A5067281058- COVID-19 Clinical Research Studies
- COVID-19 epidemiological studies
- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- SARS-CoV-2 and COVID-19 Research
- Long-Term Effects of COVID-19
- Global Maternal and Child Health
- SARS-CoV-2 detection and testing
- Pregnancy and preeclampsia studies
- Pneumonia and Respiratory Infections
- Patient Satisfaction in Healthcare
- Public Health and Social Inequalities
- Public Health and Environmental Issues
- Healthcare Systems and Reforms
- Viral Infections and Outbreaks Research
- Sepsis Diagnosis and Treatment
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Infection Control and Ventilation
- Maternal and fetal healthcare
- Pharmaceutical Economics and Policy
- Disaster Response and Management
- Primary Care and Health Outcomes
- COVID-19 diagnosis using AI
- Maternal and Perinatal Health Interventions
Universidad de Las Américas
2016-2024
Instituut voor Tropische Geneeskunde
2023-2024
Universidad Andina Simón Bolívar
2024
University of the Americas
2021-2023
Ministerio de Salud Pública
2023
Hospital Metropolitano
2022
University of Oxford
2021
Boca Raton Regional Hospital
2021
Neuroscience Institute
2021
Universidad Técnica Particular de Loja
2012
The SARS-CoV-2 virus has spread rapidly around the globe. Nevertheless, there is limited information describing characteristics and outcomes of COVID-19 patients in Latin America. We conducted a cross-sectional analysis 9,468 confirmed cases reported Ecuador. calculated overall incidence, mortality, case fatality rates, disability adjusted life years, attack crude mortality as well relative risk odds death, for age, sex presence comorbidities. A total positive 474 deaths were included...
Suicide affects people from different backgrounds, ethnical groups, socio-economic status and geographical locations. In Latin America, suicide reports arescarce, specially in Andean countries. Ecuador, very few have partially described this phenomenon, nonetheless, estimation of the burden disease (BoD) hasnever been reported country. A country-wide comparison was performed using Ministry Public Health's national databases overall mortality, Hospital Discharges Database, Population Census...
Thyroid cancer is the most frequent endocrine neoplasia worldwide. Information from Andean countries scarce. In Ecuador there no reports available of epidemiology this type cancer. The aim study to present and burden disease thyroid cancer.This a cross-sectional population-based analysis in 2001 2016. variables studied were overall mortality rate, socio-demographics characteristics hospitalized patients, geographical trends Ecuador. All data was obtained official records reported by Ministry...
Abstract Background The SARS-CoV-2 virus has spread rapidly around the globe. Nevertheless, there is limited information describing characteristics and outcomes of COVID-19 patients in Latin America. Methods We conducted a cross-sectional analysis 9,468 confirmed cases reported Ecuador. calculated overall incidence, mortality, case fatality rates, disability adjusted life years, attack crude mortality as well relative risk odds death, for age, sex presence comorbidities. Results A total...
Introduction: Worldwide, more than 5.7% of the population reside above 1,500 m elevation. It has been hypothesized that acute short-term hypoxia exposure could increase risk developing a stroke. Studies assessing effect altitude on stroke have provided conflicting results, some analyses suggest long-term chronic be associated with reduced mortality and lower incidence rates. Methods: An ecological analysis all hospital admissions, rates, disability-adjusted life years in Ecuador was...
Rural communities from Latin America are particularly susceptible to develop serious outbreaks of infectious diseases. Inadequate diagnosis and poor health infrastructure jeopardize proper contact tracing other actions reduce the impact COVID-19 in region. We herein describe preliminary data our ongoing fieldwork massive testing among nonhospitalized rural population Manabi Province coastal region Ecuador. A total 1,479 people six different were tested for SARS-CoV-2 by RT-qPCR following CDC...
Worldwide, the COVID-19 pandemic caused by SARS-CoV-2 has enormously impacted healthcare systems, especially in low and middle-income countries. Coinfections with respiratory pathogens patients may contribute to worse outcomes. This study identified presence of 12 viral coinfections pneumococcal carriers among individuals infection outpatient community settings Ecuador. From January 2020 November 2021, 215 nasopharyngeal nasal swabs were taken from who reported symptoms or had known exposure...
Abstract Background In Ecuador eclampsia and preeclampsia were identified as the third cause of maternal death. Like other Latin-American countries, has human settlements living from 0 to more than 4000 m altitude comprising a wide ethnic-diversity across all these changes. These characteristics offer possibility study variety possible risk factors for eclampsia. Methods We conducted population-based retrospective deliveries in 2015 through 2017. The main variables analyzed were: altitude,...
Background Although RT-qPCR remains the gold-standard for COVID-19 diagnosis, anti-SARS-CoV-2 serology-based assays have been widely used during 2020 as an alternative individual and mass testing, are currently seroprevalence studies. Objective To study clinical performance of seven commercial serological tests diagnosis available in South America. Methods We conducted a blind evaluation five lateral-flow immunoassays (LFIA) two enzyme-linked immunosorbent (ELISAs) detecting antibodies....
To improve antimicrobial prescribing behaviour of general practitioners in large-scale out-of-hours services for uncomplicated lower urinary tract infection (LUTI) females aged 20-80 years, which is regarded as one the most prevalent bacterial infections primary care.A quasi-experimental design was used two regional services. A simple, multifaceted intervention offered a 16 week period region (the region). During washout periods, at 5 and 17 months, we observed diagnoses prescriptions. The...
OBJECTIVE: To determine whether there is a relationship between access to health systems and out-of-pocket spending with socio demographic characteristics in Ecuador.METHODS: Retrospective analysis of national level data on household medical expenditure from the National Survey Household Income Expenditure Urban Rural Houses conducted by Ecuadorian Institute Statistics Census Databases as well other scientific, institutional, technical-administrative datasets.RESULTS: Families lowest...
Background Burden of disease studies intend to improve public health decision-making and measure social economic impact in population. The objective this study was describe the burden acute respiratory infections (ARI) Ecuador between 2011 2015. Methods Five-year period morbidity mortality data available from national agencies statistics analyzed estimate attributable infections. Cases deaths registered were grouped according their ICD-10 code into three diagnostic groups: Acute upper...
Abstract Background Gender–based violence is a major public health concern arising from the structural discrimination of women and girls. In 2014, Ecuador criminalized acts femicide in response to growing crisis across region. As no epidemiological studies on state female homicides femicides have been published, we estimated patterns nationally burden through economic cost per years life lost, between 2001 2017. Methods Using aggregated data National Institute Census Statistics police...
Neglected ethnic minorities from underserved rural populations in Latin America are highly vulnerable to coronavirus disease 2019 (COVID-19) due poor health infrastructure and limited access severe acute respiratory syndrome 2 (SARS-CoV-2) diagnosis. Esmeraldas is a mainly province of the Coastal Region Ecuador characterized by high presence Afro-Ecuadorian population living under poverty conditions.We herein present retrospective analysis surveillance SARS-CoV-2 testing community-dwelling...
Health systems worldwide rely on health professionals to deliver services and provide framework structures. Considering their opinions about work environment, the public policies that regulate deficiencies of care system are key aspects governance within system. The aim this study was assess perceptions Ecuadorian physicians several performance delivery monitoring locally.A cross-sectional survey performed in a group Ecuador during 2017 using self-selection sampling strategy. participants...
Aim: To compare the cost of carbetocin with that oxytocin for prevention and management hemorrhage following cesarean delivery in Ecuador. Materials & methods: We developed a decision tree based cost–effectiveness model to Our was run from third party payer perspective validated by local experts field. The efficacy interventions determined on systematic review literature. Direct costs were calculated current National Health Service price lists retail price. Since period covered analysis...
Background Estimating the burden of neglected tropical diseases is a valuable tool to support policymakers in resource allocation for control and elimination these diseases. Spatial analysis allows identify geographical distribution patterns infectious parasitic within country assess their possible correlation with other health disorders. Despite being neurocysticercosis (NCC) considered as most important disease nervous system, few efforts have been addressed real NCC endemic countries,...
SARS-CoV-2 has spread throughout the world, including remote areas such as those located at high altitudes. There is a debate about role of hypobaric hypoxia on viral transmission and COVID-19 incidence. A descriptive cross-sectional analysis infection load among patients living low (230 m) altitude (3800 in Ecuador was completed. Within these two communities, total number infected people time study 108 cases (40.3%). The incidence proportion 64% while 30.3%. mean from who tested positive...