Examinando por Autor "Heredia Cabrera, Gina Catalina"
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Ítem Acceso Abierto Antidepresivos: Adherencia al tratamiento y factores asociados.(Universidad Católica de Cuenca., 2023) Rivera Munzón, Erika Cecilia; Heredia Cabrera, Gina Catalina; 0302874227; Rivera MunzónIntroduction: Depression is a disease that affects mental state, deteriorating the way of thinking, feeling, and acting. According to the World Health Organization, 30% of the Ecuadorian population suffers from mental problems requiring pharmacological treatment and psychotherapy; thus, treatment adherence is essential. Non-adherence affects the work, family, and social environment of each individual. Objective: This study aimed to describe adherence to treatment for depression and the associated factors that influence it, using information sources with updated evidence. Methodology: A literature review was conducted by searching for information in databases such as Scopus; search engines such as Google Scholar and PubMed were also used, as well as virtual libraries like SciELO and Elsevier. The studies included were published in the last five years. The bibliographic manager, Mendeley, was employed for information management. Results: It was identified that the prevalence of adherence to antidepressant pharmacological treatment ranges from 26% to 77%. The associated factors highlighted included female gender, patient's economic condition, and type of treatment. Conclusions: The prevalence of adherence to antidepressant treatment is poor, as it is considered adequate at 75-80%. Influential factors include female gender, the patient's economic income due to difficulties in acquiring medications, and the type of treatment, as certain patients do not prefer the administration of antidepressants.Ítem Acceso Abierto Automedicación y factores asociados en América Latina. Revisión Bibliográfica(Universidad Católica de Cuenca., 2023) Muñoz García, Belén Lissbeth; Heredia Cabrera, Gina Catalina; 0104752944; ., .Introduction: Self-medication is the autonomous decision of a person to take medication without a doctor's prescription for a particular ailment. In Latin America, self-medication is usual and not very responsible. It is associated with the consumption of medications and may cause adverse effects, decrease the medication’s effectiveness of and increase antibiotic resistance. Objective: To describe the main characteristics of self-medication and associated factors in Latin America by reviewing updated information of high scientific relevance. Methodology: This literature review type of research included articles published in the last five years of different methodological designs. Electronic databases were used to search for scientific articles, bibliographic managers were used to organize the information, the extraction of information was individualized for each article, and a bibliographic search matrix was used, including the articles that met the inclusion and exclusion criteria. Results: The prevalence of self-medication identified in Latin America ranged from 42% to 88.3%, and the main medications were mainly NSAIDs and antibiotics, among others. The main factors associated with the studies included in this research were educational level, lack of health coverage, and male sex, among others. Conclusions: Studies carried out in Latin America identified a high prevalence of self-medication, and several drugs were the most commonly consumed. Male sex, age over 45 years, primary education, and lower-than-average income revealed a significant relationship with self-medication in most studies analyzed.Ítem Solo Metadatos Características de la automedicación en el contexto de la covid-19 en América Latina.(Universidad Católica de Cuenca., 2023) Torres Cabrera, Juan Carlos; Heredia Cabrera, Gina Catalina; 150013001Introduction: Self-medication is a common practice that, during COVID-19 pandemic, has intensified due to uncertainty and fear of the new infection. Objective: To describe the characteristics of self-medication in Latin America in the Covid-19 context. Methodology: This study, based on a systematic review PRISMA 2020, analyzed sixteen papers from Scopus, Web of Science, and SciELO databases conducted in Latin America from 2019 to 2023 in English, Spanish, and Portuguese, which provided information on self-medication; the evidence quality was assessed through the Joanna Briggs Institute checklist for cross-sectional studies. Results: The prevalence of self-medication varied among countries, with Peru highlighting 80.3%. The most consumed drugs included analgesics (paracetamol and ibuprofen), antibiotics (azithromycin), Ivermectin, plant derivatives, and chlorine dioxide. Self-medication was associated with male sex, old age, and low education levels. Conclusion: In the countries where the study was conducted, a high prevalence of self-medication was found, especially of anti-inflammatory drugs, corticosteroids, antibiotics, and a combination of drugs and herbal products; this inappropriate practice can have repercussions in the presentation of adverse reactions and drug interactions that aggravate the patient's health status, becoming a public health problem.Ítem Acceso Abierto Cigarrillo electrónico, efectos sobre la salud(Universidad Católica de Cuenca., 2024) Palacios Cantos, María Belén; Heredia Cabrera, Gina Catalina; 0301894358The electronic cigarette (EC) is a device designed to replace traditional cigarettes. It has raised new health concerns due to the increase in respiratory, cardiovascular, and neurological diseases. Objective: To analyze the toxic effects of electronic cigarette on health. Methodology: This literature review was conducted through compilation, reading, and analysis of a specialized bibliography about the issue, from databases such as PubMed, Taylor & Francis, SciELO, and Elsevier. The SIGN guidelines assessed the articles' evidence level, observing that 44% of the bibliographies were rated from 1+/B to 36% 1++/A. Results: The primary toxic compounds are nicotine, which is a carcinogenic and psychoactive substance, therefore causing alterations at pulmonary, neurological, and cardiovascular levels; carbon monoxide, which produces changes at the cardiac level and generates thrombosis; acrolein modifies systolic and diastolic blood pressure. At the pulmonary level, EC causes the emergence of cases of pneumonia, specifically lipid pneumonia, dyspnea, respiratory failure, and lung cancer. Cardiovascularly, it causes changes in blood pressure, arterial wall hardening, and myocardial infarction. In the mouth, it increases pulp necrosis, dental fractures, and bacterial proliferation. Neurologically, it reduces brain development, short-term memory loss, anxiety, and hyperactivity. Conclusion: EC is harmful to the body, modifying the tissue of various organs and systems, creating optimal conditions for the onset of multiple diseases and bacterial proliferation and growth. Keywords: electronic cigarette, tobacco, nicotine, pulmonary, effects, vapingÍtem Solo Metadatos Flash cards: una estrategia didáctica para el aprendizaje significativo en estudiantes universitarios(Universidad Católica de Cuenca, 2022) Heredia Cabrera, Gina Catalina; Álvarez Lozano, María IsabelÍtem Acceso Abierto Microorganismos y resistencia antimicrobiana asociada a infecciones de pie diabético(Universidad Católica de Cuenca., 2023) Cordova Ortega, Andrea Damary; Heredia Cabrera, Gina Catalina; 0706076353The diabetic foot is defined as an infection, ulceration, or destruction of the tissues of the feet, with peripheral neurological and vascular damage in patients with diabetes mellitus. The prevalence of diabetic foot increases year after year, causing significant health and socioeconomic repercussions. Microorganisms such as Staphylococcus aureus, Pseudomonas spp., and Escherichia coli have been demonstrated in various studies as the main etiological agents of diabetic foot infection. This review aims to identify the microorganisms that cause these infections and the resistance they present to antimicrobial agents. The STROBE stratification conducted the methodology used in the development of this literature review, and the bibliographic references were obtained from various databases of significant influence at the national and international levels, such as PubMed, SciELO, Elsevier (Scopus), EBSCO, Latindex, and Dialnet. For the analysis and tabulation of the level of evidence and recommendations, the SIGN guidelines were used, observing a group of evidence and guidance of 1++/A in 59% of the bibliographic sources. The graphic design of the bibliographic references was executed using the Excel 2010 software application. In the conclusions, an increase of close to 200% was evidenced during the last decade of diabetic-origin amputations, caused by inappropriate antimicrobial management regarding resistance to penicillin, third-generation cephalosporins, and fluoroquinolones of the etiological agents, with Staphylococcus aureus being the primary bacterium related to diabetic foot infection.
