Introducción: Durante la pandemia por Covid 19 la población diabética ha sido considerada como vulnerable y de alto riesgo al ser más propensos a adquirir infecciones respiratorias por deterioro del  sistema inmunológico y alteración de los niveles de glucosa. Objetivo: Describir las complicaciones en pacientes diabéticos con COVID-19. Metodología: meta-análisis de artículos publicados hasta el 14 de septiembre de 2020 en bases de datos como: Medline, PubMed, Lilacs, Scielo, Redalyc, Elsiever, BVS y Google académico. La búsqueda se realizó en 3 fases; la primera implicó la búsqueda en base a los descriptores, la segunda donde se aplicaron criterios de selección y la tercera que fue de lectura evaluativa. Resultados: Las principales complicaciones de los pacientes diabéticos con COVID-19 son: síndromes de distrés respiratorio severos y síndrome de hiperinflamación sistémica extrapulmonar, shock, vasoplejia, insuficiencia respiratoria, colapso cardiopulmonar, neumonía grave, miocarditis, lesión renal aguda, daño pancreático, esto debido a mecanismos inmunológicos e hipoglucémicos que conllevan a un mayor riesgo de muerte.  Conclusión: Los pacientes con diabetes sí presentan mayores complicaciones en cuadros de Covid 19, ya que cuando existe un inadecuado control glicémico se origina una mayor susceptibilidad a desarrollar un cuadro séptico severo por falla en la respuesta del cuerpo a los patógenos

La Artritis Juvenil es una enfermedad que afecta durante la infancia, se caracteriza por la inflamación, destrucción y el desgaste de las articulaciones siendo así un gran problema de salud debido a que puede ocasionar invalidez o llegar hasta la muerte. Objetivo: Proporcionar información enfocados al paciente con Artritis Juvenil para mejorar la calidad de vida mediante una revisión bibliográfica. Método: Se realizó una revisión bibliográfica de tipo descriptiva en las diferentes bases de datos científicas: Google Scholar, Scielo, Elsevier, PubMed, a través de los DECS: Articulaciones, Artritis Juvenil, Artritis Reumatoide, Inflamación, Poliartritis. Resultados: Los artículos consultados en su mayoría coinciden que la Artritis Juvenil es un problema de salud que provoca un cuadro clínico durante la infancia, debido a que generalmente provoca deformidad en las articulaciones disminuyendo la actividad física. Conclusiones: La Taxonomía NANDA permite al personal de salud identificar intervenciones basados en los cuidados óptimos para el paciente, mediante la sintomatología permite priorizar el cuidado de manera integral demostrando el mejoramiento de la salud y estado de ánimo de los pacientes y de la familia.

Introduction: Frailty syndrome is a condition associated with growing old with high incidence in elderly people. Objective: To identify fragility syndrome in elderly people in the nursing home ''Sagrado Corazón de Jesús''. Methods: Descriptive, comparative, correlational and cross-sectional study. The total study population was 60 patients, the Fragility Tilburg Indicator (TFI) was used to measure total fragility, as well as each domain of fragility, including: physical fragility with 8 items, cognitive fragility with 4 items, and social fragility with 3 items. Results: Physical fragility has a mean of 2 points a maximum of 8 points with a mean of 6.8 points and a σ=1.55. Psychological fragility shows a minimum of 0 points a maximum of 4 points with a mean of 3.25 points and a σ=0.79. Social fragility shows a minimum of 0 points a maximum of 1 point with a mean of 0.9 points with a σ=3.0 points. Conclusions: Fragility is a complicated syndrome, which requires a special treatment because it is a frequent disorder in the elderly, so it is essential to perform a quick examination through the application of scales, in order to know the lifestyle, risk factors, and motor and mental skills that the elderly person has, so as to be able to interpret the management required by the patient.

Introduction: Therapeutic communication tries to build relationships that promote an attitude that helps health personnel with care and with this create favorable conditions for the patient or family member, involving various elements such as empathy, respect, active listening to reach the patient. Likewise, nursing staff need to develop certain skills to establish adequate therapeutic communication. Objective: To categorize the experiences of therapeutic communication between nursing staff and relatives in neonatology. Method: The research is mixed, cross-sectional. In the qualitative phase, the information was collected through semi-structured interviews with 20 family members, at which time the information was saturated, and in the quantitative phase, the scale on "communication skills of health personnel" was applied, with a Cronbach's Alpha of 0.94, guaranteeing the reliability of the instrument; through the Likert scale applied to 22 nursing professionals from the neonatology area of the Ambato General Hospital. Results: 70% of the relatives reported that the reinteraction of information would be one of the strategies that would help improve communication with the nursing staff, agreeing with the responses of the nursing staff. More than 40.9% of the nursing staff mentioned that although bodily communication is an important axis, health personnel demonstrate it in a personal way, as highlighted in the interviews, the most cited actions were eye contact and smiling. Conclusions: Nursing staff need to maintain a correct therapeutic alliance with patients, the implementation of a communication guide will facilitate compliance with this context. Therefore, it is necessary to develop these skills in health professionals

Background: In Nursing science, the evolution of instruction performs is an essential pillar to assurance better skillful implementation. Demonstrating the quality of the practices is fundamental to make the particular changes, which aid to develop and encounter the requirements of students and teachers. Objective: To determine the quality of medical-surgical training practice for the professional performance of Nursing. Methods: Quantitative approach, with a descriptive scope and cross-sectional design, an instrument composed by 22 questions that focused six dimensions was used, with a reliability of Cronbach's alpha of 0.99, on the survey directed to the students a simple random sample was used, and for teachers, a non-probabilistic sample was convenience. Results: The quality of the training practices from the perception of the students is good with 83.1% in relation to the accompaniment and help received by teachers. Likewise, teachers consider that the quality of the practices is good, according to the support received by the university, and the fulfillment of their responsibilities. Conclusions: The quality of the training performs within the surgical area is considered decent, both for those who obtain the practice and for those who teach it. Thus, certain factors are contemplated, such as the support of trainers and aid provided by the university.