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Item type: Ítem , Access status: Acceso Abierto , Mortalidad por enfermedades neurodegenerativas en el Ecuador.(Universidad Católica de Cuenca., 2026-10-07) Díaz Vintimilla, María Belén; Crespo Castro, Josué FranciscoBackground: Neurodegenerative diseases represent a growing public health problem due to population aging. Disorders such as Alzheimer’s disease, Parkinson’s disease, and other dementias generate high levels of disability, dependence, and mortality among older adults. Objective: To determine mortality from neurodegenerative diseases in Ecuador. Methods: An observational, descriptive, cross-sectional, and retrospective study based on secondary data analysis. Results: A total of 1,353 deaths from neurodegenerative diseases in Ecuador were analyzed, with a predominance of women (56%), individuals of Ecuadorian nationality (98%), and older adults, with a median age of 85 years. Alzheimer’s disease was the leading cause of death (51%), followed by Parkinson’s disease (21%) and dementias. Alzheimer’s disease and dementias predominated among women and increased with age, while Parkinson’s disease was more frequent among men. Most deaths occurred at home (69%) and involved urban residents (80%), showing a greater concentration of mortality from these diseases among older adults, especially women and the urban population. Conclusion: The study analyzed 1,353 deaths from neurodegenerative diseases in Ecuador during 2024, showing higher mortality among older adults and women. Alzheimer’s disease was the leading cause of death (51%), followed by Parkinson’s disease (21%). Most deaths corresponded to the urban and mestizo populations. The results highlight the influence of age and sex, as well as the need to strengthen prevention, early detection, and comprehensive care. Keywords: neurological disease, cognitive impairment, older adult, Alzheimer’s diseaseItem type: Ítem , Access status: Acceso Abierto , Características epidemiológicas del cáncer de páncreas en Ecuador, periodo 2008-2023.(Universidad Católica de Cuenca., 2026) Granada Mora, Victor Daniel; Velepucha Ludeña, Paola Del CieloBackground: Pancreatic cancer is a malignancy with high lethality and low survival, positioning it as an emerging public health priority. In Ecuador, the absence of updated nationwide studies hinders the development of effective prevention strategies and oncological care policies. Objective: Analyze the epidemiological characteristics of pancreatic cancer in Ecuador during the period 2008-2023. Methods: This was a descriptive cross-sectional epidemiological study based on secondary data from a free access database which was the National Institute of Statistics and Censuses (INEC), encompassing hospital discharge records and mortality data. All registered cases of pancreatic cancer (ICD-10: C25) were included, without restrictions regarding age, sex, or geographical region. Variables analyzed included age, sex, ethnicity, region, area of residence, mortality, and annual incidence. A total of 10,818 cases were recorded, with an almost equal distribution between males (50.51%) and females (49.49%); most cases occurred in individuals over 60 years of age. Results: The national incidence rate increased from 2.35 (2008) to 7.31 (2023) per 100,000 inhabitants. Mortality also showed an upward trend, reaching 4.66 in 2022. The case fatality rate remained high, with a national average close to 80%, and reaching 100% in provinces with limited healthcare infrastructure. Conclusions and relevance: Pancreatic cancer demonstrates a growing and highly lethal pattern in Ecuador. These findings highlight the urgent need to strengthen early diagnostic strategies and ensure equitable access to specialized treatment, particularly in regions with limited oncological coverage. Key words: case fatality rate, Ecuador, incidence, mortality, pancreatic cancer.Item type: Ítem , Access status: Acceso Abierto , Análisis Epidemiológico de la prevalencia y factores de riesgo de Cáncer Tiroideo en la provincia del Cotopaxi(Universidad Católica de Cuenca., 2026-10-07) Santander Santander , Pamela Estefania; Correa Chamba, Santander María de los AngelesBackground: Thyroid cancer is the most frequent malignant neoplasm of the endocrine system; it is characterized by a progressive increase in its incidence worldwide. Although it has a high survival rate, its epidemiological behavior shows differences according to sex, age, and geographical context, making it necessary to analyze its distribution at the local level. Objective: To analyze the epidemiological characteristics of the prevalence and risk factors among thyroid cancer cases recorded in the province of Cotopaxi during the period 2019-2024. Methods: A descriptive, cross-sectional, and retrospective study, based on secondary data analysis, was conducted. The population comprised 110 records of thyroid cancer cases (ICD-10: C73) among residents of the province of Cotopaxi during the period 2019-2024. Results: One hundred and ten cases were recorded during the study period, with the highest frequency occurring in 2022 (27.3%). Females predominated, accounting for 83.6% of the cases. The average age was 48.8 years (SD 17.4), with a minimum age of 14 and a maximum age of 85 years; the 40–59 age group (30.0%) and ≥60 age group (32.7%) accounted for the highest proportion. Sixty-eight point two percent of the cases corresponded to urban areas. Most patients were alive at discharge (95.4%), and the average length of hospital stay was 3.9 days. Conclusion: Thyroid cancer showed more predominance among women and had a higher prevalence among middle-aged adults and those from urban areas, with a low incidence of deaths during the study period. Keywords: thyroid gland diseases; epidemiology; thyroid gland neoplasmsItem type: Ítem , Access status: Embargo , Proyecto de Titulación embargado con fines de publicación de impacto(Universidad Católica de Cuenca, 2026) García Coronel, Juan DiegoItem type: Ítem , Access status: Acceso Abierto , El clima laboral y su incidencia en el desempeño de la gestión de talento humano en la parroquia “San Joaquín” en el sector de servicios, periodo 2020 – 2025(Universidad Católica de Cuenca., 2026) Farez Quituizaca, Mayra MarisolLa finalidad de esta investigación fue examinar el ambiente laboral y su relación con la gestión del talento humano en dos restaurantes del sector de servicios de San Joaquín, Cuenca. Se realizó un estudio con un marco cuantitativo, diseño no experimental, de corte transversal y de alcance descriptivo-correlacional. Se recopiló información a través de una encuesta basada en una escala de Likert con la población total de 27 trabajadores. Los datos fueron procesados utilizando el modelo de ecuaciones estructurales en el software SmartPLS4. El instrumento mostró alta fiabilidad, con un Alfa de Cronbach de 0.982 para ambas variables. Los resultados indicaron una asociación positiva y de elevada magnitud entre el ambiente laboral y la gestión del talento humano con un coeficiente de trayectoria de β = 0.988 y un coeficiente de determinación R² = 0.975, lo que indica que, dentro del modelo estimado, el clima laboral explica el 97.5 % de la variabilidad observada en la gestión del talento humano, sin que este resultado permita establecer por sí solo una relación causal. Además, la motivación fue la dimensión más representativa de la Gestión de Talento Humano, mientras que las Decisiones y Expresar Opiniones destacaron dentro del Clima Laboral. Se concluye que un clima laboral positivo está relacionado con una valoración favorable de la gestión del talento humano en los dos restaurantes estudiados, lo que respalda la hipótesis de relación planteada.
