Aguayza Mendieta, Carlos
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Aguayza Mendieta, Carlos
Main Affiliation
Ambato

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Contemporary Strategies and Trends in Nursing Care for Women with Breast Cancer

2025 , Soto Ayala, Monica , Taruchaín Pozo, Fernando , Aguayza Mendieta, Carlos , Villavicencio Soledispa, José , Buele, Jorge

HER2-positive breast cancer, one of the most aggressive forms of this disease, presents significant therapeutic challenges due to its complexity and high recurrence. Subcutaneous therapies, such as trastuzumab and pertuzumab, have improved treatment efficacy and patient quality of life, but pose challenges for nursing professionals in patient education, prevention of complications, and use of remote monitoring technologies. This study reviewed literature from 2015 to 2024 in databases such as PubMed, Scopus, APA PsycNet, Scielo, and Web of Science to analyze advances in the management of subcutaneous therapies and nursing care. The findings confirm that subcutaneous administration of trastuzumab and pertuzumab is safe and well tolerated, reducing complications compared to traditional methods, especially when using devices such as PICC catheters and subcutaneous ports. The integration of telemedicine and remote monitoring allowed for improved adherence, minimized complications, and optimized resources. Furthermore, ongoing training of nursing staff was identified as essential for effective management of devices and fostering patient autonomy. This review underlines the importance of integrating technologies and education into public health policies to address emerging issues in breast cancer management, especially in vulnerable populations with limited access to services. This review was registered in the Open Science Framework (OSF). (Registration number: DOI: 10.17605/OSF.IO/KWPC9)

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ICT-Based Game: An Alternative to Promote Healthy Eating in Ecuadorian Children Using User-Centred Design

2025 , Amaluisa Rendón, Paulina Magally , Núñez Torres, María Giovanna , Aguayza Mendieta, Carlos

Inadequate nutrition in Ecuadorian children leads to various physical, cognitive, and biological issues. However, the use of information and communication technologies (ICT) has become established in raising awareness and promoting beneficial eating behaviours. This research, conducted at the Indo-America Educational Unit during the 2022-2023 academic year in Ambato, Ecuador, aimed to compare the effectiveness of a guide text versus a didactic game in enhancing knowledge about healthy eating among fifth-grade students in Natural Sciences. The study involved 87 fifth-grade students, divided into two groups: Group 1, consisting of 42 students, and Group 2, consisting of 45 students. The teacher of Group 1 used traditional methods (reading and writing from the text), while the teacher of Group 2 employed a game called Flavour Puzzle. Statistical analysis revealed significant improvements in knowledge and motivation for students using the game-based method. Specifically, students in Group 2 showed a 26% greater improvement in knowledge levels compared to those in Group 1, and their motivation levels were nearly three times higher (89% vs. 30%). The results indicate that the game-based method has a clear comparative advantage over traditional text-based instruction, as it not only facilitated teaching but also enhanced socialization and engagement among students. Technological resources like Flavour Puzzle are more engaging for students and should be utilized as both recreational and educational tools in teaching Natural Sciences at the school level.

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