Examinando por Autor "Ponce Castillo, Diana Antonia"

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    Critical review: effect of dietary fiber intake on uric acid and creatinine levels in adult patients on hemodialysis
    (Universidad Privada Norbert Wiener, 2024-06-20) Paredes Vargas, Zoila Pamela; Ponce Castillo, Diana Antonia
    Although hemodialysis successfully prolongs and improves the quality of life for renal patients, fiber intake also affects this process by reducing toxins (urea, creatinine, etc.). The clinical question was: What is the effect of dietary fiber intake on uric acid and creatinine levels in adult patients on hemodialysis? Evidence-based nutrition (NuBE) methodology was used. The search for information was conducted in PUBMED, MEDLINE, SCIELO, SCOPUS, and SCIENCE DIRECT, yielding 22 articles, 9 of which were selected for evaluation using the CASPE tool. The randomized clinical trial titled "Effects of Fermentable High Fiber Diet Supplementation on Gut-Derived and Conventional Nitrogenous Products in Maintenance Hemodialysis Patients" was chosen, with a level of evidence AI and a strong recommendation grade. The critical commentary concluded that a diet enriched with fermentable fiber is suitable for maintenance dialysis patients due to its safety and absence of significant side effects, and it significantly reduces creatinine and uric acid levels.
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    Critical review: Effect of omega-3 supplementation on clinical outcomes in critically ill adult patients
    (Universidad Privada Norbert Wiener, 2024-04-17) Peña Zúñiga, Pilar; Ponce Castillo, Diana Antonia
    Early nutritional intervention in critically ill patients has shown several benefits, including reduced complications and improved clinical outcomes in patients at nutritional risk. This secondary research, titled "Critical Review: Effect of Omega-3 Supplementation on Clinical Outcomes in Adult Critically Ill Patients," aimed to investigate the benefits of omega-3 supplementation in critically ill adults. The clinical question was: What is the effect of omega-3 supplementation on clinical outcomes (mortality and hospital stay) in critically ill adult patients? Evidence-based nutrition (NuBE) methodology was used. The search for information was conducted in PUBMED, BIBLIOTECA VIRTUAL EN SALUD, COCHRANE LIBRARY, SEVIER, DYNAMED, SPRINGER, WILEY ONLINE LIBRARY, KARGER, with 43 articles found, and 10 were selected for critical reading evaluation using the CASPE tool. The randomized clinical trial titled "The Effect of Omega-3 Supplementation on Clinical and Biochemical Parameters in Critically Ill COVID-19 Patients: A Randomized Controlled Trial" was selected. The critical commentary concluded that omega-3 supplementation could have beneficial effects on the immune system of patients with viral infections and improve several parameters of respiratory and renal function in critically ill COVID-19 patients. However, further clinical studies are needed to validate these findings.
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    Critical review: effect of renal replacement therapy on the quality of life of patients with chronic kidney disease
    (Universidad Privada Norbert Wiener, 2023-11-22) Lopez Nieto, Mery Petronila; Ponce Castillo, Diana Antonia
    Chronic kidney disease (CKD) results from a decrease in kidney function, and patients receiving renal replacement therapy (RRT) experience changes in their quality of life. This critical review titled “Critical Review: Effect of RRT on the Quality of Life of CKD Patients” aimed to provide a professional and critical assessment based on the review of relevant clinical studies on the topic. The clinical question was: “What is the effect of RRT on the quality of life of CKD patients?” The Evidence-Based Nutrition (NuBE) methodology was used to search for information in various databases like PubMed, Dialnet, Science Direct, and Redalyc, finding a total of 25 articles. The CASPE tool was applied to select 10 pertinent studies. As a result, the randomized clinical trial “Quality of life of patients having renal replacement therapy” was chosen. According to the research, this selected clinical trial has an A I level of evidence and a strong recommendation grade. The critical evaluation indicated that RRT significantly improves the quality of life of CKD patients.
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    Critical Review: effects of oral omega-3 supplementation on inflammatory markers in adult patients with chronic kidney disease
    (Universidad Privada Norbert Wiener, 2022-05-18) Dávila Chávez, Milagros Andrea; Ponce Castillo, Diana Antonia
    Nutrition is crucial in the treatment of patients when performed timely and adequately. The objective of this secondary research, critical review: Impact of oral supplementation with omega-3 on inflammatory markers in adult patients with chronic kidney disease, was to determine its effect on inflammatory biomarkers. What is the impact of oral supplementation with omega-3 fatty acids on inflammatory markers in patients with chronic kidney disease? was the clinical question. The methodology used was Evidence-Based Nutrition (NuBE). Data collection was conducted on PubMed and the virtual health library, resulting in 30 articles, of which 10 underwent critical reading using the CASPE instrument. The clinical trial titled 'Oral supplementation with omega-3 fatty acids and inflammation markers in patients with chronic kidney disease on hemodialysis' was selected, and due to the investigator's expertise, it had a level of evidence AI and a strong degree of recommendation. The critical review concluded that omega-3 supplementation has a significant impact on reducing inflammatory markers like IL-6, TNF-alpha, and CRP.
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    Effect of physical exercise on quality of life in adult patients with chronic kidney disease on hemodialysis
    (Universidad Privada Norbert Wiener, 2024-05-29) Chipana Pacco, Yesenia; Ponce Castillo, Diana Antonia
    Scientific evidence supports the notion that physical exercise during hemodialysis can benefit patients with chronic kidney disease. The research in question, titled 'Critical Review: Impact of Physical Exercise on the Quality of Life of Adults with Chronic Kidney Disease on Hemodialysis', aimed to evaluate this impact. The key question was: How does physical exercise during hemodialysis affect the quality of life of adults with chronic kidney disease? The methodology used was Evidence-Based Nutrition (NuBE), and 127 articles were reviewed from PUBMED, SCIELO, and SCIENCE DIRECT. After critical evaluation with CASPE, a randomized clinical trial titled 'Effects of Intradialytic Exercise on Dialysis Parameters, Health-Related Quality of Life, and Depressive Status in Hemodialysis Patients: A Randomized Controlled Trial' was selected. This study, supported by evidence AI and a strong degree of recommendation, concluded that a 12-week intradialytic exercise program, including supine cycling three times a week for 30 minutes, improves health-related quality of life (ß = 22.6, p <0.001). It is recommended to start exercise 30 minutes after the initiation of hemodialysis, following hemodynamic evaluation.
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    Effects of intradialytic parenteral nutrition on serum albumin in adult patients with chronic kidney disease in hemodialysis
    (Universidad Privada Norbert Wiener, 2024-02-15) Cruz Carreño, Maria Isabel; Ponce Castillo, Diana Antonia
    Intradialytic parenteral nutrition has been shown to improve nutritional status. This supplementary review called: EFFECTS OF INTRADIALYTIC PARENTERAL NUTRITION ON SERUM ALBUMIN IN ADULTS WITH CKD IN HEMODIALYSIS, has the purpose of recognizing the validity of intradialytic parenteral nutritional intervention in dialysates with Protein-Energy Depletion (PED). The clinical question was: What is the effect of intradialytic parenteral nutrition on serum albumin in adults with CKD on hemodialysis? The Evidence-Based Nutrition (NuBE) method was used. This documentation review began in PUBMED, MEDLINE, SCIELO, SCOPUS, SCIENCE DIRECT, locating 28 articles, 10 of which were designated and verified through the CASPE critical reading mechanism, ultimately detecting the prospective cohort study called MANEJO DIETARY OF PATIENTS ON HEMODIALYSIS WITH CKD AND MALNUTRITION, which offers a measure of AI evidence and a degree of Recommendation Strong, in line with the researcher's career. The critical point is that patients with Protein Energy Wasting undergoing hemodialysis should be treated with recommended first-line treatments, including dietary advice and enteral supplements. Current studies have significant limitations, and more research is needed to demonstrate improved outcomes with the use of NPID compared to other treatment options. This suggests that the effectiveness of IDPN remains uncertain and requires more rigorous research to conclusively establish its effectiveness. Therefore, it would be reasonable to exercise caution when considering NPID as a treatment option until more definitive evidence is available.
  • Miniatura
    PublicaciónAcceso abierto
    Revisión crítica: efecto de la ingesta de fibra dietética en la hemoglobina glicosilada de pacientes adultos con diabetes mellitus II
    (Universidad Privada Norbert Wiener, 2025-06-13) Vásquez Torres, Maribel; Ponce Castillo, Diana Antonia
    La diabetes tipo II representa un riesgo significativo en la aparición de complicaciones vasculares, tanto en niveles pequeños como grandes. Los componentes dietéticos tienen un importante rol en el control glicémico de personas que padecen diabetes, pero aún la información existente es escasa. La presente investigación secundaria titulada como “Revisión crítica: Ingesta de fibra dietética en la hemoglobina glicosilada de pacientes adultos con DM II”, cuyo propósito es llevar a cabo una investigación fundamentada en trabajos científicos sobre ensayos clínicos pertinentes a este tema. La cuestión clínica es: “¿Cómo influye el consumo de fibra dietética en los niveles de HbA1c en pacientes adultos con diabetes tipo II?” Se adoptó un enfoque de nutrición apoyado en evidencia (NuBE). Una búsqueda en Pubmed y Science Direct reveló 29 investigaciones, de las cuales se seleccionaron 10 para ser analizadas por CASPE, y finalmente se eligió un ensayo clínico aleatorio titulado “La ingesta de fibra dietética está relacionada con el nivel de HbA1c en pacientes predominantes con diabetes tipo 2 en el nuevo área de Pudong, Shanghai, China”. Presenta evidencia de nivel IA y cuenta con un alto puntaje de recomendación basado en el conocimiento científico. Las observaciones críticas nos llevan a concluir que hay suficientes pruebas para establecer el impacto del consumo de fibra dietética en los niveles de HbA1c (hemoglobina glicosilada) en adultos con diabetes tipo II.
  • Miniatura
    PublicaciónAcceso abierto
    Revisión crítica: efecto de la suplementación con omega-3 en los marcadores de inflamación en adultos con enfermedad renal crónica terminal
    (Universidad Privada Norbert Wiener, 2024-11-20) Medina Pinto, Daniel Alcides; Ponce Castillo, Diana Antonia
    La inflamación crónica es un mal que aqueja a los pacientes con enfermedad renal crónica terminal (ERCT). Esta afecta la calidad de vida y aumenta la mortalidad de esta población. La presente investigación secundaria titulada como: ―Revisión crítica: Efecto de la suplementación con omega-3 en la inflamación en adultos con ERCT‖ tuvo como objetivo realizar un comentario crítico profesional de acuerdo a la revisión de artículos científicos de estudios clínicos sobre el tema de suplementación con omega-3 e inflamación en pacientes con ERCT. La pregunta clínica fue: ¿Cuál es el efecto de la suplementación con omega-3 en los marcadores de inflamación en adultos con ERCT? Se utilizó la metodología Nutrición Basada en Evidencia (NuBE). La búsqueda de información se realizó en Pubmed, Science direct, Scopus, HINARI y Cochrane, encontrando 21 artículos, siendo seleccionados 10 que han sido evaluados por la herramienta para lectura crítica CASPE, seleccionándose finalmente el Ensayo Clínico Aleatorizado titulado ―Effect of Omega-3 Fatty Acids Supplementation on Homocysteine Level in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis‖; el cual posee un nivel de evidencia A I y Grado de Recomendación Fuerte, de acuerdo a la experticia del investigador. El comentario crítico permitió concluir que, es necesario realizar estudios más extensivos que incluyan dosis y tiempo de tratamiento adecuados de omega-3, para comprender mejor su efecto en la inflamación en pacientes con ERCT.