Revista Arbitrada Interdisciplinaria de Ciencias de la Salud. Salud y Vida
FUNDACIÓN KOINONIA (F.K). Santa Ana de Coro, Venezuela La Revista Arbitrada Interdisciplinaria de Ciencias de la Salud. Salud y Vida es una publicación científica multidisciplinar, que difunde trabajos científicos originales, ensayos y revisiones bibliográficas relacionadas con las Ciencias de la Salud y la Vida. De aparición semestral, está dirigida a investigadores, científicos, estudiantes de pregrado, postgrado y postdoctorado, docentes y profesionales que posean interés en las áreas de Gerontología, Medicina, Ingeniería Biomédica, Eléctromedicina, Histocitotecnología, Ginecoobstetricia, Psiquiatría, Neumonología, Microbiología, Traumatología, Nutrición, Fisioterapia, Medicina Familiar, Epidemiología, Traumatología, Anestesiología, Farmacología, Enfermería, Bioética, Deontología y todas las vinculadas al área de Salud y Vida. Esta publicación posee como propósitos medulares: la difusión de conocimientos, posibilitar el intercambio entre pares y estimular la producción científica y académica. La Revista Arbitrada Interdisciplinaria de Ciencias de la Salud. Salud y Vida se rige bajo el sistema de evaluación doble-par-ciego. Los artículos están bajo el formato de salida HTML y PDF, y son de acceso abierto y no cobra APC. The Interdisciplinary peer- reviewed Journal of Health Sciences, “Health and Life”, is a multidisciplinary scientific publication, which disseminates original and unpublished scientific works, essays and bibliographic reviews related to Health and Life Sciences. With a biannual appearance, it is aimed at researchers, scientists, undergraduate, graduate and postdoctoral students, teachers and professionals who have an interest in the areas of Gerontology, Medicine, Biomedical Engineering, Electromedicine, Histocytotechnology, Gynecoobstetrics, Psychiatry, Pneumonology, Microbiology, Traumatology, Nutrition, Physiotherapy, Family Medicine, Epidemiology, Traumatology, Anesthesiology, Pharmacology, Nursing, Bioethics, Deontology and all those related to the area of Health and Life. The main purposes of this publication are: the dissemination of knowledge, enable peer exchange and stimulate scientific and academic production. The Interdisciplinary Review of Health Sciences “Health and Life” is governed by the double-pair-blind evaluation system. The articles are in the HTML and PDF output format, and are open access and do not charge APC.
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Factors associated with quality of life in family caregivers of cancer patients
Introduction: Family caregivers of patients with cancer face physical, emotional, social, and economic demands that may negatively affect their quality of life. Objective: To analyze the scientific evidence on factors associated with the quality of life of family caregivers of patients with cancer. Method: A systematic review was conducted following PRISMA 2020 guidelines, with a protocol registered in PROSPERO: CRD420261378686. The search was performed in Cochrane Library, PubMed/MEDLINE, Scopus, Web of Science, LILACS/BVS, SciELO, and Redalyc. Original studies published between 2021 and 2026 were included. Results: A total of 47 studies were analyzed. Factors negatively associated with quality of life included anxiety, depression, uncertainty, emotional distress, caregiver burden, financial difficulties, and low social support. Protective factors included resilience, family and social support, spirituality, self-efficacy, caregiver preparedness, and positive coping strategies. Conclusions: Comprehensive interventions focused on the patient-caregiver dyad and family context are required.
Copyright (c) 2026 Joseline Valeria Miranda-Muñoz, Martha Aída Parra-Aguirre https://creativecommons.org/licenses/by-nc-sa/4.0
Ethical responsibility in nursing care from an existentialist view in direct care
Objective: to systematize scientific evidence on the ethical responsibility of nursing care from an existentialist perspective in direct care, based on publications from 2020 to 2026. It was guided and assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 checklist and was based on the Population, Concept, and Context (PCC) framework. The search was conducted in PubMed/MEDLINE, PubMed Central, and SciELO databases. After refinement of the search strategy, 50 articles were included. The results showed that more than 85% were qualitative studies and reviews, with the highest scientific output reported in 2025 and 2026. Four thematic axes were identified: responsibility and moral deliberation; moral distress and institutions; humanization and autonomy in care; and dignity with existential accompaniment through the end of life. Conclusion: The literature on freedom, responsibility, presence, guilt, intersubjective relations, and care was analyzed, and the strengthening of spaces for ethical reflection was proposed.
Copyright (c) 2026 Germania Elizabeth Yugcha-Andino, Marcia Isabel Ortega-López, Rosa Piedad Morán-Asencio https://creativecommons.org/licenses/by-nc-sa/4.0
Bundle management and the nursing role in intensive care units: a systematic review
Objective: To analyze the management of care bundles and the role of the nursing professional in intensive care units, in order to identify their impact on the quality of care. Method: A systematic review with a qualitative approach and descriptive-analytical nature was developed. The search was carried out in the PubMed, SciELO, Dialnet, Redalyc, and ScienceDirect databases, and 15 studies were selected for analysis. Results: The implementation of bundles, especially the ABCDEF (ICU – Intensive Care Unit Liberation Bundle), is associated with a decrease in infections, improving the quality of care. The nursing professional plays a key role in the application, monitoring, and adherence to these measures. Conclusions: Care bundles constitute an effective strategy to optimize care in critically ill patients; it is recommended to strengthen continuous training and promote the standardization of evidence-based practices.
Copyright (c) 2026 Mishell Carolina Triviño-Simbaña, Ángeles Carolina Rivadeneira-Falcón, David Eduardo González-Naranjo https://creativecommons.org/licenses/by-nc-sa/4.0
Total thyroidectomy in a patient with primary hyperparathyroidism. Case study
Introduction: A 65-year-old Afro-descendant woman from the province of Esmeraldas with a history of skin cancer, type 2 diabetes mellitus, hypothyroidism, and chronic arterial hypertension was admitted to the emergency department with dysphagia and cervical mass. Clinical case: On admission he presented high levels of PTH and serum calcium, so it was decided to perform a total thyroidectomy plus excision of a nodule in the lower pole of the right lobe. During the postoperative period, PTH levels remained elevated and the histopathological study did not show the presence of parathyroid adenoma. Conclusion: Ectopic parathyroid adenoma was highly suspected, so cervical ultrasound and FNA were performed, which allowed determining the location of the nodule to later perform cervical dissection and excision of the nodule, subsequently improving the patient's PTH and serum calcium levels until she was discharged from the hospital.
Copyright (c) 2026 Dietmar Fernando Rodriguez-Fariño, César Augusto Álvarez-Zevallos, Carlos Adolfo Lange-García, Néstor Kevin Moreira-Toala https://creativecommons.org/licenses/by-nc-sa/4.0
Prevalence of occult chronic kidney disease in diabetic and hypertensive patients in rural settings
Objective: To evaluate the prevalence of occult chronic kidney disease (OCKD) in patients with type 2 diabetes mellitus (DM2) and hypertension (HTN) in a rural area of the Province of Chimborazo, Ecuador. Method: 197 patients were included in a cross-sectional study (January-June 2026). The eFG (CKD-EPI) and the albuminuria/creatinine ratio (ACR) in urine were quantified; stratified sampling was adopted and the analyses were descriptive and bivariate. Results: 23.35 % had ACR ≥30 mg/g or eGFR <60 mL/min/1.73 m²; oCKD was more frequent in DM2+HTN, and was associated with smoking, increased abdominal circumference, and poorer blood pressure control. Conclusion: Combined screening identifies cases of CKD; the intervention on smoking, weight, and blood pressure is consistent with the factors found.
Copyright (c) 2026 Emily Paulette Chuquimarca-Gaona, Jhonatan Ariel Rosario-Ramírez, Elena Tatiana Verdezoto-Bueno , Bryan Paul Cañizares-Clavijo https://creativecommons.org/licenses/by-nc-sa/4.0
Anesthetic Management of Charcot-Marie-Tooth Syndrome
Objective: The objective was to describe anesthetic management for patients with Charcot-Marie-Tooth syndrome. Method: The study was conducted using a literature review design. A non-systematic, narrative literature review was used, which facilitates a general and specific analysis of the subject of study by examining appropriate techniques for anesthetic management in patients with CMT. Databases such as Scopus, ELSEVIER, Scielo, and PubMed were consulted. Due to the lack of accessible documents and the need to select those that met the inclusion criteria—such as publication date, which in this case was up to 10 years ago. Results: It is considered the most common inherited neuromuscular disorder. Conclusion: In the anesthetic management of CMT, the benefits and drawbacks of each anesthetic technique must be evaluated according to the type of surgical procedure.
Copyright (c) 2026 César Gustavo Ayala-Delgado, Daniel Renato Reynoso-Guadalupe, Blanca Herminia Cruz-Basantes, Shirley Fernanda Rosero-Ordóñez https://creativecommons.org/licenses/by-nc-sa/4.0
Acute kidney injury following oncologic nephrectomy: a comparison of laparoscopic and open kidney surgery
Objective: To compare the incidence of acute kidney injury (AKI) in patients undergoing nephrectomy for renal cancer using a laparoscopic and open approach. Methods: Observational and retrospective study in 133 patients undergoing unilateral nephrectomy. AKI was defined according to the KDIGO criteria. Results: Radical nephrectomy accounted for 60.2 % of the procedures and open surgery for 88.7 %. A significant association was found between radical nephrectomy and the occurrence of AKI, while the open approach showed a higher frequency of AKI than laparoscopy. Multivariate analysis identified radical nephrectomy as an independent predictor of acute kidney injury (p = 0.003). Conclusion: Radical nephrectomy increases the risk of developing AKI compared to partial nephrectomy. Laparoscopic surgery showed a favorable trend for the preservation of renal function. Prospective studies of larger sample sizes are needed to confirm these findings.
Copyright (c) 2026 César Augusto Álvarez-Zevallos, Dietmar Fernando Rodriguez-Fariño, Carlos Adolfo Lange-García, Néstor Kevin Moreira-Toala https://creativecommons.org/licenses/by-nc-sa/4.0
Current overview of heating and preheating of composites in restorative dentistry. A literature review
ABSTRACT The objective of this study was to analyze the current state of composite resin heating and preheating in restorative dentistry through a literature review. The methodological approach was quantitative, using a literature review design. The techniques employed included a literature review and content analysis, and the instruments used were data sheets and analysis matrices. In addition, the PRISMA methodology was used to select articles from databases such as Scopus, Scielo, and Web of Science. The results indicated that preheating composite resins significantly improves the degree of conversion, flow, and marginal adaptation, while reducing microleakage, stress, and cure depth. In conclusion, preheating composite resins at temperatures between 54 °C and 68 °C improves the degree of conversion and the rheological properties of the material, facilitating its clinical use without compromising pulp safety.
Copyright (c) 2026 Jessica Aracely Trelles-Méndez, Andrea Paola Ramírez-Goercke https://creativecommons.org/licenses/by-nc-sa/4.0
Prevention of chronic kidney disease and quality of life in Peruvian patients
Objective: To analyze how each dimension of KDPP II (awareness, assessment, access) influences each dimension of quality of life in patients treated at a regional hospital in La Libertad, Peru in 2025. Methods: Cross‑sectional study with 140 patients enrolled in KDPP II. Validated questionnaires were applied; descriptive analyses, Spearman correlations and ordinal logistic regression were performed; ORs, 95% CIs and Nagelkerke R² were reported. Results: Evaluation showed the greatest explanatory capacity, especially for mental health (higher R² and significant ORs). Awareness was significantly associated with better self‑perception. Access showed positive trends in self‑perception but less consistent effects with wide CIs. Conclusions: Strengthening clinical evaluation and educational interventions appears to be a priority to improve quality of life; longitudinal studies and adjusted models are required to confirm causality and strengthen recommendations.
Copyright (c) 2026 Cory Milagros Pérez-Zárate , Pedro Otoniel Morales-Salazar , Eduardo Javier Yache-Cuenca https://creativecommons.org/licenses/by-nc-sa/4.0
High Blood Pressure and Associated Factors in Adults Treated at the Camarón Health Center, Ecuador
Objective: Of the study was to analyze hypertension and associated factors in adults treated at the Camarón Health Center in Ecuador. Method: The study was conducted using a quantitative approach. The methodological scope was analytical, correlational, and comparative. The population consisted of 1,347 adult patients aged 20 to 64 years of both sexes. The sample size was calculated using the formula for finite populations, resulting in a sample of 299 participants. Results: 42.1% of the 299 participants in the study had a previous diagnosis of high blood pressure, while the remaining participants were at the threshold for high blood pressure. Conclusion: A high proportion of habits and risk factors for cardiovascular disease was identified among the study participants, as nearly half of the sample reported low levels of physical activity and frequent consumption of foods high in salt or sodium.
Copyright (c) 2026 Nadia Jesús López-Álvarez https://creativecommons.org/licenses/by-nc-sa/4.0