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Item type: Ítem , Access status: Acceso Abierto , EMBARGADO POR MOTIVOS DE INVESTIGACIÓN(Universidad Católica de Cuenca., 2026) Jumbo Motoche, Isis Alessa; Garcia Coofre, María Belén........Item type: Ítem , Access status: Acceso Abierto , Deterioro cognitivo en adultos mayores pertenecientes a asociaciones de pensionados y jubilados de la provincia del Cañar, Ecuador 2025(Universidad Católica de Cuenca., 2026) Ananguano Castañeda, Eduarda Mayerli; Tinoco Herrera , Fabián AlejandroIntroduction: Cognitive impairment is a progressive alteration of higher mental functions that affects about 10% of older adults, with prevalence increasing with age. In Ecuador, population aging is a growing public health challenge, and in the province of Cañar, it poses a particular challenge for public health. Early detection is essential to prevent its progression. Objective: To identify cognitive impairment among older adults belonging to the Associations of Pensioners and Retirees of the province of Cañar, Ecuador, in 2025. Methodology: A quantitative, descriptive, and cross-sectional study was conducted with a sample of 100 adults aged 65 years and older. Four instruments were administered: Mini Mental State Examination (MMSE), Katz Index, AMAI Index, and a sociodemographic-clinical questionnaire. Statistical analysis was performed using SPSS v25 software, using frequencies, means, and Chi-square tests (p < 0.05). Results: More than half of the participants (53%) presented cognitive impairment, which was associated with low educational level (p = 0.025), polypharmacy (p = 0.006), functional dependence (p < 0.001), and lack of cognitive stimulation (p < 0.001). No association was found with sex, age, or ethnicity. Prevalence was higher among individuals with a low socioeconomic level and those without regular physical activity. Conclusions: A high prevalence of cognitive impairment was found among older adults in Cañar, associated with low educational level and lack of mental stimulation. Differences were observed in the associations, possibly related to activity levels and institutional support. Strengthening these spaces can promote active aging and prevent cognitive impairment through a community-based approach. Keywords: older adults, cognitive impairment, functional dependence, polypharmacyItem type: Ítem , Access status: Acceso Abierto , Efectividad comparativa de la gastrectomía versus bypass gástrico en adultos con obesidad: revisión sistemática.(Universidad Católica de Cuenca., 2026) Pogyo Morocho , Angel Fabian; Rodriguez Cedeño, Nathaly GislayneIntroduction: Obesity is a major public health problem and is associated with multiple comorbidities. In obese adults requiring surgical treatment, vertical sleeve gastrectomy and Roux-en-Y gastric bypass are among the most commonly used bariatric procedures; however, differences persist in weight loss, metabolic outcomes, and complication profiles. This study aimed to compare the effectiveness of both procedures in adults with obesity through a systematic review of the scientific literature. To this end, a systematic review was conducted in accordance with the PRISMA 2020 guidelines, using searches in Scopus, PubMed, and Web of Science. Studies published within the established eligibility period that evaluated clinical outcomes for both procedures, including changes in body mass index (BMI), metabolic control, and complications, were included. Fifteen studies were included in the synthesis. The results showed that both procedures were associated with a significant reduction in BMI. Gastric bypass showed a trend toward greater weight loss and improvement in some metabolic comorbidities, while vertical sleeve gastrectomy presented a favorable profile for certain safety and tolerability outcomes. However, heterogeneity was identified among the studies analyzed. It was concluded that both procedures are effective alternatives for the surgical treatment of adults with obesity. Although gastric bypass offers advantages in certain weight and metabolic outcomes, the choice of procedure should be individualized, considering clinical characteristics, risks, patient preferences, and the team’s experience. Keywords: vertical sleeve gastrectomy, Roux-en-Y gastric bypass, obesity, bariatric surgery, adultsItem type: Ítem , Access status: Embargo , Proyecto de Titulación embargado con fines de publicación de impacto(Universidad Católica de Cuenca., 2026-10-08) Naspud Carangui, Danna AnthonelaItem type: Ítem , Access status: Embargo , Proyecto de titulación embargado con fines de publicación de impacto(Universidad Católica de Cuenca., 2026-10-08) Peralta Narváez, Luis Fernando
