede resumir lo siguiente: - Un alto porcentaje del personal que trabajan en los Centros de Desarrollo Comunitario expresan que la estimulación temprana es uno de los ejes principales para potenciar habilidades físicas, mentales y psicológicas. - Las madres cuidadoras tienen un claro conocimiento de los materiales de estimulación temprana para todas las edades. - Las planificaciones realizan mensualmente por grupos según sus edades en procura de promover mejor la estimulación - Se manifiesta que las madres no reciben capacitación continua y que necesitan más seguido en relación a nutrición, salud, higiene y estimulación temprana.Item Estudio De Riesgos Geodinámicos Para La Protección De Obras Civiles Contra Desastres Y Planificación Urbana De La Ciudad De Guaranda.(Universidad Estatal De Bolívar Facultad De Ciencias De La Salud Y Del Ser Humano Escuela De Administración Para Desastres Y Gestión De Riesgo, 2009) Alvarez, Taña Patricia; GARCIA, JONATHAN JAVIER; Gavilanez, EvaAll the inhabitants of this town should join efforts to make the actions that are currently attempting to implement in our city, with a view to making geodynamic studies to control disasters and risks arising from those without doubt it is an important and relevant issue for citizens, to have proposed the reduction and prevention of these problems They can arise unexpectedly and suddenly, as in many places of Ecuador. This paper It includes the description of the elements leading to development of the theme to focus the studies needed them in geodynamic seeks to reduce risks currently happening in the city of Guaranda, calling logically integrating all sectors of the population so that should come together in a large development plan long term and have the option city of Guaranda to expand in sectors that are less vulnerable in terms of It refers disasters. It should be clear that in general terms the relevance of design works against disasters that occur in Guaranda; this requires further as far as possible development, formulation and implementation of plans of immediate action where access domestic and nongovernmental organizations to fund these mitigation plans. Under these circumstances, it is important to develop prevention plans and mitigation for future disasters. The idea is to try to reduce future negative consequences. For this the first critical step is the development of research programs such as this that gives us the opportunity University we contribute to build and develop a sufficiently broad database scientists and technicians that reveal the spatial and temporal distribution of each one of the geodynamic risks and other phenomena that may follow. Analysis historical data is essential for this. 4A this basis and taking into account the frequency, magnitude and spatial influence geodynamic risks, can conceive plans to order interception in If the disaster itself: a monitoring, warning systems, contingency evacuation routes and supply, etc. This will be possible when the task we have completed and submitted for consideration to the university authorities and City respectively.Item Incidencia del uso indebido de sustancias psicotropicas en los estudiantes del colegio Nacional Caluma del Canton Caluma de noviembre del 2008 a septiembre 2009.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2009) Chavez, Mayra; Cuvi, Ana; Lombeida, GuillermoThe World Health Organization defines drug "Any substance introduced into the living organism, may modify one or more functions of this current use of psychotropic substances are biased, since many professionals are still cloistered in prejudices and disbelief about its effects. The global drug problem will be understood if one takes into account the personal and social damage they generate, which is not unique to excessive consumer who becomes a slave to them, and rely on these also often are consumed in a way irresponsible. In the same way that there is a passive smoker who suffers damage without consuming toxic directly, there are liabilities drinkers and those who suffer the consequences of using these substances in the role of spouses, children, parents, siblings, grandparents, co- workers and friends, who suffer violence or other equally reprehensible behavior. This is one of the main problems affecting today's society, and that certainly concern society drug-related. Much of these controversies are based on a profound misunderstanding of what they are produced and can cause various substances used abusively with primarily recreational purposes and not always desired separation from realities. Considering that man is affected due to these diseases and / or caused dependencies, strict control of these legal substances is necessary being prescribers and general population which cause often misuse and abuse of psychotropic drugs as example of these substances, as well as regulatory bodies for sale to the population of other legal tender and can appear in people addiction or drug addiction of greater involvement. For its part, the drug has been linked to the practice of medicine for millennia, these are chemicals that alter the behavior, mood, perception or mental functions, showing selective action on Central Nervous System (CNS) and they can introduce changes in behavior and the mental disease, exerting their action to modify certain biochemical and physiological processes in both the brain and the rest of the body. In the case of alcoholic drinks, young people drink at an increasingly early age and excessive drinking affects morbidity and mortality and social cost. With regard to smoking, consumption is undeniable and snuff products, with high lethality serious illnesses and their family, work, social and economic impact. Regarding illicit psychoactive substances addiction has a different dynamic for the emergence of new psychoactive substances, forms of use and consumption patterns that have appeared, and presented in a fundamental way in our society Furthermore, the use of a substance increases the risk of consuming other. Among the problems associated with alcohol abuse and alcoholism can include: accidents and violent behavior, liver cirrhosis, risky sexual behavior, fetal alcohol syndrome, mental and behavioral disorders. In the case of snuff: lung and other organs, cardiovascular disease, chronic obstructive pulmonary disease, cerebral vascular diseases and perinatal problems, among others. The use and abuse of other psychotropic substances leads to the appearance of psychosocial and psychiatric problems, sexually transmitted diseases, crime, injuries from external causes, alterations in pregnancy (intrauterine growth retardation, abortions, preterm delivery and fetal death, among others), withdrawal symptoms in the newborn, changes at the neuronal level and sudden death, among others. The use and abuse of other psychotropic substances, are a concern to society in general. This problem requires having a variety of human and technical resources and coordination with institutions and programs available in the country, so as to put in place strategies and research, prevention, treatment, regulation and legislation and awareness and training, to ensure that the actions benefit the population. Also, to ensure an adequate level of quality in the provision of services finally allow, reduce the incidence and prevalence and substance abuse and associated morbidity and mortality. The incidence of teenage drug meets upward trend in young people is increasing every day. The age of greatest risk to begin in the drug are between 12 and 18 years. The use, abuse and dependence snuff; alcohol and other psychotropic substances is a serious public health problem and also have significant negative consequences that transcend the scope of individual health that affect the family, at school, at work and in society. Assessing the level of current consumption in Ecuador nationwide according to the III National Survey on Drug Use by CONSEP in 2007 is estimated at 4.9% for lifetime prevalence, whatever the product used, regardless of stimulants (0.2%), tranquilizers (2.0%) and the category Other drugs (0.1%). This measurement shows that consumption levels are maintained in the country. The most commonly used drug was marijuana (4.3%), followed by cocaine (1.3%) and base (0.8%). Among the drugs under use, hashish (0.3%) and ecstasy (0.2%) represent the products of lower prevalence of consumption. It is necessary to continue exploring and studying the dynamics of risk factors and the onset of illegal drug use in young people. That is why in this research work are evaluated in the youth population of the Canton Caluma the variables associated with the prevalence of life (consumption at least once in life), illegal drugs most used in the middle: marijuana (MA), cocaine hydrochloride (CO) and coca paste (PBC). The lifetime prevalence, last year and last month of alcohol is set to 76.9%, 54.4% and 31.7% respectively at national level. The lifetime prevalence, last year and last month cigarette smoking or other snuff is set to 46.8%, 25.2% and 18.4% respectively at national level. Nationally, the total number of people involved in drug use in lifetime prevalence estimates. These surveys are conducted at the level of Costa, Sierra, Oriente significant differences exist between the domains, the largest PV in Quito and Guayaquil compared to most in the East in relation to the Sierra and the Coast. This project was initiated to engage students in educational Caluma center of Guangzhou to become promoters of the fight against drugs through lectures and workshops that will lead them to the other students. The intention is to have educated young people who can guide their companions / os and preventing the use of psychotropic substances. Against Drug Abuse and Illicit Trafficking, CONSEP and the Government are today launching an emergency plan to deal with this type of consumption of psychotropic substances.Item Ejecución del plan de manejo integral del fuego en incendios forestales en el parque Metropolitano de Quito durante el año 2008(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser HUmano. Escuela de Gestión del Riesgo, 2009-01-02) Arce Rodríguez, Washington Bolívar; Jacho Chiluisa, Héctor Marcelo; Llumiquinga Suárez, Luis Fernando; Silva Méndez, Henry; Ocampo Leon, Carlos San PedroThe Metropolitan District of Quito declared of public interest on territory located in the Loma de Guanguiltagua, north of the city, which is one of the last natural redoubts available within the valley of Quito. This jurisdiction has helped develop a recreational project large-scale public space that will benefit the city and its inhabitants. Location: Located in the north of the Metropolitan District of Quito, surrounded by Guanguiltagua, Arroyo Delgado and Analuisa streets. The park is located at 2890 meters above sea level and has an average temperature of 11 degrees Celsius. Surrounded by trees and gigantic works of art, visitors can enjoy the nature breathing fresh air a few meters from the city. With an area of 557 hectares, it is the main lung of the city of Quito Tourism: In the Ashintaco ravine, located in the northeastern sector of the park, you may notice more than ten species of hummingbirds and seventy species of birds that nest at the site, some of which are endangered. The park features a stone path for lovers of mountain biking.Item Rol de la enfermera en la atención del adulto mayor en relación a la depresiòn, en los ancianos que habitan en el hogar “Atalaya”, del cantón Chillanes durante el periodo de noviembre del 2010 a marzo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Sisa Zaruma, Myrian Alexandra; Yánez Barragán, Ninfa Geovanna; Ramírez Morocho, María Verònica; Guerra., PatriciaThe decline of the human being is a natural pro¬ceso that occurs throughout the life cycle but not all people age in the same way. Scientific evi¬dencia describes the quality of life and function in old age, are directly related to mind-and pri¬vaciones opportunities have been taken during childhood, adolescence and adulthood. Old age is presented as a social phenomenon constantly advancing and irreversible silently invading all areas of the overall structure of society. Currently 340 million people suffer from depression in the world (it is estimated that between 2 and 4% of the general population suffers from this disorder). Worldwide, the incidence of this disease is up to two times higher in women than in men. Depression is the leading cause of disability in mental disorders, and it is estimated that in 2020 will become the second leading cause of disability and death, surpassed only by cardiovascular diseases. The World Health Organization puts the incidence of depression (clinically diagnosable) among the population of the more developed countries by 15%. Its expansion and incidence are increasing in all age groups, especially among the young. It is estimated that the personal burden of depressive symptoms with a duration of 6-8 months is more severe and disabling than diabetes mellitus and hypertension. It is wrong to believe that it is normal for the elderly become depressed. Depression in the elderly, if not diagnosed or cause unnecessary suffering to the senescent and his family is. The underlying depression in the elderly are increasingly identified and treated by mental health professionals. Depressive disorders are the most common mental disorders, although the incidence and prevalence figures found in the different studies vary depending on the methodology used. The rate of depression is higher in older people. It is estimated that 15% of people over age 65 suffer from depression, showing a clear correlation with the fact of living alone. In geriatric age, the feeling of hopelessness and depressive syndrome appear more frequently in men, an issue which is due to the differences arising at this stage of their lives in relation to earlier stages, and are not treated equally in their homes ( regarding respect, affection, cuddling); their participation in decision-making decreases significantly, they complain about their lack of authority; the regime of forced inactivity which generates frustration, accelerating the aging physical and emotional and intellectual impairment; retirement, which in itself fundamentally reduces the economic capacity and social contact. The low level of education undoubtedly has a negative effect when it comes to looking good solutions to the problems engendered by everyday life, and therefore, the frustration of not being able to understand and / or dominate the environment generates depression in the elderly, that manages to adapt with difficulty to the demands of today's world or fails to do so, often enhanced by their low level of education, more pronounced in our older women affected by the discrimination to which they were subjected at this stage. Those seniors who make our research are at a sensitive time to be traveled, mostly to work activity that causes a change in socioeconomic status, personal and family for the elderly, related to the adapt to their new home means starting a life of boredom, lacking goals and objectives, which leads to isolation, monotony, deepening economic hardship, generated in the old feelings of worthlessness and helplessness, existential emptiness. As part of our research it is divided as follows: Chapter I: Comprised of the theoretical framework, which includes the General Household where we will conduct the investigation, Rights of the Elderly, Nurse's Role, Depression and its classification, in which our research is based. Chapter II: research methodology is approached through the same which is descriptive, transversal and retrospective developed. Chapter III: This chapter analyzes the results, report the observation guide, conclusions and recommendations of the research topic is presented. Chapter IV: Proposal Development Workshop Occupational Therapy aimed at the Elderly Home "Atalaya" to improve their mood.Item Evaluación de la aplicación del programa de atención integral y diferenciada de los y las adolescentes en relación a los conocimientos y utilización de métodos de planificación familiar del club de Adolescentes de 10 a 19 años que acuden al hospital básico San Miguel durante el periodo de noviembre del 2010 a marzo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Albán Monar, Nathaly Verónica; Chamaza Naveda, Alba Cristina; Llanos Gaibor, Jessica Lucía; Tapia, MarceloThe National Adolescent Program, since its inception in 1992, has accumulated significant experience in the comprehensive work and integrated network health services in the country and in the various forms of social participation and youth as a fundamental part of the right to health. The lessons learned in these two decades have taught us that for working with adolescents is required, in addition to knowledge, strong sensitivity and motivation of health personnel, and a clear vision of rights allowing human approach adolescents as subjects of rights and not as beneficiaries of services, promoting care equitable for men and women, respectful of their cultures, and based on a broad social participation. The demographic and epidemiological transition in the country, in the framework of rights, guarantees and civic responsibility defined in the Constitution Ecuador and policies, plans and health programs in the country, demand new approaches to health and disease, complex and diverse process, and answers more comprehensive and interdisciplinary. Ecuadorian society is changing and with it the lives of adolescents. "Modernization" with social insecurity, health-configured profile Teen disease linked to violence in all its forms, along with diseases caused by poverty, lack of access to education and low access to basic living conditions. In this problematic pregnancy adds which often endangers the life project and life itself. The focus of health care of adolescents and youth will also changing from a vision and practice of welfare state toward health can only be achieved with the active participation of citizens / as teenagers, their families and communities, along with other cross-cutting efforts and agency. In this context it becomes essential to recognize and adolescents and young people as subjects of law and its leading actors own development.Item Sistematización del proyecto de prevención, capacitación y promoción de la salud en el ámbito escolar sobre hábitos tóxicos y alimentarios en la ciudad de Guaranda en el periodo de octubre del 2010 hasta octubre del 2011(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Cadena Gomez, Nelly Verónica; Carrillo Analuisa, maría Fernanda; Cisneros Pico, Flor María; Gaibor Gonzalez, Mariela IsabelItem Modelo De Gestión De Riesgos De Desastres Para Las Organizaciones De Socorro De La Ciudad De Guayaquil, Entre El Periodo De Agosto De 2010 A Julio De 2011.(Universidad Estatal De Bolívar Facultad De Ciencias De La Salud Y Del Ser Humano Escuela De Administración Para Desastres Y Gestión De Riesgo, 2011) Camchong Ayon, Michael Antonio; Medina, PatricioEvery day of the year stocks and its inhabitants, we are exposed to the hazard situation a possible adverse event of great magnitude. In the case of the city of Guayaquil, there is always the chance of an earthquake of high intensity movements convergence of the Nazca and South American plates (see chart in Annex 1), generating serious consequences, Guayaquil urban and rural population. Within the proper management of Emergency Guayaquil, it is imperative conduct a SWOT (Strength, Weaknesses, Opportunities, Threats) to responsiveness of local institutions involved in risk management and Disasters, potentially in the city of Guayaquil. The development of this analysis is performed to a hypothesis makers citizen security, basic health services and thus becomes essential to maintain the necessary coordination to maintain integration Total when making critical decisions before an adverse event how Consequently a disaster. The desired objective is to structure and maintain a model of Risk Management Disaster relief organizations committed to the City of Guayaquil. Model that ensures the integration of all inter-agency efforts to phase Disaster Response. Final action, arranging decision to upheld by a reliable mechanism and boost the local emergency plan. In this sense, this work presents the theoretical framework based on the characteristics of the Guayaquil on the theme of risk and the management framework risk, then design raises methodological analysis and presentation results where there is evidence that knowledge of the authorities of the relief agencies and others as to the bylaws to manage risks as well as interest in training to improve their performance; finally It presents a proposal for the model of disaster risk management for this city.Item Evaluación del cumplimiento de los derechos de la salud sexual y reproductiva en relación con los métodos anticonceptivos de las usuarias, del servicio de gineco-obstetricia del hospital dr. Gustavo Domínguez. “z” de la ciudad de Santo Domingo de los Tsachilas en el periodo de octubre del 2010 a marzo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Caiza, Grecia; García, Marisol; Secaira Durango, RaúlThis thesis aims to evaluate the implementation of sexual and reproductive rights of users of Dr. Gustavo Dominguez Hospital Z, in order to identify if they are promoted, guaranteed and respected in the context of human rights. Sexual and reproductive rights are fundamental human rights, and these have been gaining greater force throughout the world through various international conferences convened by the United Nations. They need was detected in its early stages for sexual and reproductive rights of women are recognized by the society and by the States. However, over the years, these conferences have emphasized the importance of sexual and reproductive rights of women of childbearing age are equally recognized and guaranteed. Sexual rights: it includes the human right of women to have control over their sexuality, including sexual and reproductive health and free decision and responsibly without being subjected to coercion, discrimination or violence. It supposed egalitarian sexual relationships between women and men, to ensure full respect for the integrity of the individual and mutual consent, taking the form of shared responsibilities and consequences of sexual behavior. Reproductive rights: are certain human rights already recognized in international treaties and documents and other not yet known, including: the basic right of all couples and individuals to decide freely - 3 - and responsibly the number and spacing of children and to have the information, education and means to do so; the right to attain the highest level of sexuality. Sexual health: it relates to the improvement of life and personal relations. Therefore, sexual health services should not be focused only on the advice of sexually transmitted diseases and reproductive care. Sexual and reproductive health is not having relationships or have them when how often and with whom. Reproductive health: understood as a state of physical, mental and social well-being, and not merely the absence of disease or infirmity, in lathes to aspects related to the reproductive system, its functions and processes. Reproductive health therefore implies the ability to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide whether or not, when and how often. This last condition implies the right of women and men to obtain information and access to methods of family planning of their choice that are safe, effective, affordable and acceptable, and to consider other methods for regulation of fertility which they are not against the law, and the right to receive adequate health care to facilitate women safe pregnancy and childbirth and provide couples with the best chance of having a healthy infant. We can say that the Sexual and Reproductive Rights of Women in international human rights law, are the result of a series of social, cultural and economic civil, political,. - 4 - This work was done for presentation in a scheme that we provided in the Specialized Center of Research, Faculty of Health Sciences and Human Being, miso that outlines and summarizes as follows: A first part that has a definition of topics, Introduction, justification, problem statement and formulation of objectives, assumptions and approach to identifying the relevant variables operationalization in a second part which comprises the theoretical framework, conceptual framework, a third of which includes the methodological design consisting of type of study, type of research, universe and sample collection tools of information processing and presentation of results, a quarter of which is specifically the conclusions and recommendationsItem Aplicación del modelo de atención de enfermería en el cuidado al usuario externo del hospital Alfredo Noboa Montenegro de la ciudad de Guaranda provincia Bolívar en el periodo diciembre 2010 a marzo 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Guaranga Tene, Maria Carmela; Salas Borja, Alexandra Isabel; Muñoz Naranjo, Maura Del RocioThe first theory of Nursing born with Florence Nightingale, born from there new models each of them brings a philosophy of understanding and Nursing care. From its origins was considered as an occupation-based practice and the common knowledge, was not considered as a science, scientific knowledge It appears in the first nursing theory. Nurses began to focus on knowledge acquisition technicians who were delegated to them, with the publication of the book "Nursing Notes" of Florence Nightingale in 1852, the foundation of professional nursing sat in his book Florence attempt to define the specific contribution of nursing to health care. From 1852-1966 he created and developed a philosophical seeking the foundations of the profession and is for the 1950 to 1996, the theory emerges Nursing Nursing Virginia Henderson who defined in functional terms. The only role of the nurse is to help the individual, healthy or sick get healthy (or a peaceful death) that would perform unaided if he had the strength, will or the necessary knowledge, thereby making him provide independence as quickly as possible, he said that as the changed patient needs could also change the definition of Nursing. From the second half of the last century with the recognition of Nursing constituted as a science with its own conceptual and theoretical body method Action (Nursing Care Process PAE), the profession raised its range achieve academic and university level, he was associated in equal terms with other professions in the care of individuals, families and communities in the process health disease. Models of nursing care are considered a valuable tool in the performance of nursing professionals, which allows providing care in a way rational, logical and systematic for information and identify problems 2individuo, family and community in order to plan, implement and evaluate care Nursing. In addition to define the practice, guarantee and ensure quality care and attention to the subject of bases provides operational control and the average to systematize and research in nursing and can be applied at different levels care and services, which provide nursing care to individuals, families and community. There is a distinction between models and theories. Model is a schematic representation of some aspects of reality, while that theories are models of certain phenomena. The models are especially useful in the theoretical development, helping to select the relevant concepts needed to represent a phenomenon of interest and determine the relationships between those concepts. The models also allow concepts are executed on paper before being confronted with reality. Further that, the models They help nurses in the sense that offering them a observable explanation of the elements of a theory. Among these are the different models are: Naturalist, of substitution or support and interaction each has its representative and brings a different philosophy to understand the nursing and care, often it based on the role that nurse plays when providing care.Item Factores de Riesgo en los Partos Intradomiciliarios atendidos por las Parteras Comunitarias en la Parroquia Julio Moreno Cantón Guaranda, en el Periodo comprendido entre Diciembre del 2010 a Mayo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Gavilanez, Geimy; Wilcaso, Silvana; Alarcon, ReneEcuador has a population of about 14,000,000 people, from of different ethnicities and miscegenation, of which more than half of mostly women Young. Recent estimates report a prolonged economic and political crisis in recent years and high rates of poverty in this country, which are tied more widespread among the indigenous population (Larrea, 2007). Health is closely linked to family, community and social context, the group ethnic and social background, hence the importance of programs are designed appropriate to the needs of each group. Gender, meanwhile, plays a role in the opportunity to have a healthy life, and the possibility suffering diseases, to survive the first years of life or grow old, as such as Tovar (2005) points. In Ecuador, where a fertility rate of 3.3 children per woman is presented, according to the more recent measurements by the Demographic and Maternal Health and child ENDEMAIN 2004, maternal mortality is a problem of special dimensions according to the PAHO (2004), one in a hundred women die from complications related to childbirth, with the most indigenous affected. According to UNFPA (2004). Bolivar and Chimborazo provinces are less socio-economic development in the country. " SIISE data puts the provinces with major unmet basic needs. Bolivar with 45.56% of the population consists of Indians living in the 7 cantons that make Province 35 parishes of which 98 are rural. At Kichwa They belong a number of and the inhabitants of this province are located in the vicinity of Julio Moreno Facundo Vela, Simiatug, among others. 2The birth is the largest and most beautiful act of life as the mother brings the world into a new being, therefore it must be equipped with the biggest and best address at birth. Due to the socioeconomic and cultural circumstances of those living in the rural sector deliveries are made by inexperienced people in their actions is limited to receiving the new being in the hands, cut the umbilical cord and take the first Bathroom practice that is rooted in the most vulnerable population. To publicize the existing MSP protocol for delivery care culturally right on the question of giving information to basics improving the delivery of a better participation of midwives in care delivery. Research objectives is to systematize a body of knowledge theoretical and practical experience in domiciliary deliveries, identify risk factors, socialize existing MSP protocol for attention delivery culturally suitable to intervention of midwives in deliveries intradomiciliary.Item Respeto a los derechos del paciente en relación a la calidad sentida de los usuarios del área de medicina interna del Hospital Provincial General Docente de Riobamba durante el período noviembre del 2010 a Marzo 2011(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Borja Urrea, Alegría Yolanda; Herrera Villagrán, Johana Patricia; Vallejo Peralta, Sara RaquelThis research is an important health personnel resource, because it will allow you to know in detail the rights of patients, the same that are posted on the Constitution of the Republic of Ecuador, Health Law, and treaties This knowledge should be implemented in order to provide excellent care with warmth to all who are being held by different ailments in an institution of public or private health. The research will take place in the PROVINCIAL GENERAL HOSPITAL TEACHING Riobamba, located in the province of Chimborazo, Riobamba canton. It is a public hospital, whose administrative conformation is formed by administrative, medical, nursing, assistant service, and the key element of its mission users who need medical care, and nursing care. The hospital, as an institution, is an organized system involving rules, regulations, customs, traditions, mission, vision, that are made are norms and object of study, controlled and supervised by the state system under control Provincial Directorate of Health, and in turn by the Ministry of Public Health, where under the precepts of modern medicine seeks to prevent, detect, control and eradicate health problems, diseases, through an efficient health management conducted by trained staff, professional and humanistic, where modern and ethical processes practice, prioritizing patient care and well-being and comfort, but we must be aware of a social reality in Ecuador health in recent years has declared a state of emergency due to a lot of issues in medical centers ranging from the lack of furniture, medicine, professional, and a common feature, poor customer service, we cover within this subject of study, develop and We present proposed solutions. To carry out this research inductive and deductive methods and methodological tools that allow us to study the particular causes of our problems in relation to the heartfelt service quality to users and establish general assumptions applied and from general concepts to get to the formulation of specific issues that serve to detail the problems to investigate, You are using the demo version Please purchase full version from www.technocomsolutions.com You are using demo version Please purchase full version from www.technocomsolutions.com 6 study process and the descriptive literature and field research, scientific knowledge in texts are sought, and regulations to guide us in the development of the theme as well as the fundamental contributions of those directly involved in conducting the research study in this case, the health personnel of the Provincial General Hospital Riobamba and Professor of internal medicine users thereof. A quantitative analysis was performed based on surveys of users on the rights of patients to obtain as much information and knowledge and reference sources related to the topic. To apply the method of field study is designed survey, it applies to user Provincial General Hospital Professor of Internal Medicine Riobamba area, as well as internal patient in this ward, this in order to ascertain the practice of patient rights, the results have been tabulated, analyzed and presented in tables and graphs It serves to draw the conclusions and recommendations. To improve knowledge and practice in the care of patients who are admitted to this service based on the above, the proposed action ensuring compliance and respect for the rights of patients by health staff formulated the Internal Medicine Provincial General Teaching Hospital RiobambaItem Estrategia de aiepi comunitario en relación al componente de las neumonías leves, en niños de 2 meses a 4 años de edad, que acuden a consulta al subcentro de Salinas, en el periodo de octubre 2010 a marzo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Chida Chota, Mery Emperatriz; Borja Carvajal, Marlene Cecibel; Guerrero, EsthelaThe strategy of Integrated Management of Childhood Illness Children (IMCI), was designed in 1996 by the World Health Organization (WHO) and the Fund of the United Nations Children's Fund (UNICEF), which promote global initiative Integrated prevalent childhood illnesses (IMCI) strategy has been validated and accepted as one of the main interventions to improve the health of children in the world, helping to reduce child mortality and morbidity attention due easily preventable diseases, and thus to foster the healthy growth and development in children under five, especially those most vulnerables1. Fernandez 1Mike regional Alliance IMCI COMMUNITY Since then, the Pan American Health Organization (PAHO) promotes its implementation in the Region of the Americas and, until 2001, 18 countries had formally adopted. They concentrate 52% of the population under five years of the continent and in them 75% of the annual deaths occur in this age group. The availability of this integrated strategy and the persistence of a high number of child deaths from preventable diseases due to its implementation, led to the Governing Bodies of PAHO approved Resolution CD41.R5, which urged countries to adopt the IMCI strategy as Basic intervention of child care, while summoned all international agencies and bilateral cooperation as well as NGOs, to support this work in order to reduce child deaths by 100,000 over the period 1999-2002 and That progress towards achieving the Millennium Development Goals (MDGs), which aim to reduce by two thirds the mortality rate among children under five years by 2015. In 1997, at a meeting of international agencies in Dominican Republic, it was recognized that only improve the quality of care for sick children in health services was not enough to reduce the levels of infant morbidity and mortality. It was proposed, therefore, to develop a strategy based on community and families to promote key family practices 8 essential for the survival, growth and development. In 1999, the official launch took place in the region of the community component of the IMCI strategy. WHO introduced the IMCI strategy in February 1996, the date on which most developing countries, pledged their support and implemented it. Ecuador with the political support of the authorities and technical and financial support from international organizations and cooperation agencies, such as PAHO / WHO, UNICEF, (Basic Support for Institutionalizing Child Survival) BASICS (United States Agency for Development Internacional) USAID, under the guidance of the Ministry of Health MSP, began the process of implementation. This process was accompanied by an increasing share of the institutions that train health human resources (universities); also he attracted the participation and other human contingent resources to extend the implementation at the local level non-governmental organizations, childcare as in the case of the Apollo / CARE projects and International2 Plan It has now begun the process of implementing the community component, whose main objective is to strengthen the work of the Community Health Agents (ACS). The IMCI strategy at the level of health services, is to provide integrated and systematic attention to every child / minor as five years. Health personnel applying the IMCI strategy, receive training through a theoretical and practical course, which aims to develop skills and abilities to provide care correctly and efficiently. Additionally IMCI seeks to improve the interpersonal relationship between health staff and users, and optimize counseling mothers and / or caregivers of children / as for proper home management and recognition of signs and symptoms that promote the right approach health services. It is crucial to note that the IMCI has an important component of prevention and health promotion and healing. 9 Whereas the success of reducing child morbidity and mortality requires the participation of families, communities and joint efforts of health workers, it is of great importance that mothers need to be strengthened, with knowledge and skills related to the health of its children under five years through community IMCI in relation to the component for compliance mild pneumonia treatment at home. So the evaluation of IMCI (Integrated Management of Childhood Illness Children) about the level of knowledge of mothers in relation to the component for mild pneumonia treatment compliance in their homes was conducted and was provided right skills through regular training, mothers on community IMCI (Integrated Management of Childhood Illness Children) using Bloom's Taxonomy, for taking swift and appropriate action against mild pneumonia at home and monitoring through home visits.Item Evaluación del programa de nutrición componente micronutrientes (vitamina a y hierro) y sus beneficios en la salud en niños/as de 4 a 35 meses de edad que acuden al centro de salud de Echeandia en el periodo de octubre del 2010 a marzo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Villares, Nancy; Peñafiel, Sonia; García, JaimeMicronutrients, which are vitamins and minerals needed in small quantities, are essential to a good start in life and optimal growth and development. In particular, iron and vitamin A, play a fundamental role in maintaining healthy and productive populations. With them, children under 5 have a chance at a normal, healthy growth and become a productive adult. Without these micronutrients the human being can lose the potential of life, becoming ill and dying. Similarly, when the whole population has access to basic vitamins and minerals, countries suffer a huge loss of human potential. In total, 26.0% of Ecuadorian children under 5 have chronic malnutrition and of this total, 6.35% there is extreme malnutrition. In contrast, the overall malnutrition is almost nonexistent: only 1.7% are underweight. In size and 0.4% suffers from severe malnutrition. 2.24% of children are acutely malnourished. Most of these shortcomings are due weight by age, in turn, they are the result of chronic malnutrition. A similar analysis for the rate of underweight shows a somewhat different picture. The provinces with rates above the national average are listed from highest to lowest, Chimborazo (22.4%), Cotopaxi (20.3%), Loja (19.6%), Tungurahua (17.1%), Bolivar (16.5%), Los Rios (16.4 %) Manabi (15.6%), Guayas (15.1%) and Canar (14.8%). Instead, the provinces with global malnutrition rates below the national average are listed from lowest to highest, Carchi (9%), Pichincha (11.2%), gold (11.5%), III Imbabura (11.7%), Azuay (12.1%), Esmeraldas (13.4%) and the Amazonian provinces (14.1%). 1 With this paper we proceeded to conducting a descriptive study based on the review of the medical records of children / as of 4-35 months of age who come to the Canton Health Center who provided clinical data Echeandía on nutritional status. In Chapter I Theoretical Framework is a brief historical review of Canton Echeandía and Health Center, we report on Integrated Micronutrient Program (Vitamin "A" and Hierro) and the different diseases that can lead to the same deficit and complementary feeding. Chapter II Design Methodology show the kind of study that we have done as descriptive, analytical and cross. And the application of statistical formula in order to implement our surveys and get real data. Chapter III Analysis and Results Presentation Through the surveys we conducted an analysis of the results to implement interventions to support the program and identify and prioritize the problems found to solve the same. The same that will benefit the internal and external within the framework of a highly participatory process users. Chapter IV Proposal hope that this investigation by the Internal Rotary Nursing on Nutrition Program Component micronutrients (Vitamin "A" and Hierro) and their health benefits in children / as of 4-35 months with the In order to prevent and reduce child morbidity and mortality and malnutrition.Item Calidad De Atención De Enfermería, En El Cuidado Directo A Los Neonatos Con Síndrome De Dificultad Respiratoria Tipo Ii En El Servicio De Neonatología, Del Hospital “DR. Enrique Garcés” Del D.M. De La Ciudad De Quito, Período Octubre 2010 A Marzo Del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Arellano Barragán, Diana Karolina; Gavilanes Carvajal, Gladys América; Gómez, Rosa AlbaThe area of neonatology Dr. Enrique Garcés Hospital is a specialty health care healthy newborns, sick and premature where there high risk pathologies which are respiratory problems and particularly respiratory distress syndrome type II, causes more significant morbidity and mortality in the neonatal period when the increase in these disease is due to many factors such as prematurity, maternal sedation, cesarean delivery, fetal asphyxia, excessive administration of fluid-therapy to mother during labor, prolonged labor, fetal polycythemia, son diabetic mother among other causes. Therefore attention is a work area that nursing so that It requires skilled, scientific and technological personnel to provide care integral. This research aims to determine the quality of care from direct nursing care to newborns with distress syndrome respiratory type II, is one of the diseases affecting the newly born, as is the application of science and technology in a way to maximize their health benefits without increasing proportionately their risks. The degree of quality is therefore the extent that the expected care provided to achieve the most favorable balance between risk and benefits. Considering that at present since the adoption of the new Constitution care model focus on what preventive, but not least certain to be applied policies, procedures and protocols direct care Patients who come to the various operating units of Health, seeking to regain their health, or keep them in good condition or acceptable. 12So also attend this house seeking health care for delivery and monitoring of healthy children, this reason for this work, with the collaboration of all personnel neonatology service has allowed it to develop it in a timely manner. The structure of the job is given as follows: In the first chapter analyzes the problems presented by service Neonatal care in children with type Respiratory Distress Syndrome II, generalities, theme, justification, statement of understanding problem which is addressed how it influences the quality of nursing care in direct care, targeting, hypothesizing that would What difference does the increase in complications ?, identification of variables and operationalization of the same. The second chapter concerning the theoretical framework encompasses the quality of care provided by staff nurses in direct care to newborns, is describes the disease, its causes, complications and education in the mother Home among others the importance of recognizing the warning signs. The third chapter presents the methodology used: For the type of research: descriptive because we will make a Description of variables based on existing literature and information acquired through surveys, no hypothesis is tested as by it is a descriptive study is not mandatory to perform testing because the variables do not suffer any modification and what is done is a description of how they are in reality. The research method is deductive, by way of performing the work, It is going from the general to the particular. Cross because studies simultaneously exposure and disease in a well defined population over a period determined. 13The population universe used for our research is 2362 neonates admitted from October 2010 to March 2011, in the Neonatology Service Dr. Enrique Garcés Hospital, the study sample is 342 mothers, and 19 nurses, because it is a small population, surveys were applied to 100% of the population. For tabulation processing and preparation of statistical tables or tables of the surveys used the Excel program, it is a statistical program used in market research and develop just allows tables and special crossings so that the use of optimize information gathered in the surveys. Chapter culminates raising the relevant criteria for drafting the proposal. The fourth chapter notes regarding the administrative framework for human resources economic required to perform research. It details the schedule of activities used in the research process and formulation of the relevant proposal. The fifth chapter contains conclusions and recommendations that emerged the research process, which are the prerequisites for building proposal, addressing the issues investigated in a general context with specific solutions to ultimately on a program training educational personnel Neonatal Nurses Service. Finally the sixth fifth contains the proposal submitted as draft training, presents a set of solutions that enable a response the problem effectively investigated.Item Evaluación de la aplicación de la estrategia AIEPI en relación al tratamiento en el hogar de las infecciones respiratorias agudas (neumonías leves) niños menores de 5 años que acuden al Centro de Salud Gonzalo Cordero Crespo en el periodo de noviembre del 2010 a marzo del 2011.(Universidad Estatal de Bolívar. Facultad de Ciencias de la Salud y del Ser Humano. Escuela de Enfermería, 2011) Naranjo, Geovana; Toapanta, Martha; Yumbay, Deisy; Lombeida Davila, Guillermo VinicioAcute Respiratory Infections (ARI) are a complex group of causative agents caused by various diseases any point airway, recognized as a scourge that affects undesirable effects on the health, without obvious preference for sex and more often in certain age groups. In children these infections occur more frequently, especially in the early life, due to certain factors anatomical type; bound to immaturity or failures in the defense mechanisms of local and humoral Numerous other factors of demographic, environmental, food risk and behavior are crucial to make the IRA a problem health resort. The pathogens most frequently attack the system respiratory syncytial virus are respiratory and Haemophilus influenza parainfluenza, appearing in epidemic during the months of invierno1. ARI stand out as a major health problem, both for its high frequency and the difficulties of their control, the impact on child mortality and significant consumption of resources involved 5, the disease can also present with or without complications which may sequelae affecting quality of life of people Morbidity of diseases in children under five years has always been concern for public health. For decades it has been worked to decrease the infant mortality rate boosting shares health and control of diarrheal diseases and immunization among others. The impact of these actions is widely known, therefore, in the world are avoided every day thousands of deaths from these causes. Acute respiratory infections are responsible for the death of about 4 million children a year, mostly in developing countries as They are Asia, Africa and America America. The pneumonia It is responsible deaproximadamente 85% of all deaths IRA, but also contribute this mortality bronchiolitis, croup and respiratory tract complications higher. The common cold is an acute viral disease, limited car character benign, transmissible also called "common cold", "cold", "rinofaringitis" or "nasopharyngitis", although in some cases these terms are inappropriate It does not always assume the common cold pharynx; misnamed "flu" It constitutes 50% of the infections of the upper airways represents 23 million working days lost in the United States and five billion dollar cost per year. Extrapolating these data, in Colombia represents 20 million working days lost per year and 26 million days truancy Acute pharyngitis or tonsillitis as a single entity is one of the diseases most commonly seen by general practitioners and pediatricians in consultation. It is an inflammation of mucous and submucosal structures of the throat. The pharynx is the common cavity of the respiratory and digestive tracts. It consists of the nasopharynx, tonsil pharyngeal containing (Adenoids) in its rear wall; tubal tonsils, behind the hole auditory tube; the oropharynx, which contains the palatine tonsils in turn floor and in the back third of the tongue, the lingual tonsils coming to constitute the Waldeyer ring tonsils Some authors include in their considerations about the "ring" lymphoid relatively minor elements such as "pharyngeal bands side "," pharyngeal granulation "and lymphoid tissue of the soft palate and laryngeal ventricle These structures have an increased predisposition to inflammation and infection by its abundant content of lymphoid tissue and also a special feature in childhood as organ growth and its role immune. As for its growth pattern, between the ages of four to XI10 years, reaches its maximum size, which is important to be clear in pediatrics and not consider a large tonsils or adenoid tissue grown as a pathological growth to justify treatment with antibiotics or conduct surgical. As your immune role at this level ARF occurs secretory reacting to infections and allergic attacks to afford enlargement that does not require such treatment Acute otitis media is one of the most common causes of pediatric consultation. Teel and colleagues reported that 62% of one year olds have had at least one episode; this percentage rose to 83% at the age of three years and seven years every child had an episode of acute otitis In a review of 17,000 visits during the first year of life, otitis media diagnosis was acute in 1/3 of the cases consulted by disease and 1/5 of total health checks. Children have about six to eight infectious processes annually respiratory tract. These processes are one of the problems more frequent general pediatrics, representing over half of consultations a pediatrician. The lower respiratory tract infections, including bronchiolitis and pneumonia. Most of these episodes are pneumonic type and frequency It is highest during the first year of life with a gradual decrease after this initial frequency peak. The mortality rate for pneumonia is significant in infants and children five (2% to 7%). It is estimated that over four million children die annually by this condition. Risk factors for morbidity and pneumonia mortality include age, low birth weight, high degree of malnutrition, low socioeconomic status, overcrowding, no breastfeeding, immunizations incomplete and culture cigaretteItem Desempeño Laboral de los graduados/as de la carrera de Enfermería, de la Universidad Estatal de Bolívar, relacionado con la formación académica de las Áreas de Salud 1, 2, 3 y 4, Bolívar, período 2008 – 2011(Universidad Estatal de Bolivar. Facultad de Ciencias de la Salud y del Ser Humano. Carrera de Enfermeria, 2011) Chimbolema, Sara; Guerrero, Jéssica; Valdivieso Arroyo, Elena MercedesLa carrera de Enfermería siempre se ha caracterizado por el servicio a la comunidad, donde cada profesional destaca sus aptitudes, actitudes y sus habilidades, brindando a si la mejor atención a los pacientes, para que la enfermera/o sea flexible, humanística/o, respetuosa/o, honesta/o y solidaria/o, virtudes que cada profesional tiene que desarrollar. Es así que las/os profesionales de enfermería graduadas/os de la Facultad de Ciencias de la Salud y del Ser Humano de la Universidad Estatal de Bolívar, siempre se han caracterizado por desempeñarse de la mejor manera posible como profesionales, realizando su trabajo con responsabilidad y aplicando todos los conocimientos adquiridos, de ahí que esta carrera cuenta con un alto prestigio nacional. Para evidenciar lo mencionado antes se plantea el siguiente trabajo de investigación DESEMPEÑO LABORAL DE LOS GRADUADOS/AS DE LA CARRERA DE ENFERMERÍA, DE LA UNIVERSIDAD ESTATAL DE BOLÍVAR, RELACIONADO CON LA FORMACIÓN ACADÉMICA DE LAS ÁREAS DE SALUD 1, 2, 3 Y 4, BOLÍVAR, PERÍODO 2008 – 2011 que tiene como objetivo determinar la aplicación de los conocimientos teóricos prácticos recibidos en la formación académica, por parte de los/as graduados/as de esta carrera y de esta manera descubrir en qué medida aplican los conocimientos teóricos en la práctica diaria, a más de analizar en que están fallando, que falta fortalecer en la educación, cuales son las cátedras de mayor utilidad y cuáles no. Para ello se ha contemplado los siguientes capítulos: En el PRIMER CAPÍTULO hace una descripción, tomada del Proyecto de Carrera, sobre la formación académica, el diseño curricular por competencias para la carrera, cuales son los objetivos que debe cumplir esta escuela, cuál es su misión y visión, así como también el fundamento filosófico, las bases pedagógicas de la carrera y el perfil profesional basado en competencias. También se investigó cuáles son los valores, principios y códigos de ética que una enfermera/o debe cumplir y de que se trata esta carrera. Se investigó toda la malla curricular aprobada por las/os graduadas/os durante los años 2008 al 2011. Además se realizó una investigación sobre el desempeño laboral, cuales son las funciones que debe cumplir una enfermera, cuales son las actividades en hospital y comunidad según lo establece la Ley Orgánica del Servidor Público Ex - SENRES, y el liderazgo en el desempeño laboral. En el SEGUNDO CAPÍTULO se analiza cuáles son los métodos y las técnicas apropiadas para realizar esta investigación, así como también el desarrollo de la muestra que es este caso por ser pocas las profesionales que trabajan en la provincia de Bolívar se trabajó con el universo, las técnicas de procesamiento de la información y el análisis e interpretación de resultados. En el TERCER CAPÍTULO se presenta las encuestas y se realizó un análisis e interpretación minucioso de cada pregunta, de los cuestionarios aplicadas a las/os enfermeras/os que laboran tanto en hospital como en comunidad. De la misma manera para complementar la investigación se aplica encuestas a las líderes de enfermería a nivel de hospital y comunidad, su punto de vista de la formación académica de esta prestigiosa Universidad. En el CAPÍTULO IV se plantea el Marco Administrativo donde se establece los recursos materiales, humano, técnicos y el presupuesto empleado para esta investigación, así como también el cronograma de trabajo. Para finalizar en el CAPÍTULO V después de haber realizado toda la investigación se mencionan conclusiones y recomendaciones que cumple las/os enfermeros como: cuidado directo, administración, educación e investigación, que son los temas en los cuales se basa el desarrollo de la presente investigación. De la misma manera analiza si los conocimientos teóricos son aplicados en el desempeño laboral analizando cada componente así: el componente Profesional Específico, Básico Profesional, Básico y Componente Humanísticas, Sociales e Investigativo. En base a esto se realiza las recomendaciones más importantes a las autoridades pertinentes de la facultad y la Escuela de Enfermería, entre ellos tenemos continuar incluyendo en la formación académica en cuanto a la atención al usuario la aplicación de modelos, teorías, marketing, derechos humanos y el proceso de atención de enfermería, así como 16 también el desarrollo de destrezas y habilidades que es fundamental para el correcto desempeño laboral.