Examinando por Autor "Pérez Siguas, Rosa Eva"
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Publicación Acceso abierto Apoyo social y calidad de vida relacionada a la salud en mujeres con cáncer de mama que acuden al consultorio de oncología del Hospital Edgardo Rebagliati Martins, Lima 2017(Universidad Privada Norbert Wiener, 2018-05-24) Moyano Antón, Claudia Andrea; Pérez Siguas, Rosa EvaObjetivo: Determinar la relación entre apoyo social y calidad de vida relacionada a la salud en mujeres con cáncer de mama que acude al consultorio de oncología del Hospital Edgardo Rebagliati Martins. Material y método: El presente estudio es de enfoque cuantitativo, en cuanto al diseño es un estudio no experimental, correlacional de naturaleza transversal y observacional. La población fue 127 mujeres. Los instrumentos fueron cuestionarios: apoyo social percibido MOS, y el SF-36 para calidad de vida relacionada a la salud, con 43 preguntas. Resultados: Participaron un total de 127 mujeres con un promedio de edad 54,7%. El grado de instrucción fue secundaria 81,1%. Respecto a la ocupación, fue ama de casa 78,7%. En relación con los antecedentes de cáncer de mama 81,9%. La calidad de vida relacionada a la salud fue muy alta en 48,8%, la dimensión con más alto puntaje fue salud mental 72,4% muy alta. El apoyo social fue 72,4 % alto y en cuanto a las dimensiones 55,1 % fue bajo en la dimensión apoyo social instrumental e interacción social; el 53,5% fue bajo en la dimensión apoyo social emocional, 50,4% bajo en la dimensión apoyo afectivo. La prueba estadística de correlación bivariada de Spearman fue +0,746, indicando una relación directamente proporcional fuerte estadísticamente significativa entre ambas variables. Conclusiones: Existe una relación significativa moderada directamente proporcional entre apoyo social y calidad de vida relacionada a la salud.Ítem Acceso abierto Competencies of nursing administrators in personnel management(Universidad Privada Norbert Wiener, 2019-06-30) Sánchez Medina, Edith Lourdes; Cadillo Morales, Pamela Gladys; Pérez Siguas, Rosa EvaObjective: Analyze the evidence on the competencies of the nursing administrator in personnel management MATERIAL AND METHOD: Systematic review of 11 scientific articles referring to the competencies of the nursing administrator in personnel management, they were located after exploring the databases Scielo, Pubmed, Redalyc, Medline, Epistemónikos, Sciencedirect, Cochrane. All of them were examined according to the Grade scale to determine their strength and quality of evidence. 36.3% (4/11) are systematic reviews, 27.2% (3/11) are literature reviews, 18% (2/11) are integrative reviews, 9% (1/11) are descriptive and 9% ( 1/11) is a systematic review of the literature RESULTS: Of the 11 articles systematically reviewed, 100% (11/11) demonstrate the competencies of the nursing administrator in personnel management. CONCLUSIONS: Of the 11 articles reviewed, 10 competencies are fundamentally evident, which are mentioned below: Leadership 73%, interpersonal skills 45%, professional knowledge and preparation 45%, teamwork 45%, management skills 45%, staff training 36%, technical dimension 45%, computer knowledge 27%, care management 18% and personality 18%. These competencies guarantee that the nursing administrator achieves good management of personnel and health services.Publicación Acceso abierto CONOCIMIENTOS Y PRÁCTICAS EN LA PREVENCIÓN Y CONTROL DEL DENGUE, EN POBLADORES DEL ASENTAMIENTO HUMANO SANTA ROSA ALTA – RÍMAC(Universidad Privada Norbert Wiener, 2017-10-27) Campos Chapañan, Shirley Kiara; Pérez Siguas, Rosa EvaObjetivo: Determinar la relación del nivel de conocimiento y las prácticas en la prevención y control del dengue en pobladores del Asentamiento Humano Santa Rosa Alta-Rímac 2017. Materiales y métodos: tipo cuantitativo, descriptivo correlacional, corte transversal, la muestra constituida por 198 pobladores. Las técnicas utilizadas fue la encuesta y la observación, los instrumentos el cuestionario y lista de chequeo. Resultados: El 52.5 % presenta conocimiento medio, 40.4% conocimiento alto, 7.1% conocimiento bajo. El 100% de pobladores desconoce donde se reproduce y cuál es la mejor forma de evitar el dengue, 61.6% no conoce como es el zancudo que trasmite el dengue, y el 53.5% no conoce cómo se llama el zancudo que trasmite el dengue. En las prácticas el 62.6 % presenta prácticas inadecuadas y el 37.4% prácticas adecuadas. El 68,2% de los encuestados no barre el agua acumulada en casa, 58.1% no lava con detergente los recipientes donde almacena agua, y el 54 % no elimina los recipientes donde se puedan acumular agua, como botellas de plástico, llantas. Se utilizó la prueba de correlación Chi cuadrado.Conclusión: Existe relación entre nivel de conocimiento y las prácticas en la prevención y control del dengue en pobladores del Asentamiento Humano Santa Rosa Alta.Ítem Acceso abierto Coping strategies in mothers of newborns with congenital malformations in the Intermediate Neonatology Service III, National Maternal Perinatal Institute, Lima – 2019(Universidad Privada Norbert Wiener, 2019-06-27) Collazos Rodriguez, Ana Virginia; Pérez Siguas, Rosa EvaObjective: Determine the coping strategies in mothers of newborns with congenital malformations of the Intermedios III Neonatology Service, National Maternal Perinatal Institute, Lima – 2019. Material and method: The study method is quantitative, the design is descriptive and cutting. transversal. The study worked with the total population, with the participation of 94 mothers of newborns with congenital malformations from the Intermedios III Neonatology Service, National Maternal Perinatal Institute who met the inclusion and exclusion criteria, respectively. The data collection technique was the survey and the data collection instrument used was the 28-item COPE-28. Results: Regarding coping strategies in mothers of newborns with congenital malformations, we found that 80.9% have moderately adequate coping and 19.1% have inadequate coping. Regarding the dimension focused on the problem, 74.5% have moderately adequate coping, followed by 25.5% who have adequate coping. Regarding the dimension focused on emotion, 61.7% have inadequate coping, followed by 38.3% who have moderately adequate coping. Conclusions: In the coping strategies of the participating mothers, moderately adequate coping predominated, followed by inadequate coping; Regarding the dimensions, the one that presented the best coping strategy was in the problem-focused dimension.Ítem Acceso abierto Coping strategies in mothers of newborns with jaundice at the Intermediate Neonatology Service I, National Maternal Perinatal Institute – Lima - 2019(Universidad Privada Norbert Wiener, 2019-06-27) Huamani Ccarhuas, Julio Cesar; Pérez Siguas, Rosa EvaIntroduction: Neonatal jaundice occurs in 65-70% of newborns, and in most cases, it is related to unconjugated or indirect hyperbilirubinemia and its evolution is completely favorable. In circumstances, if unconjugated bilirubinemia reaches or exceeds very high values such as 15 mg/dl, there is a risk of neurological complications. Objective: Determine the coping strategies in mothers of newborn children with jaundice in the Intermediate Neonatology Service I of the National Maternal Perinatal Institute, Lima - 2019. Materials and methods: The present study has a quantitative, descriptive and cross-sectional approach and design, the population It consisted of 98 newborns with jaundice from the Intermediate Neonatology Service I, Maternal Perinatal Institute. For this, the COPE-28 instrument was used in the version adapted to the original Spanish Brif COPE, the technique used was the interview. The SPSS 23 program was used for the analysis. Results: The total coping strategies were moderately adequate, almost all of them (98%) with a small tendency towards inadequacy (2%). Conclusion: In relation to coping strategies in mothers of newborns with jaundice from the Intermedios I Neonatology Service, Instituto Nacional Materno Perinatal, Lima – 2019, moderately adequate coping predominated, followed by inadequate coping. There were no mothers who presented adequate coping.Ítem Acceso abierto Educational strategies in self-care for elderly patients with hypertension(Universidad Privada Norbert Wiener, 2020-01-05) Vilca Negron, Lucy; Arias Gutierrez, Nora; Pérez Siguas, Rosa EvaObjective: Systematize the evidence of how some educational strategies can contribute to improving the self-care of older adults with high blood pressure. Materials and methods: They are systematic compilations of scientific evidence, observational and retrospective, the search has been limited to full-text articles, intensive literature search algorithm – PICO model. The selected reviews underwent an intense analysis to consider their quality, validity, strength of recommendation of scientific evidence and considering the ethical aspects of scientific research. Results: in the search that was carried out, 10 articles were selected; that 7 of 10 articles are systematic reviews, 1 of 10 is a randomized controlled clinical trial, 1 of 10 is a quasi-experimental design, and finally 1 of 10 is a prospective randomized experimental study. The studies chosen for this study are from countries such as: Spain (30%), continued Brazil (30%), USA (10%), Costa Rica (10%), Mexico (10%) and Chile (10%). Of the articles analyzed, 90% affirm that the strategies applied to hypertensive older adults improve their behavior in self-care. Conclusions: it was evident from the scientific articles analyzed that nursing interventions have a positive effect on the self-care of older adults with high blood pressure and their family environment.Ítem Acceso abierto Effect of Burnout Syndrome on job satisfaction(Universidad Privada Norbert Wiener, 2019-06-30) Mamani Macedo, María Luz; Arias Rosales, Amelia Mirtha; Pérez Siguas, Rosa EvaObjective: Systematize the evidence on the effect of burnout syndrome on job satisfaction. Materials and Methods: Systematic review, a critical selection of scientific articles was carried out, the Grade evaluation system was used to identify the quality of evidence. The articles were found in the databases: PubMed, Epistemonikos, Sciencedirect, Scielo, Elsevier, Redalyc. Of the 10 articles investigated, 50% (n= 5/10) qualitative systematic review, 10% (n= 1/10) meta-analysis, 20% (n= 2/10) longitudinal and 20% (n= 2/10) ) transversal. The studies are from Spain (50%), followed by Amsterdam (20%), Philadelphia (10%), Switzerland (10%) and Brazil (10%). Results: 100% (n=10/10) of sources analyzed report that burnout syndrome has a direct effect on job satisfaction and the influencing factors are the work environment, scarcity of human resources, work stress, direct attention to patients, service time, professional relationships, work overload, hours and complexity of work, professional recognition, decision making, teamwork, type of management and leadership. Conclusion: 10 of the 10 articles reviewed explain that burnout syndrome impacts staff job satisfaction.Ítem Acceso abierto Effect of nursing leadership styles in patient satisfaction(Universidad Privada Norbert Wiener, 2019-08-04) Baldeón Estares, Maria Elena; Condor Campos, Irma; Pérez Siguas, Rosa EvaObjective: To analyze and systematize the evidence on the effects of nursing leadership styles on patient satisfaction. Material and Methods: Retrospective and observational quantitative systematic review, using the Grade evaluation system to identify the degree of evidence and subjected to critical selection, found in the following databases: PubMed, Cielo, Redalyc, Cocharane, Epistemonikos, Lilacs. Of the 10 systematically reviewed articles, 40% (n= 4/10) are systematic reviews, 30% (n= 3/10) are quantitative studies, 20% (n= 2/10) are cross-sectional studies and 10% (n= 1/10) is a bibliographic review. The results found in the systematic review of the present study, are from the countries of the USA (20%) followed by Portugal (10%), Canada (10%), Spain (10%), Chile (10%), Iran (10%), England (10%), Norway (10%) and the United Kingdom (10%). Results: Similarly, the evidence indicates that 70% (n = 7/10) indicate that the various leadership styles in nursing generate an effect on patient satisfaction and 30% (n = 3/10) show no effect because they do not present statistical significance. Conclusion: The development of nursing leadership styles generates an effect on patient satisfaction.Ítem Acceso abierto Effective interventions for fall prevention in older adults(Universidad Privada Norbert Wiener, 2018-08-26) Ramirez Retamozo, Delia Danny; Grados Arana, Rosario de Maria; Pérez Siguas, Rosa EvaObjective: Systematize the evidence on effective preventive interventions against falls in older adults. Methodology: Systematic, observational and retrospective review. The review was limited to articles with full text only, and the selected articles were subjected to critical reading. In the final selection, 10 articles were chosen. Results After the exhaustive analysis, it was determined that, of the total number of articles analyzed, 80% affirm that physical exercise is one of the most effective prevention interventions to reduce the number of falls in this population that has a high risk and 20% of studies adds other aspects of multifactorial care. Conclusions: It was possible to determine the effectiveness of preventive interventions against falls in older adults, although due to the absence of methodological unification for the evaluation of the effectiveness of the interventions, regulations cannot be structured for their large-scale application.Ítem Acceso abierto Effectiveness and safety of intravenous iron treatment to improve hemoglobin levels in anemia in patients with chronic kidney disease during hemodialysis(Universidad Privada Norbert Wiener, 2019-02-17) Casanova Chamache, Rocio Jackelyne; Peñaranda Casildo, Fiorella Elizabeth; Pérez Siguas, Rosa EvaObjective: To systematically review and understand the demonstration of the studies carried out on the effectiveness and safety of intravenous iron treatment to improve hemoglobin levels in anemia in patients with chronic kidney disease during hemodialysis. Material and method: An orderly, observational analysis, based on analytical choice, carried out through the Grade evaluation for the recognition and determination of the level of evidence, found in: PubMed, Cochrane, Scielo, Wiley Online Library, Elsevier, Epistemonikos. Of the 10 studies analyzed in order, they are: 40% (n= 4/10) are systematic reviews and meta-analysis, 10% (n=1/10) are Meta-analysis, 10% (n=1/10) are Randomized trial controlled, 10% (n= 1/10) are experimental comparative longitudinal studies, 10% (n=1/10) are retrospective observational studies, 10% (n=1/10) is a descriptive retrospective study and 10% (n=1/10) is a descriptive review. Based on results found in the systematic exploration carried out in this study, derived from the countries of Canada (10%), Israel (10%), Australia (20%), USA (30%), China (10%) and Spain (20%). Results: 100% (10/10) of the studies found demonstrate the effectiveness and safety of intravenous iron treatment to improve hemoglobin levels in anemia in patients with chronic kidney disease during hemodialysis. Conclusions: Intravenous iron treatment is effective and safe during its administration to improve hemoglobin parameters in anemia in patients with chronic kidney disease during hemodialysis.Ítem Acceso abierto Effectiveness of a computerized traceability system in sterilization units(Universidad Privada Norbert Wiener, 2019-01-06) Suarez Enciso, Frida Soledad; Chumpitaz Diaz, Rosalia Lisbeth; Pérez Siguas, Rosa EvaObjective: Systematize evidence on the effectiveness of a computerized management and traceability system in sterilization centers. Materials and Methods: Observational as well as retrospective systematic review, which is a synthesis of the results of various primary investigations. Which constitutes an essential part of evidence-based nursing due to its strict methodology, identifying and prioritizing the main studies that answer specific questions of clinical practice, the search has been restricted to those articles with full text, and selected articles which They were subjected to a critical reading, using the grade system to assign the strength of recommendation. Results: In the final selection, 10 articles were included on the effectiveness of a computerized management and traceability system in sterilization centers, which were found in databases such as Medline, Pubmed, Cochrane, Ebsco and Lilacs. Including 5 Experimental, 3 Quasi-experimental and 2 Cross-sectional studies; Of the evidence found, 40% come from Brazil, 20% from Spain, the other 20% from China and 10% from Japan and Cuba respectively. Conclusions: Of the 10 articles reviewed, 100% (n=10/10) show the effectiveness of a computerized management and traceability system in sterilization centers, a process carried out by the nursing professional specialized in sterilization centers.Ítem Acceso abierto Effectiveness of a multidisciplinary intervention in managing post-traumatic stress disorder in military personnel working in conflict zones(Universidad Privada Norbert Wiener, 2019-11-17) Guerra Tudela, Daysi Ninfa; Rodríguez Vivanco, Fanny Miryam; Pérez Siguas, Rosa EvaObjective: Systematize the evidence on the multidisciplinary intervention of the effectiveness in the management of post-traumatic stress to improve the mental health and quality of life of military personnel working in conflict zones. Materials and Methods: Systematic, observational and retrospective review, which compiles the results of various research studies. The selection has been limited to articles with a complete statement and analytical interpretation, using the grade method to indicate the strength of evidence. Results Of the 10 works, 70% (n=7/10) correspond to a systematic review, 10% (n=1/10), a Random Sampling study, 10% (n=1/10), a study of quantitative cases 10% (n=1/10) and an Experimental Design study 10% (n=1/10). The works come from the countries: Spain (60%), Colombia (30%), Mexico (10%) and Romania (10%). Conclusions: From the works we found that 70% of the systematic reviews recommend the intervention of the health professional in the treatment of post-traumatic stress in people subjected to violent events, emphasizing the role of the nursing professional in the prevention and detection of cases of PTSD and Eye Movement Desensitization and Reprocessing therapy is recommended as the treatment of choice, followed by cognitive-behavioral therapy and Psychological intervention.Ítem Acceso abierto Effectiveness of a nursing intervention program in the care of elderly adults residing in nursing homes to prevent unnecessary emergency hospitalizations(Universidad Privada Norbert Wiener, 2018-11-25) Gazani Meza, Meri; Vilchez Sullon, Santos; Pérez Siguas, Rosa EvaObjective: To systematize the evidence on the effectiveness of a nursing intervention program for elderly care in nursing homes to prevent unnecessary emergency hospitalizations. Materials and Methods: An observational and retrospective systematic review of national and international research articles was conducted, obtained through searches in the following databases: Epistemonikos, PubMed, Elsevier, SciELO, ScienceDirect, and Open Access. These articles were selected for having undergone a critical reading, using the GRADE evaluation to identify their level of evidence. Results: It was observed that, when selecting systematic reviews, the following results were found: 30% (3/10) correspond to the United States (U.S.), 40% (4/10) to Australia, 10% (1/10) to Finland, 10% (1/10) to Singapore, and 10% (1/10) to South Korea. Conclusions: 50% of the reviewed evidence demonstrates the effectiveness of nursing intervention programs for elderly care in nursing homes to prevent unnecessary emergency hospitalizations.Ítem Acceso abierto Effectiveness of antimicrobial-impregnated catheters versus standard catheters in preventing phlebitis in patients with venous catheterization(Universidad Privada Norbert Wiener, 2019-01-06) Cárdenas Rojas, Maria Luisa; Gutiérrez Arista, Virginia Isabel; Pérez Siguas, Rosa EvaAll the scientific articles found and analyzed on the effectiveness of the catheter impregnated with antimicrobial versus a standard catheter for the prevention of phlebitis in patients with venous catheterization correspond to the type of research of Systematic Reviews. In our daily practice in patient care, the intravenous catheter impregnated with antimicrobial is not used, the use is only a standard catheter, so infections related to the catheter can develop, however, management is carried out with aseptic techniques. biosafety, reducing as much as possible some risks related to the catheter In our work, they show that the catheter impregnated with antimicrobial is effective in preventing phlebitis at the catheter insertion site in patients with vascular access, not only because of the benefits it provides, which are related to the reduction of phlebitis, but because the long-term cost benefit reduces hospital costs and reduces hospital stay. However, all articles agree in searching for more studies for the best evidence.Ítem Acceso abierto Effectiveness of control measures to prevent tuberculosis in healthcare personnel(Universidad Privada Norbert Wiener, 2019-04-07) Lizárraga Gamarra, Ninfa Luz; Pérez Siguas, Rosa EvaObjective: Systematize evidence of high scientific value about the effectiveness of control measures to prevent tuberculosis in health personnel. Materials and Methods: The aforementioned research work has a type of qualitative study, designed through retrospective review, cohort studies and systematic reviews. The instruments that support this research work are the databases of EBSCO, Cochrane Library, British Medical Journal, Pub Med, American Journal of Infection control. Results: A search was carried out for 10 scientific articles that were considered as the population, of which 3 (30%) came from retrospective reviews, 4 (40%) from cohort studies, and 3 (30%) were systematic reviews. 70% of articles demonstrate the effectiveness of control measures to prevent tuberculosis in health personnel, with the implementation and evaluation of the three administrative, environmental and respiratory protection control measures; The remaining 30% affirm that the lack or deficiency of the three control measures produces a risk of contracting tuberculosis in health personnel. Conclusions: Based on all the articles presented, 7/10 articles, it is concluded that the triad of administrative, environmental control and respiratory protection were jointly implemented, preventing the spread of tuberculosis in health personnel. 3/10 articles state that these separate control measures are not effective because they do not protect the worker from tuberculosis.Ítem Acceso abierto Effectiveness of conventional ventilation versus high-frequency oscillatory ventilation to reduce mortality in patients with acute respiratory distress syndrome(Universidad Privada Norbert Wiener, 2018-12-16) Saavedra Maquin, Doris Nancy; Isidro Valerio, Danitza Lida; Pérez Siguas, Rosa EvaObjective: Systematize the evidence on the effectiveness of conventional ventilation versus high-frequency oscillatory ventilation to reduce mortality in patients with acute respiratory distress syndrome. 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, Pubmed, Researchgate. According to the results obtained from the systematic review carried out in the present study, shown in the 10 articles systematically reviewed, 90% being of high quality and 10% of medium quality as described below: 80% (n= 8/ 10) are meta-analyses, 10% (n= 1/10) is a systematic review and 10% (n= 1/10) is a randomized controlled trial and come from the countries from China (40%), followed by Canada (40%), India (10%) and England (10%). Results: 70% of the articles indicate that conventional ventilation is more effective than high-frequency oscillatory ventilation in reducing mortality in patients with acute respiratory distress syndrome. 30% of the articles indicate that high-frequency oscillatory ventilation is more effective compared to conventional ventilation in reducing mortality in patients with acute respiratory distress syndrome. Conclusion: conventional ventilation is effective in reducing mortality in patients with acute respiratory distress syndrome.Ítem Acceso abierto Effectiveness of electronic monitoring systems to improve hand hygiene compliance in nursing staff working in the sterilization center(Universidad Privada Norbert Wiener, 2019-07-14) Zelada Rodriguez, Antonieta; Pagan Meza, Doris Norma; Pérez Siguas, Rosa EvaObjective: Systematize and analyze scientific studies of the effectiveness of electronic monitoring systems to improve hand hygiene compliance in health personnel. Material and Methods: Systematic review exhaustively reviewed for judicious interpretation using GRADE assessment to identify evidence elevation of study designs published in the following electronic resources: Scielo, Sciencedirect, Epistemonikos, PubMed, Researchgate. Of the ten trials read methodically, 10% (n= 1/10) are analysis, 10% (n= 1/10) are systematic reviews, 50% (n= 5/10) are randomized controlled trials. , 10% (n= 1/10) is quasi-experimental, 10% (n= 1/10) is Prospective clinical trial, 10% (n= 1/10) is a cohort and are from the United States (40%), Canada (30%), China (10%), England (10%) and Brazil (10%). Results: 40% (n=4/10) indicate that electronic monitoring systems are not effective in improving compliance with hand hygiene in health workers. 60% (n=6/10) indicate that electronic monitoring systems are effective in improving compliance with hand hygiene among healthcare workers. Conclusion: Electronic monitoring systems are effective in improving hand hygiene compliance in nursing staff working in the sterilization center.Ítem Acceso abierto Effectiveness of interventions to reduce musculoskeletal disorders in workers(Universidad Privada Norbert Wiener, 2019-01-06) Huamán Raymundo, Essy Janeth; Montañez Alvarez, Nancy Amparo; Pérez Siguas, Rosa EvaObjective: To systematize the evidence on the effectiveness of interventions to reduce musculoskeletal disorders in workers. Material and Method: The study follows a systematic review design, with data collected from databases such as BVS, Scielo, PubMed, Google Scholar, Cochrane, Medline, and Dialnet. Articles were analyzed using the GRADE system, a tool that allows for the assessment of evidence validation and the strength of recommendations. Of the 10 selected articles, 30% are from the United States, 20% from Brazil, and 10% from Spain, Canada, Switzerland, and Peru, respectively. Regarding study type and design, 60% are systematic reviews, 30% are quasi-experimental studies, and 10% are randomized controlled trials. Results: 60% of the articles demonstrate the effectiveness of interventions to reduce musculoskeletal disorders in workers, while 20% of the articles show no effectiveness in the interventions. Conclusions: The reviewed studies show that 6 of the 10 articles indicate effectiveness in reducing musculoskeletal disorders through the intervention of postural exercises during work activities. 2 articles use body posture and workstation design, as well as the use of self-adjusting chairs as interventions. Meanwhile, 2 articles suggest that no ergonomic intervention is effective in reducing musculoskeletal disorders.Ítem Acceso abierto Effectiveness of intravenous versus oral iron administration in treating anemia in patients with chronic kidney disease(Universidad Privada Norbert Wiener, 2018-08-26) Sandoval Vargas, Patricia Fabiola; Vivanco Naveros, Dora; Pérez Siguas, Rosa EvaTo analyze and systematize the effectiveness of intravenous versus oral iron administration in the treatment of anemia in patients with chronic kidney disease. Material and Methods: Systematic observation and retrospective review of quantitative pattern, put to critical selection, using the Grade evaluation system to identify the level of evidence, found databases: PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, Epistemonikos Of the 10 articles systematically reviewed, 40% (n= 4/10) are systematic verifications, 50% (n= 5/10) are randomized controlled trials and the 10% (n= 1/10) are cohort analyses. Based on results found in the systematic exploration carried out in this study, derived from the countries of Israel (20%), followed by Australia (20%), England (20%), USA (20%), Italy (10%) and Nepal (10%). Results: Thus, of the evidence found, 100% (n=10/10) indicate that the administration of intravenous iron is more effective than oral iron in the treatment of anemia in patients with chronic kidney disease. Conclusion: The administration of intravenous iron is more effective than oral administration in the treatment of anemia in patients with chronic kidney disease.Ítem Acceso abierto Effectiveness of isoniazid in preventing tuberculosis in patients with the human immunodeficiency virus(Universidad Privada Norbert Wiener, 2020-01-05) Soto Huaccanqui, Maria Marlene; Meneses Canchari, Yda Marlene; Pérez Siguas, Rosa EvaObjective: Systematize the evidence on the effectiveness of isoniazid in preventing tuberculosis in patients with HIV. Methodology: Systematic Review is a research design that allows us to collect and synthesize the best scientific evidence regarding a study topic. Of the studies, 6 are systematic reviews and 7 are cohort reviews. Results: We found 13 relevant studies. 90% (12) report that IPT is effective and they are from the United States, England, Tanzania, Australia and Brazil; while 10% (1) of the United States report that it is not effective in preventing tuberculosis in patients with HIV. Within these studies it was also found that the administration of isoniazid in children is 90% effective, if isoniazid is administered for 36 months compared to 6 months it is much more beneficial in patients with HIV, 6 months of isoniazid in patients with HIV reduces the risk of tuberculosis during the 7 years of follow-up, one of the reasons why a patient stops taking isionazid is the liver effects and the lack of follow-up for the IPT. Conclusions: It is concluded that the majority reports that the use of isonicide is effective in preventing tuberculosis in patients living with HIV; also that chemoprophylaxis with isionazide is important because it helps us reduce cases of tuberculosis in patients living with HIV; Therefore, it also reduces HIV/TBC mortality cases.
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