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Background: Energy drinks are a type of drink with a stimulating and energetic contribution due to their high content of caffeine, taurine and other ingredients. Objective: Determine the prevalence of consumption of energy drinks among students of the Faculty of Medical Sciences of the University of Cuenca, 2023 – 2024.Methodology: a study was carried out with a quantitative, observational approach. Cross – Sectional with a sample of 321 students from the Faculty of Medical Sciences of the University of Cuenca. A survey developed by the authors is applied. Microsoft Excel and the SPSS program were used for the analysis. Results: 51% of participants consumed anergy drinks in the last six months; 50% consumed these drinks less than one a week; Regarding the most consumed beverage brands, the V220® brand was the one that predominated with 74%; Reading the reason for consumption with, 43,9% consumed it to study; the exam period was the time of highest consumption with 43,5%; 69,5% of participants sometimes obtained the expected effects; As for the students who mixed energy drinks with the other substances, 31.2% did, of which 54.2% mixed them with coffee. Conclusion: The study assumes that the prevalence of consumption among students of the Faculty of Medical Sciences of the University of Cuenca is 51%.

Background: Energy drinks are a type of drink with a stimulating and energetic contribution due to their high content of caffeine, taurine and other ingredients. Objective: Determine the prevalence of consumption of energy drinks among students of the Faculty of Medical Sciences of the University of Cuenca, 2023 – 2024.Methodology: a study was carried out with a quantitative, observational approach. Cross – Sectional with a sample of 321 students from the Faculty of Medical Sciences of the University of Cuenca. A survey developed by the authors is applied. Microsoft Excel and the SPSS program were used for the analysis. Results: 51% of participants consumed anergy drinks in the last six months; 50% consumed these drinks less than one a week; Regarding the most consumed beverage brands, the V220® brand was the one that predominated with 74%; Reading the reason for consumption with, 43,9% consumed it to study; the exam period was the time of highest consumption with 43,5%; 69,5% of participants sometimes obtained the expected effects; As for the students who mixed energy drinks with the other substances, 31.2% did, of which 54.2% mixed them with coffee. Conclusion: The study assumes that the prevalence of consumption among students of the Faculty of Medical Sciences of the University of Cuenca is 51%.

Euthanasia poses an ethical and legal dilemma debated in society. Although some countries have legalized it under strict protocols, most, including Ecuador, have not. The increase in terminal illnesses and lack of access to palliative care drive the discussion. Nurses, especially close to terminally ill patients, may face requests for assistance in dying. Although there is no previous research in Ecuador on its perspectives, a qualitative study with 10 Nursing students reveals the complexity of the topic. Opposing views stand out about the right to manage the end of suffering and the obligation to preserve life at all costs. There are also mixed feelings between empathy for suffering and doubts about preparation to make irreversible decisions. These findings, although limited, offer an initial insight into the perspectives of future nursing professionals in Ecuador on euthanasia. They are important to enrich academic training and contribute to the legal and health debate in the region, which will probably intensify in the future

The transition college life requires that students make efforts to a adapt a new role, norms, responsibilities, and educational demands; hence causing academic stress (AS), defined the response of physiological, emotional, cognitive and behavioral arousal to academic stimuli and events, thus leading to the implementation of mechanisms design to cope with the reactions generated by stress. Otherwise, various complication would take place such as sleep disorders, gastro-intestinal problems, increased heartrate disease, high blood pressure, difficulty focusing and anxiety; consequently, affecting the quality of college life. Worldwide, 1 in 4 people suffer from stress, it is estimated that within cities there are 50% of people who suffer from it. Main Objective: to identify the factors associated with academic stress in nursing students at the University of Cuenca, March-August 2023. Methodology: quantitative, descriptive, observational and correlational study, with a sampling of 177 students. Expected result: This research aims to find the associated factors that cause academic stress in college students to immediately identify them, avoid complications caused by this condition and contribute to society and the university by allowing them to be part of the solution and avoid stressful situations

Background: Death has always been a subject of deep meditation and reflection in people, it is a natural phenomenon, characteristic of all living beings, it is one of the events that evokes the most feelings, both for the person themselves, as well as for their close contact networks and for those who care for them within a health area (1). Objective: To determine the attitudes and coping with death in the nursing staff of Hospital Homero Catanier Crespo, Azogues, 2024. Methodology: quantitative observational descriptive study, the universe was composed of nursing graduates and assistants in the ICU and clinic areas. Two questionnaires were used for this research: a) Death Attitude Questionnaire (CAM), and b) Bugen's Death Coping Scale. Results: participation of 49 members, including graduates and nursing assistants, with respect to attitudes towards death; it was found that 25% are within the cognitive component (passage or transit and exit or solution); followed by 25% who are within the affective component (avoidance and acceptance), and finally 50% are within the behavioral component (fear and professional perspective). Regarding coping with death, 49% have a bad coping, 12.2% have a neutral coping and 38.8% have a good coping with death. Conclusions: the majority have attitudes within the cognitive component (passage or transit and exit or solution), and poor coping with death

The transition college life requires that students make efforts to a adapt a new role, norms, responsibilities, and educational demands; hence causing academic stress (AS), defined the response of physiological, emotional, cognitive and behavioral arousal to academic stimuli and events, thus leading to the implementation of mechanisms design to cope with the reactions generated by stress. Otherwise, various complication would take place such as sleep disorders, gastro-intestinal problems, increased heartrate disease, high blood pressure, difficulty focusing and anxiety; consequently, affecting the quality of college life. Worldwide, 1 in 4 people suffer from stress, it is estimated that within cities there are 50% of people who suffer from it. Main Objective: to identify the factors associated with academic stress in nursing students at the University of Cuenca, March-August 2023. Methodology: quantitative, descriptive, observational and correlational study, with a sampling of 177 students. Expected result: This research aims to find the associated factors that cause academic stress in college students to immediately identify them, avoid complications caused by this condition and contribute to society and the university by allowing them to be part of the solution and avoid stressful situations

Aging encompasses multidimensional changes, affecting both the elderly person and their environment. In many cases, the inability to provide care leads to institutionalization in nursing homes. Physical deterioration results in dependency, compromising quality of life and accelerating aging. General Objective: Determine the deterioration of the physical capacity of older adults institutionalized in Geriatric Centers in the city of Cuenca, 2023-2024. Methods: Quantitative, descriptive, analytical, cross-sectional study. The study universe was made up of 62 older adults institutionalized in the Geriatric Centers in the city of Cuenca. The data was collected with the Barthel Index and analyzed with the Microsoft Excel and SPSS Statistics version 27.0 programs. Results: The "Splendor" Geriatric Center presented 40.0% of people with total dependence, unlike 43.8% of the "Hogar Miguel León" Geriatric Center. The statistical analysis (p-value = 0.028) indicated a significant association between the geriatric center and physical dependence. Furthermore, the Barthel index revealed that 41.9% of the population was totally dependent, indicating a significant need for assistance in all daily activities. Severe dependence affected 16.1%, and 17.7% were classified as independent. Conclusions: The conclusions revealed that the type of geriatric center influences physical dependence, decreasing with age and presenting variations between genders and educational levels. These findings highlight the relevance of social and educational factors in autonomy, crucial aspects for nursing care in geriatric settings.

Background: Anemia is considered the second cause of maternal death worldwide, however, in Ecuador there is a percentage of 60% of adolescents who are mostly affected. According to the WHO, this pathology affects 33% of women in general and 40% of pregnant women. Objective: To determine the main risk factors for anemia in pregnant adolescents between 13 and 19 years of age who attend the Obstetrics and Gynecology service of the Municipal Hospital for Women and Children, Cuenca 2022. Method: The study is observational descriptive with a cross-sectional section, with a study sample of 73 pregnant adolescents who attended the hospital, the data obtained were analyzed through their respective tabulation with the help of the SPSS version 25 program, which will be presented in tables with the frequency and its corresponding percentage. Results: The most prevalent age is 16-19 years with 80.8%, 82.2% are in high school, 65.8% reside in rural areas. 64.4% have anemia in the third gestational trimester, 63.3% do not maintain adequate prenatal control, 54.8% have a low economic level, 41.1% have an intergenic period of less than 12 months and, finally, 69.9% presented an inadequate type of diet. Conclusion: In this study, according to the risk table, it was evidenced that prenatal control is a protective factor so that an adolescent does not suffer from anemia during the gestation stage.

Background: Anemia is considered the second cause of maternal death worldwide, however, in Ecuador there is a percentage of 60% of adolescents who are mostly affected. According to the WHO, this pathology affects 33% of women in general and 40% of pregnant women. Objective: To determine the main risk factors for anemia in pregnant adolescents between 13 and 19 years of age who attend the Obstetrics and Gynecology service of the Municipal Hospital for Women and Children, Cuenca 2022. Method: The study is observational descriptive with a cross-sectional section, with a study sample of 73 pregnant adolescents who attended the hospital, the data obtained were analyzed through their respective tabulation with the help of the SPSS version 25 program, which will be presented in tables with the frequency and its corresponding percentage. Results: The most prevalent age is 16-19 years with 80.8%, 82.2% are in high school, 65.8% reside in rural areas. 64.4% have anemia in the third gestational trimester, 63.3% do not maintain adequate prenatal control, 54.8% have a low economic level, 41.1% have an intergenic period of less than 12 months and, finally, 69.9% presented an inadequate type of diet. Conclusion: In this study, according to the risk table, it was evidenced that prenatal control is a protective factor so that an adolescent does not suffer from anemia during the gestation stage.

Background: Anemia is considered the second cause of maternal death worldwide, however, in Ecuador there is a percentage of 60% of adolescents who are mostly affected. According to the WHO, this pathology affects 33% of women in general and 40% of pregnant women. Objective: To determine the main risk factors for anemia in pregnant adolescents between 13 and 19 years of age who attend the Obstetrics and Gynecology service of the Municipal Hospital for Women and Children, Cuenca 2022. Method: The study is observational descriptive with a cross-sectional section, with a study sample of 73 pregnant adolescents who attended the hospital, the data obtained were analyzed through their respective tabulation with the help of the SPSS version 25 program, which will be presented in tables with the frequency and its corresponding percentage. Results: The most prevalent age is 16-19 years with 80.8%, 82.2% are in high school, 65.8% reside in rural areas. 64.4% have anemia in the third gestational trimester, 63.3% do not maintain adequate prenatal control, 54.8% have a low economic level, 41.1% have an intergenic period of less than 12 months and, finally, 69.9% presented an inadequate type of diet. Conclusion: In this study, according to the risk table, it was evidenced that prenatal control is a protective factor so that an adolescent does not suffer from anemia during the gestation stage.

Background: According to the article published in 2019 at the Hospital Homero Castanier Crespo evidence that Acute Appendicitis occurs very frequently in pediatric patients aged 5 to 10 years. Objective: to describe the clinical manifestations and diagnostic strategies of acute appendicitis in pediatric patients aged 5 to 10 years at the Hospital Homero Castanier Crespo, Azogues, July - December 2021. Methodology: a study with a quantitative approach, descriptive cross-sectional observational design was carried out, using forms, anonymized database and medical records of the Hospital to collect information and analyzed with the SPSS 25 program. Results: Female patients aged 8 to 10 years with acute appendicitis represent 54.4%, they are residents of the urban area, the nutritional status is reflected in boys with 28.6% and girls with 33.3% indicating normal weight. The most frequent clinical manifestations are pain in the right iliac fossa with 22.9%, vomiting 21.9% and nausea 20.6%. The average time of evolution was 1.27 ± 0.61. The most used diagnostic strategies were physical assessment, laboratory tests with 37% and ultrasound with 26%. Conclusions: the most frequent clinical manifestations were determined and the most used diagnostic strategies in the identification of the pathology were described, relating to age, sex, place of residence and nutritional status of pediatric patients aged 5 to 10 years.

Background: According to the article published in 2019 at the Hospital Homero Castanier Crespo evidence that Acute Appendicitis occurs very frequently in pediatric patients aged 5 to 10 years. Objective: to describe the clinical manifestations and diagnostic strategies of acute appendicitis in pediatric patients aged 5 to 10 years at the Hospital Homero Castanier Crespo, Azogues, July - December 2021. Methodology: a study with a quantitative approach, descriptive cross-sectional observational design was carried out, using forms, anonymized database and medical records of the Hospital to collect information and analyzed with the SPSS 25 program. Results: Female patients aged 8 to 10 years with acute appendicitis represent 54.4%, they are residents of the urban area, the nutritional status is reflected in boys with 28.6% and girls with 33.3% indicating normal weight. The most frequent clinical manifestations are pain in the right iliac fossa with 22.9%, vomiting 21.9% and nausea 20.6%. The average time of evolution was 1.27 ± 0.61. The most used diagnostic strategies were physical assessment, laboratory tests with 37% and ultrasound with 26%. Conclusions: the most frequent clinical manifestations were determined and the most used diagnostic strategies in the identification of the pathology were described, relating to age, sex, place of residence and nutritional status of pediatric patients aged 5 to 10 years.

Background: The WHO states that poor eating habits is a public health problem, added to this unhealthy lifestyles, and the workload of drivers has a negative impact on their health by altering their nutritional status producing overweight and obesity and in turn the onset of chronic diseases. Objective: To determine the eating habits and nutritional status of the drivers of the Provincial Union of light and mixed freight transport of Cañar, Azogues, 2022. Materials and Methods: A descriptive cross-sectional study was carried out with a sample of 53 drivers of the Provincial Union of light and mixed cargo transportation of Cañar, Azogues. A pilot test was conducted with 10 drivers from the Artífices del volante cooperative to provide a greater degree of reliability. A direct interview was conducted to determine eating habits and to take anthropometric measurements for nutritional status. The data were processed in the EPIINFO program version 7.2.3.1. Results: The most prevalent age group was 20 to 39 years; 47% were overweight, 32% obese I, 4% obese III, 2% obese II; attributed to inadequate eating habits and unhealthy lifestyles, 30% of the drivers were sedentary, 68% slept less than 8 hours, 34% worked more than 10 hours a day. Conclusion: There is a high frequency of drivers who do not have adequate eating habits; 47% are overweight and 38% obese.

Preeclampsia is a pathology of pregnancy itself, it constitutes a major public health problem and one of the main causes of maternal mortality, it manifests itself after 20 weeks of gestation, There are a number of favorable factors: Age, social class, race, primparity, twin pregnancies, hydramnios, vascular alterations, inheritance, nutritional factors, and the complications that occur during preeclampsia in pregnant women who attend the Vicente Corral Moscoso Hospital. Objective: To determine the risk factors and complications associated with preeclampsia in pregnant women who attend Vicente Corral Moscoso Hospital. Methodology: This research is descriptive, transversal and observational quantitative approach to data collection using the medical records of pregnant women with preeclampsia, using a form. The results will be analyzed through the Microsoft Excel and IMB SPSS version 15 programs; applying descriptive statistics. Expected results: determine the population to be studied with 2099 pregnant women, 194 cases presented with preeclampsia with the verification of medical records with inclusion criteria.

Preeclampsia is a pathology of pregnancy itself, it constitutes a major public health problem and one of the main causes of maternal mortality, it manifests itself after 20 weeks of gestation, There are a number of favorable factors: Age, social class, race, primparity, twin pregnancies, hydramnios, vascular alterations, inheritance, nutritional factors, and the complications that occur during preeclampsia in pregnant women who attend the Vicente Corral Moscoso Hospital. Objective: To determine the risk factors and complications associated with preeclampsia in pregnant women who attend Vicente Corral Moscoso Hospital. Methodology: This research is descriptive, transversal and observational quantitative approach to data collection using the medical records of pregnant women with preeclampsia, using a form. The results will be analyzed through the Microsoft Excel and IMB SPSS version 15 programs; applying descriptive statistics. Expected results: determine the population to be studied with 2099 pregnant women, 194 cases presented with preeclampsia with the verification of medical records with inclusion criteria.

Preeclampsia is a pathology of pregnancy itself, it constitutes a major public health problem and one of the main causes of maternal mortality, it manifests itself after 20 weeks of gestation, There are a number of favorable factors: Age, social class, race, primparity, twin pregnancies, hydramnios, vascular alterations, inheritance, nutritional factors, and the complications that occur during preeclampsia in pregnant women who attend the Vicente Corral Moscoso Hospital. Objective: To determine the risk factors and complications associated with preeclampsia in pregnant women who attend Vicente Corral Moscoso Hospital. Methodology: This research is descriptive, transversal and observational quantitative approach to data collection using the medical records of pregnant women with preeclampsia, using a form. The results will be analyzed through the Microsoft Excel and IMB SPSS version 15 programs; applying descriptive statistics. Expected results: determine the population to be studied with 2099 pregnant women, 194 cases presented with preeclampsia with the verification of medical records with inclusion criteria.

Background Research: Traditionally, women who practice prostitution have been attributed an important role in the transmission of infections through sexual contact. Therefore, this has been one of the target populations for control programs of Sexually Transmitted Infections (STI). (1) Rigorous studies on this topic have shown that sex workers constitute a heterogeneous group in terms of their work environment, socioeconomic situation, health, sexual practices, knowledge and use of prevention measures. (2) Objective: To determine the knowledge about sexually transmitted infections in sex workers who come to medical consultation to District 01D01-SALUD Cuenca, 2017. Methodology: the research was quantitative, the type of study was descriptive, transversal, with a universe of 1500 people from 18 and over 37 years. The sample for this research is 254 sex workers, data obtained through the adjusted formula. This information was processed through the SPSS V23 program. To analyze the data we used: a form with open and multiple choice questions, percentages, boards with their respective analyzes. Results: The results show that 75.2% of sex workers start their sexual activity between 18 and 24 years old, 60.2% use the condom as a method of self-care, 91.3% go to a doctor's office every month, 81 % solves their doubts by consulting a relevant doctor, 79.9% believe that STIs are transmitted orally, vaginally and rectally and finally 24.4% of the respondents, known as STIs Gonorrhea and HIV AIDS. Conclusions: Most sex workers have a basic knowledge about STIs that allows them to continue in this activity with their due caution focused on their sexual health.

Background: Acute Respiratory Infections are a serious health problem in children since they are exposed to a series of environmental factors, both in industrialized and underdeveloped countries. The prevalence of acute respiratory infections according to studies exceeds 40%, is high due to poor air quality, whether intra-domiciliary or external, increases the risk of respiratory diseases along with other factors such as lack of hygiene and unhealthy behaviors, which directly affect children under 5 years of age, being one of the main causes of morbidity and mortality in Ecuador and the Province. General Objective: To determine the prevalence of Acute Respiratory Infections in children under 5 years of age, Racar 2017. Methodology: the research is of the quantitative type. The study is analytical, which will allow identifying the environmental determinants of Acute Respiratory Infections of children of the Racar community. Results: Of the boys and girls in the Racar sector, 43.9% are male and 56.1% are female, of which 27.6% are 4 years old and 20.3 are 1 year old. The perception of the mothers of family affirms that among the environmental factors 73.2% consider that the dust is a risk for the IRA, where 37.2% is generated by the presence of vehicles. Of the total number of people surveyed, only 54.5% have their own homes, likewise, 49.6% do not have potable water services. Conclusions: Environmental factors are one of the main factors for the prevalence of Acute Respiratory Infections, of which dust smoke are the generators of Cough, Fever and Catarrh as symptoms of ARI

Background Research: Traditionally, women who practice prostitution have been attributed an important role in the transmission of infections through sexual contact. Therefore, this has been one of the target populations for control programs of Sexually Transmitted Infections (STI). (1) Rigorous studies on this topic have shown that sex workers constitute a heterogeneous group in terms of their work environment, socioeconomic situation, health, sexual practices, knowledge and use of prevention measures. (2) Objective: To determine the knowledge about sexually transmitted infections in sex workers who come to medical consultation to District 01D01-SALUD Cuenca, 2017. Methodology: the research was quantitative, the type of study was descriptive, transversal, with a universe of 1500 people from 18 and over 37 years. The sample for this research is 254 sex workers, data obtained through the adjusted formula. This information was processed through the SPSS V23 program. To analyze the data we used: a form with open and multiple choice questions, percentages, boards with their respective analyzes. Results: The results show that 75.2% of sex workers start their sexual activity between 18 and 24 years old, 60.2% use the condom as a method of self-care, 91.3% go to a doctor's office every month, 81 % solves their doubts by consulting a relevant doctor, 79.9% believe that STIs are transmitted orally, vaginally and rectally and finally 24.4% of the respondents, known as STIs Gonorrhea and HIV AIDS. Conclusions: Most sex workers have a basic knowledge about STIs that allows them to continue in this activity with their due caution focused on their sexual health.

Background: Acute Respiratory Infections are a serious health problem in children since they are exposed to a series of environmental factors, both in industrialized and underdeveloped countries. The prevalence of acute respiratory infections according to studies exceeds 40%, is high due to poor air quality, whether intra-domiciliary or external, increases the risk of respiratory diseases along with other factors such as lack of hygiene and unhealthy behaviors, which directly affect children under 5 years of age, being one of the main causes of morbidity and mortality in Ecuador and the Province. General Objective: To determine the prevalence of Acute Respiratory Infections in children under 5 years of age, Racar 2017. Methodology: the research is of the quantitative type. The study is analytical, which will allow identifying the environmental determinants of Acute Respiratory Infections of children of the Racar community. Results: Of the boys and girls in the Racar sector, 43.9% are male and 56.1% are female, of which 27.6% are 4 years old and 20.3 are 1 year old. The perception of the mothers of family affirms that among the environmental factors 73.2% consider that the dust is a risk for the IRA, where 37.2% is generated by the presence of vehicles. Of the total number of people surveyed, only 54.5% have their own homes, likewise, 49.6% do not have potable water services. Conclusions: Environmental factors are one of the main factors for the prevalence of Acute Respiratory Infections, of which dust smoke are the generators of Cough, Fever and Catarrh as symptoms of ARI

Background Research: Traditionally, women who practice prostitution have been attributed an important role in the transmission of infections through sexual contact. Therefore, this has been one of the target populations for control programs of Sexually Transmitted Infections (STI). (1) Rigorous studies on this topic have shown that sex workers constitute a heterogeneous group in terms of their work environment, socioeconomic situation, health, sexual practices, knowledge and use of prevention measures. (2) Objective: To determine the knowledge about sexually transmitted infections in sex workers who come to medical consultation to District 01D01-SALUD Cuenca, 2017. Methodology: the research was quantitative, the type of study was descriptive, transversal, with a universe of 1500 people from 18 and over 37 years. The sample for this research is 254 sex workers, data obtained through the adjusted formula. This information was processed through the SPSS V23 program. To analyze the data we used: a form with open and multiple choice questions, percentages, boards with their respective analyzes. Results: The results show that 75.2% of sex workers start their sexual activity between 18 and 24 years old, 60.2% use the condom as a method of self-care, 91.3% go to a doctor's office every month, 81 % solves their doubts by consulting a relevant doctor, 79.9% believe that STIs are transmitted orally, vaginally and rectally and finally 24.4% of the respondents, known as STIs Gonorrhea and HIV AIDS. Conclusions: Most sex workers have a basic knowledge about STIs that allows them to continue in this activity with their due caution focused on their sexual health.

Background: Acute Respiratory Infections are a serious health problem in children since they are exposed to a series of environmental factors, both in industrialized and underdeveloped countries. The prevalence of acute respiratory infections according to studies exceeds 40%, is high due to poor air quality, whether intra-domiciliary or external, increases the risk of respiratory diseases along with other factors such as lack of hygiene and unhealthy behaviors, which directly affect children under 5 years of age, being one of the main causes of morbidity and mortality in Ecuador and the Province. General Objective: To determine the prevalence of Acute Respiratory Infections in children under 5 years of age, Racar 2017. Methodology: the research is of the quantitative type. The study is analytical, which will allow identifying the environmental determinants of Acute Respiratory Infections of children of the Racar community. Results: Of the boys and girls in the Racar sector, 43.9% are male and 56.1% are female, of which 27.6% are 4 years old and 20.3 are 1 year old. The perception of the mothers of family affirms that among the environmental factors 73.2% consider that the dust is a risk for the IRA, where 37.2% is generated by the presence of vehicles. Of the total number of people surveyed, only 54.5% have their own homes, likewise, 49.6% do not have potable water services. Conclusions: Environmental factors are one of the main factors for the prevalence of Acute Respiratory Infections, of which dust smoke are the generators of Cough, Fever and Catarrh as symptoms of ARI

Objective: To determine the self-care practices to prevent Diabetic Foot Club in patients Elderly Health Center Valley. Methodology: a study quantitative, simple descriptive method of cross-cutting, which identified self-care practices to prevent diabetic foot in patients attending the Club of Elderly Health Center Valley, we worked with a universe of 100 Aging. and a sample of 75 older adults. The research techniques used were: direct observation, interview and use of structured forms and validated by the authors that were applied prior informed consent. The tabulation of the collected data was performed in Excel and SPSS 15.0 and the results have been represented in table with their respective percentage and statistical analysis. Results: • We studied a total population of 75 people attending the Senior Citizens Club Health Center Valley, occurring more frequently in males with a percentage of 65% between the ages of 70-75 years of age more of the total 40% are married, 60% are widowers,65% of people do not meet adequate to prevent diabetic foot self-care practices, 35% maintain self-care practices. • It was evident that 35% perform physical activity, 25% inspects your feet. Conclusions: The results found in this study show that 75 people surveyed, perform different activities for self-care such as exercise, and general care in the feet, thus helping them to avoid the Diabetic Foot

Background: according to the World Health Organization; the increase in the elderly population adds the incidence of chronic diseases. It ensures that at the level of Latin America between 60 and 85% of older adults does not exercise, which has resulted in a problem of broad health, being the main factor deficient knowledge about the benefits of exercise, which It influences their practice. Objective: to determine the knowledge, attitudes and practices of physical exercise in older adults who attend the diabetes and hypertensive club in Totoracocha Health Center. Methodology: for this study, was used quantitative descriptive research, cross cohort, we worked with a sample of 86 older adults who attend the Club of diabetes and hypertension Totoracocha Health Center. For sample calculation formula was used Pita Fernández. The data were processed and analyzed using SPSS 15.0 for free, Microsoft Excel 2010 program and presented in tables. The instrument applied was the survey elaborated by the authors and validated through a pilot plan to 30 older adults, in the Health Center No. 1-Pumapungo. Results: of the 86 older adults, 89.5% have a high awareness on the importance of physical exercise, 68.6% having a favorable attitude before of do physical exercise and 50% always do physical exercise

Objective: To determine the self-care practices to prevent Diabetic Foot Club in patients Elderly Health Center Valley. Methodology: a study quantitative, simple descriptive method of cross-cutting, which identified self-care practices to prevent diabetic foot in patients attending the Club of Elderly Health Center Valley, we worked with a universe of 100 Aging. and a sample of 75 older adults. The research techniques used were: direct observation, interview and use of structured forms and validated by the authors that were applied prior informed consent. The tabulation of the collected data was performed in Excel and SPSS 15.0 and the results have been represented in table with their respective percentage and statistical analysis. Results: • We studied a total population of 75 people attending the Senior Citizens Club Health Center Valley, occurring more frequently in males with a percentage of 65% between the ages of 70-75 years of age more of the total 40% are married, 60% are widowers,65% of people do not meet adequate to prevent diabetic foot self-care practices, 35% maintain self-care practices. • It was evident that 35% perform physical activity, 25% inspects your feet. Conclusions: The results found in this study show that 75 people surveyed, perform different activities for self-care such as exercise, and general care in the feet, thus helping them to avoid the Diabetic Foot

Objective: To determine the self-care practices to prevent Diabetic Foot Club in patients Elderly Health Center Valley. Methodology: a study quantitative, simple descriptive method of cross-cutting, which identified self-care practices to prevent diabetic foot in patients attending the Club of Elderly Health Center Valley, we worked with a universe of 100 Aging. and a sample of 75 older adults. The research techniques used were: direct observation, interview and use of structured forms and validated by the authors that were applied prior informed consent. The tabulation of the collected data was performed in Excel and SPSS 15.0 and the results have been represented in table with their respective percentage and statistical analysis. Results: • We studied a total population of 75 people attending the Senior Citizens Club Health Center Valley, occurring more frequently in males with a percentage of 65% between the ages of 70-75 years of age more of the total 40% are married, 60% are widowers,65% of people do not meet adequate to prevent diabetic foot self-care practices, 35% maintain self-care practices. • It was evident that 35% perform physical activity, 25% inspects your feet. Conclusions: The results found in this study show that 75 people surveyed, perform different activities for self-care such as exercise, and general care in the feet, thus helping them to avoid the Diabetic Foot

Background: according to the World Health Organization; the increase in the elderly population adds the incidence of chronic diseases. It ensures that at the level of Latin America between 60 and 85% of older adults does not exercise, which has resulted in a problem of broad health, being the main factor deficient knowledge about the benefits of exercise, which It influences their practice. Objective: to determine the knowledge, attitudes and practices of physical exercise in older adults who attend the diabetes and hypertensive club in Totoracocha Health Center. Methodology: for this study, was used quantitative descriptive research, cross cohort, we worked with a sample of 86 older adults who attend the Club of diabetes and hypertension Totoracocha Health Center. For sample calculation formula was used Pita Fernández. The data were processed and analyzed using SPSS 15.0 for free, Microsoft Excel 2010 program and presented in tables. The instrument applied was the survey elaborated by the authors and validated through a pilot plan to 30 older adults, in the Health Center No. 1-Pumapungo. Results: of the 86 older adults, 89.5% have a high awareness on the importance of physical exercise, 68.6% having a favorable attitude before of do physical exercise and 50% always do physical exercise

Background: according to the World Health Organization; the increase in the elderly population adds the incidence of chronic diseases. It ensures that at the level of Latin America between 60 and 85% of older adults does not exercise, which has resulted in a problem of broad health, being the main factor deficient knowledge about the benefits of exercise, which It influences their practice. Objective: to determine the knowledge, attitudes and practices of physical exercise in older adults who attend the diabetes and hypertensive club in Totoracocha Health Center. Methodology: for this study, was used quantitative descriptive research, cross cohort, we worked with a sample of 86 older adults who attend the Club of diabetes and hypertension Totoracocha Health Center. For sample calculation formula was used Pita Fernández. The data were processed and analyzed using SPSS 15.0 for free, Microsoft Excel 2010 program and presented in tables. The instrument applied was the survey elaborated by the authors and validated through a pilot plan to 30 older adults, in the Health Center No. 1-Pumapungo. Results: of the 86 older adults, 89.5% have a high awareness on the importance of physical exercise, 68.6% having a favorable attitude before of do physical exercise and 50% always do physical exercise

Background: It is very important that women who come to the Health Center # 1 Pumapungo in the area of gynecology, have knowledge of HIV / AIDS, considering that the onset of sexual activity begins early, without liability to bear the consequences of this disease. Objective: To determine knowledge, attitudes and practices of HIV / AIDS in women attending the Gynecology Health Center # 1 Pumapungo Cuenca, 2014. Methodology: this research was descriptive, his universe settle for 165 women. The survey form on knowledge, attitudes and practices of HIV / AIDS developed and validated by the authors, the data obtained were analyzed in SPSS 18, Excel, Word programs, presentation boards are used as a technique and instrument; and their analysis. Results Of the 165 women who participated, 49.1% were aged 16-25 years, the level of knowledge indicates that 90.3% had knowledge about HIV / AIDS, attitudes towards the subject found that 78.2% had an attitude positive practices in HIV / AIDS the highest rate is 73.9% of women who begin their sexual life from 15 to 25 years and an alarming sign non-use of condoms in 44.2% Conclusion: Results of this study show that of the 165 women 90.3% have knowledge about HIV / AIDS

Background: The issue of quality of health care today is key, and urgent to know, understand and apply for health personnel, particularly for the nursing professional to achieve quality health services needed control, objective and systematic evaluation of nursing care as they have become a priority within the profession, because consumers demand quality care, there was a greater commitment to direct liability to the public. Objective: To determine the quality of care provided by the nurses at the health center "Cojitambo" and its relation to the level of user satisfaction. Methodology: This is a descriptive cross-sectional study that will determine the quality of care provided by the nurses at the health center "Cojitambo" and its relation to the level of user satisfaction. Universe for the size of the sample is considered infinite population dissatisfaction with a ratio of 20% with a confidence level of 96% and an accuracy of 4%. With these values, the sample size is 385 study patients. As the interview techniques, direct and indirect observation, and instrument use the form supported by the Universidad Technical Particular de Loja in research conducted by Dr. Carlos Arévalo prior to obtaining a master's degree in health management departments for local development, information processing Excel, Word and SPSS, the data will be analyzed with descriptive statistics and presented in tables and graphs are used. Using results: this research will seek to obtain data related to measuring the quality of care provided by the nursing staff and the level of satisfaction of the user who comes to the Health Center Cojitambo.

Background: It is very important that women who come to the Health Center # 1 Pumapungo in the area of gynecology, have knowledge of HIV / AIDS, considering that the onset of sexual activity begins early, without liability to bear the consequences of this disease. Objective: To determine knowledge, attitudes and practices of HIV / AIDS in women attending the Gynecology Health Center # 1 Pumapungo Cuenca, 2014. Methodology: this research was descriptive, his universe settle for 165 women. The survey form on knowledge, attitudes and practices of HIV / AIDS developed and validated by the authors, the data obtained were analyzed in SPSS 18, Excel, Word programs, presentation boards are used as a technique and instrument; and their analysis. Results Of the 165 women who participated, 49.1% were aged 16-25 years, the level of knowledge indicates that 90.3% had knowledge about HIV / AIDS, attitudes towards the subject found that 78.2% had an attitude positive practices in HIV / AIDS the highest rate is 73.9% of women who begin their sexual life from 15 to 25 years and an alarming sign non-use of condoms in 44.2% Conclusion: Results of this study show that of the 165 women 90.3% have knowledge about HIV / AIDS

Background: The issue of quality of health care today is key, and urgent to know, understand and apply for health personnel, particularly for the nursing professional to achieve quality health services needed control, objective and systematic evaluation of nursing care as they have become a priority within the profession, because consumers demand quality care, there was a greater commitment to direct liability to the public. Objective: To determine the quality of care provided by the nurses at the health center "Cojitambo" and its relation to the level of user satisfaction. Methodology: This is a descriptive cross-sectional study that will determine the quality of care provided by the nurses at the health center "Cojitambo" and its relation to the level of user satisfaction. Universe for the size of the sample is considered infinite population dissatisfaction with a ratio of 20% with a confidence level of 96% and an accuracy of 4%. With these values, the sample size is 385 study patients. As the interview techniques, direct and indirect observation, and instrument use the form supported by the Universidad Technical Particular de Loja in research conducted by Dr. Carlos Arévalo prior to obtaining a master's degree in health management departments for local development, information processing Excel, Word and SPSS, the data will be analyzed with descriptive statistics and presented in tables and graphs are used. Using results: this research will seek to obtain data related to measuring the quality of care provided by the nursing staff and the level of satisfaction of the user who comes to the Health Center Cojitambo.

Background: The issue of quality of health care today is key, and urgent to know, understand and apply for health personnel, particularly for the nursing professional to achieve quality health services needed control, objective and systematic evaluation of nursing care as they have become a priority within the profession, because consumers demand quality care, there was a greater commitment to direct liability to the public. Objective: To determine the quality of care provided by the nurses at the health center "Cojitambo" and its relation to the level of user satisfaction. Methodology: This is a descriptive cross-sectional study that will determine the quality of care provided by the nurses at the health center "Cojitambo" and its relation to the level of user satisfaction. Universe for the size of the sample is considered infinite population dissatisfaction with a ratio of 20% with a confidence level of 96% and an accuracy of 4%. With these values, the sample size is 385 study patients. As the interview techniques, direct and indirect observation, and instrument use the form supported by the Universidad Technical Particular de Loja in research conducted by Dr. Carlos Arévalo prior to obtaining a master's degree in health management departments for local development, information processing Excel, Word and SPSS, the data will be analyzed with descriptive statistics and presented in tables and graphs are used. Using results: this research will seek to obtain data related to measuring the quality of care provided by the nursing staff and the level of satisfaction of the user who comes to the Health Center Cojitambo.

Background: It is very important that women who come to the Health Center # 1 Pumapungo in the area of gynecology, have knowledge of HIV / AIDS, considering that the onset of sexual activity begins early, without liability to bear the consequences of this disease. Objective: To determine knowledge, attitudes and practices of HIV / AIDS in women attending the Gynecology Health Center # 1 Pumapungo Cuenca, 2014. Methodology: this research was descriptive, his universe settle for 165 women. The survey form on knowledge, attitudes and practices of HIV / AIDS developed and validated by the authors, the data obtained were analyzed in SPSS 18, Excel, Word programs, presentation boards are used as a technique and instrument; and their analysis. Results Of the 165 women who participated, 49.1% were aged 16-25 years, the level of knowledge indicates that 90.3% had knowledge about HIV / AIDS, attitudes towards the subject found that 78.2% had an attitude positive practices in HIV / AIDS the highest rate is 73.9% of women who begin their sexual life from 15 to 25 years and an alarming sign non-use of condoms in 44.2% Conclusion: Results of this study show that of the 165 women 90.3% have knowledge about HIV / AIDS

Background: Occupational hazards are a concern as the ILO and WHO, in work, health can be affected in many ways and all of them are important. It can cause damage due to the workload, whether physical or mental and overall ergonomic factors can generate problems such as scoliosis bad posture, carpal tunnel syndrome, repetitive motion with your wrist bent, osteoarthritis and stress workload, among others. Objective: To determine the risks that exists in Ergonomic employees working in the Cooperative Jardin Azuayo LTDA. Basin Area, 2014. Methods and Materials: The study will be conducted a descriptive approach, identifying existing Ergonomic Risk factors at sites occupied by the employee for their work. It will work with a finite universe of 248 employees distributed in different branches of the bank in the city of Cuenca, techniques for the collection of data will be of direct observation and interview, to proceed with this work will require the consent is previously signed by the Human Resource Coordinator for personnel working in the organization and socialization of research project with collaborators was made. The information obtained will be analyzed through the Word, Excel and SPSS version 20 software; will be displayed in tables and graphs, from its analysis, it will be broadcast on the Human Resource department, later to be presented to management. Use of Results: Based on the Investigation will disclose Ergonomic risk factors present in each work activity performed by the employees of the COAC Garden Azuayo. Cuenca, 2014 so they can prevent illnesses or injuries that cause damage and are an additional cost to the company.

Background: Occupational hazards are a concern as the ILO and WHO, in work, health can be affected in many ways and all of them are important. It can cause damage due to the workload, whether physical or mental and overall ergonomic factors can generate problems such as scoliosis bad posture, carpal tunnel syndrome, repetitive motion with your wrist bent, osteoarthritis and stress workload, among others. Objective: To determine the risks that exists in Ergonomic employees working in the Cooperative Jardin Azuayo LTDA. Basin Area, 2014. Methods and Materials: The study will be conducted a descriptive approach, identifying existing Ergonomic Risk factors at sites occupied by the employee for their work. It will work with a finite universe of 248 employees distributed in different branches of the bank in the city of Cuenca, techniques for the collection of data will be of direct observation and interview, to proceed with this work will require the consent is previously signed by the Human Resource Coordinator for personnel working in the organization and socialization of research project with collaborators was made. The information obtained will be analyzed through the Word, Excel and SPSS version 20 software; will be displayed in tables and graphs, from its analysis, it will be broadcast on the Human Resource department, later to be presented to management. Use of Results: Based on the Investigation will disclose Ergonomic risk factors present in each work activity performed by the employees of the COAC Garden Azuayo. Cuenca, 2014 so they can prevent illnesses or injuries that cause damage and are an additional cost to the company.

Background: Occupational hazards are a concern as the ILO and WHO, in work, health can be affected in many ways and all of them are important. It can cause damage due to the workload, whether physical or mental and overall ergonomic factors can generate problems such as scoliosis bad posture, carpal tunnel syndrome, repetitive motion with your wrist bent, osteoarthritis and stress workload, among others. Objective: To determine the risks that exists in Ergonomic employees working in the Cooperative Jardin Azuayo LTDA. Basin Area, 2014. Methods and Materials: The study will be conducted a descriptive approach, identifying existing Ergonomic Risk factors at sites occupied by the employee for their work. It will work with a finite universe of 248 employees distributed in different branches of the bank in the city of Cuenca, techniques for the collection of data will be of direct observation and interview, to proceed with this work will require the consent is previously signed by the Human Resource Coordinator for personnel working in the organization and socialization of research project with collaborators was made. The information obtained will be analyzed through the Word, Excel and SPSS version 20 software; will be displayed in tables and graphs, from its analysis, it will be broadcast on the Human Resource department, later to be presented to management. Use of Results: Based on the Investigation will disclose Ergonomic risk factors present in each work activity performed by the employees of the COAC Garden Azuayo. Cuenca, 2014 so they can prevent illnesses or injuries that cause damage and are an additional cost to the company.