Ciencias de la Salud
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Item Estrategia didáctica desarrolladora para la prevención de demencia en la atención primaria de salud como parte del perfeccionamiento curricular en la carrera de medicina con base en la caracterización neuro inmunológica de adultos mayores(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Centro de Posgrados, 2022-12) Guayasamín Ortíz, Claudia Carolina; Acosta Acosta, Josué Dr. Esp.Introduction: Dementia constitutes a public health problem to be taken into account within the academic process of the medical career, since the role of the primary health care physician is fundamental in the screening of possible cognitive impairment in the elderly, which motivates the development of a didactic developmental strategy based on the neuro-immunological characterization of older adults. Goal: To develop a didactic strategy for the prevention of dementia in primary health care as part of the curricular improvement in the medical career based on the neuroimmunological characterization of older adults, identifying the competencies to be developed. Methodology: Descriptive qualitative, cross-sectional, qualitative study of period. It included students about to enter the rotating internship in the period September 2022 - August 2023 of the Medicine Career of the Technical University of Ambato, who according to their curriculum received Immunology, Neurology and Community Medicine IV, being a total of 52 students. Results: There is a greater lack of knowledge of general basic concepts about dementia, some students still confuse secondary dementias as primary, some students still need to develop skills for diagnosis, recognition of risk factors, knowledge of what should be identified for primary and secondary prevention, there is still confusion in the use of instruments for the evaluation of dementia in primary health care, they have little experience in the comprehensive management of dementia and do not feel prepared to implement their knowledge and skills of dementia in the community, which aims the strategy proposed in this development project. Conclusions: The strategy is developed based on the requirements of the students and the indicators correspond to the methodology of competency assessmentItem “VIH más enfermedades añadidas orientadas con la atención de enfermería”(2017-09-01) Paredes Rodríguez, Gabriela Alexandra; Gavilanes Fray, Verónica del Pilar Lcdo. Esp.HIV / AIDS is a major medical, political and social concern, it is considered a public health problem, the number of cases has increased, the majority of the population that 15-49 years of age, which is a major health issue, the MSP plans to intensify HIV prevention among young people, transgender people, persons deprived of their liberty and sex workers in addition to eliminating stigma And discrimination based on sexual orientation, sex work, gender status, or living with HIV, the present case analysis presents a 36-year-old male, unmarried, childless patient who has been diagnosed with HIV A year ago, for which he has been admitted for 4 times to health care homes, the last time he was admitted to the REGIONAL TEACHING AMBATO hospital because of a referral from the center E salud THE MILAGROSA MEDAL for anemia, dehydration, oral candidiasis and HIV already diagnosed for which treatment was received, control after two days was discharged and receives control by external consultation. At present his state of health is in balance, attends periodically to the health center for their respective controls, there have been some health problems that have been treated and are response to the deficiency of his immune system, his emotional state is In constant changes because he does not have the support he needs. AIDS is the final stage of a chronic, transmissible progressive disease of viral cause in which a very diverse relationship is established between the host and the virus as the immunodeficiency progresses and the higher the virus replication will appear opportunistic diseases. During the investigation it was evidenced that the patient has an emotional state deteriorated by the disease that presents, in which different critical points were identified, risk factors that contributed to the appearance of new inconveniences that deteriorate their health day by day through the bibliographic review From different sources, interview and analysis of the clinical history, it has been possible to improve their average life style and the realization of a guide that presents the care that the patient must take. The guide designed for patients with HIV in which hierarchizes the needs they present, while helping to establish a balanced lifestyle, the development of a scientific article that will help identify the most frequent opportunistic diseases or infections in patients with HIV positive.