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Item type: Ítem , Access status: Acceso Abierto , Eficacia y perfil de seguridad de la morfina versus la metadona en el manejo del dolor postoperatorio. Revisión sistemática(Universidad Católica de Cuenca., 2026) Rios Torres , Karolina Del Cisne; Mayllazhungo Loja, Mirian JanethBackground: Postoperative pain is a common sequela of surgical procedures, resulting from the physiological response to the manipulation of organs and tissues. Constant monitoring is essential for the patient’s complete recovery. A complete approach is needed, including opioid analgesics, NSAIDs (nonsteroidal anti-inflammatory drugs), and regional anesthesia. If not properly treated, it may become a chronic postsurgical pain, affecting the patient’s quality of life. Objective: To evaluate the efficiency and safety profile of morphine in comparison to methadone for the treatment of postsurgical pain, through a systematic review of available literature. Methodology: A systematical review was conducted, which included scientific articles selected from medical information repositories, such as Scopus, Taylor & Francis, PubMed, SciELO, and Web of Science. Keywords were also used in the research, and requirements were considered for the selection to optimize the results, including studies published within the last five years, content related to the investigation, and scientific articles with randomized trials in English and Spanish. The PRISMA 2020 methodology was used as reference, along with a quality assessment of the studies and a risk of bias analysis using the RoB2 digital tool. Discussion: Methadone supplies better analgesia and security than morphine in different surgical procedures, although some limitations exist. Conclusion: methadone is evidenced to be a more feasible and reliable option for postoperative pain treatment, offering different opportunities for analgesic efficiency and a safer profile when compared to morphine.Item type: Ítem , Access status: Acceso Abierto , Predicción diagnóstica de la endometriosis en mujeres en edad reproductiva mediante inteligencia artificial: una revisión sistemática(Universidad Católica de Cuenca., 2026) Cedeño Ferrin, Carlos Julio; Álvarez Ordoñez , Johanna GabrielaTitle: Diagnostic Prediction of Endometriosis in Women of Reproductive Age Using Artificial Intelligence: A Systematic Review Objective: To evaluate the methods and outcomes of using artificial intelligence for the diagnostic prediction of endometriosis in women of reproductive age, to determine its accuracy and clinical feasibility. Methodology: A systematic review was conducted based on the scientific literature available in the following databases: PubMed, Wiley Online Library, PLOS ONE, ScienceDirect, arXiv, Sage Journals, and SpringerLink. A total of 646 studies were identified and screened according to the PRISMA guidelines. Of these, 14 scientific articles relevant to the research topic and published within the last five years met all criteria and were included. Results: Of the 646 articles retrieved, 2.16% (n=14) met the inclusion criteria. All included studies (100%) reported significant improvements in diagnostic accuracy using artificial intelligence: 64.3% (n=9) used image-based models, 28.6% (n=4) analyzed biomarkers and clinical data, and 21.4% (n=3) evaluated mobile apps and self-reports. Furthermore, 71.4% (n=10) reported an area under the curve (AUC) greater than 0.87, and 42.8% (n=6) achieved a sensitivity greater than 90%, highlighting the effectiveness of these methods and supporting their clinical feasibility. Conclusions: Artificial intelligence improves endometriosis diagnosis by offering noninvasive, personalized, and highly accurate approaches. Although it still needs validation and regulation, integrating it into clinical practice can support more efficient, patient-centered care.Item type: Ítem , Access status: Acceso Abierto , Eficacia y seguridad de Triamcinolona Intralesional versus Metilprednisolona oral en el control y manejo de la mastitis granulomatosa idiopática: revisión sistemática(Universidad Católica de Cuenca., 2026) Chacón Carrión, Patricio Alejandro; Espinoza Yupangui , Jessica PaolaObjectives: This systematic review compares the effectiveness and safety of two treatments for idiopathic granulomatous mastitis: locally injected triamcinolone versus oral methylprednisolone. This benign condition commonly occurs in women of reproductive age. Methodology: Observational studies or clinical trials that directly compared the two treatments were included. The search was conducted in PubMed, Scopus, Taylor & Francis, Cochrane, Springer, and Wiley Online Library up to March 2025. RoB 2 and JBI were used to assess the risk of bias. The most important results of the studies were organized in tables to facilitate comparison. Results: From two clinical trials and three cohorts analyzing more than 300 women, the results suggest that directly injected triamcinolone resolves lesions more quickly, with fewer recurrences and a lower need for surgery due to complications or poor response. Furthermore, this treatment modality produces fewer side effects, leading to greater adherence. Discussion: Although not all analyzed studies employed similar protocols, most indicated that using corticosteroids locally yields clear benefits. However, due to the short follow-up, long-term recurrence cannot be determined. Conclusions: Both treatments can be beneficial, but injected triamcinolone is more effective and should be considered the first option for treating idiopathic granulomatous mastitis. To strengthen this recommendation, additional studies that follow patients for a more extended period and use standardized interventions are neededItem type: Ítem , Access status: Acceso Abierto , Desarrollo de diseño visual y recursos gráficos para videojuego educativo en realidad virtual orientado al pensamiento lógico-matemático infantil.(Universidad Católica de Cuenca., 2026) Merchán Garnica, Isaac JaredThis study aimed to develop the visual design and graphical assets for the virtual reality educational video game Crokiando: Learn with Croki, aimed at fostering logical-mathematical thinking in children in early childhood education. The proposal addressed the need to create an immersive, engaging, and easy-to-understand experience in which the visual identity enhanced motivation, orientation, and interaction with the elements of the environment. The development process included the design of characters, environments, user interfaces, and interactive objects, as well as 3D modeling, texturing, animation, and the integration of royalty-free sound and musical assets. Subsequently, the developed elements were incorporated into the video game and evaluated with participants from the target audience using a five-point rating scale. The results indicated a favorable acceptance of the visual style: the main character, Croki, and the overall visual appearance achieved a mean score of 4.40/5, animations received 4.20/5, and the environments and color scheme obtained 4.10/5. Recognition of the interactive objects received the lowest score, with 3.70/5, highlighting the need to improve visual cues to facilitate their identification within the environment. It is concluded that the visual proposal was attractive and coherent for young children, although specific improvements are required in the visual identification of certain interactive elements.Item type: Ítem , Access status: Embargo , Proyecto de Titulación embargado con fines de publicación de impacto(Universidad Católica de Cuenca., 2026) Vivar Tenen, Camila Elizabeth
