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This work addresses the study of the right to legal advocacy in Ecuador, examining its concept, normative foundations, scopes, and current limitations. Ensuring the comprehensive protection of the right to legal advocacy, not merely in a formal sense, is crucial for securing efficient access to justice and preventing violation of rights. Through an analysis of Judgment 2195-19-EP issued by the Constitutional Court, it becomes evident how the lack of clear parameters regarding legal advocacy can lead to violations of this right. The study concludes that the current legal framework does not specify the minimal actions a defender must undertake to ensure adequate legal representation. Consequently, this work emphasizes the need for a legal reform that outlines these minimum standards for quality legal advocacy.

The present study focuses on studying comprehensive restitution within the framework of expedited procedures in Ecuador. It starts by scrutinizing the aforementioned legal constructs by origin, definition, and prerequisites. Subsequently, it is analyzed in conjunction with the first and second instance judgments of Case 17294-2017-00935 "SUPER CLEAN," a case brought against Economist María Sol Larrea, addressing questions regarding the resolution of comprehensive restitution when an accused opts for expedited proceedings, resulting in a quicker verdict than other cases. Following this, an analysis undertaking of the regulations guiding judicial administrators in determining pecuniary compensation. It aims to comprehend the pivotal role of the principle of proportionality in judgments that establish economic compensation as a form of restitution.

Despite the rapid and dynamic evolution of research into dietary polyphenols, there is still a knowledge gap regarding their bioaccessibility since it could be influenced by the chemical and nutritional compositions of the food matrix. This study aimed to describe the impact of food thickeners (xanthan gum, guar gum, β-glucan, pectin) on the bioactivity of flavonoids from saffron floral by-products in model beverages before and after thermal processing. The different beverage formulas were characterized in terms of polyphenolic composition using HPLC-DAD-ESI-MSn and rheological properties. The impact of food thickeners and thermal processing on the inhibition of digestive enzymes was also determined. The model beverages mainly presented glycosylated flavonols (of kaempferol, quercetin, and isorhamnetin), with a reduced content in some heat-treated samples. The inhibitory effect on α-amylase was only detected in heat-treated beverages, showing the formulation without any thickener to have the greatest inhibitory effect. Finally, the presence of saffron floral by-products in the beverages showed a tendency to decrease the flow consistency index (K) and an increase in the flow behavior index (n), most probably driven by the aggregation of phenolics with thickeners. Therefore, this research provides new insights into the development of flavonoid-rich beverages in order to ensure that they exert the expected beneficial effects after their ingestion.

Currently, a clear interest has been given to berries due to their richness in active metabolites, including anthocyanins and non-coloured phenolics. Therefore, the main aim of the present work is to investigate the phenolic profile, antioxidant abilities, and antiproliferative effects on normal human dermal fibroblasts (NHDF) and human colon carcinoma cell line (Caco-2) cells of phenolic-rich extracts from three red fruits highly appreciated by consumers: two species of blackberries (Rubus fruticosus and Rubus ulmifolius) and one species of mulberry (Morus nigra). A total of 19 different phenolics were identified and quantified by HPLC-DAD-ESI/MSn and HPLC-DAD, respectively. Focusing on the biological potential of the phenolic-rich extracts, all of them revealed notable scavenging abilities. Concerning the antiproliferative properties, R. fruticosus presented a cytotoxic selectivity for Caco-2 cells compared to NHDF cells. To deeper explore the biological potential, combinations with positive controls (ascorbic acid and 5-fluorouracil) were also conducted. Finally, the obtained data are another piece of evidence that the combination of phenolic-rich extracts from natural plants with positive controls may reduce clinical therapy costs and the possible toxicity of chemical drugs.

Severe diaphragm dysfunction can lead to respiratory failure and to the need for permanent mechanical ventilation. Yet permanent tethering to a mechanical ventilator through the mouth or via tracheostomy can hinder a patient’s speech, swallowing ability and mobility. Here we show, in a porcine model of varied respiratory insufficiency, that a contractile soft robotic actuator implanted above the diaphragm augments its motion during inspiration. Synchronized actuation of the diaphragm-assist implant with the native respiratory effort increased tidal volumes and maintained ventilation flow rates within the normal range. Robotic implants that intervene at the diaphragm rather than at the upper airway and that augment physiological metrics of ventilation may restore respiratory performance without sacrificing quality of life.

The Hamlyn Symposium on Medical Robotics 26 - 29th June 2023 Imperial College London and the Royal Geographical Society, London, The diaphragm is a critical muscle for the respiratory system, responsible for up to 70% of the inspiration effort. Phrenic nerve trauma or neuromuscular disease can generate severe diaphragm dysfunction that ultimately leads to respiratory failure [1]. The current treatment for patients with severe diaphragm dysfunction is permanent airway tethering to mechanical ventilation, which greatly impacts patient’s quality of life and autonomy by hindering activities like speech, swallowing, and mobility. Soft robots are ideal to assist in complex biological functions like the contraction of the diaphragm. Diaphragmatic mechanical assistance using implantable soft robots has shown promising results in restoring respiratory function [2]. However, the design of the soft robotic actuator can be optimized to effectively assist the diaphragm. Here, we present a soft robotic pneumatic actuator that inverts its curvature to efficiently displace the diaphragm and assist in the inspiratory effort, restoring physiological thoracic and abdominal pressurization levels. Moreover, we show how the respiratory simulator can replicate clinically relevant pleural pressure (Ppl) and abdominal pressure (Pab), demonstrating its potential as a platform to validate this technology.

Heart failure with preserved ejection fraction (HFpEF) is a major challenge in cardiovascular medicine, accounting for ≈50% of all cases of heart failure. Despite the ongoing efforts, no medical device has yet received FDA approval. This is largely due to the lack of an in vivo model of the HFpEF hemodynamics, resulting in the inability to evaluate device effectiveness in vivo prior to clinical trials. Here, the development of a highly tunable porcine model of HFpEF hemodynamics is described using implantable soft robotic sleeves, where controlled actuation of a left ventricular and an aortic sleeve can recapitulate changes in ventricular compliance and afterload associated with a broad spectrum of HFpEF hemodynamic phenotypes. The feasibility of the proposed model in preclinical testing is demonstrated by evaluating the hemodynamic response of the model post-implantation of an interatrial shunt device, which is found to be consistent with findings from in silico studies and clinical trials. This work overcomes limitations of prior HFpEF models, such as low hemodynamic accuracy, high costs, and long development phases. The versatile and adjustable platform introduced can transform HFpEF device development, aiming to enhance the lives of the 32 million people affected globally.

The increasing recognition of the right ventricle (RV) necessitates the development of RV-focused interventions, devices and testbeds. In this study, we developed a soft robotic model of the right heart that accurately mimics RV biomechanics and hemodynamics, including free wall, septal and valve motion. This model uses a biohybrid approach, combining a chemically treated endocardial scaffold with a soft robotic synthetic myocardium. When connected to a circulatory flow loop, the robotic right ventricle (RRV) replicates real-time hemodynamic changes in healthy and pathological conditions, including volume overload, RV systolic failure and pressure overload. The RRV also mimics clinical markers of RV dysfunction and is validated using an in vivo porcine model. Additionally, the RRV recreates chordae tension, simulating papillary muscle motion, and shows the potential for tricuspid valve repair and replacement in vitro. This work aims to provide a platform for developing tools for research and treatment for RV pathophysiology.

Proceedings of the 2023 Design of Medical Devices Conference DMD2023 April 17-19, 2023, Minneapolis, MN, USA, Blood clots originating in the left atrial appendage (LAA) are the leading cause of ischemic stroke in patients with nonvalvular atrial fibrillation (AF). Complications from and contraindications to oral anticoagulants (OACs), in addition to the recent successes of endocardial LAA closure devices, have driven increased interest in mechanical LAA occlusion. However, current devices are limited in their abilities to accommodate diverse LAA anatomies, motivating the development of a novel endocardial LAA occluder that supports more anatomical variability. We present the design of an in-situ expandable plug as well as an accompanying pacifier module for LAA occlusion. The final design accommodates LAA diameter ranges of 14 millimeters for each device size (10-24mm and 24-38mm), double that of any approved device. This adaptability can help to overcome imperfect pre-procedural imaging and suboptimal device fit. Benchtop tug and leak tests demonstrate the stability and sealing capacities of the design.

Title VIII of the Comprehensive Organic Criminal Code provides for the so-called special procedures, which have been incorporated into the Ecuadorian criminal system in order to provide an efficient administration of justice, to guarantee the agile solution of the causes that do not represent greater danger for public order and society, in order to protect the rights and legal security of the victim. Chapter within which we find the abbreviated procedure, which has as its main characteristic that the person prosecuted accepts his responsibility for the punishable act, and thus its sanction is mitigated, a circumstance that clearly violates the principle of prohibition of self-incrimination enshrined in article 5, numeral 8 of the pre-named normative body and in article 77, numeral 7, literal c, of the Constitution of the Republic. Procedure that is currently being fully applied in the domestic legal system in an unconstitutional manner, generating the direct violation of several rights of which every person is clothed during the substantiation of a criminal proceeding.