Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Aortic aneurysm, regardless of its location, is an emergency situation in which a rapid uptake of the pathology and a prompt decision on treatment are needed. Therefore, a correct interpretation of signs and symptoms as well as imaging studies is necessary, which will be addressed in this article with the necessary generalities to be able to act on time, a review will be made of how to properly interpret the pathology in different imaging studies and the population at risk will be briefly explained. Thoracic pathology will be addressed, this due to the difference in number of studies when compared with abdominal aneurysm. Although it is true it is not the most common pathology, as will be discussed, if it is statistically important to know the number of cases that occur in a primary health service since mortality will depend on the approach that is carried out and the time on which decisions are made.

Community-acquired pneumonia and cardiovascular diseases are two entities that represent a high global mortality, and that can act synergistically to hinder the evolution of hospitalized patients. We present the case of a patient with multiple cardiovascular risk factors admitted for a diagnosis of community-acquired pneumonia, complicated by an acute myocardial infarction without ST elevation with atypical symptoms.

Because of COVID-19 pandemic and the mandatory use of respiratory protection masks, a business oportunity arose for industries and entrepreneurs in the manufacture and sales field. Based on this is assumed that there have been on the market, masks that have not been made in optimal quality conditions and according to standars; offering a false respiratory protection to citizens, which increases the risks of spread of SARS-CoV-2 virus. Besides a erroneus labeling refered to the number of layers, pore size and protection after washing cycles has been evidenced. The generation of scientific support is necessary to corroborate the aspects mentioned above, because of the public health impact it has, therefore scanning electron microscopy technique has been used to characterized the layers, pore size and morfology before and after washing cycles supporting the hypothesis and demonstrating non compliance in some case with the minimal quality requirements to assure real protection against the virus. This provide a background for future actions in case of COVID-19 outbreak or posible protection against other viruses.

An investigation was carried out whose purpose was to determine the characterization of dog bite accidents (Canis lupus familiaris Linnaeus, 1758). 624 cases were collected through the datasheets of the MINSA (Ministry of Health) of Peru from 2016 to 2019, from the zoonosis and veterinary center of Lurigancho-Chosica, Peru. Physical fi les established by MINSA for data collection for dog bites were analyzed. Once the data was obtained, the information from the surveys was processed in the Microsoft Offi ce Professional 2019 program (Microsoft Excel) and IBM SPSS Statistics. Th e results of the analysis show an annual incidence rate of 259.12 people bitten per 100,000 inhabitants, in addition to the fact that the year with the highest frequency of bites was 2016 (28.2%); Likewise, it was shown that the months with the highest frequency of dog bite cases were in January (12.7%), February (11.2%), August (11.1%) and July (9.3%). The most aff ected age group was 30-59 years (34.9), the most aff ected age group were adults (30-59), also the vaccination status of the dogs is worrying because more than 50% are not vaccinated against rabies; Finally, with regard to the breed of dogs most predisposed to cause dog bites, it was the mestizo. It is concluded that the frequency of dog bites is decreasing each year and that there is a greater presentation of dog bites in the months of January, February, August, and July, being the male gender the most aff ected.

Aging is a process that occurs throughout the life cycle, from conception to death, in a continuous, irreversible and heterogeneous manner, directing our approach to aging as an achievement rather than a problem, because it is not only treated of a matter of security and individual well-being, but also a matter of development and bond well-being. The purpose of this work was to determine the family functionality and self-esteem in older people with Type 2 Diabetes Mellitus treated at a private medical center in the city of Portoviejo. A non-experimental investigation of a descriptive cross-sectional design was carried out in a population of 66 elderly people who underwent a sociodemographic survey applying the Family Assessment Scale (Apgar Family) and the Coopersmith Self-esteem Inventory. The result of this work has yielded relevant data, with a predominance of the age group of 67 years as the most frequent with a mean age of 74 years, and a standard deviation of 7.1. Especially the female sex, the single-parent family typology was present in 54.5%. The functional family predominated in 51.5% in all cases, followed by the mild dysfunctional family with 37.9% who perceived their family as functional, for 10.6%. Most of the older people have a medium self-esteem level, equivalent to 57.6%, followed by 31.8% for high self-esteem and 10.6% for low self-esteem. A highly significant correlation of p=0.005 was established between the variables family functionality and self-esteem. Concluding that family functionality is related to the level of self-esteem of older people with Type 2 Diabetes Mellitus, which reflects the importance of good family dynamics as the most important social support, generator of affective bonds and healthier behaviors in the home. control of comorbidities, guaranteeing the exercise of inalienable rights and respect for human dignity. Keywords: Older person, Family, Self-esteem, Diabetes.

Domestic violence is the most common form of violence against women, it is estimated that 20% to 50% of women have suffered violence committed by a partner or family member, for cultural reasons they have been taken as a pretext to legitimize violence against women in society and the private sphere, where it is usually committed by a man with whom the woman has a relationship of trust. Women suffer a chain of violation of their rights in many cases from birth and throughout their lives, the various forms of violence of which they are victims have significant impacts on their physical and mental health and their full development, a study on the accumulated incidence of femicides in Ecuador from 2001 to 2017 reveals that there is a record of 3,236 cases, data that reflect that women between 25-29 years old, with primary education, and Afro-Ecuadorian descent, are more likely to be murdered, the The most used method was firearms in 38%, the youngest victims on average 10 years old suffered mostly sexually, the youngest reported victim was 1 year old and the oldest was 99 years old, the older victims, on average with an age of 33 years, they were predominantly attacked with blunt objects, in said study the costs related to femicides were analyzed, resulting in losses for the country d e more than 500 million dollars lost between the years 2001-2017, corresponding to 35 million per year. Ecuador has presented an advance in legislation by criminalizing femicide in article 141, organic criminal code. It is known that regarding the progress in the matter, this type of violence has been addressed over the years by international organizations who have pronounced with international responsibilities to the countries on the subject, there are world estimates that suggest at least 87,000 women were murdered in 2017, that is, more than 6 women per hour. A WHO multi-country study on women's health and domestic violence reveals that all types of violence against women are associated with worse outcomes, however, sexual violence combined with physical and/or psychological violence is related to suicidal behaviour, poor health, unwanted pregnancy and abortion, psychological violence is as harmful to mental and physical health as physical violence, it also reveals that combined physical and psychological violence is the most frequent. It is essential to take effective action to deal with this public health problem, promote research to make visible this pandemic that has been claiming the lives of many women and girls around the world for many years, the evolution of societies must be reflected in equity and life worthy. Keywords: domestic violence, violence against women, partner violence, gender violence, femicide.

The objective of this research was to determine the incidence of family coexistence in the mental health of patients who attended the Bejuquillo clinic in the Chone Canton. The family is a social group in which there is an interaction with guidelines according to the members, and contributes to the human being obtaining knowledge about the acts of daily life. The hierarchy of the family group favors distinguishing different qualities or roles, in which behavioral and behavioral systems are sustained. Therefore, the management of comprehensive family care in the health system is fundamental, specifying that the doctor in charge must guarantee physical health, without forgetting mental health, which is constituted by the well-being of the person and their sociocultural environment.  The methodology of this study was characterized by being exploratory and descriptive using various instruments that allowed the evaluation of 70 older adults who attended the consultation during the three months of research and who were asked for informed consent, obtaining the following results: Test APGAR shows that 41% family function is stable, however, there is 28% with a moderate dysfunction; In the family coping questionnaire, the majority responded that family structuring is valued by the female sex with 18.83% and for the male sex with 19.25%, however, this evaluated group identified a deficiency in formal support with 5.13% for the female sex and in the male sex with 5.1%; with respect, the YESAVAGE geriatric depression scale showed mild depression with 52% for females and 21% for males. Keywords: Family Coexistence, Elderly, stress, test, mental health.

The present study addresses one of the current events that occurs in Ecuador: marital instability, according to the INEC (2022) the divorce rate, which is a consequence of the instability in the couple, is increasing. The effects of this problem in the family group can be critical if its members are not in a position to solve it with the least possible damage. Precisely, the present study carries out an in-depth bibliographical review of this subject, the objective of which is to analyze the factors that lead to marital instability and its impact on family life. It is an explanatory study whose method is synthesis, with a quantitative approach and field research, since information is collected on a problem already presented, reaching the conclusion that marital destabilization in couples of the Jaime Roldós Aguilera Educational Unit of the Santo Domingo de los Tsáchilas canton has to do mainly with the lack of communication and affection. Keywords: Family orientation, Divorce, marital instability, Intrafamily relations.

Communication is a significant process in the community. Through this reciprocity of emotions, feelings or any information, we know -among other things- insufficiencies, joys and restlessness. However, it is not always the same at all ages, since, as we get older, our ability to communicate in certain cases is limited. This article emphasizes a bibliographic review related to communication and the types of families of older adults; as well as an approach on contributions and advances of the subject in the Ecuadorian social context. Therefore, the question was raised: How to systematize the main knowledge about the state of communication in the family context of Ecuadorian older adults? Correspondingly, the main objective is to develop a systematization of research and publications about the state of communication in the family context of Ecuadorian older adults. Said review has been taken in reference to the period of the last decade in databases of the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) methodology. Keywords: Older adult, communication, types of family.

Resolution No. 587-2020-F had its scope at the national level aimed at entities in the popular and solidarity economy sector. It refers to the deferral and restructuring of credits that due to the pandemic, the partners were unable to pay their financial obligations normally. This problem caused a decrease in the cooperative's income and therefore in compliance with the budget, opting to accept the resolution. The objective of the development of this research is to analyze how Resolution No. 587-2020-F affected the budget of the "Abdón Calderón" Ltda. 2020 Savings and Credit Cooperative. To achieve the stated objective, the study is framed in a quantitative approach methodology applying analytical-synthetic, documentary methods. Existing a population of 52 deferred and refinanced credits, highlighting among the results obtained that in the period of execution of the resolution, it was possible to show that the Cooperativa Abdón Calderón Ltda., had a reduction in the income accounts due to the fact that it did not obtain income for portfolio interests or others associated with income for the entity. In the same way, it is concluded with the affirmation that Resolution No. 587-2020-F did not cause a negative impact that put its profitability or sustainability at risk. On the contrary, in the year 2020, there was an increase in the recovery of active delinquencies compared to 2019. As well as, the deposits received increased compared to previous years. Keywords: refinancing, restructuring, budget.