Actividad diaria según índice de Barthel en adultos mayores, Ibarra, mayo a junio 2015

Introducción: La valoración gerontológica, consiste en elproceso estructurado de valoración global, con frecuenciamultidisciplinario, en el que se detectan, describen yaclaran los múltiples problemas físicos, funcionales,psicológicos y socioambientales. El fin de la valoración esevidenciar las dificultades que presenta una persona parasu desenvolvimiento cotidiano, registrar los recursos deatención disponibles y poner en marcha un plan adecuadode atención y cuidados.Objetivo: Identificar el nivel de funcionalidad en larealización de actividades básicas de la vida diaria en ungrupo de adultos mayores pertenecientes a los asilos de laciudad de Ibarra.Métodos: Se realizó una investigación con un diseño noexperimental de tipo descriptiva, transversal en unapoblación de 60 adultos mayores, aplicando el índice deBarthel para cuantificar la actividad diaria de la poblaciónestudiada.Resultados: Existió un porcentaje igualitario de 23,3 %que presentan un nivel de independencia moderada y leve,mientras que un porcentaje mayoritario de 30 puntospresenta un nivel de independencia.Conclusiones: Existió un nivel de independenciaconsiderable en los adultos mayores evaluados de losasilos de la ciudad de Ibarra

In COVID-19 Health Messaging, Loss Framing Increases Anxiety with Little-to-No Concomitant Benefits: Experimental Evidence from 84 Countries

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions

A global experiment on motivating social distancing during the COVID-19 pandemic

Finding communication strategies that effectively motivate social distancing continues to be a global public health priority during the COVID-19 pandemic. This cross-country, preregistered experiment (n = 25,718 from 89 countries) tested hypotheses concerning generalizable positive and negative outcomes of social distancing messages that promoted personal agency and reflective choices (i.e., an autonomy-supportive message) or were restrictive and shaming (i.e., a controlling message) compared with no message at all. Results partially supported experimental hypotheses in that the controlling message increased controlled motivation (a poorly internalized form of motivation relying on shame, guilt, and fear of social consequences) relative to no message. On the other hand, the autonomy-supportive message lowered feelings of defiance compared with the controlling message, but the controlling message did not differ from receiving no message at all. Unexpectedly, messages did not influence autonomous motivation (a highly internalized form of motivation relying on one’s core values) or behavioral intentions. Results supported hypothesized associations between people’s existing autonomous and controlled motivations and self-reported behavioral intentions to engage in social distancing. Controlled motivation was associated with more defiance and less long-term behavioral intention to engage in social distancing, whereas autonomous motivation was associated with less defiance and more short- and long-term intentions to social distance. Overall, this work highlights the potential harm of using shaming and pressuring language in public health communication, with implications for the current and future global health challenges

LA U INVESTIGA: Revista Científica. Facultad Ciencias de la Salud. Volumen 3. Número 2

En el presente volumen se distinguen varios ámbitos de la investigación en salud desde artículos asociados a la promoción de salud, prevención de enfermedades, así como investigaciones de casos clínicos que evidencia la experiencia del equipo de salud en patologías específicas. Hay que resaltar que muchos de los artículos presentados en el volumen actual corresponden a los resultados de investigaciones ejecutadas en la academia, propias de la Universidad Técnica del Norte y de otras.1._ Melanoma antebraquial derecho metastásico a pa¬red abdominal y pelvis presentación de un caso clínico. 2._ Carcinoma papilar de localizacion extratiroidea. 3._ Tumores del golfo de la yugular 4._ Estudio comparativo del desarrollo psicomotor en niños/as de 1 a 3 años del Centro Infantil del Buen Vivir “CENTRO PUCARA” y “GOTITAS DE AMOR” del cantón Antonio Ante de la provincia de Imbabura. 5._ Adaptaciones de las técnicas comunicacionales al proceso terapéutico de salud mental infantil. 6._ La dinámica de la investigación científica en la formación de los profesionales de enfermería: una aproximación al problema de investigación. 7._ Las agresiones en las parejas de enamorados en la adolescencia y el equilibrio emocional. 8._ Rasgos de personalidad y su influencia en la calidad de vida en los estudiantes de la Unidad Educativa” Las Américas” 9._ Estudio de la postura corporal y su relación con la obesidad y sobrepeso en niños de 6 a 12 años del cantón Antonio Ante de la provincia de Imbabura. 10._ Caracterización de cuidadores informales de personas con discapacidad de la provincia de Im¬babura. 11._ Intervención educativa sobre embarazo en la adolescencia en estudiantes del tercer año de bachillerato de la unidad educativa “Madre Tere¬sa Bacq” Imbabura-Ecuador. 12._ Acceso a la atención de consulta externa de los usuarios del centro de llamadas, que asisten al subcentro de salud San Antonio, Tanguarin Iba¬rra, ecuador 2016. 13._ Prevalencia de disfunción familiar en la parro¬quia urbana de Urcuquí

A multi-country test of brief reappraisal interventions on emotions during the COVID-19 pandemic.

The COVID-19 pandemic has increased negative emotions and decreased positive emotions globally. Left unchecked, these emotional changes might have a wide array of adverse impacts. To reduce negative emotions and increase positive emotions, we tested the effectiveness of reappraisal, an emotion-regulation strategy that modifies how one thinks about a situation. Participants from 87 countries and regions (n = 21,644) were randomly assigned to one of two brief reappraisal interventions (reconstrual or repurposing) or one of two control conditions (active or passive). Results revealed that both reappraisal interventions (vesus both control conditions) consistently reduced negative emotions and increased positive emotions across different measures. Reconstrual and repurposing interventions had similar effects. Importantly, planned exploratory analyses indicated that reappraisal interventions did not reduce intentions to practice preventive health behaviours. The findings demonstrate the viability of creating scalable, low-cost interventions for use around the world

Actividad diaria según índice de Barthel en adultos mayores, Ibarra, mayo a junio 2015

Introduction: The gerontological assessment consists of the structured process of assessment overall, often multidisciplinary, in which are detected, they describe and clarify the multiple problems of physical, functional, psychological and socio-environmental. The end of the titration is highlight difficulties that presents a person for their everyday development, register available care resources and put in place an appropriate plan of care. Objective: To identify the level of functionality in basic activities of daily life in a group of older adults belonging to orphanages in the city of Ibarra. Methods: We conducted a research with a non-experimental descriptive, transversal type design in a population of 60 older adults, applying the index of Barthel to quantify the activity daily of the population studied Results: An equal percentage of 23,3%, showing a level of moderate and slight independence, while a majority percentage of 30 points presents a level of independence existed. Conclusions: existed a level of independence considerable in them adults older evaluated of the asylums of the city of Ibarra.Introducción: La valoración gerontológica, consiste en elproceso estructurado de valoración global, con frecuenciamultidisciplinario, en el que se detectan, describen yaclaran los múltiples problemas físicos, funcionales,psicológicos y socioambientales. El fin de la valoración esevidenciar las dificultades que presenta una persona parasu desenvolvimiento cotidiano, registrar los recursos deatención disponibles y poner en marcha un plan adecuadode atención y cuidados.Objetivo: Identificar el nivel de funcionalidad en larealización de actividades básicas de la vida diaria en ungrupo de adultos mayores pertenecientes a los asilos de laciudad de Ibarra.Métodos: Se realizó una investigación con un diseño noexperimental de tipo descriptiva, transversal en unapoblación de 60 adultos mayores, aplicando el índice deBarthel para cuantificar la actividad diaria de la poblaciónestudiada.Resultados: Existió un porcentaje igualitario de 23,3 %que presentan un nivel de independencia moderada y leve,mientras que un porcentaje mayoritario de 30 puntospresenta un nivel de independencia.Conclusiones: Existió un nivel de independenciaconsiderable en los adultos mayores evaluados de losasilos de la ciudad de Ibarra

Association between Plasmatic Ceramides Profile and AST/ALT Ratio: C14:0 Ceramide as Predictor of Hepatic Steatosis in Adolescents Independently of Obesity

Objective. To assess the association between plasma ceramides and hepatic steatosis (HS) in adolescents, independently of obesity. Materials and Methods. Ninety-four adolescents from two previous studies conducted and published by our crew were included. Study subjects were stratified in three groups: normal weight (n=18), obesity (n=34), and obesity + HS (n=42). The presence of HS was defined when ALT/AST ratio was <1. Ceramides subspecies (C14:0, C16:0, C18:0, C24:0, and C24:1) were determined by LC/MS. Results. All ceramides correlated directly with ALT levels and inversely with ALT/AST ratio; the strongest correlation was observed among C14:0 ceramide (r=0.41 and r=-0.54, resp.; P<0.001). Furthermore, significant correlations were observed between cholesterol and all ceramides except for C24:1 ceramide. Interestingly ceramides C14:0, C18:0, and C24:1 correlated directly with both fasting insulin and HOMA-IR index. For assessing HS, a cut-off point of 10.3 nmol/L for C14:0 ceramide reported a sensitivity of 92.7% and a specificity of 73.5% when normal weight and obesity groups (n=52) were compared against obesity + HS group (n=42). Positive and negative predictive values were 77.5% and 90.2%, respectively. Conclusions. Plasma ceramides are closely associated with hepatic steatosis in adolescents. C14:0 ceramide could be a novel biomarker of HS independently of obesity