- Lipoproteins and Cardiovascular Health
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cancer, Lipids, and Metabolism
- Global Public Health Policies and Epidemiology
- Health and Lifestyle Studies
- Health disparities and outcomes
- COVID-19 and Mental Health
- Indigenous Health and Education
- Child Nutrition and Water Access
- Primary Care and Health Outcomes
- Communication and COVID-19 Impact
- Renal and Vascular Pathologies
- Nutrition, Genetics, and Disease
- Global Maternal and Child Health
- Lipid metabolism and disorders
- Obesity, Physical Activity, Diet
- Health Policy Implementation Science
- Diabetes Management and Education
- COVID-19 Pandemic Impacts
- Neurological disorders and treatments
- Poverty, Education, and Child Welfare
- Cardiovascular Health and Risk Factors
- Digital Mental Health Interventions
- Muscle and Compartmental Disorders
- Argentine historical studies
Pontificia Universidad Católica del Ecuador
2019-2025
Florida International University
2024
Facultad Latinoamericana de Ciencias Sociales
2020
University of Quindío
2010
Universidad del Valle
2009
Pontificia Universidad Javeriana
2006
Université Laval
1993-1998
Wilfrid Laurier University
1994
Abstract Background The indigenous child population in Ecuador has a high prevalence of stunting. There is limited evidence the association between breastfeeding, feeding practices, and stunting children. This study aimed to analyze breastfeeding complementary practices explore their with Ecuadorian children under two years age. Methods Cross-sectional secondary data analysis using 2012 National Health Nutrition Study, 625 aged 0–23 months (48,069 expanded sample), representative for...
The COVID-19 pandemic has generated an avalanche of information, which, if not properly addressed, generates uncertainty and limits healthy decision-making. On the other hand, exacerbated mental health problems among young people adolescents, causing a worsening their wellbeing. Previous studies have found that digital literacy positive impact on people's attitudes toward disease. This study aimed to analyze association between with subjective wellbeing in university students.A...
Our aim was to explore patients' perceptions of changes in diet and physical activity people with type 2 diabetes mellitus and/or arterial hypertension two low-income districts Ecuador. We carried out a qualitative study 19 telephone interviews August-September 2020 hypertension. Interviews were recorded, anonymized transcribed verbatim for analysis using the social ecological model. Within context poor access health services, participants identified lack policies address food insecurity...
OBJECTIVES Growth of global health education programs has blossomed over the past two decades in United States; yet many do not address roots colonialism and racism medicine. This paper highlights Arrupe Global Scholars Partnerships Program (AGSPP) at Creighton University, a social justice innovative five-year MD-MPH equity partnership program for medical students, international partners, communities impacted by these partnerships. METHODS Using applied social-ecological model as educational...
To describe the perspectives of health practitioners on barriers, gaps, and opportunities that Venezuelan migrant women experienced to accessing sexual reproductive (SRH) services during COVID-19 pandemic how SRH were affected in Quito, Ecuador.Health involved at nine public care facilities three zones Quito surveyed. The Minimum Initial Service Package readiness assessment tool survey, available from Inter-Agency Working Group Reproductive Health Crisis, was adapted for use data collection...
Abstract Background Type 2 Diabetes (T2DM) prevalence is increasing in low- and middle-income countries along with high levels of obesity which vary according to socioeconomic contextual characteristics. We aim estimate the T2DM men women a hard-to-reach rural area northern Ecuador considering socio-demographic Methods Cross-sectional descriptive study based on population-based survey Eloy Alfaro health district Esmeraldas between October 2020 January 2022. collected sociodemographic...
A total of 35 homozygous and 1320 heterozygous patients with familial hypercholesterolemia (FH) was screened for the presence six low‐density lipoprotein receptor (LDLR) gene mutations previously reported among French‐Canadians. The geographic distribution patients' birthplaces relative prevalence these in LDLR province Quebec were compared. For this purpose, 16 administrative regions grouped into seven regions. frequency differed regions: > 15 kb deletion (& Delta; >15 kb) had...
To examine the associations of sociodemographic, socioeconomic, and behavioral factors with depression, anxiety, self-reported health status during COVID-19 lockdown in Ecuador. We also assessed differences these between women men.We conducted a cross-sectional survey July to October 2020 adults who were living Ecuador March 2020. All data collected through an online survey. ran descriptive bivariate analyses fitted sex-stratified multivariate logistic regression models assess association...
Abstract Objectives Chronic malnutrition and anemia are prevalent in developing countries. This research aimed to determine the prevalence of chronic their associated factors children under five using a multi-causal model rural community coast Ecuador. Methods The study included 314 5 years old who were residents San Isidro, Indicators identified. Mothers/caregivers surveyed on socio-economic environmental conditions, feeding care practices, access health services biological characteristics....
Journal Article Detection of a novel mutation (stop 468) in exon 10 the low-density lipoprotein receptor gene causing familial hypercholesterolemia among French Canadians Get access Jacques Simard, Simard Laboratory Molecular Endocrinology, CHUL Research Center and Laval University2705 Laurier Boulevard, Québec G1V 4G2, Canada Search for other works by this author on: Oxford Academic PubMed Google Scholar Sital Moorjani, Moorjani * 1Lipid Center, *To whom correspondence should be addressed...
COVID-19 lockdowns greatly affected the mental health of populations and collectives. This study compares self-perceived in five countries Latin America Spain, during first wave COVID 19 lockdown, according to social axes inequality. was a cross-sectional using an online, self-managed survey Brazil, Chile, Ecuador, Mexico, Peru, Spain. Self-perceived (SPH), anxiety (measured through GAD-7) depression PHQ-9) were measured along with COVID-19, variables. The prevalence poor SPH, anxiety,...
This qualitative study aims to explore how the COVID-19 pandemic impacted healthcare access for patients with chronic conditions in Ecuador from patient's perspective. We interviewed 19 diagnosed arterial hypertension or type 2 diabetes rural and urban areas of during August September 2020. used Framework Method analyse interview transcripts ATLAS.Ti 8.4 organised ideas discussed using categories World Health Organization Commission on Social Determinants conceptual framework. Reorganization...
Familial hypercholesterolemia (FH) has an estimated frequency of 1:154 among French Canadians in Northeastern Quebec, compared with 1:500 most other populations. FH is caused by numerous mutations the low-density lipoprotein (LDL) receptor gene, but only six well-characterized are known to cause Canadians. High prevalence phenotype, along a limited number this population, provides unique opportunity study genotype-phenotype variation. Since current methods for detection point population use...
Abstract Background Despite the multiple initiatives implemented to reduce stunting in Ecuador, it continues be a public health problem with significant prevalence. One of most affected groups is rural indigenous population. This study aimed analyze prevalence chronic malnutrition children under 5 years age and its association determinants, focusing on one territories highest stunting. Methods A cross-sectional 1,204 Kichwa five, residing areas counties presence province Chimborazo-Ecuador....
Challenges remain for policy adoption and implementation to tackle the unprecedented relentless increase in obesity, diabetes other non-communicable diseases (NCDs), especially low- middle-income countries. The aim of this mixed-methods study is analyse contextual relevance applicability low-resource settings a sample evidence-based healthy public policies, using local knowledge, perceptions pertinent epidemiological data. Firstly, we will identify prioritise policies that have potential...
El Proyecto Contextualización de la Evidencia para Acción en Diabetes entornos con bajos recursos tiene como objetivo explorar los procesos por cuales las recomendaciones salud pública pueden ser traducidas a acciones informadas evidencia y adaptadas al contexto específico. Una sus primeras fases es establecer una línea base sobre factores riesgo enfermedades crónicas no transmisibles prevalencia diabetes territorios que trabaja, usando el Método paso Organización Mundial Salud vigilancia...
Abstract Background Diabetes is a major global health challenge, impacting millions and disproportionately affecting low- middle-income countries (LMICs), where approximately three-quarters of affected individuals reside. Despite abundant guidance on diabetes management, most evidence derived from high-resource settings, potentially impeding effective application in low-resource settings. This study explored issues related to the current clinical practice guidelines (CPG) for management...
While traditional medicine (TM) is employed by a significant portion of the global population for managing health issues, clinical guidelines and state recommendations often overlook this practice. The aim study was to describe frequency use TM control 3 metabolic risk factors (MRF): hypertension, hypercholesterolemia, hyperglycaemia; sociodemographic, economic, characteristics associated with TM.
The differential diagnosis of neurocognitive and psychiatric disorders, particularly when symptoms overlap significantly, poses a substantial challenge in clinical practice. Parkinson's disease (PD), Lewy body dementia, catatonia are distinct conditions that can present with similar motor cognitive symptoms, complicating accurate effective treatment. We report the case 45-year-old male patient who presented for electroconvulsive therapy (ECT) evaluation. He was initially diagnosed major...
Although the greatest delays in cancer diagnosis Latin America occur provider interval little is known about related factors. This study aims to analyze factors influencing access -from initial contact with health services confirmation- from institutional stakeholders' perspective public healthcare networks of Chile, Colombia, and Ecuador. A qualitative, descriptive-interpretative was conducted two per country, using semi-structured individual interviews (n = 118; 23 58, country) a criterion...