Jadán Guerrero, Janio
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Jadán Guerrero, Janio
Main Affiliation
Quito
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janiojadan@uti.edu.ec
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Scopus Author ID
56267555100

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Optimization of Quality Management in Health Insurance for Sustainable Cost Reduction

2025 , Daniela Grotewold-Sosa , Jadán Guerrero, Janio , Luis Pusey-Alvarado , Nelson Díaz-Alvarez

This study addresses the optimization of quality management in health insurance to achieve sustainable cost reduction while maintaining service standards. Utilizing a mixed-methods approach, the research combines literature review and survey data to analyze user perceptions of service quality and the role of digital technologies. The survey included a diverse sample of health insurance users, capturing insights on satisfaction, technological tools, and quality management processes. Key findings reveal that user satisfaction is significantly influenced by transparency, accessibility, and the integration of digital tools such as mobile apps, web portals, CRM systems, and telemedicine. Correlation analyses showed a moderate positive relationship between the frequency of technology usage and perceived effectiveness, satisfaction, and future impact expectations. Despite moderate satisfaction levels with current technologies, participants emphasized the need for advanced tools to enhance efficiency and user experience. Demographic analysis indicated that educational level positively correlated with satisfaction, highlighting the importance of user training for technology adoption. Additionally, older users reported lower satisfaction, signaling the need for more inclusive and user-friendly systems. Gender differences in satisfaction and the positive association between customer loyalty and perceived service quality further underscore the importance of personalized strategies. The study concludes that digital transformation in health insurance can sustainably reduce costs while meeting user expectations. Key recommendations include increasing user education, investing in advanced technologies, and tailoring solutions to diverse demographic needs. These findings provide actionable insights for insurance companies aiming to improve operational efficiency and enhance service quality sustainably.

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Advances and Challenges in Global Democratic Transformation: A Perspective on the Accessibility of Electronic Voting

2024 , Edy Cocón-Marroquin , Javier Ferrer-Morales , Luis Pusey-Alvarado , Jadán Guerrero, Janio

Electronic voting solutions are commonly considered as a tool to improve the efficiency of the electoral process, increase security, speed up the processing of results and facilitate the participation of people with disabilities. Despite these benefits, they face substantial challenges that require meticulous attention to ensure transparency in the elections, guarantee a universal, free, equal, secret and direct vote, and promote greater citizen participation. This paper presents a solution to the issue of secure and efficient voting systems through the development of a web-based platform. Leveraging cloud infrastructure and programming languages, the system incorporates unique voter identification keys generated through a hashing algorithm, concatenating various unique fields with a key sent via email to ensure vote integrity. Voters can verify their ballots within a specified timeframe to confirm successful registration and prevent tampering. Immediate vote counting is facilitated, enhancing the efficiency of the process. The system was evaluated at the Global Hispanic Parliament (GHP), a civil organization that aims to improve the lives of Hispanics around the world. The solution facilitated the democratic election and secret ballot of 78 representatives. In which 259 people participated to elect the representatives. Subsequently, a survey was conducted with a sample of 63 voters to evaluate their experience with electronic voting, obtaining positive responses in terms of the confidence generated by the process and the system.

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A Systematic Literature Review on Technological Solutions to Fight Bullying and Cyberbullying in Academic Environments

2022 , Cedillo P. , Bermeo A. , Betancourth A. , Espinosa F. , Illescas L. , Jadán Guerrero, Janio

Nowadays, the world is more connected than ever; the use of internet, social networks and platforms allows for people of all ages to have constant communication. During the past year, due to the COVID-19 pandemic, children and teenagers have had to spend most of their time using a technological device, for educational and recreational purposes. This constant connection has carried on several issues, one of them being cyberbullied. This is when a person intentionally and repeatedly harms another one, on a virtual environment. Even with its downside, technology has many advantages; it has allowed for children and teenagers to engage in educational communities and applications. Then, studies on bullying and the ways to fight it exist from many years prior, however, there are little literature about the technological solutions to help in the fight against cyberbullying and bullying. Therefore, the objective of this research is to perform a Systematic Literature Review (SLR) about technological solutions for education and to fight bullying and cyberbullying in children and teenagers. To perform a trustworthy, rigorous and repeatable SLR, the methodology proposed by Kitchenham was used. The presented SLR, uses studies from 2009 to 2021. To start, a group of primary studies was selected, which met the characteristics to answer the research question “What technological tools, methods and models are used to educate about bullying and cyberbullying?” The primary studies were obtained from the most used digital libraries, prominent journals, and most representative conferences in the area. In conclusion, this study provides a global vision of the state of the art in this area, which represents a helpful tool for researchers to detect weaknesses and gaps and open new horizons regarding the use and design of technology to fight bullying and cyberbullying. Copyright © 2022 by SCITEPRESS – Science and Technology Publications, Lda. All rights reserved.

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Ancestral Knowledge in the Teaching and Learning Process

2025 , Quezada-Sarmiento, Pablo Alejandro , Patricia Marisol Chango-Cañaveral , Jadán Guerrero, Janio

This research explores the importance of ancestral knowledge, such as myths, which are transmitted orally in different families in cultural communities. However, this knowledge combined with popular knowledge can also be applied to education. Therefore, the objective of this work was to design a methodological strategy for ninth grade general education students through a variety of didactic resources in the fields of knowledge of language and national literature and knowledge of language and literature spanish. The work is based on the popular myth of the community “Shakaim/The God of Work”, in which morals and moral values are taught, incorporating popular knowledge, such as reading comprehension

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Geo-colonizing Mars: A fun way to raise awareness about environment caring and teach Geometry

2021 , Arroyo-Cruz L. , Chacón-Castro M. , Jadán Guerrero, Janio

The technological boom in which we are immersed has caused the game rules in education to change to adapt to the new educational needs demanded by society. An increasingly digital age, where speed, change and transformation have become its fundamental characteristics. This article describes a pedagogical strategy that integrates elements, dynamics and games' mechanics in order to increase motivation in learning geometry, making it more active, lasting, meaningful and fun for Primary Education students. This proposal is based on a Breakout called Geo-Colonizing Mars, an immersive game that includes problem solving activities, experimentation, debates, and research related to geometry. The immersion is supported by a narrative that raises awareness about environment caring through videos and interactive material developed with Genially, Kahoot, Edpuzzle and Flippity. To evaluate this proposal, an intervention was carried out with 51 6th year Primary Education students from a public institution in Spain. The results showed a motivational change that led to a proactive attitude towards learning, collaborative work and problem solving. © 2021 ACM.

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Artificial Intelligence for the Diagnosis of Respiratory Diseases in Dogs and Cats: A Systematic Review

2026 , Franklin Parrales-Bravo , Jadán Guerrero, Janio , Katherine Medina-Castro , Rosangela Caicedo-Quiroz

Respiratory diseases represent a leading cause of veterinary consultations in dogs and cats, yet their detection remains challenging due to clinical variability and subjective interpretation of traditional diagnostic methods. In recent years, artificial intelligence (AI) has emerged as a promising tool to augment veterinary diagnostics through automated analysis of imaging and physiological data. This systematic review synthesizes and critically evaluates 24 studies published from 2019 onward that explore AI applications to support the detection of respiratory diseases in dogs and cats, focusing on three complementary modalities: audio-based (e.g., respiratory sounds), image-based (e.g., chest radiographs), and multimodal approaches. Our findings indicate that deep learning models, particularly convolutional neural networks (CNNs) and transformer architectures, achieve clinically relevant accuracy in detecting conditions such as cardiomegaly, alveolar patterns, and Brachycephalic Obstructive Airway Syndrome (BOAS). However, significant barriers remain, including data scarcity, lack of standardized datasets, and limited real-world validation. This review highlights the transformative potential of AI in veterinary respiratory diagnostics while underscoring the need for collaborative efforts in data sharing, methodological standardization, and clinical integration to realize its full impact in practice.

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Improvement of Accessibility in Medical and Healthcare Websites

2021 , Acosta-Vargas G. , Acosta-Vargas P. , Jadán Guerrero, Janio , Salvador-Ullauri L. , Gonzalez M.

Health information on the Web can make patients better informed about a disease, which according to several studies leads to better treatment results. However, the health information found on the Web is not accessible because it presents barriers that prevent people from easily accessing it because it does not comply with the standards of the Web Content Accessibility Guidelines (WCAG) 2.1. Therefore, in this study, we present an analysis of the accessibility of the seven most visited health websites in the world. To analyze the accessibility of medical websites, we apply an automatic review method. The results show that health websites have frequent problems related to the lack of alternative text, empty links, and contrast errors. This research can contribute to future work related to accessibility in health and medical sites. Finally, we suggest designing a combined method to review each website’s accessibility barriers to complement the automatic review. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.

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Web Accessibility in the Portals of the Countries in the Latin American Index of Artificial Intelligence

2025 , Patricia Acosta-Vargas , Gloria Acosta-Vargas , Belén Salvador-Acosta , Jadán Guerrero, Janio

This study assesses the web accessibility of portals from the Latin American Artificial Intelligence Index (ILIA) countries, emphasizing the digital inclusion of users with disabilities. Using the Web Content Accessibility Guidelines (WCAG 2.2) as a reference point, the study focuses on the four principles of accessibility: perceptibility, operability, comprehensibility, and robustness. The results show that 43.20 % of the sites met the (minimum) contrast requirements, and 26.48 % met the navigability W3C recommendations. Chile (ranked first, score 73.07) presented 15 contrast issues and six errors overall, demonstrating a firm adherence to accessibility. Brazil (ranked second, with a score of 69.30) showed six contrast issues and eight errors, indicating a solid performance. However, Cuba and Venezuela had significant problems, with 25 and 34 errors, respectively. In contrast, Uruguay ranked high with no errors in contrast and perceptibility, highlighting its leadership in web accessibility in the region. These findings provide valuable insights for policymakers and developers looking to improve accessibility and digital inclusion across Latin America's digital infrastructure.

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Analysis and improvement of the web accessibility of a tele-rehabilitation platform for hip arthroplasty patients

2019 , Calle-Jimenez T. , Sanchez-Gordon S. , Rybarczyk Y. , Jadán Guerrero, Janio , Villarreal S. , Esparza W. , Acosta-Vargas P. , Guevara C. , Nunes I.L.

This paper explains some of the challenges that exist to make accessible the web interfaces of a Tele-rehabilitation platform for hip arthroplasty patients and propose an iterative method to improve the level of accessibility using automatic evaluation tools. Web accessibility is not concerned with the specific conditions of people who use the Web, but with the impact that their conditions have on their ability to use it. If the web interfaces of the Tele-rehabilitation platform for hip arthroplasty patients are not accessible enough, the patients will not be able to understand, perceive or operate adequately the platform to benefit completely of the physical therapy. The Web Content Accessibility Guidelines (WCAG 2.0) provides a set of rules and recommendations to help solve the problems of Web accessibility. Additionally, there are evaluation tools that allow identifying main web accessibility problems. These tools are best exploited when used by accessibility experts. The purpose of this research is threefold. First, to present the results of a web accessibility evaluation of the web interfaces of the Tele-rehabilitation Platform for Hip Arthroplasty Patients using three the evaluation tools: WAVE, AChecker and TAW. Second, to analyze the results presented by the tools according to the WCAG 2.0 guidelines to define a list of accessibility improvements. Third, to implement the improvements through the re-factorization of the existing code and re-testing the improved web interfaces to verify that they meet acceptable accessibility levels. © Springer International Publishing AG, part of Springer Nature 2019.

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Web Accessibility in Latin American Universities: A Path to Global Rankings and Digital Inclusion

2025 , Patricia Acosta-Vargas , Gloria Acosta-Vargas , Belen Salvador-Acosta , Marcos Chacon-Castro , Jadán Guerrero, Janio

Web accessibility is increasingly recognized as a key factor in assessing higher education institutions’ quality, inclusion, and social responsibility. This topic is particularly relevant in Latin America, where significant disparities in digital equity and access to resources persist. This study analyzes the web accessibility of the top 20 Latin American universities based on their rankings in QS World University Rankings, Webometrics, SCImago Institutions Rankings, and Times Higher Education (THE). Using automated and manual assessment tools, including WAVE, PageSpeed ​​​​Insights, and expert assessments, the study identifies 434 contrast errors, 210 missing text alternatives, and 262 navigation issues on university websites. The results show that universities such as USP, UNAM, and Unicamp rank high in international rankings but have critical accessibility deficiencies, highlighting the gap between digital visibility and inclusion. By aligning with WCAG 2.2 and the Sustainable Development Goals (SDGs), in particular SDG 4 (Quality Education), SDG 9 (Industry and Innovation), and SDG 10 (Reduced Inequalities), universities can improve global competitiveness while fostering digital inclusion. This research proposes a structured framework to promote accessibility through a seven-phase methodology, addressing barriers, implementing improvements, and validating effectiveness. The findings provide a systematic approach for universities to optimize accessibility, improve user experience, and strengthen their international positioning

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