Buele, Jorge
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Preferred name
Buele, Jorge
Main Affiliation
Ambato
Email
jorgebuele@uti.edu.ec
ORCID
Scopus Author ID
57200380202

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Virtual reality applications based on instrumental activities of daily living (iADLs) for cognitive intervention in older adults: a systematic review

2023 , Buele, Jorge , Varela-Aldás J.L. , Palacios-Navarro G.

Background: In recent years, the use of virtual reality (VR) as a complementary intervention in treating cognitive impairment has significantly increased. VR applications based on instrumental activities of daily living (iADL-VR) could offer a promising approach with greater ecological validity for intervention in groups with cognitive impairments. However, the effectiveness of this approach is still debated. Objective: This systematic review aims to synthesize the effects of iADL-VR interventions to rehabilitate, train, or stimulate cognitive functions in healthy adults and people with mild cognitive impairment (MCI) and different types of dementia. Methods: A systematic search was performed in the Scopus, PubMed, IEEE Xplore, Web of Science, and APA PsycNet databases until September 2022 and repeated in April 2023. The selected studies met the search terms, were peer-reviewed, included an iADL-VR intervention, and were written in English. Descriptive, qualitative studies, reviews, cognitive assessment, non-intervention studies, those unrelated to VR or iADL, those focused on motor aspects, and non-degenerative disorders were excluded. The PEDro scale was used to assess the methodological quality of the controlled studies. To present and synthesize the results, we organized the extracted data into three tables, including PEDro scores, participant characteristics, and study characteristics. Results: Nineteen studies that met the inclusion and exclusion criteria were included. The total sample reached 590 participants, mostly women (72.67%). Approximately 30% were diagnosed with Alzheimer’s disease or dementia, and 20% had mild cognitive impairment. Variables such as authors and year of publication, study design, type of intervention and VR applied, duration of the intervention, main findings, and conclusions were extracted. Regarding demographic characteristics, the sample size, age, sex, years of education, neurological diagnosis, dropouts, and the city and country where the intervention took place were recorded. Almost all studies showed improvements in some or all the outcomes after the intervention, generally greater in the iADL-VR group than in the control group. Conclusion: iADL-VR interventions could be beneficial in improving the performance of cognitive functions in older adults and people with MCI and different types of dementia. The ecological component of these tasks makes them very suitable for transferring what has been learned to the real world. However, such transfer needs to be confirmed by further studies with larger and more homogeneous samples and longer follow-up periods. This review had no primary funding source and was registered with PROSPERO under registration ID: 375166. © 2023, The Author(s).

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Exploring the Landscape of Data Analysis: A Review of Its Application and Impact in Ecuador

2023 , Ayala-Chauvin, Manuel Ignacio , Avilés-Castillo F. , Buele, Jorge

Latin America has shown increased big data adoption since 2012; Ecuador is now entering this transformative field. Science and engineering in Ecuador have benefited most from data analysis, with untapped potential in health and services sectors. Big data is shaping sectors in Ecuador, including disaster prediction, agriculture, smart city development, and electoral data analysis. Despite public sector inefficiencies, residential ICT adoption provides opportunities for Ecuador’s smart city advancements. Despite some data underutilization, big data’s transformative potential is evident in Ecuador’s healthcare and education advancements. Highlights: Data analysis is increasingly critical in aiding decision-making within public and private institutions. This paper scrutinizes the status quo of big data and data analysis and its applications within Ecuador, focusing on its societal, educational, and industrial impact. A detailed literature review was conducted from academic databases such as SpringerLink, Scopus, IEEE Xplore, Web of Science, and ACM, incorporating research from inception until May 2023. The search process adhered to the PRISMA statement, employing specific inclusion and exclusion criteria. The analysis revealed that data implementation in Ecuador, while recent, has found noteworthy applications in six principal areas, classified using ISCED: education, science, engineering, health, social, and services. In the scientific and engineering sectors, big data has notably contributed to disaster mitigation and optimizing resource allocation in smart cities. Its application in the social sector has fortified cybersecurity and election data integrity, while in services, it has enhanced residential ICT adoption and urban planning. Health sector applications are emerging, particularly in disease prediction and patient monitoring. Educational applications predominantly involve student performance analysis and curricular evaluation. This review emphasizes that while big data’s potential is being gradually realized in Ecuador, further research, data security measures, and institutional interoperability are required to fully leverage its benefits. © 2023 by the authors.

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