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Examinando por Autor "Matta Solis, Hernan Hugo"

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    Miniatura
    ÍtemAcceso abierto
    Antipyretic efficacy of combined versus individual use of acetaminophen and ibuprofen in febrile pediatric patients.
    (Universidad Privada Norbert Wiener, 2018-03-25) Carlos Musayon, Jessica Viviana; Casanova Taya, Betty; Matta Solis, Hernan Hugo
    Objective: To systematically analyze the evidence of the combined use of paracetamol and ibuprofen versus their individual use. Material and Method: The systematic review of 10 articles on the antipyretic efficacy of the combined use versus individual use of paracetamol and ibuprofen in febrile pediatric patients in the emergency department was found in the following databases: Cochrane, SciELO, Medline, PubMed, and Elsevier. Of the 10 articles reviewed, 60% (6/10) correspond to the methodological design of randomized clinical trials, 30% (3/10) are systematic reviews, and 10% (1/10) is a simple review. All of them were analyzed according to the GRADE scale to determine their strength and quality of evidence. Results: 80% of the reviewed articles are conclusive, supported by 1 systematic review and 1 simple review, suggesting that combined therapy is better than monotherapy, and 6 randomized clinical trials showing that the combined use of paracetamol and ibuprofen works more effectively and even faster than paracetamol or ibuprofen alone. However, the other 20% recommend that further studies in larger populations are necessary to confirm its efficacy. Conclusions: Of the 10 articles reviewed, 80% (8/10) demonstrate the efficacy of the combined use of paracetamol and ibuprofen in febrile pediatric patients.
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    Miniatura
    ÍtemAcceso abierto
    Antipyretic efficacy of combined versus individual use of paracetamol and ibuprofen in febrile pediatric patients.
    (Universidad Privada Norbert Wiener, 2018-03-25) Casanova Taya, Betty Roxana; Matta Solis, Hernan Hugo
    Objective: To systematically analyze the evidence for the combined use of paracetamol and ibuprofen versus their individual use. Material and method: A systematic review of 10 articles on the antipyretic efficacy of the combined use versus individual use of paracetamol and ibuprofen in febrile pediatric patients in the emergency department was found in the following databases: Cochrane, SciELO, Medline, PubMed, and Elsevier. Of the 10 articles reviewed, 60% (6/10) correspond to the methodological design of a randomized clinical trial, 30% (3/10) are systematic reviews, and 10% (1/10) are simple reviews. All of them were analyzed according to the GRADE scale to determine their strength and quality of evidence. Results: 80% of the reviewed articles are conclusive, supported by 1 systematic review and 1 simple review, which suggest that the use of combination therapy is better than monotherapy, and 6 randomized clinical trials showing that the combined use of paracetamol and ibuprofen acts more effectively and even faster than paracetamol or ibuprofen alone. The other 20%, however, recommend that further studies in larger populations are needed to confirm its efficacy. Conclusions: Of the 10 reviewed articles, 80% (8/10) demonstrate the efficacy of the combined use of paracetamol and ibuprofen in febrile pediatric patients.
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    Benefit of immediate skin-to-skin contact after birth for the achievement and maintenance of exclusive breastfeeding in newborns.
    (Universidad Privada Norbert Wiener, 2020-01-19) Cucchi Torres, Nilda Victoria; Cruzado Flores, Karen Milagros; Matta Solis, Hernan Hugo
    Objective: Systematically review the available results of studies conducted on the benefit of skin-to-skin contact immediately after birth for achieving and maintaining exclusive breastfeeding in newborns. Material and Method: The systematic review of the 10 original primary studies was found in the following databases: Epistemonikos, TriData-Base, PlosOne, Pubmed, Cochrane Library. Each of these studies was examined to determine their strength and quality of evidence according to the Grade scale. Results: Out of the 30 articles analyzed that formed part of the population in this study, 10 were selected to make up the sample, with methodological qualities such as meta-analysis, systematic reviews, and randomized controlled studies. Of the 10 studies systematically analyzed, 100% (10) demonstrate the benefit of immediate skin-to-skin contact after birth in achieving and maintaining exclusive breastfeeding in newborns, showing not only the benefit of this procedure but also its impact on the health of the mother-child dyad. Conclusions: All 10 articles analyzed show evidence of the benefit of skin-to-skin contact immediately after birth for achieving and maintaining exclusive breastfeeding in newborns.
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    Burnout and engagement in nursing students at Universidad Privada Norbert Wiener, Lima - 2018.
    (Universidad Privada Norbert Wiener, 2019-01-21) Domínguez Perla, Angélica Nathaly; Mendoza Lucho, Julissa Milagros; Matta Solis, Hernan Hugo
    Materials and Methods: This study follows a quantitative approach, and regarding the study design, it is non-experimental, correlational, and cross-sectional. The population consisted of 563 nursing students. The instruments used were the (MBI-SS), which allows for assessing the level of burnout in students, and the (UWES), which measures the level of engagement in students. Results: Academic burnout and academic engagement have a slightly positive relationship, as the Spearman correlation coefficient (Rho) is 0.101 (p = 0.009). A medium level of burnout was found overall (97.5%), with the dimensions showing medium levels in emotional exhaustion (74%), low levels in cynicism (79%), and medium levels in inefficacy (65%). Regarding engagement, a high level was found overall (58.1%), with the dimensions showing very high levels in vigor (46.9%), dedication (49.6%), and absorption (79.6%). Conclusions: Academic burnout and academic engagement show a slight relationship, with burnout predominating at a medium level and engagement at a high level.
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    Miniatura
    PublicaciónAcceso abierto
    Daños a la salud producidos por exposición ocupacional al formaldehido en personal que labora en centros hospitalarios.
    (Universidad Privada Norbert Wiener, 2018-03-25) Huamán Cristobal, Melva; Matta Solis, Hernan Hugo
    Objetivo: Sistematizar las evidencias sobre daños a la salud producidos por exposición ocupacional al formaldehído en personal que labora en centros hospitalarios. Materiales y métodos: Revisión Sistemática de 10 artículos. Se encontraron diversos artículos científicos y para ello se utilizó la base de datos: Revista Cochrane, Lilacs, Pubmed, Epistemonikos, Intramed, Scielo. Dentro de las 10 evidencias según el tipo de investigación pertenece el 10% (1/10) a Revisión Sistemática y Meta-análisis, el 10% (1/10) Meta-análisis, el 10% (1/10) Revisión Sistemática, 30% (3/10) casos y controles, 10% (1/10) Cuasiexperimental, y 30% (3/10) de diseño Transversal. El 20% de las evidencias encontradas proceden de Estados Unidos, y 10% de la India, España, Irán, Portugal, Egipto, Brasil, Noruega, y Etiopía respectivamente. Resultados: El 60% (n= 6/10) de los estudios evidencian que la exposición ocupacional al formaldehído en personal de salud produce daños a las vías respiratorias altas, irritación ocular, efectos tóxicos al sistema nervioso; y aparición de cáncer; el otro 40% (n=4/10) de los estudios revisados demuestran que no hay evidencia científica suficiente que demuestre la asociación positiva significativa entre la exposición al formaldehído y las enfermedades respiratorias, nerviosas y cancerígenas en las personas expuestas. Conclusión: El trabajo académico consistente en una revisión sistemática, evidencia y concluye en la mayor proporción de los estudios incluidos, que la exposición ocupacional al formaldehído en personal de salud, produce daños a las vías respiratorias altas.
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    Effectiveness of adrenaline in the management of cardiac arrest.
    (Universidad Privada Norbert Wiener, 2018-01-27) Facundo Carrillo, Xiomara Greys; Araujo Huamani, Carina; Matta Solis, Hernan Hugo
    Objective: Analyze the available evidence from studies conducted on the effectiveness of adrenaline in the management of cardiac arrest. Methodology: A systematic review of 10 scientific articles on the effectiveness of adrenaline in cardiac arrest management was conducted, found in the following databases: Scielo, Medline, and Pubmed. Additionally, a critical selection was made using the GRADE evaluation system to identify the level of evidence. The search was limited to full-text articles. Results: Of the 10 articles systematically reviewed, 90% (9/10) demonstrate the effectiveness of adrenaline in cardiac arrest; 10% (1/10) of the articles state that there is insufficient data to determine the effectiveness of adrenaline in the management of cardiac arrest; thus, further studies are needed to determine the effectiveness of adrenaline in cardiac arrest management. Conclusions: Of the 10 articles reviewed, 9 demonstrate the effectiveness of adrenaline in cardiac arrest. Furthermore, we found that the administration of adrenaline was beneficial, as it aids in the return of spontaneous circulation during resuscitation maneuvers, being a part of the cardiopulmonary resuscitation protocol.
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    Effectiveness of community interventions to improve therapeutic adherence in patients with type II diabetes mellitus
    (Universidad Privada Norbert Wiener, 2019-10-13) Diaz Madueño, Norka Elizabeth; Zeña Armas, Noemí; Matta Solis, Hernan Hugo
    Objective: To systematize evidence on the effectiveness of community interventions in improving therapeutic adherence in patients with type II diabetes mellitus. Materials and Methods: A retrospective and observational systematic review was conducted, synthesizing results and conclusions from research studies. Articles were obtained from high-impact scientific databases and were related to the PICO question. The GRADE system was used to assign the quality of evidence and strength of recommendation. Finally, the articles underwent a systematic and critical analysis, leading to the best practical answers for professional use. Results: Of the 10 selected articles, 5 were systematic reviews, 1 was a meta-analysis, 3 were randomized trials, and 1 was a quasi-experimental study. 80% of community interventions were carried out by professionals, while 20% were conducted by health promoters. Interventions varied, with the most common being educational counseling, text messages, and motivational interviews aimed at increasing therapeutic adherence. Effectiveness was directly evaluated using questionnaires in 30% of articles and indirectly through hemoglobin A1c, fasting glucose, and body mass index in 70% of articles. Conclusion: The systematic review of the 10 articles provides evidence of the effectiveness of community interventions in improving therapeutic adherence in patients with type II diabetes mellitus.
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    Miniatura
    ÍtemAcceso abierto
    Effectiveness of educational intervention on knowledge of exclusive breastfeeding in first-time mothers
    (Universidad Privada Norbert Wiener, 2020-12-27) Gonzales Polo, Isidro Américo; Matta Solis, Hernan Hugo
    The 10 scientific articles were systematically analyzed with the research related to the prenatal education intervention for the benefit of improving the initiation of exclusive breastfeeding for first-time mothers in relation to women who already breastfed exclusively at three or six months. while women who have problems do not achieve complete breastfeeding, so they need help to start breastfeeding, on the other hand, education for mothers to change their attitude and start exclusive breastfeeding for the benefits of their babies, as well It is beneficial to mothers with twins who were educated to have good breastfeeding technique, while future mothers also have knowledge and positive attitudes for exclusive breastfeeding in the future, likewise, communication through cell phones is an important means today to educate to mothers for the benefit of breastfeeding, finally the culture of mothers who received education were beneficial in both groups. Therefore, the effectiveness of the educational intervention on the knowledge of exclusive breastfeeding in first-time mothers taught by nursing professionals to mothers who begin exclusive breastfeeding for the first time and the use of demonstrative educational techniques are a tool fundamental in education to avoid illnesses in their babies in the future.
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    Miniatura
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    Effectiveness of educational intervention to improve knowledge, attitudes and practices on prevention of skin cancer in children and adolescents
    (Universidad Privada Norbert Wiener, 2019-11-24) Córdova Ramos, Katty Liz; Ochoa Calderón, Monica; Matta Solis, Hernan Hugo
    Objective: Systematize the scientific evidence related to the effectiveness of educational interventions on the knowledge, attitudes, and practices of children and adolescents in the prevention of skin cancer. Materials and Methods: Systematic review submitted to the Grade evaluation system allowing identification of the level of evidence of the studies found in the following databases: PubMed, Sciencedirect, and Redalyc. Of the 10 articles analyzed, 40% were systematic reviews, 50% randomized controlled trials, and 10% cohort studies. Results: The analysis of the articles' origin shows that 70% were from the USA, 10% from Mexico, 10% from France, and 10% from Spain. Results: Of the evidence found, 100% (n=10/10) indicates that educational intervention is effective in improving the knowledge, attitudes, and practices of children and adolescents in skin cancer prevention. Conclusions: The educational intervention aimed at the parents of children and adolescents is effective in preventing and reducing the incidence of skin cancer, raising awareness about precautions to take, and encouraging the continuous practice of positive habits. It also demonstrates that the application of educational talks, discussion sessions, and the messages delivered are the most used and applied, in accordance with technological advances. Educational interventions were effective in various settings, such as: clinics, communities, and schools, with emphasis on sun photoprotection measures.
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    Effectiveness of educational interventions on diet and physical activity to prevent complications in diabetic patients
    (Universidad Privada Norbert Wiener, 2020-02-29) Gutierrez Mamani, Vilma; Caman Castillo, Maria Elena; Matta Solis, Hernan Hugo
    Methodology: It consists of ten scientific articles found for the effectiveness of educational interventions, diet and physical activity to prevent complications in diabetic patients, these were analyzed by the databases Pubmed, Cochrane, Epistemonikos, Scielo, and Revista Médica, with these ten Articles examined 50% (n=5/10) are systematic reviews, 20% (n=2/10) case studies, 10% (n=1/10) meta-analysis, 10% (n= 1/10) randomized controlled trial and 10% (n= 1/10) cohort study. Results: The 10 articles found demonstrated that at least 80% indicate effectiveness of educational interventions in diet and physical activity to prevent complications in diabetic patients and 20% demonstrate impartiality to the interventions. Conclusions: 8 of 10 articles evaluated show this effectiveness.
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    ÍtemAcceso abierto
    Effectiveness of glutaraldehyde 2% as a high-level disinfectant for laparoscopic material in preventing surgical wound infections.
    (Universidad Privada Norbert Wiener, 2018-08-25) Gonzales Barriga, Oriana Vanessa; Ruiz Cueva, Gloria Teodora; Matta Solis, Hernan Hugo
    Objective: To systematize evidence on the effectiveness of 2% Glutaraldehyde as a high-level disinfectant for laparoscopic material in preventing surgical wound infection. Materials and Methods: Systematic Review synthesizing the results of primary research studies. The search was restricted to full-text articles, and selected articles were subjected to critical reading, using the GRADE system to assign the strength of recommendation. Five articles were chosen, with 80% (2) from Brazil and (2) from Colombia, and 20% (1) from Sri Lanka. The majority of studies were Systematic Reviews, with 40% from Brazil and Colombia. Among experimental studies, 20% were from Colombia with case-control studies in Brazil and Sri Lanka, representing 40%. Results: 100% of the articles analyzed indicated that 2% Glutaraldehyde as a high-level disinfectant for laparoscopic material is effective against Mycobacterium Marsillense under conditions of improper handling of the disinfectant, and that following proper use and handling protocols, it remains the first-choice high-level disinfectant for this material. Conclusions: 10/10 articles showed the effectiveness of 2% Glutaraldehyde as a high-level disinfectant for laparoscopic material in preventing surgical wound infection, as long as the established protocols for its use and handling are strictly followed.
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    ÍtemAcceso abierto
    Effectiveness of heat and moisture exchangers versus heated humidifiers in preventing ventilator-associated pneumonia in critically ill patients
    (Universidad Privada Norbert Wiener, 2019-11-03) Arce Moreno, Lesly Estefany; Lengua Anicama, Vanessa Elizabeth; Matta Solis, Hernan Hugo
    Objective: To systematize evidence on the effectiveness of heat and moisture exchangers versus heated humidifiers for preventing ventilator-associated pneumonia in critically ill patients. Materials and Methods: A systematic, observational, and retrospective review with a quantitative approach, using the GRADE evaluation system to assess evidence quality. The studies were retrieved from PubMed, Scielo, Epistemonikos, and Sciencedirect. Results: Of the 10 articles reviewed, 30% (n=3) were meta-analyses, 20% (n=2) were systematic reviews, 40% (n=4) were randomized controlled trials, and 10% (n=1) were cohort studies. The studies came from Brazil (40%), Australia (20%), Turkey (20%), China (10%), and Italy (10%). The findings showed that 50% (n=5) of the articles indicated heat and moisture exchangers were more effective than heated humidifiers for preventing ventilator-associated pneumonia in critically ill patients. 30% (n=3) indicated no significant difference, and 20% (n=2) suggested no difference between the two methods. Conclusion: Heat and moisture exchangers are more effective than heated humidifiers for preventing ventilator-associated pneumonia in critically ill patients.
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    ÍtemAcceso abierto
    Effectiveness of high-flow nasal cannula use in adults affected by acute respiratory failure
    (Universidad Privada Norbert Wiener, 2019-10-13) García Vilcapoma, Rosa Luz; Lozano Espejo, Evelyn Betty; Matta Solis, Hernan Hugo
    Objective: To establish how job satisfaction is related to the performance of nurses in the emergency service at the EsSalud Hospital, Lima 2022. Materials and methods: Quantitative study, applied type, non-experimental or observational design, cross-sectional, and correlational scope, considering a population of 160 nurses and a sample of 113 nurses. Two instruments with acceptable validity and reliability criteria will be applied. The instrument measuring job satisfaction consists of 27 items and includes seven dimensions: administrative policy, relationship with authorities, physical and material conditions, social relationships, personal development, labor and/or remuneration benefits, and task performance. Meanwhile, the questionnaire measuring job performance consists of 28 items and includes four dimensions: personal development and training, responsibility, motivation and leadership, and teamwork. Descriptive analysis will include tables according to quantity and percentage, and inferential analysis will use the Spearman’s Rho coefficient.
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    ÍtemAcceso abierto
    Effectiveness of hypothermia to prevent neurological deterioration in post-cardiac arrest patients
    (Universidad Privada Norbert Wiener, 2019-10-13) Felix Pinedo, Diana Katherin; Andia Pullo, Ruth Janeth; Matta Solis, Hernan Hugo
    Objective: To establish how job satisfaction is related to the performance of nurses in the emergency service at the EsSalud Hospital, Lima 2022. Materials and methods: Quantitative study, applied type, non-experimental or observational design, cross-sectional, and correlational scope, considering a population of 160 nurses and a sample of 113 nurses. Two instruments with acceptable validity and reliability criteria will be applied. The instrument measuring job satisfaction consists of 27 items and includes seven dimensions: administrative policy, relationship with authorities, physical and material conditions, social relationships, personal development, labor and/or remuneration benefits, and task performance. Meanwhile, the questionnaire measuring job performance consists of 28 items and includes four dimensions: personal development and training, responsibility, motivation and leadership, and teamwork. Descriptive analysis will include tables according to quantity and percentage, and inferential analysis will use the Spearman’s Rho coefficient.
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    Effectiveness of non-pharmacological chronotherapy interventions for the prevention of delirium in patients of the intensive care unit
    (Universidad Privada Norbert Wiener, 2020-01-05) Alcedo Vasquez, Wenler Bernardo; Matta Solis, Hernan Hugo
    Objective: Systematize the evidence on the effectiveness of non-pharmacological chronotherapy interventions for the prevention of delirium in patients in the Intensive Care Unit. Material and methods: the design used was a systematic review. The sample was made up of 10 scientific articles from databases Epistemonikos, PubMed, ScientDirect, etc. Results: 30% (n=3/10) come from China, 20% (n=2/10) come from the United Kingdom, 10% (n=1/10) the United States, 10% (n=1/10) ) Thailand, 10% (n=1/10) France, 10% (n=1/10) Denmark. According to the type of design, 60% (n=6/10) used randomized clinical trial designs, 20% (n=2/10) used systematic review designs, 10% (n=1/10) used review designs. systematic and meta-analysis, 10% (n=1/10) prospective cohort design. Conclusions: 8 of 10 articles found evidence of the effectiveness of non-pharmacological chronotherapy interventions for the prevention of delirium in patients in the Intensive Care Unit. 2 of 10 articles did not find the effectiveness of non-pharmacological chronotherapy interventions for the prevention of delirium in patients in the Intensive Care Unit.
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    Effectiveness of the management of calcium concentrations in the dialysis liquid in the reduction of complications in patients with chronic renal insufficiency submitted to hemodialysis
    (Universidad Privada Norbert Wiener, 2020-02-29) Tello Bardales, Gina Lizeth; Ugarte Palacin, Lisbeth Katherine; Matta Solis, Hernan Hugo
    Objective: To study and structure the effectiveness of managing calcium concentrations in dialysate fluid in reducing complications in patients with chronic kidney disease undergoing hemodialysis. Material and Methods: A review of scientific articles was conducted, including observational, prospective, and retrospective quantitative studies, subject to analytical selection, using the GRADE tool for assessing the level of evidence. Articles were found in the following information sources: Journal of the Spanish Society of Nephrology, PLOS ONE Medicine, Therapeutic Apheresis and Dialysis, Clinical Journal of the American Society of Nephrology, Medicine (Baltimore), and Scientific Reports. Of the 10 articles reviewed, 40% (n=4/10) were randomized controlled clinical trials, 20% (n=2/10) pre-experimental studies, 20% (n=2/10) case and cohort/case-control studies, 10% (n=1/10) analytical cross-sectional study, and 10% (n=1/10) cohort study. The studies originated from the following countries: Spain (40%), United States (20%), Japan (20%), South Korea (10%), and Italy (10%). Results: The studies show that 100% (n=10/10) of the reviewed articles indicate that managing calcium concentrations in dialysate fluid reduces complications in patients with chronic kidney disease undergoing hemodialysis. Conclusion: Managing calcium concentrations in dialysate fluid is effective in reducing complications in patients with chronic kidney disease undergoing hemodialysis.
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    The effectiveness of unidirectional flow of processes in central sterilization in the prevention of cross-infections associated with healthcare (IAHC).
    (Universidad Privada Norbert Wiener, 2018-08-25) Salas Chavez, Jacoba Anni; Urquizo Angulo, Lenny Doris; Matta Solis, Hernan Hugo
    Materials and Methods: A systematic, observational, and retrospective review of a quantitative type, subjected to critical selection, using the GRADE evaluation system to identify the degree of evidence, found in the following databases: PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, Epistemonikos; these show that, of the total 10 articles systematically reviewed, 40% (4) correspond to Brazil; while 20% (2) to Singapore; 10% (1) to Ecuador; 10% (1) to Argentina; 10% (1) to Australia; and 10% (1) to South Africa. Results: According to the results obtained from the systematic review in this study, all the evidence found, i.e., (n=10/100%), shows that the unidirectional distribution of processes in the sterilization center is effective. Conclusion: The systematic review of the 10 scientific articles on the effectiveness of unidirectional flow of processes in the sterilization center, all of which correspond to types and designs of systematic reviews, observational, longitudinal, and analytical studies, concludes that the unidirectional distribution of processes in the sterilization center is effective in reducing healthcare-associated infections (HAIs), as controlling the quality and auditing procedures are efficient, indisputable mechanisms for preventing cross-contamination infections in healthcare settings, and it is the responsibility of the sterilization service to guarantee all stages of the process.
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    Efficacy of 2% glutaraldehyde in the high-level disinfection process.
    (Universidad Privada Norbert Wiener, 2018-08-25) Silva Almeron, Juanita Victoria; Veliz Duarte, Yosselin Jesgoy; Matta Solis, Hernan Hugo
    Objective: To analyze the evidence on the effectiveness of 2% Glutaraldehyde in the high-level disinfection process. Material and Methods: Observational and retrospective systematic review of a quantitative nature, subjected to critical selection, using the Grade evaluation system to identify the level of evidence, with reviews found in databases such as Scielo, Lilacs, Lipecs, Google Scholar, Cochrane, Elsevier. Results: It was found that 70% of the articles demonstrate the toxicity of 2% Glutaraldehyde through high-level disinfection, leading to adverse consequences based on the research findings, in addition to the emergence of new high-level disinfection alternatives to achieve effectiveness in invasive contamination. 30% of studies on Glutaraldehyde for disinfection have been prepared and adapted according to advancements in the field for patients who require the mentioned process. Conclusion: Correct use of 2% Glutaraldehyde ensures proper and effective high-level disinfection, while improper methods and timing in the cleaning process interfere with the disinfection process.
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    Efficacy of chest tube drainage versus needle aspiration in reducing hospital stay in patients with primary spontaneous pneumothorax
    (Universidad Privada Norbert Wiener, 2019-09-01) Perales Cerrón, Karina Edith; Barrientos Jauregui, Henrry Alexander; Matta Solis, Hernan Hugo
    Objective: Systematize the evidence on the effectiveness of chest tube drainage versus needle aspiration to reduce hospital stay in patients with primary spontaneous pneumothorax. Material and Methods: Systematic observational and retrospective review, subjected to critical reading and applying the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Sciencedirect, Cochrane, Researchgate, Pubmed. Of the 10 articles systematically reviewed, 10% (n= 1/10) are meta-analyses, 50% (n= 5/10) are systematic reviews, 20% (n= 2/10) are randomized clinical trials and the 20% (n= 2/10) are cohort studies and come from the countries of China (10%), Australia (10%), Korea (10%), France (10%), Netherlands (10%), United States (10%), Poland (10%), Norway (10%), Japan (10%) and Spain (10%). Results: 100% indicate the aspiration with a needle is more effective than chest tube drainage in reducing hospital stay in patients with primary spontaneous pneumothorax. Conclusion: Needle aspiration is more effective in reducing hospital stay in patients with primary spontaneous pneumothorax, indicating 100% (n=10/10).
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    Efficacy of dialytic treatment compared to conservative treatment for survival in elderly patients with end-stage renal disease.
    (Universidad Privada Norbert Wiener, 2018-07-08) Estrada Cacha, Rosa Geraldine; Sánchez Portella, Yari Noemí; Matta Solis, Hernan Hugo
    Objective: To systematize and evidence the efficacy of kidney transplantation in the reduction of the risk of graft loss for survival in pediatric patients. Materials and Methods: The study is quantitative, with a systematic review design. The population consisted of 39 articles that were reviewed, and 10 scientific articles were selected as the sample. Of these, 20% (n=2/10) were systematic reviews, 10% (n=1/10) were systematic review and meta-analysis, and 70% (n=7/10) were cohort studies. According to the quality of evidence, 30% was rated as high and 70% as moderate. In terms of the strength of recommendations, 30% were strong and 70% were weak, based on the country where the research was conducted. Results: The reviewed articles show that 40% (n=4/10) indicate the efficacy of renal replacement therapy in the risk of graft loss for survival in pediatric patients. Another 40% (n=4/10) state that it is partially effective, and 20% (n=2/10) state it is not effective. Conclusion: It is concluded that 40% (n=4/10) indicates that renal replacement therapy is partially effective in the risk of graft loss for survival in pediatric patients.
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