Public University of El Alto

www.upea.edu.bo
La Paz, Bolivia
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Piette J.D.,University of Michigan | Marinec N.,University of Michigan | Janda K.,University of Michigan | Morgan E.,University of Michigan | And 6 more authors.
Telemedicine journal and e-health : the official journal of the American Telemedicine Association | Year: 2016

BACKGROUND: Patients' engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers ("CarePartners") increased engagement in m-health support among diabetes and hypertension patients in Bolivia.MATERIALS AND METHODS: Patients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone ("standard m-health") or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call ("m-health+CP").RESULTS: The 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had ≤6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p < 0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p < 0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR] = 2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR = 0.42; 95% CI, 0.19, 0.91).CONCLUSIONS: In this study we found that caregiver feedback increased engagement in m-health and may improve patients' health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs.


Mamani-Linares L.W.,Austral University of Chile | Cayo F.,Public University of El Alto | Gallo C.,Austral University of Chile
Revista de Investigaciones Veterinarias del Peru | Year: 2013

This study compared the proximate composition and fatty acids profile of llamas slaughtered in two seasons. Twenty 18-24 month old llamas reared in native pastures were used, of which 10 were slaughtered in the dry season and 10 in the rainy season under standard procedures. Carcasses were stored for 24 h in a cold room (4 to 6 °C). Samples of the Longissimus lumborum muscle were collected and moisture, crude protein, lipids and ashes were analysed. Llama meat slaughtered in the rainy season had higher intramuscular fat content (p<0.10) and higher levels of monounsaturated and polyunsaturated fatty acids (p<0.05), but lower levels of saturated fatty acids (p<0.05) as compared to llama meat slaughtered in the dry season. The ratio polyunsaturated/saturated fatty acid ratio and linoleic conjugated content was higher in llama meat of the rainy season. However, meat of both seasons showed an n-6/n-3 ratio within recommended levels (4) and good levels of desirable fatty acids (DFA). In conclusion, the meat of young llamas of both seasons has favorable fat characteristics for consumption.


Rebaudo F.,French National Center for Scientific Research | Rebaudo F.,Higher University of San Andrés | Struelens Q.,French National Center for Scientific Research | Struelens Q.,Higher University of San Andrés | And 3 more authors.
Applied Entomology and Zoology | Year: 2017

The relationship between temperature and development rate of Copitarsia incommoda Walker (Lepidoptera: Noctuidae), a major pest of the quinoa crop in the Andes, was investigated using eight constant temperatures from 5.1 to 34.6 °C, on an artificial diet under laboratory conditions. We used a Gauss model to fit the survival rate, and the Holling type III, the Wang, and the Sharpe and DeMichele models to fit the different development rates for each life stage, among 25 models investigated and compared. Optimum temperatures for survival were between 13.2 and 27.1 °C, and optimum temperatures for development were between 19.1 and 31.9 °C. We used the development rate models with a large-scale temperature database to predict and map the risk of outbreaks once C. incommoda invades, using the number of generations per year, revealing that the pest was univoltine or bivoltine in most Bolivian regions of quinoa production. While temperatures from this database underestimate the temperatures experienced by the pest, this study provides a new insight into C. incommoda physiology, which should be a key factor in designing integrated pest management strategies. © 2017, The Japanese Society of Applied Entomology and Zoology.


PubMed | University of Michigan, Public University of El Alto and Bolivian Catholic University
Type: Journal Article | Journal: Telemedicine journal and e-health : the official journal of the American Telemedicine Association | Year: 2016

Patients engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers (CarePartners) increased engagement in m-health support among diabetes and hypertension patients in Bolivia.Patients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone (standard m-health) or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call (m-health+CP).The 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had 6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p<0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p<0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR]=2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR=0.42; 95% CI, 0.19, 0.91).In this study we found that caregiver feedback increased engagement in m-health and may improve patients health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs.


Piette J.D.,Center for Clinical Management Research | Piette J.D.,University of Michigan | Marinec N.,Center for Clinical Management Research | Marinec N.,University of Michigan | And 8 more authors.
Telemedicine and e-Health | Year: 2016

Background: Patients' engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers ("CarePartners") increased engagement in m-health support among diabetes and hypertension patients in Bolivia. Materials and Methods: Patients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone ("standard m-health") or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call ("m-health+CP"). Results: The 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had ≤6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p < 0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p < 0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR] = 2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR = 0.42; 95% CI, 0.19, 0.91). Conclusions: In this study we found that caregiver feedback increased engagement in m-health and may improve patients' health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs. © Mary Ann Liebert, Inc. 2016.


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Carreras upea Ingeniera de Sistemas Ciencias Fsicas y Energas Alternativas


Public University of El Alto | Entity website


Public University of El Alto | Entity website

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Public University of El Alto | Entity website


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