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Item type: Ítem , Access status: Embargo , EMBARGADO POR MOTIVOS DE INVESTIGACIÓN(Universidad Católica de Cuenca., 2026) Carrillo Salinas, María Daniela...Item type: Ítem , Access status: Acceso Abierto , Perfil epidemiológico de la mortalidad por enfermedades tiroideas en Ecuador en el año 2023-septiembre 2025-abril 2026(Universidad Católica de Cuenca., 2026-07-10) Urgilés Celdo, Bryan Damián; Yubi Peralta, Jennifer TatianaBackground: Thyroid diseases are disorders that affect the function of the thyroid gland and disrupt the body’s metabolic balance; when they are not diagnosed or treated promptly, they can progress to serious complications such as thyrotoxic crisis, myxedema coma, or advanced cancer, increasing the risk of death. Objective: To determine an epidemiological profile of mortality from thyroid diseases in Ecuador in 2023 based on data reported by the National Institute of Statistics and Censuses (INEC, in Spanish). Methods: Descriptive, cross-sectional, and retrospective study; the sample consisted of 282 death records attributed to thyroid gland diseases during 2023 in Ecuador. Results: Females accounted for the majority of deaths, representing 67.38%, with malignant neoplasm of the thyroid gland (C73) being the leading cause of death in both sexes (73.05%), followed by unspecified hypothyroidism (17.02%). The mean age was 71.5 years, ranging from 23 to 100 years. By age group, the highest proportion of deaths was concentrated among adults aged 65 to 79 (35.46%) and adults aged 80 and older (35.11%), while the 20–39 age group had the lowest percentage of cases (3.90%). Geographically, the highest concentration was observed in the Coast region, particularly in Guayas (21.28%), and Pichincha has the highest proportion in the Highlands (18.09%). Urban areas predominated, accounting for 74.82% of cases. Conclusion: The results reflect sociodemographic patterns that may inform the planning of prevention strategies, timely diagnosis, and access to specialized care. Keywords: thyroid diseases, epidemiology, hypothyroidism, mortality, thyroid neoplasms.Item type: Ítem , Access status: Acceso Abierto , Alternativas farmacológicas en el manejo de la taquicardia supraventricular(Universidad Católica de Cuenca., 2026) Morocho Paqui, Klever GeovannyIntroduction: Supraventricular tachycardia (SVT) is an arrhythmia with a higher incidence in women and older adults, with clinical manifestations ranging from mild to potentially severe. The initial pharmacological treatment of choice includes adenosine, which is highly effective for acute cardioversion. Alternatives such as beta-blockers, calcium channel blockers, and potassium channel blockers are reserved for refractory cases or contraindications. Objective: To describe, based on international management guidelines, the efficacy, adverse effects, contraindications, and pharmacological interactions of adenosine and its alternatives for the treatment of SVT. Methodology: A literature review based on the search, selection, and analysis of updated information was conducted. Clinical studies, international management guidelines, systematic and narrative reviews, as well as reference texts were included. Conclusions: The importance of individualizing the management of SVT according to etiology, clinical severity, and available resources is emphasized to optimizing clinical outcomes.Item type: Ítem , Access status: Acceso Abierto , El alcance de los derechos de la naturaleza frente al extractivismo minero en el Ecuador: análisis crítico del caso Quimsacocha-Lomalarga(Universidad Católica de Cuenca., 2026) Zhañay Cornejo, Isabella PatriciaThis article examines the legal and constitutional challenges posed by the Loma Larga mining project in Quimsacocha. This fragile ecosystem plays a vital role in regulating the water supply for the city of Cuenca and surrounding ecosystems. This research, grounded in the Ecuadorian Constitution, argues that the mining project violates the Rights of Nature by prioritizing extractivism over the right to water. The mining project violates the principles of prevention and precaution, as there is technical uncertainty about heavy metal contamination in the aquifer and there is also a lack of citizen participation due to violations of constitutional standards. This research concludes that the Quimsacocha case is a test of Ecuador's ecological constitutionalism beyond its economic framework. The case tests the capacity of Ecuador's ecological constitutionalism to withstand the excesses and limitations of extractivism.Item type: Ítem , Access status: Acceso Abierto , Responsabilidad penal por uso excesivo de la fuerza en Ecuador: estudios de casos y propuesta de garantías de no repetición, periodo 2024-2025(Universidad Católica de Cuenca., 2026) Guamán Guamán, Wendy DanielaDuring the research, the national and international legal framework governing the use of force by state agents was examined, with an emphasis on the principles of legality, necessity, and proportionality. Common patterns, structural causes, and legal consequences were identified through the analysis of documented cases of the excessive use of force in Ecuador. Legal and institutional guidelines aimed at preventing the excessive use of force by police and military personnel were proposed from a human rights perspective. In addition, an analysis of signifi-cant cases was conducted, reviewing the relevant constitutional, legal, and international con-text to suggest measures to prevent their recurrence. The methodology adopted was based on a qualitative approach, using a non-experimental design and legal, descriptive, and analytical methods, including the review of legislation, legal doctrine, judicial decisions, and reports issued by national and international institutions, as well as the analysis of relevant cases in-volving the abuse of force by state agents. As a result of this analysis of these cases, gaps in the legal framework and ambiguities in distinguishing between the legitimate and excessive use of force were identified. Furthermore, challenges stemming from the tendency of certain sector of society to justify such degrading and humiliating treatment. Structural problems were also identified, including delays in judicial proceedings, deficiencies in evidence collec-tion, and a lack of coordination among institutions.
