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Background: Raw vegetables have been considered vehicles of enteroparasites. South American countries are among the most important exporters of fresh vegetables, including Ecuador, which has a tropical climate and soils rich in organic matter that allow it to harvest throughout the year for sale to different countries. The aim of the study was to assess the occurrence of the parasitic contamination of fruits, vegetables and leafy greens grown in an agricultural area of the Ecuadorian Andes. Methods: A cross-sectional field study was conducted with snowball sampling on 1,416 samples (516 fruits, 488 vegetables, and 412 leafy greens). Each sample were washed with water, and the resulting solution after removing the vegetables, was subjected to 24-hour sedimentation. The concentrated sediment underwent microscopic analysis. Results: The overall positivity for parasitic contamination was 63.4%, with leafy greens having the highest contamination rate (76.9%) (P

Background: Raw vegetables have been considered vehicles of enteroparasites. South American countries are among the most important exporters of fresh vegetables; Ecuador has tropical climates and soils rich in organic matter that allow it to harvest throughout the year for sale to different countries. The aim of the study was to assess the occurrence of the parasitic contamination of fruits, vegetables and leafy greens grown in an agricultural area of the Ecuadorian Andes. Methods: A field study, cross-sectional, snowball sampling was conducted on 1,416 samples (516 fruits, 488 vegetables, and 412 leafy greens). Each sample were washed with water, and the resulting solution after removing the vegetables, was subjected to 24-hour sedimentation. The concentrated sediment underwent microscopic analysis. Results: Parasites were detected in 63.4% of the samples, leafy greens were the most contaminated (76.9%) (P

La leucemia es una patología neoplásica maligna que constituye un problema de salud que afecta fundamentalmente a la población infantil. Así, se realizó un proceso investigativo con el objetivo de describir la calidad de vida en pacientes pediátricos de LLA con edades entre 2 y 18 años, atendidos en 2019, en el Hospital Pediátrico Baca Ortiz y en el Hospital de Solca - Núcleo Quito, Ecuador; para lo cual se hizo un estudio observacional, transversal, descriptivo, con enfoque cuantitativo. Los datos fueron recopilados mediante la revisión de las historias clínicas de los 60 pacientes en el contexto de investigación. El 66,7% correspondió al sexo masculino, el 43,3% tenía edades entre 2 y 4 años, el 38,3% tuvo fiebre como síntoma inicial. El síndrome de Down resultó la comorbilidad más frecuente (6,7%). En 54 pacientes se diagnosticó LLA tipo B. El 66,7% recibía terapia psicológica, 22 de los enfermos estaban en la fase de inducción y mantenimiento. El 65% abandonó la escuela mientras se le administraba quimioterapia. Predominaron los que consideraron su calidad de vida como buena, seguido de los que tuvieron severa afectación. Las mayores afectaciones en los participantes fueron: dificultades con la alimentación, presencia de dolor, falta de comunicación, existencia de ansiedad y presencia de estrés por la preocupación debido a la posible infectividad del tratamiento.

La estructura y funcionamiento familiar puede ser afectada por acontecimientos del ciclo vital o eventos estresantes. Se realizó un estudio con enfoque cuantitativo, siguiendo un modelo no experimental correlacional de corte transversal. Se trabajó con la totalidad de la población, la que estuvo constituida por las 245 familias con pacientes pediátricos discapacitados, que asistían a una unidad educativa especializada ecuatoriana. Los datos fueron recolectados a partir de la aplicación de la Escala de calidad de Vida Familiar a los individuos identificados como cabezas de hogar (sin contactar a los pacientes pediátricos de las familias involucradas de manera directa en ningún caso, respetando los principios bioéticos establecidos en Ecuador en relación con una población vulnerable). las dimensiones con mayor necesidad de intervención por tener más del 50% de casos enmarcados como críticos fueron: recursos familiares (75,5%), apoyo a la discapacidad (68,6%) y salud y seguridad (66,9%). Los resultados de la prueba estadística Odds Ratio permitieron establecer que las variables: edad, tipo de familia, nivel de instrucción y nivel socioeconómico constituyen factores de riesgo para la dimensión interacción familiar. así como, grado y tipo de discapacidad para el rol parental y apoyo a la discapacidad. El grado de discapacidad se estableció como factor de riesgo para la dimensión salud y seguridad; además del nivel de instrucción, grado y tipo de discapacidad para los recursos familiares.

Background Raw vegetables have been considered vehicles of enteroparasites. South American countries are among the most important exporters of fresh vegetables, including Ecuador, which has a tropical climate and soils rich in organic matter that allow it to harvest throughout the year for sale to different countries. The aim of the study was to assess the occurrence of the parasitic contamination of fruits, vegetables and leafy greens grown in an agricultural area of the Ecuadorian Andes. Methods A cross-sectional field study was conducted with snowball sampling on 1,416 samples (516 fruits, 488 vegetables, and 412 leafy greens). Each sample were washed with water, and the resulting solution after removing the vegetables, was subjected to 24-hour sedimentation. The concentrated sediment underwent microscopic analysis. Results The overall positivity for parasitic contamination was 63.4%, with leafy greens having the highest contamination rate (76.9%) (PBlastocystis sp. (33.5%) ranked highest, followed by Eimeria spp. (26.3%), Entamoeba spp. (10.3%), Giardia spp. (8.3%), Balantidium spp. (6.9%), Cryptosporidium spp. (6.6%), Cyclospora spp. (4.4%), Cystoisospora spp. (0.5%), Strongylida (15.5%), and Ascaris spp. (0.4%). Conclusions The study reveals that vegetables and fruits for human consumption from this area of the Ecuadorian Andes are highly contaminated with various parasites, constituting a possible source of infection for humans and animals in this area, or in non-endemic areas where these products are marketed. The finding emphasizes the need for strict hygienic measures in agricultural crops, which will be properly achieved through the treatment of soil, manure and water used for cultivation.

Background: Raw vegetables have been considered vehicles of enteroparasites. South American countries are among the most important exporters of fresh vegetables; Ecuador has tropical climates and soils rich in organic matter that allow it to harvest throughout the year for sale to different countries. The aim of the study was to assess the occurrence of the parasitic contamination of fruits, vegetables and leafy greens grown in an agricultural area of the Ecuadorian Andes. Methods: A field study, cross-sectional, snowball sampling was conducted on 1,416 samples (516 fruits, 488 vegetables, and 412 leafy greens). Each sample were washed with water, and the resulting solution after removing the vegetables, was subjected to 24-hour sedimentation. The concentrated sediment underwent microscopic analysis. Results: Parasites were detected in 63.4% of the samples, leafy greens were the most contaminated (76.9%) (PBlastocystis sp. (33.5%) was the highest, followed by Eimeria spp. (26.3%), Entamoeba spp. (10.3%), Giardia spp. (8.3%), Balantidium spp. (6.9%); Cryptosporidium spp. (6.6%), Cyclospora spp. (4.4%), Cystoisospora spp. (0.5%); Strongylida (15.5%) and Ascaris spp. (0.4%). Conclusion: The consumption of fruits, vegetables, and leafy greens from these crops is a possible source of infection to humans and animals in this area or in nonendemic areas where these products are marketed. This study establishes the need for strict hygienic measures in growing; this will be properly achieved by the treatment of the soil, manure and water used for cultivation.

Background: hypertensive disorders are considered as the main cause of maternal and fetal morbidity and mortality worldwide and in Ecuador. Objective: to describe the epidemiological clinical behavior of hypertensive disorders of pregnancy in adolescents. Methods: a descriptive study was carried out which included the 59 of pregnant teenagers who presented preeclampsia and/or eclampsia attended in the context of the research during the period from May to December 2017. A research questionnaire was applied to obtain information related to the variables of defined research. Results: average age of 16.32 years, predominance of pregnant women with non-white skin color and nulliparous. High number of comorbidities associated with a predominance of overweight and arterial hypertension; predominance of patients who had not received preventive treatment with calcium and aspirin. Headache and edema in the lower limbs were the most frequent maternal complications. Fetal distress, delayed intrauterine growth and prematurity were the fetal complications with the highest frequency of presentation. Conclusions: the clinical and epidemiological pattern of adolescents with preeclampsia and eclampsia coincides with that reported in the universal literature. Failures are evident in the preconception risk control program and in the quality of the follow-up of pregnant women that motivates an increase in the incidence of eclampsia and preeclampsia. DeCS: HYPERTENSION, PREGNANCY-INDUCED/epidemiology; PREGNANCY IN ADOLESCENCE; ECLAMPSIA/epidemiology; PREECLAMPSIA/epidemiology; PRECONCEPTION CARE.

Abstract Introduction: Globally, Ecuador ranks fifth among the countries with the highest incidence of thyroid carcinoma in women, below Korea, Brazil, Italy and New Celedonia. The aim of this research was to mention the relationship between thyroid cancer and Hashimoto's thyroiditis at Pablo Arturo Suárez Hospital in Quito in the years 2014 to 2017. Methodology: A cross sectional study was conducted. The data were taken from the clinical records in the statistical service, 105 cases of thyroid cancer were found. In the laboratory results 21 patients had anti TPO and/or anti TG positive antibodies. Conclusion: 20% of patients with thyroid cancer had a history of Hashimoto's thyroiditis.