Ciencias de la Salud
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Item Malassezia asociada a la dermatitis seborreica en los vendedores del Centro Comercial la Condamine en la ciudad de Riobamba(2025-04-09) González Polo, Sandra Isabel; González Romero, Ana Carolina; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosSeborrheic Dermatitis is a chronic inflammatory skin disease associated with the proliferation of the fungus Malassezia sp. and various environmental and anthropogenic factors. This study aimed to analyze the relationship between the presence of Malassezia sp. and seborrheic dermatitis in vendors at the La Condamine Shopping Center in the city of Riobamba. A descriptive, cross-sectional, and observational study was conducted with a sample of 72 workers from the shopping center. The samples were processed at the GISOCH research laboratory, part of the Faculty of Sciences at the Escuela Superior Politécnica de Chimborazo, using conventional microbiological methods. To identify Malassezia sp. in the participants' scalps, techniques such as fresh preparation with 20% KOH and culture in Sabouraud medium were employed. The results indicated that 8.33% of the participants showed positive growth of Malassezia sp., accompanied by clinical signs of seborrheic dermatitis, such as pruritus, scaling, yellowish crusts, and scalp redness. In contrast, 91.67% showed no clinical or microbiological evidence of infection. The main factors associated with seborrheic dermatitis were prolonged use of hats, high thermal sensation in the work environment, excess scalp oil, and stress, with the latter being a key factor in disease exacerbation. Additionally, a higher prevalence was observed in the 41 to 60-year-old age group. As part of the study, a training session was conducted, and a manual with recommendations for seborrheic dermatitis prevention and scalp care was provided, emphasizing the importance of personal hygiene, stress reduction, and the use of dermatological products. It is suggested that molecular studies be conducted for the specific identification of Malassezia species, a more in-depth analysis of the cutaneous dermobiota, and the implementation of continuous education programs led by the GAD Municipal of Riobamba to strengthen the prevention of skin diseases in workers exposed to predisposing factors.Item Desarrollo de una estrategia didáctica para la independencia cognoscitiva en las ciencias básicas medicas(2025-04-04) Paredes González, Kevin Fabian; Leiva Suero, Lizette Elena; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosIntellectual autonomy is essential in the complete education of Medical Sciences students, as it promotes critical and autonomous learning essential for clinical practice. It facilitates detailed understanding of scientific concepts, solving complicated problems and adapting to technological advances in medicine. Although innovative tactics are encouraged in advanced nations to enhance this skill, conventional education prevails in South America, impacting creativity and work performance. The relationship between teacher and student needs to be modified to focus learning on the student and encourage educational tactics that foster comprehensive skills, creativity, and excellence in teaching. This implies assessing the current degree of autonomy and proposing effective improvements. The objective of this work is to design a teaching strategy based on scientific evidence that allows developing cognitive independence in students who take the subject of Anatomy of the Medicine degree as results, students who develop cognitive independence develop personal skills that allow them to perform with excellence in the theoretical field and present a confident development in the analysis of clinical cases, whether in the university or hospital setting. It is concluded that these tactics They integrate conventional pedagogy with revolutionary education, adapting learning in real and simulated contexts. Its implementation promotes independent and cooperative work, positively affecting the teaching-learning process and excellence in the academic field.Item Estrategia didáctica para el desarrollo de la creatividad en el aprendizaje de Higiene de Manos en los estudiantes del internado rotativo de enfermería del Hospital General Docente Ambato(2025-04-04) Núñez Arboleda, Mishell Iliana; Quispe Jara, Graciela de las Mercedes; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosThe present work addresses how important proper hand hygiene is when preventing infections associated with IAAS health care, because it is a global health problem that significantly affects the increase in mortality and the high costs of this type of health care. The study focuses on the rotating nursing interns of the obstetric center, seeking to evaluate and improve their knowledge, skills and attitudes regarding the correct use of handwashing techniques with the use of water, soap and disinfection through the application of alcohol gel. In-hospital infections represent a considerable risk; there is data that for every ten patients affected, one of them dies due to these infections. Adequate training of treating personnel on hand hygiene is essential to ensure that the patient is safe and to verify the quality of the care provided. The research highlights the effectiveness shown by the programs presented for infection control, pointing out that approximately one third are associated with infections that are treated in HCAI health care and that are preventable. The need to implement simple but effective measures is emphasized, such as hand washing and disinfection with appropriate alcohol gel, to significantly reduce the level of risk in transmission by microorganisms. Finally, the present study catalogs the importance of continuous training in addition to due vigilance to compliance with all recommendations issued in hand hygiene, with the aim of creating a lasting impact on professional practice and above all on the culture that must be developed in the patient in the hospital environment.Item Estrategia pedagógica y didáctica para la presentación y discusión de Casos Clínicos sobre el Cáncer de Mama, por los Internos Rotativos de la Carrera de Medicina en el Servicio de Medicina Interna del Hospital Docente Ambato(2025-04-02) Freire Montesdeoca, Juan Gabriel; Acosta Acosta, Josué; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosIntroduction: Breast cancer represents one of the leading causes of morbidity and mortality among women worldwide. The training of rotating medical interns is crucial for developing clinical competencies. Objective: The objective of this study is to propose a pedagogical and didactic strategy to improve the understanding and clinical management of breast cancer among rotating medical interns in the Internal Medicine Service at the Ambato Teaching Hospital. This strategy aims to promote active learning and critical reflection through the presentation and discussion of clinical cases in the Internal Medicine Service at the Ambato Teaching Hospital. Methodology: An explanatory, experimental, and prospective study design with deliberate intervention was carried out. This included the selection of representative breast cancer cases. Presentation sessions were conducted, during which interns presented the background, diagnosis, and treatment of the cases. Subsequently, a space for group discussion was facilitated, guided by a specialized faculty member. Results: The results showed a significant increase in the interns' understanding of the diagnostic and therapeutic aspects of breast cancer. Surveys indicated that 85% of the interns considered that the methodology used enhanced their learning and enabled them to address patient care more effectively. Conclusions: The design of a pedagogical and didactic strategy focused on the presentation and discussion of breast cancer clinical cases is effective in enhancing the training of medical interns. This methodology not only improves their understanding of the disease but also strengthens their clinical competencies.Item Estrategia didáctica para el perfeccionamiento del proceso educativo fundamentado en evidencia científica en internos rotativo de la carrera de medicina.(2025-04-01) Toapanta Paredes, Ximena Elizabeth; Salazar Garcés, Luis Fabián; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosThis study addresses the design and evaluation of a teaching strategy aimed at improving the training of medical interns, promoting the use of scientific evidence in clinical practice. The proposal seeks not only to improve skills, but also to align the educational process with local epidemiological needs, optimizing the response capacity to the most prevalent diseases. Objective: To design and implement an evidence-based teaching strategy to optimize the skills and competencies of rotating interns in the Medicine career, focusing on the diagnosis and treatment of the most prevalent diseases in the epidemiological context of Zone 3. Methodology: An explanatory, experimental and prospective study with deliberate intervention was carried out, the population consisted of 50 rotating interns from the IESS hospital in Ambato, a sample calculated for 95% with a 5% margin of error consisting of 45, a sample calculation was made and the population standard deviation or estimated from the sample was analyzed, where Z is considered the level of confidence. Results: The comparative analysis between the results of the pretest and posttest shows that there is an improvement in the experimental group in terms of the ability to interpret and apply scientific evidence in their clinical practice, this suggests that the proposed didactic strategy is effective in improving the educational process. Conclusion: the implementation of teaching strategies based on scientific evidence is crucial for the improvement of medical education and the quality of care, based on interactive workshops: focused on the critique and application of scientific articles relevant to clinical practice, seminars based on clinical cases: where interns analyze and solve cases using the most recent evidence and the use of digital resources: access to scientific databases.Item Estrategia didáctica para la aplicación de la inteligencia artificial en la enseñanza de las Ciencias Biomédicas Básicas(2025-04-01) Pombosa Manobanda, Luis Daniel; Villacis Valencia, Sandra Elizabeth; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosThe present research was conducted at the Technical University of Ambato, in the Medicine program, with the aim of evaluating a didactic strategy based on AI in the Bacteriology and Virology course. The main objective was to develop a scientific dissemination didactic strategy based on ChatGPT to enhance the teaching-learning process in biomedical sciences. The specific objectives included: evaluating the frequency and perception of ChatGPT usage among students, analyzing its impact on academic performance, and assessing the effectiveness of the didactic strategy in fostering student autonomy and individual learning. It was hypothesized that the implementation of ChatGPT as a didactic tool would significantly improve academic performance and promote self-learning among students in the Bacteriology and Virology course. A quasi-experimental study with a quantitative approach was designed, applying a pretestposttest design without a control group. The population consisted of 78 fourth-semester medical students. Questionnaires were used to measure prior and post-intervention knowledge, as well as surveys to assess the perception and usage of AI. Data were analyzed using the Wilcoxon test and Pearson correlations. The findings showed that students significantly improved their academic performance after implementing the AI-based didactic strategy. A total of 72% of participants perceived ChatGPT as a useful tool, highlighting its ability to generate summaries, explain complex concepts, and facilitate autonomous learning. The research confirms that ChatGPT can be an effective tool in medical education, enhancing the understanding of biomedical concepts and promoting self-learning. Its integration into other medical courses is recommended, as well as further exploration of its long-term impact on students' academic development.Item Perfeccionamiento estratégico didáctico para el aprendizaje desarrollador en Ciencias Biomédicas Clínicas(2025-04-01) González Asqui, Anthony Fernando; Yépez Yerovi, Fabián Eduardo; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosDeveloper learning is based on the dynamic integration between previous knowledge and new information acquired, promoting not only the accumulation of knowledge, but also the application of knowledge in practical and meaningful contexts. This pedagogical approach begins with a challenge posed by the teacher, who presents a clear objective for students to seek diverse solutions. This model provides the teacher with the fundamental domain to the student, thus allowing the students to achieve answers for themselves through the active role. The research is of a quasi-experimental type, explanatory with deliberate intervention based on the use of a didactic strategy. It is based on the quantitative paradigm, since a multiple-choice academic test and an evaluation rubric were used. The research was carried out with seventhsemester students of the Clinical Laboratory career of the Faculty of Health Sciences of the Technical University of Ambato in the academic period September 2024 – February 2025. The results found in this study show that the average grade of the multiple-choice academic test was 5.2/10 without the intervention of a didactic strategy. However, after applying a keynote lecture about novel molecular targets in cancer, complemented by the strategy based on analysis and discussion in working groups that involves collaborative learning, it was found that the average grade of the students increased significantly to 9.77/10 in the evaluation rubric. The impact of the didactic strategy was notable due to the statistically significant changes obtained through the Wilcoxon test (p < 0.05). The intervention of the strategy of analysis and discussion in working groups resulted in a notable improvement in the grades of university students, demonstrating the effectiveness of this pedagogical approach.Item Estrategia didáctica para el tutelaje académico en fisiología cardiovascular en carrera de medicina de la Universidad Técnica de Ambato(2025-04-01) Beltrán Barreto, Luis Gerardo; Zabala Haro, Alicia Monserrath; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosThe research is based on academic mentoring in cardiovascular physiology in medical students of the Technical University of Ambato, in order to improve academic performance and understanding of complex concepts. The methodology combined qualitative and quantitative approaches, using multiple-choice questionnaires and perception surveys to assess knowledge and the effectiveness of academic tutorials. The sample included 33 students in the second semester of the medical career. The results showed that 75.8% of the students obtained outstanding grades and 84.8% highlighted the importance of didactic strategies. Clinical simulations and practical activities significantly improved the application of theoretical knowledge to practical contexts. The surveys reflected a high acceptance of the strategies used, underlining the importance of cooperative learning and the use of didactic guides. It is concluded that the approach based on active strategies and technological resources favors meaningful learning and the development of professional competencies. It is recommended to implement this strategy in other medical subjects to replicate its effectiveness.Item Desarrollo de una estrategia didáctica con enfoques complejos para el aprendizaje de las ciencias biomédicas básicas(2025-04-01) Arana Chamorro, Michelle Paulette; Bustillos Ortiz, Alcides Alberto; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosThis study focuses on the design and implementation of an innovative educational strategy to strengthen the learning of the preanalytical phase in clinical laboratory students in their first semester at the Universidad Técnica de Ambato. Recognizing the importance of the preanalytical phase in diagnostic accuracy and the fact that errors in this stage can exceed 70%, the aim of this research was to integrate dynamic teaching methods to address the limitations of traditional approaches. To develop the study, a methodology based on gamification, active learning, and problembased learning (PBL) was implemented, combining practical activities with theoretical elements to foster deep and contextualized learning. A pre-test and post-test were used to evaluate the effectiveness of this strategy in a group of 34 students. The statistical analysis results showed significant progress in acquiring competencies related to patient identification, sample handling, and preventing critical errors in the preanalytical phase. Additionally, a reduction in the learning gaps among the participants was observed. The pedagogical intervention proved effective not only in improving theoretical knowledge but also in developing practical skills that are essential for high-quality professional training. This integrative educational model promotes equity in learning and provides students with tools to face clinical challenges, emphasizing the importance of active methodologies in the training of health professionals.Item Plan de entrenamiento de fuerza de los músculos masticatorios en la disfagia sarcopénica en los adultos mayores(2025-03-27) Escobar López, Jessica del Roció; Moscoso Córdova, Grace Verónica; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosIntroduction: The present research study addressed sarcopenic dysphagia, a pathology that affects the musculature, strength and function of the masticatory muscles in older adults, causing malnutrition, dehydration, poor functional independence, due to lack of nutritional nutrients. A masticatory muscle training plan was proposed as a prevention and treatment strategy, facilitating the elderly and caregiver, by executing the exercise plan, an optimal swallowing in feeding was obtained, improving the quality of life, nutritional status and greater independence in activities of daily living. Objective: To know the effects of a masticatory muscle strength training plan in older adults with sarcopenic dysphagia. Methods: The study was carried out in two gerontological centers in the city of Puyo, after applying the inclusion criteria, 40 older adults were selected, who were initially evaluated with the following instruments: thigh diameter, manual pressure strength - dynamometer, Barthel Index, Volume-Viscosity Clinical Exploration Method (MECV-V), Mini Nutritional Assessment Test (MNA), Based on the results obtained, the strength training plan was executed, applying physiotherapy sessions, in a period of 4 weeks. At the end of the intervention, a second evaluation was performed using the same instruments with the objective of analyzing the effects of the training and comparing the pre and post intervention results. Results: showed that the intervention with chewing exercises was effective; participants evidenced a significant change (p < 0.05) in the alterations or signs of safety and efficacy, improving sarcopenic dysphagia, chewing, swallowing, nutrition and quality of life of older adults. Conclusion the masticatory exercises applied in older adults with sarcopenic dysphagia improved the quality of food intake and, consequently, the quality of life of the older adults.