Objectives: This research was conducted with the objective of promoting a law reform that guarantees respect for people with addictions and their rights by the owners and workers of rehabilitation centers. Methodology: A deductive-inductive method was used, and a bibliographic review was conducted in the situational diagnosis stage, which allowed a study from the general to the particular in relation to the rights and the centers under study at the national level. In the proposal stage, the analytical method was used, conducting a detailed analysis through interviews with people who have been in these rehabilitation centers. Results: The present research work adopted a legal, doctrinal, and exploratory approach on the rights violated by the owners and workers of rehabilitation centers towards people with alcoholism and drug addiction diseases. Conclusion: It was possible to identify which rights are most frequently violated in these environments.

Introduction: the impact of postmodernity in society is evident inhuman behavior where individualism, hedonism, lack of commitment and immediate satisfaction of pleasure occur due to the development of Information and Communication Technologies (TICS) and social networks, in which there is a growing variation of changes in communication and conformation of various types of couples. Objective: to describe postmodern couples according to their characteristics, types and psychopathologies from an affective-emotional perspective. Methodology: bibliographic review of the scientific and academic literature obtained from databases such as: Scopus, Web of Science, Scielo, Redalyc, and Google Scholar by using the keywords: Postmodernism, types of couples, couple relationships, communication, psychopathology. A total of 275 articles were obtained, to which inclusion and exclusion criteria were applied, and through the use of the PRISMA method, a purification of 30 articles that contemplated the variables of this research work was obtained as a result.  Results: after the analysis of the selected scientific articles, it was found that postmodern couples maintain the tendency to move away from traditional models, have flexibility in sexual matters, are independent, liberal, hedonistic, promulgate gender equality, maintain a marked tendency to remain connected to social networks with a permanent search for social validation. They form different types of couples such as open, swinger, polyamorous, and also show greater tolerance to homosexual, hybrid and flexible sexual relationships. In relation to psychopathology from an affective-emotional perspective they present emotional dependence, constant need for attention and social validation, sexual risk behaviors, hostile and ambivalent sexism with high level of psychological violence, cyberbullying, extreme jealousy, social stress, substance abuse addictions, somatic diseases. Conclusion: postmodern couples are mostly individualistic, hedonistic, less traditional, try to move away from romantic love, present greater sexual flexibility, are more tolerant to new forms of couple conformation, present affective-emotional alterations basically linked to the need for validation through social networks, loneliness, risky sexual behaviors, cyberbullying and substance abuse.

Introduction: experiential Learning approach focuses on the idea that individuals learn best by experience, reflection, and practice. It motivates learners to foster English language skills through collaborating and cooperating on specific tasks that engage students in real situations that allow them to face real-life challenges. Objective: this study aimed to investigate the effectiveness of Experiential Learning on developing students’ ability to communicate. Methodology: this research employed a mixed-methods approach, combining both qualitative and quantitative elements. The population consisted of 63 students from the Pedagogy of National and Foreign Languages Major at Universidad Nacional de Chimborazo in the city of Riobamba. The Cambridge Preliminary English Test on speaking B1 was administrated before and after the intervention. This examination was utilized to evaluate the proficiency of the participants. The treatment was structured around the incorporation of the four phases of Experiential Learning, as suggested in Kolb's cycle. Subsequently, a series of lesson plans were designed to address topics aligned with the B1 level. Additionally, a semi-structured interview was conducted to elicit the insights and perspectives of the learners concerning their experiences with the application of the Experiential Learning approach. The Shapiro-Wilk and Kolmogorov-Smirnov tests were applied to analyze the data from the pre and posttests. Findings: the findings show that learners notably improved their ability to communicate. Conclusion: the experiential Learning cycle plays a significant role in connecting students’ experiences to foster practical language usage in real-life contexts.

Introduction: Currently, there is a large number of adolescents who do not do Physical Activity (PA), due to different circumstances, but at the same time there are factors that promote the acquisition of healthy habits such as regular exercise. Objective: The objective of the study was to determine the reasons for the practice of PA in adolescents based on age and gender in the city of Cuenca - Ecuador. Methodology: A non-experimental, descriptive research with a transversal scope was conducted with a sample of 135 adolescents (50 women, 85 men) from a private school, between 13 and 17 years old (14.63 ±1.3). To determine the reasons for practicing PA, the Self-Report of Reasons for the Practice of Physical Exercise (AMPEF) was used, in which a descriptive and correlational analysis of the once categories was conducted through Pearson's Chi Square statistic, using the SPSS Program version 25.0. Results: high average values ​​in the Prevention and Positive Health category in both men and women and low values ​​in the Health Emergencies category for the male gender and Competence in the female gender; as well as relationships between the Competition-Gender category, and Muscular Strength and Resistance-Age. Conclusions: Determining that there are slight differences between the reasons for practicing PA between men and women, as well as in the age ranges, due to changes in the physical and cognitive development of adolescents. General Area of Study: Physical Culture. Specific Area of Study: Physical Activity.

Introduction: Physical activity is an important aspect in a person's life as it contributes to the strengthening of their health and reduces the risk of long-term illnesses. Objective: This article aims to analyze the relationship between the level of physical activity, body satisfaction, and body mass index in adolescents. Methodology: It is a descriptive, cross-sectional, empirical study with a quantitative approach. The sample consisted of 196 adolescents from the second year of high school. The instruments used were the International Physical Activity Questionnaire, the Body Shape Questionnaire-14, and the formula established by the World Health Organization for calculating the body mass index. Results: It was determined that the highest level of physical activity corresponds to males with an average vigorous physical activity of 1630 MET, while females are at 709 MET. Regarding the body mass index, most students are in the normal range; however, there is a significant prevalence of obesity among 17-year-old students. Conclusions: It is concluded that there is a direct relationship between the level of physical activity and body mass index in adolescents. This is attributed to the low level of physical activity, resulting in high and low body mass index values that contribute to the occurrence of cases of overweight, obesity, moderate, and severe malnutrition. General area of study: Physical Culture. Specific area of study: Physical Education.

Introduction: The heart is part of the cardiovascular system and has four valves; the tricuspid, pulmonary, mitral and aortic valves. The conditions that affect the physiology of the tricuspid valve are originated by genetic or acquired pathologies and are classified in stenosis and tricuspid insufficiency, the most vulnerable groups are women, older adults and people with comorbidities of left heart disease, the most common symptoms are: hepatosplenomegaly, ascites, asthenia, dyspnea and edema. Objective: To determine the management of tricuspid insufficiency in a clinical case in order to present new and instructive aspects of the disease. Methodology: The methodological direction used in this study is clinical case review and analysis.  Results: A 74-year-old female diagnosed with non-dilated congenital and valvular heart disease with preserved systolic function, LVEF 67% treated with surgical closure of atrial septal defect and symptomatic severe tricuspid regurgitation with atrial fibrillation, the aim of this study is to determine the management of tricuspid regurgitation and to present new or instructive aspects of the disease with its respective history, clinical history, physical examination, surgical treatment, nursing care plan and evolution in order to broaden the knowledge of health personnel, the scientific community and the general public. Conclusion: ET is a valvular condition with little impact on the general population, unlike TI, which has a higher prevalence rate, and usually shares a similar clinical picture, diagnosis and treatment. General area of study: medicine. Specific area of study: cardiology. Type of study: clinical cases.

Introduction. Sinoatrial Nodal Block comprises a variety of conditions involving sinus node dysfunction, the inability of the sinoatrial node to produce an adequate heart rate to meet the physiological needs of the individual. Objective. to determine the management of Sinoatrial Nodal Block to present new and instructive aspects of the disease in a clinical case. Methodology. Analysis of a retrospective descriptive clinical case, for the collection of information a review of clinical history was made; for the description of the disease a compilation of information was made in recognized databases such as: Scopus, Pubmed, web of Science, Lilacs. Results. The clinical case presents a 56-year-old male patient Sinus rhythm / F.C. 77 1 pm / PR 180 ms/ QRS 90 ms/ QT 360 ms I QRS axis -60° Stroke: sinoatrial nodal disorder, with diagnoses: non-dilated hypertensive heart disease with systolic function to be estimated and uncontrolled arterial hypertension Stage II. Conclusion. The diagnosis of sinoatrial node disease can be complicated due to its slow and erratic course, clinical history data should be correlated with findings found in the 12-lead electrocardiogram and 24-hour Holter monitoring. The diagnosis and treatment of sinoatrial dysfunction is a common problem in practice; it is made up of various rhythm disorders that can lead to major cardiovascular events. General area of study: medicine. Specific area of study: cardiology. Type of study: clinical cases.

Introduction. Sinus arrhythmia is a heart rhythm disturbance that does not present symptoms or show abnormalities in the sinus node. The most common cause is brain injury, caused by increased intracranial pressure or hypoxia, which often manifests in young healthy people by heart rate variability below normal and increased vagal tone. Objective. To determine the management of sinus arrhythmia by analyzing a clinical case to present new and instructive aspects of the disease. Methodology. A retrospective descriptive study through the analysis of a clinical case and for the collection of information about the pathology, searches will be made in the different scientific sources of the last 5 years in platforms such as: Scopus, PorQuest, PudMed, Web of Science, Lilacs, Redalyc, Medigraphic, Scielo, among others.  Results. A 14-year-old male patient in Guatemala went to the cardiology emergency department for cardiac rhythm assessment, 3 electrocardiograms were taken and a diagnosis of electrocardiogram of an athlete with a heart rate of 28 bpm was made. Conclusion. The importance of this research work is to describe the clinical case of a 14-year-old male patient with sinus arrhythmia and to analyze new and instructive aspects of the disease and acquire new knowledge about the pathology. General area of study: medicine. Specific area of study: cardiology. Type of study: clinical cases.

Introduction. Aortic insufficiency (AI) is a common cardiovascular condition in life. Chronic cases remain asymptomatic as the left ventricle enlarges, leading to acute symptomatic regurgitation.  Objective. To determine the management of aortic insufficiency in order to present new and instructive aspects of the disease. Methodology. Analysis of a clinical case study; descriptive, retrospective. For the construction, a bibliographic review was carried out in databases such as scopus, pubmed, Redalyc. The description of the case was made and a discussion of the scientific information with the findings of the case was established. Results. 83-year-old male patient with a diagnosis of severe aortic insufficiency, with resolutive treatment of Transcatheter valve replacement. The pathology is characterized by regurgitation of blood from the aorta to the left ventricle during diastole. It is attributed to congenital or acquired abnormalities of the aortic valve or root. Conclusion. There is no written formula that is sufficiently accurate to determine the severity of the condition, so it is necessary to apply an integrative vision in the approach, in addition to systematic follow-up and echocardiographic monitoring. General area of study: medicine.

Introduction: Mitral insufficiency is a frequent disease. The main causes are classified as degenerative and ischemic, being prevalent in developed countries; or rheumatic in underdeveloped countries. Data show that within an adult population this disease is prevalent in people over 50 years of age. The prevalence of mitral insufficiency does not differ markedly between sexes, but studies indicate that it increases considerably with age. Objective: to determine the management and therapeutics of mitral insufficiency in a clinical case in order to establish novel and instructive elements of the disease. Methodology: descriptive, retrospective clinical case study. The technique used for the collection of the information of the case will be through the review of clinical history and for the description of the pathology, the collection of articles extracted from recognized databases such as: Scopus, PorQuest, Pubmed, web of science, lilacs will be carried out. Results: A 59-year-old man with chronic non-dilated ischemic heart disease and preserved systolic function. The patient's electrocardiogram showed a normal sinus rhythm with a heart rate of 67 beats per minute, a PR interval of 140 ms, a QRS complex of 90 ms, and a QT interval of 360 ms, with an inferior face ZEI. Conclusion: In the case of the 59-year-old man with a history of chronic ischemic heart disease and coronary artery disease, the presence of mitral insufficiency could add additional complexity to his clinical management. Although mitral insufficiency is not directly mentioned in the patient's specific case, it is important to recognize how multiple cardiac pathologies can coexist and how each can influence the overall management of the patient. General area of study: medicine. Specific area of study: cardiology. Type of study: clinical cases.