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    Item type:Publication,
    A Narrative Review of Human Papillomavirus (HPV) Vaccination in Ecuador: A Crisis of Inequity and an Evidence-Based Roadmap for Elimination
    (2025)
    Sánchez Redrobán, José  
    ;
    Loaiza Martinez, Daniela  
    ;
    Carlos Santillan
    Background: Human Papillomavirus (HPV) remains the leading cause of cervical cancer in Ecuador, which suffers from systemic programmatic failures that undermine the global elimination strategy. Crisis: Ecuador’s HPV vaccination coverage (35.6% first dose; 17.3% complete) is the lowest in Latin America, starkly contrasting with the WHO’s 90% target for cervical cancer elimination (Pan American Health Organization 2025). Structural inequities, a profound genotypic mismatch with the circulating quadrivalent vaccine (HPV 58/31/52 prevalence), and fragmented implementation perpetuate this public health crisis (Jose Ortiz Segarra et al. Infectious Disease Reports, 15(3):267–278 2023). Key Findings: Our analysis reveals that the nation’s health-center-based model fails to reach vulnerable populations, a problem exacerbated by critical cold chain deficiencies in 30% of facilities. In contrast, regional successes, such as Peru’s school-based programs (94% coverage) and Colombia’s strategic adoption of the nonavalent vaccine, offer a clear roadmap for reform (Pan American Health Organization 2025, María Ines Sarmiento-Medina et al. PLOS ONE, 19(2):e0297579 2024). Recommendations: We propose an evidence-based 5-point plan to overhaul Ecuador’s strategy: a targeted nonavalent vaccine pilot, immediate adoption of a single-dose schedule, culturally adapted self-sampling programs, phased-in gender-neutral vaccination, and urgent investment in cold chain infrastructure
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    Executive functions in university students from Chile and Ecuador: Dataset
    (2025)
    Ramos Galarza, Carlos  
    ;
    Diego D. Díaz-Guerra
    ;
    Marena de la C. Hernández-Lugo
    ;
    Bolaños-Pasquel, Mónica  
    ;
    Yunier Broche-Pérez
    Executive functions are high-level cognitive abilities that enable individuals to regulate their behavior and thought processes consciously. In the university setting, students must effectively utilize these functions to achieve success in both their personal and academic development. The key executive functions relevant to the university context include: the supervisory attentional system, deliberate emotional regulation, conscious monitoring of responsibilities, behavior verification for learning, task organization, conscious behavior regulation, and decision-making. This dataset comprises 1373 surveys from university students in Ecuador and Chile, aged between 17 and 33 years (Mage = 20.53, SD = 2.34). It includes descriptive statistical values for the sample, item responses, and detailed descriptions of each evaluated variable. This database is designed to facilitate further analysis of the Executive Functions Scale and the role of these cognitive skills in the university environment.
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