Overweight and obesity are major global health challenges. Minimally invasive and reversible therapies such as the Allurion® gastric balloon (AGB) have emerged as alternatives for selected patients. To evaluate the efficacy and safety of the AGB in a real-world Ecuadorian cohort. A retrospective cohort study including consecutive patients aged ≥ 13 years with BMI ≥ 25 kg/m² who underwent AGB placement between September 2021 and September 2024. The primary endpoint was total weight loss percentage (TWL
La presente investigación analiza el papel de la inteligencia artificial como agente de innovación pedagógica orientado a la personalización del aprendizaje en la educación superior. Se desarrolla una revisión documental sistemática basada en el protocolo PRISMA 2020, que integra veinte estudios publicados entre 2022 y 2025 en bases de datos académicas internacionales. Los resultados muestran que la IA favorece el aprendizaje autónomo, la autorregulación y la adaptación de los contenidos a las características del estudiante, al tiempo que plantea retos éticos, formativos y tecnológicos. Se identifican tres dimensiones analíticas teórica, práctica y ética-pedagógica que permiten comprender el papel de la IA como mediadora cognitiva en la enseñanza superior. Se concluye que la integración crítica y responsable de la IA impulsa una educación más inclusiva, personalizada y sostenible.
Masculino de 26 años con antecedente de leucemia linfocítica crónica (LLC) hace 8 años, actualmente en remisión, consulta por lesiones papulares confluentes en antebrazos, de evolución crónica. Al examen físico dermatosis localizada en caras anteriores de antebrazos y muñecas caracterizado por múltiples pápulas violáceas, poligonales, de superficie plana y brillante, además se aprecia una fina red blanquecina, casi imperceptible, en cara interna de muñeca derecha, la cual se apreciaba mejor a la dermatoscopia.
This article examines the use of interactive digital narratives as an evidence-based strategy to strengthen disciplinary literacy in Social Studies through digital narrative construction in tenth-grade students in Ecuador. Using a mixed-methods approach that combines surveys and classroom observations among 34 tenth-grade students and four teachers in a secondary school in Quito, Ecuador, the study analyses their impact on reading and writing skills. Findings indicate increased student motivation, participation, and improved comprehension of social studies topics, suggesting positive effects on disciplinary literacy. Digital narratives represent an innovative pedagogical strategy that supports literacy development and promotes more engaging learning environments in Ecuadorian education.
Oncologic and non-oncologic cutaneous defects represent a frequent challenge in clinical practice, particularly when they are located in facial regions of high aesthetic and functional relevance. Proper management of these lesions requires careful integration of dermatologic criteria that guide oncologic resection and reconstructive principles that allow restoration of anatomy and function. Basal cell carcinoma is the most common cutaneous malignant neoplasm and, although it has low metastatic potential, it may generate significant defects when it involves photoexposed areas such as the cheek. This article presents a narrative review of the management of oncologic and non-oncologic cutaneous defects, emphasizing dermatologic criteria and reconstructive strategies, accompanied by a clinical case report of a 38-year-old female patient with basal cell carcinoma located in the right malar region. The patient was treated with surgical excision using adequate oncologic margins and immediate reconstruction with a Mustardé cheek rotation flap, achieving satisfactory functional and aesthetic outcomes with no evidence of tumor recurrence during follow-up. Through the integration of the clinical case and the literature review, epidemiologic factors, dermatologic evaluation criteria, and reconstructive principles influencing decision-making are highlighted. This comprehensive approach underscores the importance of individualized planning and an interdisciplinary strategy to optimize clinical and aesthetic outcomes in the management of facial cutaneous defects.
