Examinando por Autor "Valdivieso Aquije, Judith Jacquelin"

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Acceso abierto
Correct management of organophosphate poisoning in patients treated in emergency services
(Universidad Privada Norbert Wiener, 2017) Valdivieso Aquije, Judith Jacquelin; Obregon Zorrilla, Yolanda Noemi; Gómez Gonzales, Walter Edgar
Objective: To determine the correct management of acute poisoning in patients attended in emergency services. Materials and Methods: A systematic review was conducted to synthesize the results from multiple primary studies, which are an essential part of evidence-based nursing, identifying relevant studies to answer specific clinical practice questions. Results: The review covered 10 scientific articles on the correct management of organophosphate poisoning in patients attending emergency services. Of the studies reviewed, 30% (3) were from India, 20% (2) from England, 20% from Ecuador, and 10% each from Brazil, Uruguay, and Spain. The articles came from databases Medline, Lilacs, and Cochrane Plus. Conclusions: The reviewed articles show that atropine is the antidote treatment, whereas the use of oximes for acute poisoning is not optimal, as they are not universal for all agents. There is a need for clinical trials not only with oximes but also with other antidotes, such as hydrolases, pyridostigmine carbamate, glutamate antagonists, and adenosine receptor agonists (clonidine).
Acceso abierto
Effectiveness of the Pap smear compared to other tests for early diagnosis of cervical cancer in women of reproductive age
(Universidad Privada Norbert Wiener, 2019-01-06) Daga Díaz, Maria Antonieta; Valdivieso Aquije, Judith Jacquelin; Glenni Garay, Zarely Zabeli
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 40% (04) correspond to Bolivia, Colombia, Cuba, Peru, 30% (03) to Belgium, Greece, Spain, 20% (02) to the USA and 10% ( 10) to Asia. Of the Studies, 30% correspond to Systematic Reviews, 30% Descriptive correlational type, 20% Randomized Clinical Trials and 20% Cases and Controls. Results: 50% of the articles reviewed consider the need to complement the PAP with the Colposcopy exam as diagnostic support, while 30% mention that the PAP should be accompanied by the HPV test and 20% affirm that the Pap smear It is the best test for early detection of cervical cancer. Conclusions: In 5 of the 10 articles reviewed on the effectiveness of PAP compared to other examinations, it is evident that colposcopy is a complementary examination in the definitive diagnosis of cervical cancer in women of childbearing age.