Aplicación y evaluación del seguimiento farmacoterapéutico en pacientes con hipertensión arterial del servicio de consulta externa del Hospital José María Velasco Ibarra de Tena.

La presente investigación tuvo como objetivo aplicar y evaluar el Seguimiento Farmacoterapéutico (SFT) en pacientes con hipertensión arterial del Servicio de Consulta Externa del Hospital José María Velasco Ibarra de Tena. Se contó con la colaboración de 27 pacientes ambulatorios con hipertensión arterial siendo mujeres y hombres con edades comprendidas entre 40 a 65 años. Se aplicó el SFT con la utilización del método DÁDER identificándose 68 Resultados Negativos Asociados a la Medicación (RNM), causados por Problemas Relacionados con los Medicamentos (PRMs), los mismos que se dan en su mayoría por Inefectividad Cuantitativa (58,82%) y por Inseguridad no Cuantitativa (25%). Se pudo determinar que el 70,59% de RNM pueden ser evitados con educación personalizada al paciente, ya que el 79,41% de las Intervenciones realizadas por el Farmacéutico fueron aceptadas por el médico y los pacientes; mientras que un 20,59% no pudieron ser evitados por decisión médica. Los principales PRM identificados en los pacientes hipertensos fueron: 23,53% incumplimiento parcial de la pauta (PRM5), 17,65% conservación inadecuada del medicamento (PRM6), 14,71% posible interacción farmacodinámicas o farmacocinéticas con medicamentos y plantas (PRM4), 25% efectos no deseados de principio activos y excipientes (PRM9) y 8,82% problema de salud insuficientemente tratado (PRM1). Se evaluaron parámetros clínicos logrando disminuir valores de presión arterial sistólica (24,7%), presión arterial diastólica (9,9%), glucemia basal (27,9%), triglicéridos (34,5 %), colesterol total (15,6%) a los pacientes hipertensos destacando una notable mejoría en los valores, probado después con el análisis estadístico Test t, que nos permitió obtener una diferencia entre el antes y el después de los resultados conseguidos, indicándonos que la intervención Farmacéutica tuvo un efecto positivo evidente sobre la calidad de vida relacionada a la salud del paciente. Se recomienda la aplicación del SFT en pacientes ambulatorios y hospitalizados, ya que este sistema ayuda a minimizar la tasa de morbilidad por el mal uso de medicamentos.This research is addressed to implement and evaluate Pharmacotherapy Monitoring (PM) in patients with high blood pressure of the Outpatient Services Hospital José María Velasco Ibarra of Tena. It was carried out with the collaboration of 27 outpatients with high blood pressure these outpatients were men and women between the ages from 40 to 65. The Pharmacotherapy Monitoring was applied by using Dáder method resulting 68 Negatives Results Associated with Medication (NRM), caused by Drug-Related Problems (DRP), of which the majority is taken for (58.82%) quantitative ineffectiveness and (25%) insecurity non-quantitative. It is determined that 70.59% of (NRM) could avoid with personalized education patient, as well as 79.41% of the interventions made by the pharmacist were accepted by doctors and patients; while 20.59% couldn´t avoid by medical decisión. The main drug-related problems (DRP) in patients with high blood pressure were the following: 23.53% partial non-compliance with the guideline (PRM5), 17.65% inappropriate conservation of the medical product (PRM6), 14.71% posible pharmacodynamics or pharmacokinetic interactions with medicines and plants (PRM4), 25% unwanted effects both active substances and excipients (PRM9) and 8.82% health problems insufficiently treated (PRM1). After the research, it is evaluated the clinical parameters diminishing values of systolic blood pressure, as a result, a significant improvement in values, then the statistical analysis Test t was carried out which allowed us to get a difference between the before and after of the results achieved, thus the pharmaceutical intervention had a positive effect in health-related quality life of the patient. It is recommended that the implementation of the SFT in oupatient and inpatient in order to minimize the morbidity rate by misuse of drugs

Addressing climate change with behavioral science:A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions' effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior-several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people's initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors.</p

Addressing climate change with behavioral science: a global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions’ effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior—several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people’s initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors

Addressing climate change with behavioral science:A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions' effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior-several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people's initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors.</p

Cuentos de nunca acabar. Aproximaciones desde la interculturalidad

Cuentos de nunca acabar. Aproximaciones desde la interculturalidad, surge después de la pandemia y su imposibilidad de socializar “en persona” con los compañeros de eventuales encuentros, porque la Comprensión Lectora tenía que reinventarse para su nueva reflexión cognitiva, adaptación contextual y reconstrucción del conocimiento. Este renovado enfoque de la realidad postpandemia, concebido en el marco de la educación intercultural comunitaria, busca potencializar los entornos naturales, sociales y culturales como recursos de aprendizaje multidisciplinario a través del lenguaje animado de los cuentos. En este marco, había que dinamizar la asignatura de Comunicación Oral y Escrita, que se dicta en los Primeros Niveles de los Centros de Apoyo de Otavalo, Cayambe, Latacunga y Riobamba, mediante un eje transversal donde los estudiantes escriban fundamentados en valores de la cosmovisión andina, considerando que provienen de varios lugares de la sierra y amazonía ecuatoriana. Todo surgió del encuentro presencial de un sábado cualquiera donde los estudiantes realizaban ejercicios narrativos, logrando una apreciable respuesta de imaginación, más emotiva que la clásica tarea de las Unidades, tanto así que, pasados unos días, seguían llegando sus escritos a mi correo. Entonces nos pusimos manos a la obra, cada estudiante tendría dos opciones como Actividad Integradora, la primera consistía en escribir un cuento de su propia inspiración, y la segunda analizar un clásico para comentar sus valores y antivalores. La mayor parte de estudiantes decidió escribir su propio cuento, de donde se escogieron algunas participaciones que podrían considerarse originales, para una edición que, respetando la transcripción de la tradición oral que prima en los sectores comunitarios, nos concretamos en revisar la puntuación y ortografía para publicarlos. Con esto buscamos innovar la Actividad Integradora, por algo más práctico y operativo para configurar los Objetos de Aprendizaje que buscamos. Así nació, en medio del camino, este libro de Cuentos de nunca acabar. Aproximaciones desde la interculturalidad, que ponemos en sus manos. Hernán Hermosa Mantilla Quito, junio de 202

Addressing climate change with behavioral science::A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions’ effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior—several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people’s initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors

Addressing climate change with behavioral science: A global intervention tournament in 63 countries

International audienceEffectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions’ effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior—several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people’s initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors

Addressing climate change with behavioral science: A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions’ effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior—several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people’s initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors

Addressing climate change with behavioral science: A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions' effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior-several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people's initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors.</p