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    Evaluación de los ingresos de la Empresa Coautelecom S. A. durante los periodos fiscales 2022 - 2023.

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    This study analyzed the negative fluctuations in COAUTELECOM SA's revenues during fiscal years 2022 and 2023, with the purpose of identifying the internal and external factors that impacted its financial performance. It was evident that the decrease in demand for services, the increase in competition with lower prices, and the increase in operating costs significantly affected the company's stability. Likewise, strategic decisions such as reducing the marketing budget and investing in technology without the expected return contributed to the drop in revenues, weakening the entity's profitability and liquidity. The research was developed under a quantitative and qualitative approach, using documentary analysis of the financial statements and interviews with the company's accountant. Key financial indicators, such as profit margin, return on assets (ROA), and return on equity (ROE), were calculated to assess the impact of the reduction in revenues on the financial stability of COAUTELECOM SA. The results reflected a decrease in the efficiency of the use of assets and equity, indicating a lower financial performance in 2023 compared to 2022. As improvement strategies, it was proposed to strengthen the digital marketing strategy to attract new customers and improve competitiveness in the sector. It was also recommended to optimize operating costs, renegotiate contracts with suppliers and diversify the service offering to adapt to new market trends. Implementing these actions will ensure the financial sustainability of COAUTELECOM SA, improve its profitability and consolidate its position within the telecommunications industry.This study analyzed the negative fluctuations in COAUTELECOM SA's revenues during fiscal years 2022 and 2023, with the purpose of identifying the internal and external factors that impacted its financial performance. It was evident that the decrease in demand for services, the increase in competition with lower prices, and the increase in operating costs significantly affected the company's stability. Likewise, strategic decisions such as reducing the marketing budget and investing in technology without the expected return contributed to the drop in revenues, weakening the entity's profitability and liquidity. The research was developed under a quantitative and qualitative approach, using documentary analysis of the financial statements and interviews with the company's accountant. Key financial indicators, such as profit margin, return on assets (ROA), and return on equity (ROE), were calculated to assess the impact of the reduction in revenues on the financial stability of COAUTELECOM SA. The results reflected a decrease in the efficiency of the use of assets and equity, indicating a lower financial performance in 2023 compared to 2022. As improvement strategies, it was proposed to strengthen the digital marketing strategy to attract new customers and improve competitiveness in the sector. It was also recommended to optimize operating costs, renegotiate contracts with suppliers and diversify the service offering to adapt to new market trends. Implementing these actions will ensure the financial sustainability of COAUTELECOM SA, improve its profitability and consolidate its position within the telecommunications industry.El presente estudio analizó las fluctuaciones negativas en los ingresos de COAUTELECOM SA durante los años fiscales 2022 y 2023, con el propósito de identificar los factores internos y externos que impactaron su desempeño financiero. Se evidenció que la disminución en la demanda de servicios, el incremento de la competencia con precios más bajos y el aumento en costos operativos afectaron significativamente la estabilidad de la empresa. Asimismo, decisiones estratégicas como la reducción del presupuesto en marketing y la inversión en tecnología sin el retorno esperado contribuyeron a la caída en los ingresos, debilitando la rentabilidad y liquidez de la entidad. La investigación se desarrolló bajo un enfoque cuantitativo y cualitativo, utilizando el análisis documental de los estados financieros y entrevistas con el contador de la empresa. Se calcularon indicadores financieros clave, como el margen de utilidad, el retorno sobre activos (ROA) y el retorno sobre el capital (ROE), para evaluar el impacto de la reducción de ingresos en la estabilidad financiera de COAUTELECOM SA. Los resultados reflejaron una disminución en la eficiencia del uso de los activos y del patrimonio, lo que indica un menor rendimiento financiero en 2023 en comparación con 2022. Como estrategias de mejora, se propuso fortalecer la estrategia de marketing digital para atraer nuevos clientes y mejorar la competitividad en el sector. También se recomendó optimizar costos operativos, renegociar contratos con proveedores y diversificar la oferta de servicios para adaptarse a las nuevas tendencias del mercado. Implementar estas acciones permitirá garantizar la sostenibilidad financiera de COAUTELECOM SA, mejorar su rentabilidad y consolidar su posición dentro de la industria de telecomunicaciones

    Control de ingresos y egresos en el GAD Municipal del cantón Baba en el periodo 2023-2024.

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    The control of income and expenditure in the Municipal Decentralized Autonomous Government (GAD) of the Baba Canton during the period 2023-2024 is essential to guarantee a transparent and efficient management of public resources. This process involves the planning, execution and monitoring of municipal funds, ensuring that income from taxes, fees, transfers and other sources are optimally used in local development projects, infrastructure and community services. During this period, strategies were implemented to strengthen revenue collection, improve efficiency in budget execution and reduce unnecessary expenses. In addition, investment in key areas such as health, education, roads and the environment was prioritized, aligning with cantonal development plans. The Municipal GAD also adopted technological tools to modernize financial administration, facilitating access to real-time information and promoting accountability. This allowed for greater citizen participation and more rigorous control of resources. The control of income and expenditure in the Municipal GAD of Baba during 2023-2024 reflects an effort to optimize financial management, promote transparency and contribute to the sustainable development of the canton.The control of income and expenditure in the Municipal Decentralized Autonomous Government (GAD) of the Baba Canton during the period 2023-2024 is essential to guarantee a transparent and efficient management of public resources. This process involves the planning, execution and monitoring of municipal funds, ensuring that income from taxes, fees, transfers and other sources are optimally used in local development projects, infrastructure and community services. During this period, strategies were implemented to strengthen revenue collection, improve efficiency in budget execution and reduce unnecessary expenses. In addition, investment in key areas such as health, education, roads and the environment was prioritized, aligning with cantonal development plans. The Municipal GAD also adopted technological tools to modernize financial administration, facilitating access to real-time information and promoting accountability. This allowed for greater citizen participation and more rigorous control of resources. The control of income and expenditure in the Municipal GAD of Baba during 2023-2024 reflects an effort to optimize financial management, promote transparency and contribute to the sustainable development of the canton.El control de ingresos y egresos en el Gobierno Autónomo Descentralizado (GAD) Municipal del Cantón Baba durante el período 2023-2024 es fundamental para garantizar una gestión transparente y eficiente de los recursos públicos. Este proceso implica la planificación, ejecución y monitoreo de los fondos municipales, asegurando que los ingresos provenientes de impuestos, tasas, transferencias y otras fuentes sean utilizados de manera óptima en proyectos de desarrollo local, infraestructura y servicios comunitarios. Durante este período, se implementaron estrategias para fortalecer la recaudación de ingresos, mejorar la eficiencia en la ejecución presupuestaria y reducir gastos innecesarios. Además, se priorizó la inversión en áreas clave como salud, educación, vialidad y medio ambiente, alineándose con los planes de desarrollo cantonal. El GAD Municipal también adoptó herramientas tecnológicas para modernizar la administración financiera, facilitando el acceso a información en tiempo real y promoviendo la rendición de cuentas. Esto permitió una mayor participación ciudadana y un control más riguroso de los recursos. El control de ingresos y egresos en el GAD Municipal de Baba durante 2023-2024 refleja un esfuerzo por optimizar la gestión financiera, promover la transparencia y contribuir al desarrollo sostenible del cantón

    Estrategias para la creatividad y su influencia en el aprendizaje de estudiantes de cuarto año de E.G.B. en la Unidad Educativa José María Urbina periodo "2024-2025"

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    The present research project explores Strategies for Creativity in the Student Learning, defined as innovative methods that stimulate imagination and critical thinking in the students, the creative strategies foster creativity and enhance students' ability to solve the problems and assimilate knowledge more effectively. The research problem addresses the lack of strategies that promote creativity in the learning of fourth-year General Basic Education students. Therefore, it aims to determine the Influence of Strategies for Creativity on the Learning of Fourth-Year General Basic Education Students at José María Urbina Educational Unit during the 2024-2025 academic Period. It is worth mentioning that for the achievement or purpose of this research it is complemented by exploring the Most Effective Creativity Strategies to improve Learning in students, in addition to identifying the relationship between their application and the increase in Motivation and Academic Performance of students. , valuing them to improve student Learning, considering the results of the Research. To carry out this research, a descriptive methodology with a non-experimental cross-sectional design and a mixed approach will be used. Data collection will be conducted through direct observation in the school environment and a survey directed at teachers, which will include a structured and well-organized questionnaire with coherence in the objectives. This will allow for the collection of necessary and verifiable information about the application of creative strategies in the classroom and their effect on student learning.The present research project explores Strategies for Creativity in the Student Learning, defined as innovative methods that stimulate imagination and critical thinking in the students, the creative strategies foster creativity and enhance students' ability to solve the problems and assimilate knowledge more effectively. The research problem addresses the lack of strategies that promote creativity in the learning of fourth-year General Basic Education students. Therefore, it aims to determine the Influence of Strategies for Creativity on the Learning of Fourth-Year General Basic Education Students at José María Urbina Educational Unit during the 2024-2025 academic Period. It is worth mentioning that for the achievement or purpose of this research it is complemented by exploring the Most Effective Creativity Strategies to improve Learning in students, in addition to identifying the relationship between their application and the increase in Motivation and Academic Performance of students. , valuing them to improve student Learning, considering the results of the Research. To carry out this research, a descriptive methodology with a non-experimental cross-sectional design and a mixed approach will be used. Data collection will be conducted through direct observation in the school environment and a survey directed at teachers, which will include a structured and well-organized questionnaire with coherence in the objectives. This will allow for the collection of necessary and verifiable information about the application of creative strategies in the classroom and their effect on student learning.El presente Proyecto de investigación explora las Estrategias para la Creatividad en el Aprendizaje de los estudiantes, definidas como métodos innovadores que estimulan la imaginación y el pensamiento crítico en los estudiantes, las estrategias creativas fomentan la creatividad y mejoran la capacidad de los estudiantes para resolver problemas y asimilar conocimientos de manera más efectiva. El problema de la investigación aborda la falta de estrategias que fomenten la creatividad en el aprendizaje de los estudiantes de cuarto año de Educación General Básica, por ello, se busca determinar la Influencia de las Estrategias para la Creatividad en el Aprendizaje de los Estudiantes de Cuarto año de Educación General Básica en la Unidad Educativa “José María Urbina”, durante el Periodo 2024-2025. Cabe mencionar que para el logro o fin de esta investigación se complementa con explorar las Estrategias de Creatividad más Efectivas para mejorar el Aprendizaje en estudiantes, además de identificar la relación entre la aplicación de ellas y el aumento de la Motivación y Rendimiento Académico de los estudiantes, valorándolas para mejorar el Aprendizaje de los estudiantes, considerando los resultados de la Investigación. Para llevar a cabo esta investigación, se utiliza una metodología descriptiva con un diseño no experimental de tipo transversal y un enfoque mixto, la recolección de datos se realizará mediante la observación directa en el espacio escolar y una encuesta dirigida a los docentes, que incluirá un cuestionario estructurado y bien organizado con coherencia en los objetivos, el cual permitirá obtener información necesaria y verificable sobre la aplicación de estrategias creativas en el aula y su efecto en el aprendizaje de los estudiantes

    Actividades lúdicas y su aporte al desarrollo de habilidades metalingüísticas en los estudiantes de básica superior de la Unidad Educativa León de Febres Cordero de la Parroquia San Juan período 2024- 2025

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    Play activities are essential for the development of metalinguistic skills, since they facilitate students' reflection on the use and organization of language in a creative and dynamic way. The main purpose of this project is to determine the contribution of play activities in the development of metalinguistic skills in upper elementary students of the Leon Febres Cordero Educational Unit of the San Juan parish, period 2024-2025. The study adopts a mixed method, using a descriptive, field and documentary methodology, and a non-experimental design. The population is made up of eighth, ninth and tenth grade students of EGB, together with the tutor teachers responsible for these courses. A representative sample of 96 students from parallel “A” of these grades will be chosen, and three teachers will be interviewed, one for each level, with the aim of obtaining a comprehensive perspective on the influence of recreational activities on the progress of metalinguistic skills. Through surveys and interviews, we seek to examine how these activities impact on students' ability to meditate on language, enhancing their understanding and use of language in different communicative contexts. To conclude, it is understood that ludic activities contribute significantly to the development of students' metalinguistic abilities, promoting their learning process and fostering a deeper understanding of language in different contexts.Play activities are essential for the development of metalinguistic skills, since they facilitate students' reflection on the use and organization of language in a creative and dynamic way. The main purpose of this project is to determine the contribution of play activities in the development of metalinguistic skills in upper elementary students of the Leon Febres Cordero Educational Unit of the San Juan parish, period 2024-2025. The study adopts a mixed method, using a descriptive, field and documentary methodology, and a non-experimental design. The population is made up of eighth, ninth and tenth grade students of EGB, together with the tutor teachers responsible for these courses. A representative sample of 96 students from parallel “A” of these grades will be chosen, and three teachers will be interviewed, one for each level, with the aim of obtaining a comprehensive perspective on the influence of recreational activities on the progress of metalinguistic skills. Through surveys and interviews, we seek to examine how these activities impact on students' ability to meditate on language, enhancing their understanding and use of language in different communicative contexts. To conclude, it is understood that ludic activities contribute significantly to the development of students' metalinguistic abilities, promoting their learning process and fostering a deeper understanding of language in different contexts.Las actividades lúdicas son esenciales para el desarrollo de competencias metalingüísticas, pues facilitan a los alumnos la reflexión sobre la utilización y organización del lenguaje de forma creativa y dinámica. El propósito principal de este proyecto es determinar el aporte de las actividades lúdicas en el desarrollo de habilidades metalingüísticas en los estudiantes de Básica superior de la Unidad Educativa León Febres Cordero de la parroquia San Juan, periodo 2024-2025. El estudio adopta un método mixto, utilizando una metodología descriptiva, de campo y documental, y un diseño no experimental. La población está conformada por los alumnos de octavo, noveno y décimo de EGB, junto con los profesores tutores responsables de estos cursos. Se elegirá una muestra representativa de 96 alumnos de los paralelos "A" de estos grados, y se realizará una entrevista a tres docentes, uno por cada nivel, con el objetivo de obtener una perspectiva integral acerca de la influencia de las actividades recreativas en el progreso de las habilidades metalingüísticas. Mediante encuestas y entrevistas, se busca examinar cómo estas actividades impactan en la habilidad de los alumnos para meditar sobre el lenguaje, potenciando su entendimiento y empleo del mismo en diferentes contextos comunicativos. Para concluir, se comprende que las actividades lúdicas contribuyen de manera significativa al desarrollo de las capacidades metalingüísticas de los estudiantes, promoviendo su proceso de aprendizaje y propiciando un entendimiento más profundo del lenguaje en diversos contextos

    Intervención optométrica en paciente femenino de 22 años de edad, con albinismo atendido en Laboratorio Optométrico de la UTB.

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    The purpose of this clinical case study is to determine the refractive error of the 22-year-old female patient diagnosed with Albinism. Through a personalized eye exam, we seek to analyze the visual problems that affect your visual ability to carry out your daily activities normally. Compound myopic astigmatism is one of the main causes that explain why your visual acuity is not normal and because the cylinder has been hypercorrected, this causes your sensitivity to light to worsen. Due to this refractive problem, a measurement variation was carried out where his treatment will help his photophobia go down a little. The corrective lens with its proper protection seeks to reduce the patient's visual fatigue and help her carry out her daily activities and protect her eyes from the light of electronic devices, which is where she is most in direct contact. Results: An adjustment was made to his current lens prescription, modifying the cylinder with the goal of improving his visual acuity and light sensitivity. Conclusion: With the use of the new measurements in monofocal corrective lenses, the patient's visual acuity improved where she gradually adapted to her prescription without the need to make additional adjustments.The purpose of this clinical case study is to determine the refractive error of the 22-year-old female patient diagnosed with Albinism. Through a personalized eye exam, we seek to analyze the visual problems that affect your visual ability to carry out your daily activities normally. Compound myopic astigmatism is one of the main causes that explain why your visual acuity is not normal and because the cylinder has been hypercorrected, this causes your sensitivity to light to worsen. Due to this refractive problem, a measurement variation was carried out where his treatment will help his photophobia go down a little. The corrective lens with its proper protection seeks to reduce the patient's visual fatigue and help her carry out her daily activities and protect her eyes from the light of electronic devices, which is where she is most in direct contact. Results: An adjustment was made to his current lens prescription, modifying the cylinder with the goal of improving his visual acuity and light sensitivity. Conclusion: With the use of the new measurements in monofocal corrective lenses, the patient's visual acuity improved where she gradually adapted to her prescription without the need to make additional adjustments.Este estudio de caso clínico, tiene como propósito determinar cuál es el defecto refractivo de la paciente femenina de 22 años de edad diagnosticada con Albinismo. Mediante un examen ocular personalizado, se busca analizar los problemas visuales que afectan en su capacidad visual para realizar sus actividades diarias con normalidad. El astigmatismo miopico compuesto, es una de las causas principales que explican por qué su agudeza visual no está normal y por tener hipercorregido el cilindro esto le provoco que empeore su sensibilidad a la luz. Por este problema refractivo se realizó una variación de medida en donde su tratamiento va a ayudarle a que su fotofobia baje un poco. El lente correctivo con su debida protección busca disminuir la fatiga visual de la paciente y ayudarla a realizar sus actividades diarias y proteger sus ojos de la luz de los dispositivos electrónicos que es donde más ella está en contacto directo. Resultados: Se realizó un ajuste en su prescripción de lentes actual, modificando el cilindro con el objetivo de mejorar su agudeza visual y su sensibilidad a la luz. Conclusión: Con el uso de las nuevas medidas en los lentes correctivos monofocales, se mejoró la agudeza visual de la paciente en donde se fue adaptando poco a poco a su prescripción sin necesidad de realizar ajustes adicionales

    Atención al cliente en la Ferretería JS – La feria del perno de la ciudad de Babahoyo en el periodo 2024.

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    Customer service is one of the fundamental bases within the functions that are carried out in a company, currently the JS hardware store - the bolt fair does not have adequate advertising, the staff is with basic knowledge about the products and services they offer, therefore, the main objective of this research is to analyze the extension to the customer and its impact on the sales of the Js Hardware Store - the bolt fair of the city of Babahoyo in the period 2024. In this research, the theoretical method is used because it is based on already established information in which different sources of information are recorded, including the most important ones such as Google Scholar, university repositories, among other points, in addition to them, the application of techniques such as the interview directed to the owner of the hardware store and the survey directed to the loyal customers of said establishment are used. In conclusion, if adequate customer service is applied, as a consequence, there is an increase in sales and the acquisition of recognition for having satisfied the needs of the user. And to improve the impact on the sales of the hardware store. Where the survey response was based on the tension that customers received, they allowed users to realize the economic level of knowledge they have regarding the company, which is why they tend to lose interest in purchasing a good or service. In the discussion of results, it can be identified that there is agreement between the literary and the bibliographical because they coincided with respect to customer service and its wide range of information, which is complex, but at the same time allows for greater knowledge regarding the subject.Customer service is one of the fundamental bases within the functions that are carried out in a company, currently the JS hardware store - the bolt fair does not have adequate advertising, the staff is with basic knowledge about the products and services they offer, therefore, the main objective of this research is to analyze the extension to the customer and its impact on the sales of the Js Hardware Store - the bolt fair of the city of Babahoyo in the period 2024. In this research, the theoretical method is used because it is based on already established information in which different sources of information are recorded, including the most important ones such as Google Scholar, university repositories, among other points, in addition to them, the application of techniques such as the interview directed to the owner of the hardware store and the survey directed to the loyal customers of said establishment are used. In conclusion, if adequate customer service is applied, as a consequence, there is an increase in sales and the acquisition of recognition for having satisfied the needs of the user. And to improve the impact on the sales of the hardware store. Where the survey response was based on the tension that customers received, they allowed users to realize the economic level of knowledge they have regarding the company, which is why they tend to lose interest in purchasing a good or service. In the discussion of results, it can be identified that there is agreement between the literary and the bibliographical because they coincided with respect to customer service and its wide range of information, which is complex, but at the same time allows for greater knowledge regarding the subject.La atención al cliente es una de las bases fundamentales dentro de las funciones que se realizan en una empresa, actualmente la ferretería JS - la feria del perno no posee una publicidad adecuada, el personal se encuentra con conocimiento básico acerca de los productos y servicios que ofertan. Por ende, el objetivo principal de esta investigación es analizar la extensión al cliente y su impacto en las ventas de la Ferretería Js - la feria del perno de la ciudad de Babahoyo en el período 2024. En esta investigación se utiliza el método teórico debido a que está fundamentada en información ya establecida en la que constan diferentes fuentes de información entre ellas las más importantes como es Google académico, repositorios universitarios entre otros puntos además de ellos se utiliza la aplicación de técnicas como la entrevista dirigida al propietario de la ferretería y la encuesta dirigida a los clientes fieles de dicho establecimiento. En conclusión, si se aplica una adecuada atención al cliente como consecuencia se posee el aumento de ventas y la adquisición de reconocimiento por haber satisfecho las necesidades del usuario. Y lograr mejorar el impacto en las ventas de la ferretería. Dónde se tuvo como respuesta de la encuesta aplicada según la atención que recibieron los clientes están permitieron que los usuarios se percaten del nivel económico de conocimiento que poseen referente a la empresa por eso tienden a perder el interés ante la compra de un bien o servicio. En la discusión de resultados se puede identificar que existe concordancia entre lo literario y lo bibliográfico debido a qué coincidían con respecto a la atención al cliente y su alta gama de información en la cual es compleja, pero a la vez permite poseer mayores conocimientos referente al tema

    Complicaciones materno-fetales asociadas a diabetes gestacional en pacientes atendidas en el Hospital General IESS Los Ceibos, octubre 2024 - mayo 2025.

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    Gestational diabetes is a condition characterized by carbohydrate intolerance that generates high blood glucose levels of varying severity, which can cause adverse consequences for both the mother and the product in the short and long term. This study includes the maternal-fetal complications associated with this pathology in patients treated at the IESS Los Ceibos General Hospital during the period from October 2024 to January 2025. The study evaluated 522 patients treated at said health facility. Of these, 160 patients were diagnosed with gestational diabetes and presented complications, including spontaneous abortion, preeclampsia, premature rupture of membranes, urinary tract infections, fetal macrosomia, polyhydramnios, respiratory distress syndrome and fetal death. Therefore, continuous training of health personnel is recommended to ensure that professionals are up to date on the proper management of gestational diabetes and its complications. Furthermore, it is essential to improve multidisciplinary coordination between the medical teams involved in the care of patients, to optimize results and minimize associated maternal-fetal complications.Gestational diabetes is a condition characterized by carbohydrate intolerance that generates high blood glucose levels of varying severity, which can cause adverse consequences for both the mother and the product in the short and long term. This study includes the maternal-fetal complications associated with this pathology in patients treated at the IESS Los Ceibos General Hospital during the period from October 2024 to January 2025. The study evaluated 522 patients treated at said health facility. Of these, 160 patients were diagnosed with gestational diabetes and presented complications, including spontaneous abortion, preeclampsia, premature rupture of membranes, urinary tract infections, fetal macrosomia, polyhydramnios, respiratory distress syndrome and fetal death. Therefore, continuous training of health personnel is recommended to ensure that professionals are up to date on the proper management of gestational diabetes and its complications. Furthermore, it is essential to improve multidisciplinary coordination between the medical teams involved in the care of patients, to optimize results and minimize associated maternal-fetal complications.La diabetes gestacional es una condición caracterizada por la intolerancia a los carbohidratos que genera niveles elevados de glucosa en sangre de diversa gravedad, pudiendo ocasionar consecuencias adversas tanto para la madre como para el producto a corto y largo plazo. Este estudio incluye las complicaciones materno-fetales asociadas a esta patología en pacientes atendidas en el Hospital General IESS Los Ceibos durante el período de octubre de 2024 a enero de 2025. En el estudio se evaluaron a 522 pacientes atendidas en dicho establecimiento de salud. De estas, 160 pacientes fueron diagnosticadas con diabetes gestacional y presentaron complicaciones, entre ellas aborto espontáneo, preeclampsia, ruptura prematura de membranas, infecciones de vías urinarias, macrosomía fetal, polihidramnios, síndrome de distress respiratorio y óbito fetal.Por lo tanto, se recomienda capacitación continua del personal de salud para asegurar que los profesionales estén actualizados sobre el manejo adecuado de la diabetes gestacional y sus complicaciones. Además, es fundamental mejorar la coordinación multidisciplinaria entre los equipos médicos involucrados en el cuidado de las pacientes, para optimizar los resultados y minimizar las complicaciones materno-fetales asociadas

    Alimentación complementaria y su relación con la anemia en niños que acuden al Centro de Salud Salinas en el periodo octubre 2024-mayo 2025.

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    This research aimed to determine the relationship between complementary feeding and anemia in children under 2 years of age attending the Salinas Health Center during the period October 2024–May 2025. Methodology: The study used a quantitative, analytical, cross-sectional, and field approach. Surveys were administered to mothers of children under 2 years of age to gain insight into their feeding practices. We also reviewed their medical records to determine the prevalence of anemia in the population. The results showed that 54% of mothers began complementary feeding after 6 months, 54% began complementary feeding with cereals, 51% of children consumed soups and porridge, and 23% combined iron sources with citrus fruits, with a prevalence of anemia of 60%. Conclusions: Our study shows that children who began complementary feeding after 6 months of age had anemia. The feeding practices used by mothers during complementary feeding were investigated. Sixty percent of the mothers presented anemia, indicating inadequate feeding practices. A high prevalence of anemia was identified at the Salinas health center due to mothers' low consumption of iron-rich foods and inadequate supplementation. Recommendations: Health center staff should provide dietary education to mothers regarding the introduction of complementary foods. At the same time, they should monitor and verify treatment and supplementation.This research aimed to determine the relationship between complementary feeding and anemia in children under 2 years of age attending the Salinas Health Center during the period October 2024–May 2025. Methodology: The study used a quantitative, analytical, cross-sectional, and field approach. Surveys were administered to mothers of children under 2 years of age to gain insight into their feeding practices. We also reviewed their medical records to determine the prevalence of anemia in the population. The results showed that 54% of mothers began complementary feeding after 6 months, 54% began complementary feeding with cereals, 51% of children consumed soups and porridge, and 23% combined iron sources with citrus fruits, with a prevalence of anemia of 60%. Conclusions: Our study shows that children who began complementary feeding after 6 months of age had anemia. The feeding practices used by mothers during complementary feeding were investigated. Sixty percent of the mothers presented anemia, indicating inadequate feeding practices. A high prevalence of anemia was identified at the Salinas health center due to mothers' low consumption of iron-rich foods and inadequate supplementation. Recommendations: Health center staff should provide dietary education to mothers regarding the introduction of complementary foods. At the same time, they should monitor and verify treatment and supplementation.En la presente investigación realizada, tuvo como objetivo determinar la relación entre la alimentación complementaria y la anemia en niños menores de 2 años que acuden al centro de salud salinas durante el periodo octubre 2024 – Mayo 2025. Metodología: El estudio tuvo un enfoque cuantitativo de tipo analítico, transversal y de campo. Se aplicaron encuestas a las madres de los niños menores de 2 años para tener conocimientos sobre sus prácticas alimentarias, además revisamos sus registros clínicos para determinar la prevalencia de anemia en la población. Los resultados dieron a conocer que las madres inician la alimentación complementaria después de los 6 meses con un 54 %, un 54% inician la alimentación complementaria con cereales, el 51% de los niños consumen sopas y coladas, un 23% combina las fuentes de hierro con cítricos, existe una prevalencia de anemia del 60%. Conclusiones De acuerdo a nuestro estudio se evidencia que los niños que iniciaron la alimentación complementaria después de los 6 meses tienen anemia. Se investigaron las practicas alimentarias que utilizan las madres durante la alimentación complementaria. Donde el 60% presentó anemia, por ende, las madres tienen practicas alimentarias inadecuadas. Se identificó que existe una alta prevalencia de anemia en el centro de salud salinas debido a que las madres ofrecen un bajo consumo de alimentos ricos en hierro una incorrecta suplementación. Recomendaciones El personal del centro de salud debe brindar educación alimentaria a las madres respecto a la introducción de alimentos complementarios, Conjuntamente, realizar seguimientos y verificación del tratamiento y suplementación

    Proceso de atención de enfermería en adolescente de 19 años de edad con diagnóstico de comunicación interventricular perimembranosa.

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    This research addresses the case of a 19-year-old adolescent with a diagnosis of perimembranous ventricular septal defect, with the main objective of Implementing the nursing care process, a comprehensive observation, systematic data collection and an exhaustive review of the literature related to this pathology were carried out. The results indicate that the implementation of the method of care is key as it allows the patient's needs to be seen and addressed in an orderly fashion. With careful assessment using the NANDA, NIC and NOC classifications, nursing actions can be taken to meet the needs. It is concluded, that in the present case study a tailored and consistent care scheme was created that helped sufficiently to improve the health and quality of life of the young person.This research addresses the case of a 19-year-old adolescent with a diagnosis of perimembranous ventricular septal defect, with the main objective of Implementing the nursing care process, a comprehensive observation, systematic data collection and an exhaustive review of the literature related to this pathology were carried out. The results indicate that the implementation of the method of care is key as it allows the patient's needs to be seen and addressed in an orderly fashion. With careful assessment using the NANDA, NIC and NOC classifications, nursing actions can be taken to meet the needs. It is concluded, that in the present case study a tailored and consistent care scheme was created that helped sufficiently to improve the health and quality of life of the young person.Esta investigación aborda el caso de un adolescente de 19 años de edad con diagnóstico de comunicación interventricular perimembranosa, teniendo como objetivo principal aplicar el proceso de atención de enfermería, se realizó una observación integral, recolección sistemática de datos y una revisión exhaustiva de la literatura relacionada con esta patología. Los resultados señalan que la puesta en march͏a del͏ ͏método͏ de cuidado es cl͏ave ya que deja ver y tratar las necesidades de la paciente en forma ordenada. Con una evalua͏ción cuidadosa usando las clasificaciones͏ NANDA, ͏NIC y NOC se pu͏eden hacer acciones de enfermería direccionadas a satisfacer las necesidades. Se concluye, que en el presente estudio de caso se creó un esquema de͏ cuidado hecho a͏ medida y constante que ay͏udó bastan͏te a mejorar ͏la salu͏d ͏y la calidad del v͏ivir del joven

    Factores de riesgo asociados a cesárea iterativas vs. Parto vaginal en gestantes atendidas en el área de gineco-obstetricia del Hospital General IESS Babahoyo, octubre 2024- mayo 2025.

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    Iterative cesarean section, also known as repeat cesarean section, versus vaginal delivery is a crucial topic when pregnancy is nearing its end. This is because a fine line separates these two procedures in terms of assessing the risks that can affect both the mother and the fetus. Therefore, it is essential to understand and analyze the risk factors. Objective: To identify the medical, obstetric, and psychosocial risk factors associated with the choice between iterative cesarean section and vaginal delivery in women with a history of previous cesarean section at the IESS General Hospital in Babahoyo. Method: The research was descriptive, cross-sectional, and retrospective, based on events that occurred at a specific time in the past. Population: This curriculum project included 1761 pregnant women who were treated at the IESS Babahoyo General Hospital between October 2024 and January 2025 and had one or more risk factors. Sample: Based on the finite statistical formula, 315 pregnant women were obtained for the study of this project, of which were selected according to inclusion and exclusion criteria during the period October 2024-January 2025. Results: According to the study, the risk factors that were most frequently presented were multiparity in 74%, the number of pregnancies in 46% of 2 to 4 pregnancies, the number of cesarean sections in 45% of 2 to 3 cesarean sections, short intergenic period in a percentage of 42%, with personal pathological antecedents in 37%, such as preeclampsia in 43% as a maternal complication and fetal distress as a fetal complication in 56%. Conclusion: Among the iterative cesarean sections vs vaginal delivery within the hospital institution, cesarean sections presented a higher percentage compared to vaginal delivery, due to several risk factors.Iterative cesarean section, also known as repeat cesarean section, versus vaginal delivery is a crucial topic when pregnancy is nearing its end. This is because a fine line separates these two procedures in terms of assessing the risks that can affect both the mother and the fetus. Therefore, it is essential to understand and analyze the risk factors. Objective: To identify the medical, obstetric, and psychosocial risk factors associated with the choice between iterative cesarean section and vaginal delivery in women with a history of previous cesarean section at the IESS General Hospital in Babahoyo. Method: The research was descriptive, cross-sectional, and retrospective, based on events that occurred at a specific time in the past. Population: This curriculum project included 1761 pregnant women who were treated at the IESS Babahoyo General Hospital between October 2024 and January 2025 and had one or more risk factors. Sample: Based on the finite statistical formula, 315 pregnant women were obtained for the study of this project, of which were selected according to inclusion and exclusion criteria during the period October 2024-January 2025. Results: According to the study, the risk factors that were most frequently presented were multiparity in 74%, the number of pregnancies in 46% of 2 to 4 pregnancies, the number of cesarean sections in 45% of 2 to 3 cesarean sections, short intergenic period in a percentage of 42%, with personal pathological antecedents in 37%, such as preeclampsia in 43% as a maternal complication and fetal distress as a fetal complication in 56%. Conclusion: Among the iterative cesarean sections vs vaginal delivery within the hospital institution, cesarean sections presented a higher percentage compared to vaginal delivery, due to several risk factors.La cesárea iterativa o también conocida como repetitiva vs el parto vaginal es un tema determinante cuando el embarazo está por culminar, debido a que a ambos procedimientos los divide una línea delgada en la valoración de los riesgos que pueden afectar tanto a la madre como al feto, es por ello que se debe comprender y analizar los factores de riesgo. Objetivo: Identificar los factores de riesgo médicos, obstétricos y psicosociales asociados a la elección entre cesárea iterativa y parto vaginal en mujeres con antecedentes de cesárea previa en el Hospital General IESS de Babahoyo. Método: La investigación fue de carácter Descriptiva, Transversal, Retrospectiva basándose en hechos que ocurrieron en un tiempo determinado específicamente en el pasado. Población: Para este proyecto curricular se contó con 1761 gestantes atendidas en el Hospital General IESS Babahoyo en el periodo octubre 2024 enero 2025 que tuvieron uno o más factores de riesgo. Muestra: En base a la fórmula estadística finita se obtuvieron 315 gestantes para el estudio de este proyecto, de las cuáles fueron seleccionadas según criterios de inclusión y exclusión durante el periodo octubre 2024- enero 2025. Resultados: Según el estudio los factores de riesgo que se presentaron con mayor frecuencia fueron la multiparidad en un 74%, el número de embarazos en 46% de 2 a 4 embarazos, el número de cesáreas en un 45% de 2 a 3 cesáreas, periodo intergenésico corto en un porcentaje del 42%, con antecedentes patológicos personales en un 37%, como preeclampsia en un 43% como complicación materna y sufrimiento fetal como complicación fetal en un 56%. Conclusión: Entre las cesáreas iterativas vs parto vaginal dentro de la institución hospitalaria las cesáreas presentaron un mayor porcentaje a diferencia del parto vaginal, debido a varios factores de riesgo

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