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Autoimmune Complications in Long COVID in a Patient with Hepatitis C

2026 , Camaño Carball, Lilian , Núñez-Naranjo, Aracelly Fernanda , Lorenzo Hidalgo, Alejandro Ernesto

A significant percentage of patients, according to recent studies, report persistent clinical manifestations of COVID-19 beyond the acute phase. These symptoms extend between four and twelve weeks from the initial clinical presentation. This clinical study details the case of a 50-year-old female patient with a history of hepatitis C who developed COVID-19 and subsequently experienced a series of symptoms indicative of Post-COVID-19 Syndrome (Long COVID). The presented symptoms included fever, general malaise, anorexia, vomiting, diarrhea, sore throat, dry cough, severe headache, mucosal dryness, skin fold, muscle weakness in the lower limbs, conjunctival injection, and sudden visual loss in the left eye. She showed initial improvement and was discharged from the hospital; however, she developed fever, ageusia, dyspnea, positional tachycardia, palpitations, and retrosternal pain. Subsequent examinations revealed pericarditis and subacuteinflammatory demyelinating polyneuropathy, demonstrating the diverse and prolonged clinical course associated with Long COVID. Treatment with colchicine and NSAIDs resulted in clinical improvement, highlighting the challenges in managing and potential therapeutic approaches for patients with persistent COVID-19 symptoms. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2026.

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Is There a Relationship Between Helicobacter pylori Infection and Anthropometric Status?

2025 , Camaño Carball, Lilian , Alejandro Ernesto Lorenzo Hidalgo , Romero Riaño, Paola , Alejandro Martínez-Rodríguez , Loaiza Martinez, Daniela

Background: Helicobacter pylori infection, overweight, and obesity are global health concerns. This bacterium is involved in the pathophysiology of chronic gastritis and gastric cancer. Additionally, overweight and obesity, associated with unhealthy eating habits and sedentary lifestyles, cause alterations in the gut microbiota that facilitate gastric colonization by Helicobacter pylori. Moreover, individuals with obesity tend to consume low-quality foods due to episodes of anxiety and exhibit elevated insulin levels, which may promote the development of gastric neoplasms. Studies conducted in Latin America have found that over 50% of participants are infected with Helicobacter pylori, a situation similar to that reported in Ecuador, where the prevalence of overweight and obesity in individuals aged 19 to 59 years reached 64.58% in 2018. Both health issues are influenced by the high consumption of processed foods or those prepared under inadequate hygiene conditions. Methods: In this context, this research aimed to correlate the body composition of university students with the prevalence of Helicobacter pylori. An observational, cross-sectional, and descriptive study was conducted with 57 Nursing, Medicine, and Psychology students from Universidad Indoamérica, Ambato campus, during 2024. Fecal samples were analyzed to detect the presence of the bacterium, and anthropometric measurements were taken to establish a possible relationship between these parameters. Results: Of the 57 students who participated, 54.39% tested positive for Helicobacter pylori. However, the presence of the bacteria did not show any relationship with body composition parameters such as fat mass, lean mass, BMI, weight, height, or age. Conclusions: The study found no evidence of a connection between Helicobacter pylori infection and anthropometric parameters in this university population. However, the high incidence of infections highlights the importance of promoting the consumption of safe food and ensuring timely diagnosis and treatment.

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Inclusive higher education for students with special educational needs: review of advances, challenges, and future directions

2026 , Esparza Yánez, Wilmer , Lorenzo Hidalgo, Alejandro Ernesto , Camaño Carball, Lilian , Israel Vinueza-Fernández , García Pérez, Dianet , Romero Riaño, Paola , Angela Esparza-Agudelo

Inclusive education (IE) in Higher Education (HE) has become a global priority, driven by the mandate of the United Nations Convention on the Rights of Persons with Disabilities (CRPD). However, the implementation remains uneven, characterized by fragmented institutional responses and conceptual ambiguities. This article presents an international, critical narrative review of the advances and persistent challenges concerning IE for Students with Special Educational Needs (SEN) and Students with Disabilities (SWDs). A narrative review was conducted on international peer-reviewed literature and policy documents published mainly between 2015 and 2025. The analysis is critically structured around six dimensions: (1) conceptualizations of SEN and disability; (2) characteristics and academic trajectories of SWDs; (3) institutional and pedagogical models; (4) the use of digital and assistive technologies; (5) legislative and policy frameworks; and (6) the economic and financial costs associated with inclusion. The review confirms a necessary paradigm shift from the reactive Medical Model to the proactive, Rights-Based Model. Universal Design for Learning (UDL) and innovative, student-centered pedagogies are crucial tools for systemic change, supported by the transformative potential of emerging technologies like AI and Virtual Reality for personalization. Despite these advances, a critical gap persists between policy and practice. Major challenges include the persistent lack of faculty readiness to implement UDL effectively, fragmented policy management, and inadequate financial models that treat inclusion as a cost rather than an investment. Achieving genuine equity in HE requires moving beyond minimal legal compliance toward an integrated, systemic commitment. Future research must focus on longitudinal studies measuring the impact of UDL on retention, efficacy of faculty training, and developing robust, bifurcated financial models. The ultimate success hinges on redesigning the educational environment—pedagogically, technologically, and financially—to establish diversity as the institutional norm.

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Body Composition Evaluation using Bioelectrical Impedance and its Impact on Academic Performance of Nursing Students

2023 , Romero Riaño, Paola , Camaño Carball, Lilian , Yánez-Rueda H. , Buele, Jorge

In the past, nutritional assessment relied on manual measurements that did not allow for the differentiation of body composition components. With technological advancements, the introduction of bioelectrical impedance has provided a more specific approach to obtaining results. This study aims to utilize this innovative method to assess the connection between body composition and academic performance in nursing students. The research focused on a representative sample of 89 participants, utilizing bioelectrical impedance to measure the primary bioelements of the human body. Strong and significant correlations were observed between height and weight, height and muscle mass, and muscle mass and weight. A moderate correlation was found between weight and fat, as well as significant weak correlations between age and fat, and between fat and body mass index. Additionally, a significant weak negative correlation was observed between height and fat. Of the participants, 42.2% of women and 48% of men were classified as overweight. However, the statistical analysis did not reveal significant correlations between academic performance and variables such as weight, muscle mass, fat, and body mass index. Based on this information, it was concluded that most students had a body mass index within the normal range, and no direct relationship between body composition and academic performance was identified. Continuous monitoring of overweight students using this technology is recommended to promote healthy nutritional practices. © 2023 IEEE.