Introduction:The FAST protocol (Focused Assessment with Sonography for trauma), is called a focused assessment protocol with ultrasound for trauma, it is recommended by the international panel of advanced life support for trauma (ATLS) in the resuscitation of patients with open trauma and/or closed chest or abdomen, the patient's stability is not a limitation of said protocol, and it can be applied to both hemodynamically stable and unstable patients, applicable to thoracoabdominal trauma. Goal: to identify the sonographic criteria in the evaluation focused with ultrasound in thoracoabdominal trauma, through the analysis of scientific articles on evidence-based medicine, for timely care in daily medical practice. Methodology: Descriptive study, based on a systematic bibliographic review, the analysis of scientific articles from various evidencebased medicine journals with a high impact on health (Pubmed, Scopus, Cochrane, Springer, etc.) was carried out; of the last 5 years in progress, and literature of surgery and trauma, with the processing of scientific information in Mendeley. Conclusion: Because the effectiveness of the FAST protocol is operator dependent, it is important that all health personnel in the prehospital and hospital settings, directly related to the emergency service, know and adequately identify the sonographic patterns or criteria in the evaluation focused on ultrasound. for thoracoabdominal trauma, in order to obtain better sensitivity and specificity of the radiological study and make appropriate and early decisions to reduce patient morbidity and mortality.

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Introduction: Chronic noncommunicable diseases (CNCD) are of multifactorial etiologies such as genetic, physiological, environmental and behavioral, and of long evolution that affected 41 million people in 2018 and have become the main causes of mortality worldwide. Among the modifiable risk factors of behavioral characteristics we have in mind the harmful use of alcohol, inadequate diets, physical inactivity and tobacco use. Three essential components of chronic noncommunicable disease surveillance constitute a framework that all countries must establish and consolidate: monitoring of exposures (risk factors); the monitoring of the results (morbidity and mortality specific to diseases) and the responses of the health system. Goal: To determine the effect of community participation in health, as a strategy for the prevention and control of chronic noncommunicable diseases. Methodology: Qualitative descriptive-analytical study, where community participation in health is described and analyzed as a strategy for the prevention and control of chronic non-communicable diseases. Discussion: In our critical posture, the performance of participation in the field of health is considered fundamental; because the community itself is the one that watches over the collective, individual and family health of a population, and the community itself is responsible for identifying said health problems and being able to propose proposals to modify lifestyles and achieve an optimal state of health. Conclusion:Community participation is the cornerstone of primary health care and comprehensive health management, in the prevention and control of chronic non-communicable diseases, to avoid their manifestation or complications.

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Introduction: Skin cancer in adults is a multifactorial event that increases considerably every year. Goal: To relate risk factors with cancer in adults who attend the outpatient service of the IESS Machala General Hospital in Ecuador, from January to December 2019. Materials and methods: Descriptive, correlational research, nonexperimental prospective and crosssectional design. Regarding the instrument, a questionnaire of risk factors was applied, which contains 11 questions about skin cancer, whose authorship corresponds to Morales Martha et al. Results: Descriptive and inferential statistics (Spss 23) were used. The results obtained were: General Characteristics: Average age 67.61+/-14.61 years. Predominantly: female sex 54.1%, marital status 31.5% married, level of education 47.2% secondary, site of injury: 15.1% Region: Dorso Nasal, 10.8%, Right Malar, 8, 1%. Risk Factors skin color 50.7% white, normal hair color: 34.2% dark brown, eye color: 50.7%, dark color, skin reddened by the sun: 71.0% said yes, Relatives with cancer 86.3% did not have, Work outdoors 50.7% do it, have lived in areas of intense sun 100% answered yes, practice activities outdoors 58.9% do, consumption of well water for more than 10 years: 65.8% do not consume, 100% have not received radiotherapy for cancer, the most frequent diagnoses by Pathological Anatomy: Solid Basal Cell Carcinoma (CBC) 57.5%, Melanoma 4, 1%, Squamous cell carcinoma 2.7%, T-cell lymphocyte 1.4%. The only risk factor associated with skin cancer was outdoor work (p=0.001). There was no relationship between the cancer site and the pathological diagnosis. Conclusion: Outdoor work is a risk factor associated with skin cancer in Ecuador.