Universidad Técnica de Ambato (UTA): Portal de Revistas Científicas y Libros
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ENERGÍA HIDROELÉCTRICA PARA GENERACIÓN DE HIDRÓGENO EN EL ECUADOR
This work focuses on explaining the viability of the implementation of hydrogen technology as an alternative to the use of fossil fuels, using hydroelectric renewable energy sources, for that purpose, an evaluation of the growing energy demand and the current state of environmental pollution is carried out. Various alternatives are proposed for the production of hydrogen, and electrolysis of water stands out considering the efficiency and economic viability of the process. A comparative analysis of the technologies used in various countries to obtain hydrogen through hydroelectricity is also performed. Finally, the possibility of using hydrogen technology as a complement to increase the efficiency factor of hydroelectric plants in Ecuador is determined, thus contributing to a change towards a clean and renewable energy matrix that is economically sustainable.Este trabajo se enfoca en explicar la viabilidad de la implementación de la tecnología del hidrógeno como un remplazo al uso de los combustibles fósiles, utilizando fuentes de energía renovables de tipo hidroeléctrico, para lo cual se realiza una evaluación de la creciente demanda energética y estado actual de contaminación ambiental. Se plantean diversas alternativas, para la producción de hidrógeno entre las cuales sobresale la electrólisis del agua considerando la eficiencia y viabilidad económica del proceso. También se realiza un análisis comparativo de las tecnologías utilizadas en varios países para la obtención de hidrogeno mediante hidroelectricidad. Finalmente, se determina la posibilidad de utilizar la tecnología del hidrógeno como complemento para aumentar el factor de eficiencia de las centrales hidroeléctricas en el Ecuador, contribuyendo de esta manera con un cambio hacia una matriz energética limpia y renovable que sea económicamente sustentable
MICROSOFT TEAMS COMO HERRAMIENTA PARA EL APRENDIZAJE DE LA MATEMÁTICA: CASO DE ESTUDIO OCTAVO GRADO DE EDUCACIÓN GENERAL BÁSICA.
With the confinement caused by the Covid 19 pandemic, the interest in acquiring more information about the benefits of digital platforms for learning different educational subjects, especially those which are difficult for students to understand, has increased. Mathematics is one of the most complicated subjects to assimilate for students by the simple fact of working with numerical operations is for this reason that it is necessary to acquire more information about the subject mentioned due to the weak information we have about the benefits or shortcomings of using this digital platform in the learning of this subject. For this reason, the present research work had the objective of determining the influence of the digital tool Microsoft Teams in the learning of Mathematics, for which a quasi-experimental design was used at an exploratory level with a qualitative-quantitative approach based on the survey technique. Subsequently, the Technological Acceptance Model (TAM) was applied to check the level of acceptance of the Teams platform by the students. For the results, the chi-square statistic was applied through which the alternative hypothesis was accepted: The Microsoft Teams digital tool contributes to the learning of mathematics. With this it was concluded that the population studied has a good level in the mastery and use of the mentioned tool, which favors teamwork, improves their initiative in class and allows them to do their work more quickly.Con el confinamiento ocasionado por la pandemia del Covid 19 el interés por adquirir más información acerca de los beneficios de las plataformas digitales para el aprendizaje de las distintas materias educativas especialmente las cuales resultan difíciles de comprender a los estudiantes ha venido en aumento. La matemática es una de las materias más complicadas de asimilar para los estudiantes por el simple hecho de trabajar con operaciones numéricas es por este motivo que se necesita adquirir más información acerca de la temática mencionada debido a la débil información que se tiene acerca de los beneficios o carencias de utilizar esta plataforma digital en el aprendizaje de esta asignatura. Por tal motivo el presente trabajo de investigación tuvo como objetivo determinar la influencia de la herramienta digital Microsoft Teams en el aprendizaje de la Matemática para lo cual se utilizó un diseño cuasiexperimental a nivel exploratorio con un enfoque cuali-cuantitativo basado en la técnica de la encuesta. Posterior a esto se aplicó el Modelo de Aceptación Tecnológica (TAM) con el cual se comprobó el nivel de aceptación de la plataforma Teams por parte del alumnado. Para los resultados se aplicó el estadístico del ji-cuadrado a través del cual se aceptó la hipótesis alterna: La herramienta digital Microsoft Teams aporta al aprendizaje de la matemática. Con esto se concluyó que la población estudiada tiene un buen nivel en el dominio y uso de la herramienta mencionada lo cual favorece el trabajo en equipo, mejora su iniciativa en clases y les permite realizar su trabajo con más rapidez.
 
Procesos participativos en las políticas públicas con enfoque de derechos humanos
This article aims to reflect on the importance of participatory processes in public policies from the perspective of rights, using documentary and bibliographic research with a qualitative-descriptive approach, and conceiving policies as interventions carried out by governments to treat to change a reality towards another that has greater exercise of rights, and, therefore, that generates better levels of quality of life for the beneficiary agents. With three phases that comprise its cycle, public policies have an articulated technical structure, where design, management and evaluation are conceived as a single body, however, the factual application of ex post evaluation is little institutionalized. In each of them, the generation of participatory processes enhances their effectiveness, complementing technical knowledge with citizen knowledge and generating useful information for decision-making that improves the efficiency and effectiveness of public action, but also provides greater legitimacy and governance. while contributing to the expansion of freedoms and capabilities of the population, strengthening democracy; however, more appropriate mechanisms for its application must still be developed, in addition to an institutional culture with greater awareness of its benefits.
URL: https://revistas.uta.edu.ec/erevista/index.php/bcoyu/article/view/2083El presente artículo tiene el objetivo de reflexionar sobre la importancia de los procesos participativos en las políticas públicas desde la perspectiva de derechos, utilizando la investigación documental y bibliográfica con enfoque cualitativo-descriptivo, y concibiendo a las políticas como intervenciones realizadas por los gobiernos para tratar de cambiar una realidad hacia otra que tenga mayor ejercicio de derechos, y, por ende, que genere mejores niveles de calidad de vida de los agentes beneficiarios. Con tres fases que comprende su ciclo, las políticas públicas tienen una estructura técnica articulada, donde el diseño, la gestión y evaluación se conciben como un solo cuerpo, no obstante, la aplicación fáctica de la evaluación ex post está poco institucionalizada. En cada una de ellas, la generación de procesos participativos potencializa su efectividad, complementando el conocimiento técnico con el saber ciudadano y generando información útil para la toma de decisiones que mejora la eficiencia y eficacia del accionar público, pero también, proporcionando mayor legitimidad y gobernanza a la vez que contribuye con la ampliación de libertades y capacidades de la población, robusteciendo la democracia; no obstante, aún deben desarrollarse mecanismos más apropiados para su aplicación además de una cultura institucional con mayor conciencia de sus beneficios.
URL: https://revistas.uta.edu.ec/erevista/index.php/bcoyu/article/view/208
Identificación de posibles dianas terapéuticas en la enfermedad de la diabetes mellitus tipo 2 (T2DM) en base a estudios bioinformáticos
Type 2 diabetes mellitus is a chronic disease characterized by insulin resistance and dysfunction of the beta cells of the pancreas, resulting in elevated blood glucose levels. Elevated blood glucose levels can lead to disorders of the circulatory, nervous, and immune systems. The aim of this study was to identify potential therapeutic targets by applying bioinformatics techniques and biological databases to study genes that show association and therapeutic potential to treat the disease. Computer-aided drug design methodology was used, molecular docking and virtual screening techniques were applied to identify binding sites with desirable drugability characteristics where chemical compounds and commercial ligands were docked. The docking energy in the different protein-ligand complexes was evaluated, and those with the highest stability were chosen. Virtual screening showed several chemical compounds and commercial drugs whose affinity energy ranged from -9.3 to -9.8 kcal/mol. The protein IRS-1 was identified as a therapeutic target, it presented a protein receptor identified in the Protein Data Bank database with 1QQG with a drugability of 0.84, the compounds Zosuquidar, Rimacalib, Uk432097, Mosapramine, Devazepide and Setipiprant were tested, an average affinity energy of -7. 5 kcal/mol establishing them as possible ligands for the therapeutic target, the toxicity analysis confirmed the application of these compounds and drugs as a possible treatment for the disease.La diabetes mellitus tipo 2 es una enfermedad crónica caracterizada por la resistencia a la insulina y la disfunción de las células beta del páncreas, lo que resulta en niveles elevados de glucosa en sangre. Los niveles elevados de glucosa en la sangre pueden derivar en trastornos de los sistemas circulatorio, nervioso e inmunitario. El objetivo de este estudio fue identificar posibles dianas terapéuticas mediante la aplicación de técnicas bioinformáticas y bases de datos biológicas para estudiar los genes que presentan asociación y potencial terapéutico para tratar la enfermedad. Se utilizó la metodología de diseño de fármacos asistido por computador, se aplicaron técnicas de acoplamiento molecular y cribado virtual para identificar sitios de unión con características deseables de drugabilidad en los que se acoplaron compuestos químicos y ligandos comerciales. Se evaluó la energía de acoplamiento en los diferentes complejos proteína-ligando, se escogió los que presentaron mayor estabilidad. El cribado virtual mostró varios compuestos químicos y medicamentos comerciales cuya energía de afinidad oscilaba entre -9.3 y -9.8 kcal/mol. Se identificó la proteína IRS-1 como diana terapéutica, esta presentó un receptor proteico identificado en la base de datos Protein Data Bank con 1QQG con una drugabilidad de 0.84, se probaron los compuestos Zosuquidar, Rimacalib, Uk432097, Mosapramine, Devazepide y Setipiprant, se obtuvo una energía media de afinidad de -7.5 kcal/mol estableciéndose como posibles ligandos para la diana terapéutica, el análisis de toxicidad confirmó la aplicación de estos compuestos y medicamentos como un posible tratamiento para la enfermedad
Cuadro de mando integral como herramienta de gestión en decisiones gerenciales para la compañía Abestro S.A.
The lack of adequate management control, the lack of a system of indicators and the absence of measurable strategies when making decisions, result in significant economic losses. These aspects with the main objective of the research are to design a balanced scorecard as a management tool in managerial decisions, under this guideline the company ABESTRO S.A. decided to adopt an administrative tool. The analysis was carried out through a qualitative and descriptive investigation allowing to know the current situation of the company, the method of obtaining information through the use of questionnaires to managers, administrators and clients of the company whose results expressed the current situation both internally and external. The analyzes allowed to propose a series of strategies to correct the factors that must be improved, aligned to the objectives of the four perspectives that make up the balanced scorecard, the results allowed to obtain the design of the indicators for the elaboration of the control panel, allowing management to monitor and control the management of each of the strategic processes of the company.
URL: https://revistas.uta.edu.ec/erevista/index.php/bcoyu/article/view/2189/version/2844La falta de control adecuado en la gestión, la carencia de un sistema de indicadores y la ausencia de estrategias medibles al tomar decisiones, resultan en pérdidas económicas significativas. Estos aspectos con lleva como objetivo principal de la investigación diseñar un cuadro de mando integral como herramienta de gestión para la toma de decisiones gerenciales, bajo ese lineamiento la compañía ABESTRO S.A. decidió adoptar una herramienta de carácter administrativo. El análisis se realizó a través de una investigación cualitativa y descriptiva permitiendo conocer la situación actual de la compañía, el método de obtención de información mediante la utilización de cuestionarios a directivos, administrativos y clientes de la compañía cuyos resultados expresaron la situación actual tanto interna como externa. Los análisis permitieron plantear una serie de estrategias para subsanar los factores que deben mejorar, alineadas a los objetivos de las cuatro perspectivas que integran el cuadro de mando integral, los resultados permitieron obtener el diseño de los indicadores para la elaboración del tablero de control, permitiendo a la gerencia monitorear y controlar la gestión de cada uno de los procesos estratégicos de la compañía.
URL: https://revistas.uta.edu.ec/erevista/index.php/bcoyu/article/view/218
Síndrome post COVID, revisión de la literatura
This article contains a brief analysis of the circumstances posed by the sequelae of COVID-19 in the population that has suffered a previous infection, the so-called POST COVID-19 Syndrome, is a current condition that falls on patients of different age groups, from hence the importance of glimpsing a broad panorama of its meaning, complications, clinical indicators, consequences, and other factors by comparing the existing bibliography on this topic. The objective is to analyze the associated conditions and sequelae that covid-19 can produce, in order to approach individualized treatment and modify the treatment in patients with sequelae. Materials and methods: a descriptive, retrospective study was carried out, reviewing scientific articles from the last 5 years. Results: the term Long COVID or prolonged COVID in Spanish, also called persistent COVID, refers to the persistence of symptoms weeks or months after SARS-CoV-2 infection regardless of viral status. Phenomenon that is quite annoying and can even cause sequelae in the respiratory system. Conclusions: subsequent complications are focused within cardiovascular and respiratory conditions, as well as complications in the social, family and current health systemsEl presente artículo contiene un breve análisis sobre las circunstancias que plantean las secuelas de COVID-19 en la población que ha sufrido una infección previa, el denominado Síndrome POST COVID-19, es una afección actual que recae en pacientes de diferentes grupos etáreos, de allí la importancia de vislumbrar un panorama amplio sobre su significado, complicaciones, indicadores clínicos, consecuencias, y otros factores comparando la bibliografía existente conforme a este tema. El objetivo radica en Analizar las afecciones asociadas y secuelas que el covid-19 puede producir, para de esta manera acercarnos al tratamiento individualizado y modificar el tratamiento en pacientes con secuelas. Materiales y métodos: se efectuó un estudio descriptivo, retrospectivo, revisión de artículos científicos provenientes de los últimos 5 años. Resultados: el término Long COVID o COVID prolongado en español, también llamado COVID persistente, refiere a la persistencia de los síntomas semanas o meses después de la infección por SARS-CoV-2 independientemente del estado viral. Fenómeno que es bastante molesto e incluso puede traer secuelas en el aparato respiratorio. Conclusiones: las complicaciones posteriores se enfocan en el interior de cuadros cardiovasculares y respiratorios, además complicaciones en el ámbito social, familiar y en los sistemas sanitarios actuale
Infección de vías urinarias: tratamiento empírico y resistencia bacteriana en el servicio de emergencia del Hospital General Puyo
Urinary tract infections are caused by a variety of uropathogenic bacteria, and this pathology is one of the frequent reasons for emergency consultation. A study with a quantitative, descriptive, cross-sectional, observational, non-experimental approach was carried out in the Emergency Service of the Puyo General Hospital during the period from January to December 2021, with the objective of determining the most used empirical drug, agent prevalent bacteria and their resistance. This through the collection of information from medical records, the Varanus system and laboratory results with a total of 858 patients, excluding a total of 320. A higher prevalence of UTI was identified in the female sex, with a percentage of 98%, the antibiotic prescribed with most frequent is ciprofloxacin in 40.2%. E.coli is the most frequent pathogen with a drug resistance to ampicillin/sulbactam of 56.6%.Las infecciones del tracto urinario son causadas por una variedad de bacterias uropatógenas, encontrándose esta patología entre los motivos frecuentes de consulta en emergencia. Se realizó un estudio con enfoque cuantitativo, de tipo descriptivo, transversal, observacional, no experimental, en el Servicio de Emergencia del Hospital General Puyo durante el periodo de enero a diciembre del 2021, con el objetivo de determinar el fármaco empírico más usado, agente bacteriano prevalente y su resistencia. Esto a través de recolección de información de historias clínicas, sistema Varanus y resultados de laboratorio con un total de 858 pacientes excluyendo un total 320. Se identificó mayor prevalencia de ITU en el sexo femenino, con un porcentaje del 98%, el antibiótico prescrito con mayor frecuencia es el ciprofloxacino en un 40,2%. La E.coli es el agente patógeno más frecuente con una resistencia farmacológica a ampicilina/sulbactam del 56,6%.
 
Utilidad de escalas para mejorar la sospecha diagnóstica de apendicitis aguda en la sala de Emergencia del Hospital General Puyo, 2021
Context: Over the years, several scales have been developed to support the diagnosis and predict the severity of cases with a framework suggestive of acute appendicitis. In this investigation, these scales are compared.
Objective: To determine the degree of diagnostic certainty of the Alvarado and RIPASA scales as diagnostic support for Acute Appendicitis, at Hospital General Puyo, from 2021 to December 2021.
Methodology: Analytical, comparative, retrospective research, with diagnostic accuracy. Population and sample: Clinical histories of 105 adult patients admitted with a diagnosis of acute appendicitis during the study period. The SPSS v25.0 program was used, sensitivity (S), specificity (E), predictive values (PPV and NPV), likelihood ratios (LR+ and LR-), diagnostic OR (ORD), 95% CI and Receiver Operating Characteristic (ROC) curves. As reference questions, the criterion of the surgeon and the histopathological examination were taken. To compare both curves, the Hanley and McNeil statistics were used.
Results: Diagnostic accuracy: Alvarado: Sensitivity: 49.0% (35.9%-62.3%), Specificity: 50.0% (37.1%-62.9%); Positive Predictive Value: 48.1% (34.2%-62.2%); Negative Predictive Value: 50.9% (37.0-64.7%), Positive Likelihood Ratio: 0.9 (0.7-1.4), Negative Likelihood Ratio: 1.0 (0.7 -1.5); Odds diagnostic ratio: 0.9 (0.4-2.1), Area under the curve: 51.8% (40.6%-63.0%). RIPASA: Sensitivity: 76.5% (62.2%-86.7%), Specificity: 12.9% (5.8%-25.5%), Positive Predictive Value: 45.3% (34.7 %-56.4%), Negative Predictive Value: 36.8% (17.2%-61.4%), Positive Likelihood Ratio: 0.88 (0.73-1.06), Negative Likelihood Ratio: 1.82 (0.78-4.25), Odds diagnostic ratio: 0.48 (0.17-1.35), Area under the curve: 60.8% (49.7%-71.9%).
Conclusions: There were no significant differences between the RIPASA and Alvarado scales in relation to the diagnostic accuracy of acute appendicitis at the Hospital General de Puyo. In both cases, the performance was “discrete”; but, due to the characteristics of the show, this finding should not be generalizedContexto: A través de los años se han desarrollado varias escalas para apoyar el diagnóstico y predecir la gravedad de los casos con un cuadro sugestivo de apendicitis aguda. En esta investigación se comparan dos de estas escalas.
Objetivo: Determinar el grado de certeza diagnóstica de las escalas Alvarado y RIPASA como apoyo diagnóstico de Apendicitis Aguda, en la población del oriente del Hospital General Puyo, desde enero 2021 hasta diciembre 2021.
Metodología: Investigación analítica, comparativa, retrospectiva, de exactitud diagnóstica. Población y muestra: Historias clínicas de 105 pacientes adultos admitidos con diagnóstico de apendicitis aguda en el periodo de estudio. Se utilizó el programa SPSS v25.0, se calcularon la sensibilidad (S), especificidad (E), valores predictivos (VPP y VPN), razones de verosimilitud (LR+ y LR-), OR diagnóstico (ORD), IC 95% y curvas Receiver Operating Characteristic (ROC). Como pruebas de referencia se tomaron el criterio del cirujano y, el examen histopatológico.
Resultados: Exactitud diagnóstica: Alvarado: Sensibilidad: 49,0% (35,9%-62,3%), Especificidad: 50,0 % (37,1%-62,9%); Valor Predictivo Positivo: 48,1% (34,2%-62,2%); Valor Predictivo Negativo: 50,9% (37,0%-64,7%), Razón de verosimilitud positiva: 0,9 (0,7-1,4), Razón de verosimilitud negativa: 1,0 (0,7-1,5); Odss ratio diagnóstico: 0,9 (0,4-2,1), Área bajo la curva: 51,8% (40,6%-63,0%). RIPASA: Sensibilidad: 76,5% (62,2%-86,7%), Especificidad: 12,9% (5,8%-25,5%), Valor Predictivo Positivo: 45,3% (34,7%-56,4%), Valor Predictivo Negativo: 36,8% (17,2%-61,4%), Razón de verosimilitud positiva: 0,88 (0,73-1,06), Razón de verosimilitud negativa: 1,82 (0,78-4,25), Odss ratio diagnóstico: 0,48 (0,17-1,35), Área bajo la curva: 60,8% (49,7%-71,9%).
Conclusiones: No hubo diferencias significativas entre las escalas RIPASA y Alvarado en relación a la exactitud diagnóstica de apendicitis aguda en el Hospital General de Puyo. En ambos casos, el rendimiento fue “discreto”; pero, debido a las características de la muestra, no debería generalizarse este hallazgo.  
Food Drying: Opportunities, Market Solutions, and Nutraceutical Properties of Chayote
Food drying is a practice that has brought several benefits to the food industry, facilitating transportation, increasing shelf life, and avoiding the need for special treatments or storage according to the product. Due to the benefits and great development in the field of drying in recent years, a review of the main drying techniques of Sechium edule (or chayote) has been developed. Bad practices, food waste, and poor nutrition are some of the problems that open up opportunities to work with the final producer to take advantage of food and extend its shelf life, especially foods with high humidity. In this sense, producing dehydrated products with high nutritional content is a feasible and necessary opportunity that would boost industries, promote better nutrition, and reduce waste. S. edule is an alternative with great growth opportunity due to its nutraceutical characteristics, with physiological benefits through seven of the nine essential amino acids. The latter include phenolic compounds that have shown diuretic, anti-inflammatory, and hypotensive effects, providing benefits to both the commercial sector and the producer by developing a product that facilitates consumption and production and takes advantage of the whole vegetable.Food drying is a practice that has brought several benefits to the food industry, facilitating transportation, increasing shelf life, and avoiding the need for special treatments or storage according to the product. Due to the benefits and great development in the field of drying in recent years, a review of the main drying techniques of Sechium edule (or chayote) has been developed. Bad practices, food waste, and poor nutrition are some of the problems that open up opportunities to work with the final producer to take advantage of food and extend its shelf life, especially foods with high humidity. In this sense, producing dehydrated products with high nutritional content is a feasible and necessary opportunity that would boost industries, promote better nutrition, and reduce waste. S. edule is an alternative with great growth opportunity due to its nutraceutical characteristics, with physiological benefits through seven of the nine essential amino acids. The latter include phenolic compounds that have shown diuretic, anti-inflammatory, and hypotensive effects, providing benefits to both the commercial sector and the producer by developing a product that facilitates consumption and production and takes advantage of the whole vegetable
PANDEMIC BY COVID-19, A VIEW FROM THE ANDEAN COSMOVISION IN THE SHUAR COMMUNITY
Introduction: The COVID-19 pandemic has generated a severe global economic, social and health crisis. In some communities, aspects such as habitat and behavior patterns influence the perspectives, experiences and experiences of their inhabitants regarding the management of the disease. Objective: Characterize the COVID-19 pandemic from the Andean worldview of the Shuar community of the Los Encuentros parish. Methods: Qualitative study with phenomenological design, in which 10 informants participated. A semi-structured interview was used to collect data, consisting of 15 questions, which allow three categories to be encompassed: Perception of the COVID-19 disease, the community\u27s experiences in the face of the pandemic and the practices of traditional medicine applied. Results: Most of the participants express that the disease comes from the air, is transmissible and can cause death. Likewise, they considered the biosafety and vaccination measures contemplated by the Ministry of Health to be positive and adequate. As for the experiences, to prevent contagion, they used access restriction to their territories. They identified the sick people, due to characteristic manifestations of the disease, cared for at home and in case of death they proceeded to bury them immediately, without performing farewell rituals for their relatives, generating annoyance among members of the community. For ancestral practices in the treatment, medicinal plants such as eucalyptus, ginger, lemon and orange were used. Conclusions: The ancestral knowledge and practices of the Shuar community allowed them to face the COVID-19 pandemic from their beliefs and culture, but incorporating provisions of the national health authority, which allowed better control of the disease in the communityIntroduction: The COVID-19 pandemic has generated a severe global economic, social and health crisis. In some communities, aspects such as habitat and behavior patterns influence the perspectives, experiences and experiences of their inhabitants regarding the management of the disease. Objective: Characterize the COVID-19 pandemic from the Andean worldview of the Shuar community of the Los Encuentros parish. Methods: Qualitative study with phenomenological design, in which 10 informants participated. A semi-structured interview was used to collect data, consisting of 15 questions, which allow three categories to be encompassed: Perception of the COVID-19 disease, the community\u27s experiences in the face of the pandemic and the practices of traditional medicine applied. Results: Most of the participants express that the disease comes from the air, is transmissible and can cause death. Likewise, they considered the biosafety and vaccination measures contemplated by the Ministry of Health to be positive and adequate. As for the experiences, to prevent contagion, they used access restriction to their territories. They identified the sick people, due to characteristic manifestations of the disease, cared for at home and in case of death they proceeded to bury them immediately, without performing farewell rituals for their relatives, generating annoyance among members of the community. For ancestral practices in the treatment, medicinal plants such as eucalyptus, ginger, lemon and orange were used. Conclusions: The ancestral knowledge and practices of the Shuar community allowed them to face the COVID-19 pandemic from their beliefs and culture, but incorporating provisions of the national health authority, which allowed better control of the disease in the communit