Browsing by Autor "Amira Guisel Lopez-Quispe"

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Challenges in the epidemiological surveillance of maternal mortality in Bolivia: a retrospective analysis
(2023) Blas Apaza-Huanca; Jhossmar Cristians Auza-Santiváñez; José José Corini-Mamani; Amira Guisel Lopez-Quispe; Yenifer Zelaya-Espinoza; Olvis Scharbel Valdivia-Tola; M Sanchez
Objective: To address the challenges in epidemiological surveillance of maternal mortality in Bolivia, highlighting the importance of improving this process and highlighting the lack of updated data. Methods: This is a descriptive, retrospective study using data from the National Health Information and Epidemiological Surveillance System (SNIS-VE) of the Bolivian Ministry of Health and Sports. Two periods were examined: 2001-2014 and 2015-2022, with an emphasis on changes introduced in the SNIS-VE, such as the categorisation of reported and confirmed maternal deaths. Results: A deterioration in epidemiological surveillance was observed in 2020 and 2021 due to the COVID-19 pandemic. The situation varied between departments and levels of care, highlighting regional differences and differences in the quality of registration systems. These findings underline the complexity of epidemiological surveillance of maternal mortality in Bolivia. Conclusions: This study highlights the urgent need to improve the epidemiological surveillance of maternal mortality in Bolivia, improve the registration by the statistics department to avoid under-registration and strengthen the organization and operation of the Technical Committees for Maternal Mortality Surveillance, to in order to improve the Epidemiological Surveillance process in its different stages. These efforts are essential to move towards safer and more effective maternal care in Bolivia.
Improvements in functionality and quality of life after aquatic therapy in stroke survivors
(2023) Jhossmar Cristians Auza-Santiváñez; Nayra Condori-Villca; Isaura Oberson Santander; Luis Mariano Tecuatl Gómez; Laura Pamela Mamani Manzaneda; Adalid Rimer Condo-Gutierrez; Ariel Sosa Remón; Blas Apaza-Huanca; José Alejandro Carías Díaz; Amira Guisel Lopez-Quispe
The paper discusses the vital importance of water in living beings and its application in hydrotherapy for the rehabilitation of stroke patients. Water is highlighted as an essential molecule for life, support of metabolic reactions, transport of substances, and important reactant in metabolic processes. Hydrotherapy, significantly developed by Kneipp, uses the mechanical and thermal properties of water for therapeutic purposes, taking advantage of its capacity as a rehabilitative medium in patients with various conditions, including those affected by stroke. The physiology of stroke is described, being a major cause of mortality and disability, and how water exercises can improve the functional capacity and quality of life of these patients. Hydrotherapy is presented as a beneficial therapeutic option, based on the unique properties of water, for the treatment and rehabilitation of stroke patients, highlighting its potential to improve the mobility and quality of life of those affected.