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Cancer Risk Due to Rheumatoid Arthritis in Older Adults in the Province of Pastaza

2025 , Luis Enrique Naula Chuca , Villavicencio Soledispa, José , Alexandra Monserrath Moya Carillo , Mayra Lisseth Toaquiza Quinapallo

The rheumatoid arthritis is a disease that increases the risk of developing certain types of cancer, such as lymphomas, leukemia, multiple myeloma and lung cancer affecting all people, regardless of sex, age or social status, but the population at greatest risk is the elderly, which is why we seek to learn about the disease and it’s about the disease and its affectations, as well as about its conventional and alternative and alternative treatment by means of natural products in areas of the Pastaza Province. The research was carried out bibliographic review using a descriptive and explanatory research method, based on a descriptive and explanatory method, based on relevant information from publications in magazines, scientific in journals, scientific articles, as well as a systematic review by describing the most describing the most relevant parts, analyzing and interpreting them. It was obtained that rheumatoid arthritis results showed that rheumatoid arthritis affects mostly women of 60 years of age or older in 69%, as well as 69%, as well as that anti-inflammatory medication should be prescribed according to the progression of the disease according to the progression of the disease, and the alternative of natural medications such as wine natural medicines as the wine therapy that contributes to the improvement of the patient. It is concluded that the older adult with rheumatoid arthritis has a better quality of life rheumatoid arthritis has a poor quality of life which leads to other psychosomatic diseases.

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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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Inventory of instruments, medical devices, equipment and building facilities containing mercury in health facilities

2025 , Villavicencio Soledispa, José , Ortiz Salazar, Camila , Freire Timbela, Jennifer , Toaquiza Quinapallo, Mayra

The inventory of instruments, medical devices, equipment and building facilities containing mercury in health facilities was carried out on July 11, 2023 at the Riobamba Private Hospital, covering areas such as Hospitalization, Dentistry and Various Services. Devices containing mercury were identified, consisting of: 187 thermometers (oral, rectal and pediatric) with a total of 336.6 grams distributed in the hospital's rooms and warehouse, 1 laboratory thermometer with 4.4 grams in the clinical laboratory, 1 sphygmomanometer/tensiometer with 95 grams in the delivery room, and 1 gastrointestinal tube with 907 grams in the gastroenterology area. As for building equipment and facilities that contain mercury, they include: 2 in boiler indicator controls with 4,445.28 grams of mercury in the kitchen; 3 flow meters with a total of 15,000 grams distributed between the machine room and traumatology, 46 flame sensors with 138 grams, 30 pressure switches and 30 temperature switches with 345 and 165 grams of mercury, 22 inclined mercury switches with a total of 785.4 grams and 502 compact fluorescent lamps and 388 linear ones distributed in all hospital services. The waste inventory includes 187 thermometers with 1,870 grams of mercury, 1 blood pressure monitor with 95 grams, and a gastrointestinal tube with 907 grams. No esophageal dilators with mercury are reported. Dental amalgam waste contains 0.01 micrograms of mercury, with no current waste. There are 893 luminaires, lamps and fluorescent tubes with 455,430 grams of mercury. No waste from mercury switches is reported. 462 grams of liquid mercury is recorded in dentistry.

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Renal Cancer with Liver Metastases

2025 , Villavicencio Soledispa, José , Mónica Patricia Soto-Ayala , Jennifer Paola Freire Timbela , Camila Valentina Ortiz Salazar

Kidney cancer is a disease that begins in the kidneys, two bean-shaped organs situated behind the abdominal organs, each about the size of a fist. The kidneys’ primary function is to filter excess water, salt, and waste products from the body, turning these substances into urine. Kidney cancer occurs when healthy cells in one or both kidneys start growing uncontrollably, forming a lump known as a tumor. The most common type of kidney cancer is renal cell carcinoma, which accounts for about 90% of cases. The exact cause of renal cell cancer is unknown; however, several risk factors have been identified. These include smoking, obesity, and high blood pressure. In the early stages, kidney cancer often does not present any symptoms and is usually detected incidentally during imaging tests for other complaints. As the tumor grows, symptoms may include blood in the urine, pain in the lower back, a lump in the lower back or side of the waist, unexplained weight loss, night sweats, fever, or fatigue. Cancer cells can grow into nearby areas and even spread to other parts of the body, a process known as metastasis.