Examinando por Autor "Glenni Garay, Zarely Zabeli"

Mostrando 1 - 20 de 40

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Attitude of mothers of children aged 6 to 35 months and their relation to micronutrient supplementation at the primary care center of Breña, Lima-2018
(Universidad Privada Norbert Wiener, 2019-02-06) Ipanaqué Martínez, Patricia Yanet; Taype Guevara, Caty Juana; Glenni Garay, Zarely Zabeli
Objective: Determine the relationship that exists between the attitude of mothers of children from 6 to 35 months of age and the supply of micronutrients at the Primary Care Center in Breña. Material and methods: The approach was quantitative, descriptive, correlational and cross-sectional. The sample was made up of 116 mothers of children from 6 to 35 months of age. Results: The study sample presents an attitude of the mothers that is not very appropriate at 56.9% and that is inadequate at 43.1%. It should be noted that none of the mothers surveyed presented an adequate attitude. The inadequate effect is repeated in its three dimensions: cognitive, 100%; affective with 98.3%; and the behavioral dimension, with 97.4%. Regarding the second variable, micronutrient supply, it was found that 93.1% have a poorly adequate supply. 93.1% show adequate preparation and administration of micronutrients. Regarding side effects, 57.8% were adequate, however, the monitoring of supplementation was inadequate in 49.1%. Conclusions: There is no relationship between the attitude of mothers of children from 6 to 35 months and the supply of micronutrients at the Breña Health Center.
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Complementary feeding practices and their relationship with iron deficiency anemia in children aged 6 to 24 months at Unidad Vecinal No. 3 Health Center, Central Lima – 2018
(Universidad Privada Norbert Wiener, 2019-03-17) Caballero Trujillo, Melidssa Jhorela; Carranza Leiva, María Esperanza; Glenni Garay, Zarely Zabeli
Objective: Determine the relationship that exists between the complementary feeding practices of mothers of children from 6 to 24 months and iron deficiency anemia, at the Neighborhood Unit Health Center No. 3, Cercado de Lima-2018. Material and methods: It is quantitative, correlational, cross-sectional, the population was made up of 100 mothers of children from 6 to 24 months from the Neighborhood Unit Health Center No. 3, Cercado de Lima-2018; Likewise, the interview technique and documentary analysis were used. The instrument used was a questionnaire for practices and a checklist to obtain hemoglobin results. To process the data, the Excel program was used, which was then exported to the SPSS program. Chi square test was used for statistical analysis. Results: Of the 100% (100) of the mothers surveyed of children from 6 to 24 months, 64% presented healthy eating practices and 36% unhealthy practices, of which the results were that 27% presented anemia and the 73% did not present anemia. Conclusion: There is a relationship between feeding practices and iron deficiency anemia in children from 6 to 24 months.
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Diabetes mellitus as a risk factor for treatment failure in patients with tuberculosis
(Universidad Privada Norbert Wiener, 2019-01-06) Ccoicca Almidon, Flor; Céspedes Reyes, Angélica María; Glenni Garay, Zarely Zabeli
Objective: Analyze the evidence about the risk that diabetes mellitus causes treatment failure in patients with tuberculosis. Materials and Methods: Systematic Review that synthesizes the results of multiple investigations, identifying the most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. In the final selection, 10 articles were chosen, finding that 60% (6) correspond to Asia (India, Pakistan, South Korea and China), 30% (3) to America (Peru, USA and Mexico) and 10% (01) Africa (Ethiopia). According to the quality of the evidence, 80% (8) are of moderate evidence and 20% (2) of high evidence. These are mostly cohort studies. 80% (8) and 20% (2) of the articles are systematic reviews Results: According to the results obtained, 90% (n=09) show Diabetes Mellitus as a risk factor for failure of Tuberculosis treatment and 10% (n=01) of the reviewed evidence indicate that Diabetes is not considered a risk factor in treatment failure in patients with multidrug-resistant TB. Conclusions: Diabetes mellitus is a risk factor for tuberculosis treatment failure.
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Effective interventions for cognitive, behavioral, and motor development in school-age children with Down syndrome
(Universidad Privada Norbert Wiener, 2018-07-08) Meza Raza, Karina Magali; Rodriguez Hidalgo, Kitzy; Glenni Garay, Zarely Zabeli
Effective interventions for cognitive, behavioral and motor development in school-age children with Down syndrome, Quantitative type, design of a systematic review. The population 102 articles, the sample 10 scientific articles, had the following databases as instruments: PubMed, Wolters Kluwer, Ovid insights, was analyzed using the GRADE system. Results: The study indicates that 20% (n= 2/10) were systematic reviews, 10% (n= 1/10) meta-analysis, 30% (n= 3/10) experimental, 20% (n= 2/10) pre-experimental and 20% (n= 2/10) control case. In the quality of the evidence, 80% high and 20% moderate, in the strength of recommendation, strong 80% and weak 20%. According to the country of origin, they correspond to the United States 50%, the United Kingdom 20%, Norway 10%, New Zealand 10% and Spain 10% respectively. According to the review of the articles, 8 of 10 coincide with effective interventions for cognitive, behavioral and motor development in school-age children with Down syndrome. While 2 of 10 articles disagree with effective interventions for cognitive, behavioral and motor development in school-age children with Down syndrome. Conclusion: It was concluded that 80% of the interventions are effective for cognitive, behavioral and motor development in school-aged children with Down syndrome and 20% are not effective with effective interventions for cognitive, behavioral and motor development in school-aged children with Down syndrome.
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Effective interventions to reduce chronic occupational low back pain in nursing staff
(Universidad Privada Norbert Wiener, 2019-01-06) Loayza Quequejana, Lilian Wendy; García Salazar, Eymi Carolina; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence on effective interventions to reduce chronic occupational low back pain in nursing staff. Materials and methods: Observational and retrospective systematic review. The search was restricted to systematic reviews with full text, which were selected for having undergone critical reading, using the GRADE assessment to identify their level of evidence. Of the 10 international systematic reviews found, 60% (6) were randomized trials, 30% (3) were clinical trials, and 10% (1) was a systematic review. Results: It was observed that, when selecting the systematic reviews, the results showed that 100% of the evidence demonstrates that interventions to reduce chronic occupational low back pain in nursing professionals are effective. Conclusions: It is concluded that 100% of the interventions are effective in reducing chronic occupational low back pain in nursing staff.
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Effective interventions to reduce the incidence of errors in the administration of medicines in intensive care units.
(Universidad Privada Norbert Wiener, 2018-12-16) Castillo Luna, Heber Edgardo; Lunasco Chávez, Mario; Glenni Garay, Zarely Zabeli
Objective: Systematically review the effectiveness of nursing interventions for reducing medication errors. Materials and Methods: Retrospective Systematic Review, which synthesizes the results of several selected studies, all of which underwent critical reading, using the GRADE system to assign the strength of recommendations. Results: Ten articles were selected. 50% of these (n=5/10) indicated effective interventions, including computerized entry registration and the education mode for nurses in intensive care units; 20% (n=2/10) indicated educational programs, and 30% (n=3/10) highlighted interventions such as the participation of pharmacists, group meetings, among others. Conclusions: The reviewed articles concluded that effective interventions to reduce medication errors include computerized entry registration, nurse education methods, educational programs, pharmacist participation, group meetings, protocols and guidelines, medication reconciliation, and safety promotion.
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Effectiveness of breastfeeding in the mother-infant dyad for the long-term prevention of type II diabetes mellitus
(Universidad Privada Norbert Wiener, 2018-07-08) Núñez Caballero, Lesly Vilma; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence about the effectiveness of breastfeeding in the mother-child binomial for the long-term prevention of Type II Diabetes Mellitus. Materials and Methods: Systematic Review that synthesizes the results of multiple investigations. The search was restricted to articles with full text, using the GRADE system. In the selection, 10 articles were chosen, finding that 40% (04) correspond to Europe, 20% (02) to North America, 10% (01) to Central America, South America, Asia and Oceania, these in their The majority are systematic reviews (40%), cohorts (30%), systematic reviews and meta-analysis (20%) and cohort and meta-analysis (10%). Results: 80% of the reviewed articles found effectiveness in breastfeeding during 6 months exclusively in the long-term protection of type II diabetes mellitus in the Mother Child binomial, while the other 20% reveal that there is no evidence on the effectiveness of breastfeeding. Conclusions: The effectiveness of breastfeeding in the Mother Child binomial for the long-term prevention of type II diabetes mellitus was evidenced in eight of the reviewed investigations; however, two of the pieces of evidence indicate that it is not effective.
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Effectiveness of direct laryngoscopy versus video laryngoscopy in adult patients undergoing endotracheal intubation
(Universidad Privada Norbert Wiener, 2018-12-02) Tunjar Guimet, Rosario; Vargas Torres, Jackeline; Glenni Garay, Zarely Zabeli
Materials and Methods: Systematic review that simplifies the results of various investigations, identifying what is most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. In the final selection, 10 articles were chosen, finding that 40% (04) correspond to Europe (2 from the United Kingdom, 1 from France and 1 from Italy), 30% (03) from America (2 from the USA and 1 from Canada). ) and 30% (03) Asia (2 from Japan and 1 from Taiwan). These are mostly meta-analysis (60%), clinical trials (20%), systematic review (20%). Results: 90% of the studies affirm that videolaryngoscopy is effective, because it reduced the number of failed intubations particularly in patients with a difficult airway, increased the success of the first intubation attempts, improved glottic vision, reduced laryngeal airway trauma, there was less incidence of postoperative hoarseness and showed higher success rate and shorter intubation time and is not effective for adult patients undergoing intubation endotracheal in 10% of the studies because no significant advantage between both was evident. Conclusions: video laryngoscopy is more effective than direct laryngoscopy in adult patients undergoing endotracheal intubation.
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Effectiveness of early mobilization in mechanically ventilated patients in the intensive care unit.
(Universidad Privada Norbert Wiener, 2018-07-08) Miranda Arevalo, Ernesto Antonio; Nieto Bedoya, Gianner Andree; Glenni Garay, Zarely Zabeli
Objective: To systematize the evidence on the effectiveness of early mobilization in patients on mechanical ventilation in the intensive care unit (ICU). Materials and Methods: A systematic search was conducted for 10 scientific articles in the following databases: PubMed, Medline, Scielo, Elsevier, and Cochrane Plus. The articles were subjected to clinical reading using the GRADE method, which evaluated the quality of evidence and strength of recommendation. Results: 80% of the articles are systematic reviews, originating from the following countries: the USA (2), Brazil (2), Australia (2), Japan (1), and China (1). Additionally, one study (10%) was a descriptive ambispective cohort study from Colombia, and one study (10%) was a prospective multicenter cohort study from Australia. Conclusions: 90% of the reviewed articles conclude that early mobilization is a feasible, safe, and effective method for reducing muscle strength deterioration and the duration of ICU stay. However, 10% mention that there is insufficient evidence regarding the effect of early mobilization in ICU patients due to low-quality evidence found.
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Effectiveness of educational nursing interventions for the prevention and control of bullying
(Universidad Privada Norbert Wiener, 2019-08-25) Rodríguez Romero, Rosa Haydeé; Santa Cruz Suárez, Esther Verónica; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence about the effectiveness of nursing educational interventions for the prevention and control of bullying. Material and methods: Systematic review that synthesizes the results of multiple investigations, identifying the most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. Results: In the final selection, 10 articles were chosen, finding according to the results obtained from the systematic review carried out in the present study, shown in the 10 articles systematically reviewed, 70% (n=7/10) are quasi-experimental and the 30% (n=3/10) are systematic reviews. These studies come from the countries of Brazil (40%), Portugal (20%), Spain (10%), Norway, Scotland and the USA (10%), Colombia (10%), Costa Rica (10%). Conclusions: nursing educational interventions have generated positive effects in prevention, showing that the participation of the nurse is essential, also for the detection and monitoring of cases of bullying.
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Effectiveness of electronic records compared to manual records for continuity of nursing care in the intensive care unit
(Universidad Privada Norbert Wiener, 2018-11-25) Nestares Jimenez, Jackqueline Melissa; Sayas Baca, Carlos Luis; Glenni Garay, Zarely Zabeli
Systematic Review that synthesizes the results of multiple investigations, identifying what is most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. In the final selection, 10 articles were chosen, finding that 10% (01) correspond to Europe (Italy), 20% (02) correspond to North America (USA), 70% (04) correspond to South America (Brazil). and Argentina). Experimental studies have been studied, with (30%), systematic reviews we find (30%) and with (40%) we have qualitative and quantitative descriptive studies. Results: 70% of the studies affirm that electronic nursing records are more effective in their entirety than manual records for the continuity of nursing care in the intensive care unit (ICU), 20% of the studies show disadvantages in the application of the electronic record, which are directly related to the design of the software which can be modified and 10% show that it is not effective for the continuity of nursing care in the ICU. Conclusions: the electronic nursing record shows greater effectiveness compared to the manual record for the continuity of nursing care in the intensive care unit.
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Effectiveness of head elevation in brain-injured patients to reduce intracranial pressure in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-01-06) Justiniani Quíspe, Sindy Eliana; Espinoza Robles, Roy; Glenni Garay, Zarely Zabeli
Objective: To systematize the evidence on the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit. Material and Methods: A systematic review of international research articles was conducted, obtained through searches in databases such as Epistemonikos, NCBI, PubMed, Elsevier, SciELO, ScienceDirect, and BVSALUD, which were selected and analyzed using the GRADE system to determine the level of evidence. Articles were searched using DECS and MeSH descriptors for Spanish and English, respectively. Regarding the origin of the articles, 30% (3/10) are from the United States, and 70% (7/10) are from China, Spain, Turkey, Germany, Indonesia, the United Kingdom, and Russia, respectively. Results: 80% (8/10) of the articles studied define the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit, while 20% (2/10) report it as ineffective. Conclusions: It is found that 8 out of the 10 pieces of evidence studied conclude that head elevation is effective in patients with brain injury to reduce intracranial pressure in the intensive care unit, and 2 out of 10 pieces of evidence require further studies to achieve effectiveness in its application.
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Effectiveness of hearing protectors for the prevention of hearing loss in workers exposed to noise
(Universidad Privada Norbert Wiener, 2019-04-07) Candiotti Guzman, Cynthia Fiorella; Tintaya Puma, Sandra; Glenni Garay, Zarely Zabeli
The academic work is a Systematic Review that synthesizes the results of multiple investigations. The search was restricted to articles with full text submitted to a critical reading, using the GRADE system to assign the strength of recommendation. In the final selection, 10 articles were chosen, finding that 20% (02) of the total articles correspond to Spain. , another 20% (02) corresponds to Chile, 20% (02) more to Brazil, while 10% (01) corresponds to Mexico, another 10% (01) to Colombia, 10% (1) to Paraguay and finally another 10% (01) corresponds to the United Kingdom. These are mostly descriptive (40%), followed by quasi-experimental studies (30%), systematic review (10%), pre-experimental studies (10%), cohorts (10%), where of the total articles analyzed 90% affirm that hearing protectors are effective in preventing hearing loss, while 10% affirm that there is no significant information that supports the idea of better attenuation with the use of hearing protectors. The conclusion of this review is that hearing protectors are effective in preventing hearing loss in workers exposed to noise; There are also factors that can alter its effectiveness, such as the correct use of hearing protectors by the worker and training.
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Effectiveness of helicopter emergency medical services versus ground emergency services in reducing mortality in patients with severe trauma
(Universidad Privada Norbert Wiener, 2019-12-07) Morris Rios, Liz Judith; Glenni Garay, Zarely Zabeli
Objective: Systematize evidence on the effectiveness of helicopter medical services versus ground emergency services to reduce mortality in patients with severe trauma. Material and Methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Scielo, Sciencedirect, Researchgate, PubMed. Results: Of the 10 articles systematically reviewed, 10% (n= 1/10) are meta-analysis, 20% (n= 2/10) are a systematic review, 70% (n= 7/10) are studies of cohort and come from the countries of the United States (50%), followed by Japan (20%), Germany (10%), England (10%) and Korea (10%). 100% (n=10/10) indicate that helicopter emergency medical services are more effective than ground emergency services in reducing mortality in patients with severe trauma. Conclusion: Helicopter emergency medical services are more effective than ground emergency services in reducing mortality in patients with severe trauma.
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Effectiveness of high-level disinfection of medical devices to prevent infections in patients undergoing minimally invasive procedures
(Universidad Privada Norbert Wiener, 2019-01-06) Neyra Gil, Lourdes Soraya; Cárdenas Cossio, Gisela Coralí; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence on the effectiveness of high-level disinfection in medical devices to prevent infections in patients undergoing minimally invasive procedures. Material and Methods: Systematic review that summarizes the results of various investigations, identifying what is most relevant to answer specific questions. The search has been limited to articles with full text that have been critically read, using the GRADE evaluation to assign their level of evidence. Results: In the final selection, 05 articles were chosen, finding that 40% (04) correspond to Brazil, Peru and Mexico and 10% (01) Asia (India). These are mostly experimental studies (10%), descriptive case series type (20%), systematic reviews (10%), controlled clinical trials (10%). 100% of the articles state that high-level disinfection (HLD) does not ensure the elimination of the most resistant microorganisms such as endospores and some mycobacterium, such as microorganisms of the Coccidia subclass such as M. Masiliense, so this process is not considered effective in preventing infections in minimally invasive procedures. Conclusions: High-level disinfection is not effective in medical devices to prevent infections in patients undergoing minimally invasive procedures.
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Effectiveness of initial care in reducing complications in burn patients
(Universidad Privada Norbert Wiener, 2018-07-08) Cabrera Rivera, Giovanna Yasmin; Ramos Mendoza, Daniela Milagros; Glenni Garay, Zarely Zabeli
The type of research is qualitative, the study design is a systematic review, the population was 30 articles, the sample was comprised of 10 scientific articles published in scientific databases, the instrument was a database search: Cochrane Library, Scielo, PubMed, Burns-Journal, ELSEVIER, Redalyc, EBSCO, the GRADE method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: 100% articles, 20% correspond to the USA, 20% Spain, 10% Costa Rica, 10% Chile, 10% Peru, 10% Venezuela, 20% Cuba. In relation to the designs and types of studies, 10% clinical trial, 20% systematic review, 20% cohort studies, 10% case-control, 40% descriptive/cross-sectional. Conclusions: It is concluded that 70% of the studies show that initial care was effective in reducing complications in burn patients because they had fewer days of hospitalization, a decrease in infections, improvements in satisfaction, a decrease in healing time, less sequelae, and improvements in the multidisciplinary work of health professionals; In 30% it was not effective because there was no data regarding the reduction of complications.
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Effectiveness of renal transplantation from a living donor vs. cadaveric donor transplantation for the survival of the graft and recipient in adult patients with terminal chronic renal disease.
(Universidad Privada Norbert Wiener, 2018-11-04) Carrión Alcalde, Arlene Melisa; Paucar Espinoza, Gian Carlos; Glenni Garay, Zarely Zabeli
Material and Methods: A systematic search of 10 scientific articles was conducted in the following databases: Scielo, Elsevier, Pubmed, Nefrology Journal, Biomedical Journal, and Mexican and Colombian Urology Journal. The research design is as follows: 30% (3/10) systematic reviews, and 70% (7/10) cohort studies. 30% (3/10) of the evidence is of high quality, and 70% (7/10) is of moderate quality. Furthermore, 40% of the evidence comes from Spain, 20% from Cuba, 20% from Colombia, 10% from Mexico, and 10% from Chile. Results: 100% (n=10/10) of the scientific evidence consulted indicates that kidney transplantation from a living donor is more effective than kidney transplantation from a deceased donor for graft and recipient survival in adult patients with end-stage renal disease, proving to be the best treatment, as it results in fewer complications and improved quality of life. Conclusion: Kidney transplantation from a living donor is more effective than kidney transplantation from a deceased donor for graft and recipient survival in adult patients with end-stage renal disease.
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Effectiveness of sodium bicarbonate versus sodium chloride in preventing contrast-induced nephropathy in patients with kidney disease
(Universidad Privada Norbert Wiener, 2018-08-26) Quispe Vargas, Cirila; Quinde Galvez, Olivia; Glenni Garay, Zarely Zabeli
To systematize the evidence on the effectiveness of sodium bicarbonate versus sodium chloride in the prevention of contrast-induced nephropathy in patients with kidney disease. Material and Methods: Observational and retrospective systematic review, the search has been restricted to systematic reviews with full text, which have been selected because they have been subjected to a critical reading, using the GRADE evaluation to identify their level of evidence. Results: It is observed that when carrying out the selection of systematic reviews, the results were that 70% (7/10) of evidence demonstrate that sodium bicarbonate is more effective than sodium chloride for the prevention of contrast-induced nephropathy. in patients with kidney disease, while sodium bicarbonate is not superior in efficacy in 20% (2/10) of the evidence found and 10% (1/10) there are no differences between the baking soda and sodium chloride. Conclusions: It is established that sodium bicarbonate is more effective than sodium chloride for the prevention of contrast-induced nephropathy in patients with kidney disease. Which implies a lower possibility of risk of longer hospital stay.
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Effectiveness of the bundle approach in reducing ventilator-associated pneumonia in critical care patients
(Universidad Privada Norbert Wiener, 2018-07-08) Chapa Bayona, Gloria; Gil Layza, Carlos Samuel; Glenni Garay, Zarely Zabeli
Objective: To systematize the evidence on the effectiveness of the bundle to reduce ventilator-associated pneumonia in critically ill patients. Materials and Methods: Observational and retrospective systematic review, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of the published articles in the following databases: Epistemonikos, ScienceDirect, PubMed, Medigraphic, Scielo. Of the 10 articles systematically reviewed, 20% (n=2/10) are systematic reviews, 20% (n=2/10) are quasi-experimental, and 60% (n=6/10) are cohort studies. The studies are from the United States (20%), China (20%), Saudi Arabia (20%), followed by Canada (10%), Australia (10%), South Korea (10%), and Egypt (10%). Results: 100% (n=10/10) indicate that the bundle is effective in reducing ventilator-associated pneumonia in critically ill patients. Conclusion: The bundle is effective in reducing ventilator-associated pneumonia in critically ill patients.
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Effectiveness of the Buttonhole puncture technique versus the ladder technique for arteriovenous fistula in patients with chronic kidney disease on hemodialysis
(Universidad Privada Norbert Wiener, 2018-12-02) Bustamante Cabrera, Gisela Esmeralda; Choque Quispe, Sandra Paola; Glenni Garay, Zarely Zabeli
In the final selection, 10 articles were chosen, corresponding: 30% to Spain, Belgium and the Netherlands, 20% to Canada, 20% to China and Korea, 30% to Australia. 30% of the articles are systematic reviews, 10% are retrospective studies, 20% are randomized controlled trials, 10% are prospective cohort studies, 20% are prospective comparative studies, and 10% are literature reviews. 50% of the studies affirm that the Buttonhole (BH) puncture technique is effective compared to the Ladder puncture (RL) of the arteriovenous fistula (AVF) and 40% of the evidence affirms that the BH technique is not effective against puncture in RL. While 10% mention that there is no difference regarding the effectiveness of both puncture techniques. It is concluded that 5 of 10 articles show that the BH puncture technique is more effective versus the AVF RL technique in patients with chronic kidney disease on hemodialysis.