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Ítem Acceso abierto Anxiety and depression in older adults with diabetes mellitus and/or high blood pressure who attend the outpatient clinic of the medical specialties clinic, San Borja, Lima 2022(Universidad Privada Norbert Wiener, 2022-12-18) Gastiaburu Rojas, Yuri Silvana; Cárdenas de Fernández, María HildaThe following research aims to determine the relationship between anxiety and depression in older adults with diabetes mellitus and high blood pressure who attend the outpatient clinic of the Clínica Especialidades Médicas, San Borja, Lima 2022. The Method will be quantitative in approach, descriptive type, cross-sectional correlational; The population is made up of 88 older adults, which will be the entire sample. To measure our objectives, the Beck Anxiety Scale (BAI) instrument will be applied to measure the first variable and the Yesavage Geriatric Depression Scale to measure the second variable. Spearman's parametric Rho correlation test will be used for the results.Ítem Acceso abierto Application of the NRS - 2002 as a tool for nutritional screening in hospitalized adult patients.(Universidad Privada Norbert Wiener, 2022-08-09) Vargas Vera, Claudia Danitza; Bohórquez Medina, Sofia LorenaHospital malnutrition in the Peruvian population is currently a problem that has not been addressed correctly due to the lack of standardized nutritional screening tools. Currently, nutrition professionals use different tools like VGS, MUST, NRS-2002, but the latter has not been validated by any study in our population to assess its effectiveness. The NRS-2002 is a nutritional screening tool that provides scores to determine the nutritional risk of each patient. This secondary research, titled "Critical review: Application of the NRS-2002 as a nutritional screening tool in hospitalized adult patients," aimed to determine the effectiveness of using NRS-2002 as a nutritional screening tool in hospitalized adult patients.Ítem Acceso abierto Capacity for self-care and healthy lifestyles in older adults in the human settlement (AA.HH.) May Day, Lima – 2022(Universidad Privada Norbert Wiener, 2022-12-30) Segovia Zela, Edith; Palomino Taquire, RewardsObjective: The general objective of this research was to determine the relationship between the capacity for self-care and healthy lifestyles in older adults from the AAHH Primero de Mayo in the district of Villa el Salvador, in Lima 2022. The methodology was based on a study with a quantitative approach, with a descriptive - correlational scope, a deductive method, with a sample made up of 80 older adults to whom a questionnaire was applied to collect information. The results reflected that there was a correlation of 0.629 between the physical activity dimension and lifestyles, likewise, there was a high correlation of 0.708 between the “nutrition” dimension and healthy lifestyles, and there was also a correlation of 0.829 between the “elimination” dimension. and healthy lifestyles, likewise, there was a relationship of 0.637 between the “rest and sleep” dimension and healthy lifestyles, there was also a correlation of 0.604 between the “hygiene and comfort” dimension and healthy lifestyles and a correlation of 0.624 between the “meditation” dimension and healthy lifestyles.Ítem Acceso abierto Clinical and epidemiological characteristics of deceased patients with a COVID-19 diagnosis treated in the adult emergency department of a third-level hospital, March 15 – June 30, 2020(Universidad Privada Norbert Wiener, 2024-08-10) Valentín Benito, Erika Elizabeth; Villanueva Orue, JamesThe study conducted at a third-level hospital between March 15 and June 30, 2020, aimed to identify clinical and epidemiological characteristics in patients diagnosed with COVID-19. Using a retrospective method and quantitative approach, 253 medical records were analyzed. The findings showed a predominance of deaths among men and those over 60 years old. The most common symptoms were dyspnea, cough, and general malaise. Higher mortality was observed in the group aged 60 and above, with 83.3% in April, although it slightly decreased in May and June. Comorbidities varied by age, with hypertension and diabetes mellitus being the most common in those over 60, while in the 30-59 age range, the absence of comorbidities was more reported. The results highlight the vulnerability of the elderly population and the importance of specialized care for this group, as well as the need to identify predominant symptoms by gender to improve the diagnosis and treatment of COVID-19.Ítem Acceso abierto Compliance level of nursing records in the adult intensive care unit of a public hospital in Lima - November 2020(Universidad Privada Norbert Wiener, 2020-10-11) Tumay Melgar, Katherine Juliane; Avila Vargas Machuca, Jeannette GiselleObjective: Determine the level of compliance with nursing records: graphic sheet of vital signs, water balance sheet, nursing progress notes and nurse card; in the Intensive Care Unit of a Public Hospital in Lima. Material and methods: Quantitative approach, non-experimental, descriptive, cross-sectional design. The population is made up of the medical records of patients hospitalized in the Intensive Care Unit. A non-probabilistic sampling will be carried out, for convenience. The technique that will be used is observation. The instrument to be used will be observation sheets; the four Quality Assessment Formats of Nursing Records, which have been taken from the Technical Standard for Auditing the Quality of Health Care NTS No. 029-MINSA/DIGEPRES-V.02 of 2016.Publicación Acceso abierto Condición física en adultos de la entidad religiosa cristiana tabernáculo de la fe, Chimbote 2024(Universidad Privada Norbert Wiener, 2024-12-16) Asto Luna, Julia Carolina Yazmin; Diaz Mau, Aimee YajairaLa investigación tuvo como Objetivo: “Determinar la condición física en adultos de la entidad religiosa cristiana Tabernáculo de la Fe, Chimbote 2024” materiales y método: La población está compuesta por 120 adultos sanos de ambos géneros, con edades entre 20 y 60 años, de los cuales la muestra de estudio fue de 91 adultos. El estudio es de tipo aplicado, con un nivel descriptivo, deductivo y transversal, un enfoque cuantitativo y un diseño no experimental. Se utilizó el instrumento Test de Ruffier Dickson para la evaluación de la condición física y los resultados: obtenidos se evidencio que el 63.7% de los adultos cuentan con una forma física óptima, mientras que el 2.2% se encuentran aptos para comenzar un plan progresivo de acondicionamiento físico. Por otro lado, teniendo en cuenta las dimensiones de estudio, se evidencio que en la dimensión pulso basal, los adultos alcanzaron un resultado promedio de 78 lpm, según la dimensión resistencia cardiovascular, los adultos obtuvieron un resultado promedio de 100 lpm después de las sentadillas. Con respecto a la dimensión capacidad de recuperación, los adultos obtuvieron un resultado promedio de 88 lpm después de un minuto. Finalmente concluyendo que, la población de estudio cuenta con una condición física moderada.Publicación Acceso abierto Conocimiento y prácticas sobre medidas de bioseguridad en enfermeros del servicio de emergencia adultos en un Hospital del Callao Lima 2024(Universidad Privada Norbert Wiener, 2025-01-12) Macedo Sangama, Hellen; Cruz Gonzales, Gloria EsperanzaLos cambios epidemiológicos en el mundo han demostrado un papel importante que desempeñan en los profesionales del ambiente sanitario, para que esto se cumpla se deben mantener de prácticas de bioseguridad adecuadas, sin embargo, a pesar de los avances científicos que enmarcan su relevancia aún existe desconocimiento y prácticas inadecuadas de bioseguridad haciendo susceptible al personal de contagio de enfermedades infecciosas convirtiendo al personal como portador y transmisor de estas infecciones hacia los demás pacientes y viceversa; al respecto se recomienda que se fomente capacitaciones y vigilancia de la prácticas de bioseguridad; como protección a los trabajadores de salud tanto de daños biológicos como físicos En el año 2021 la Organización Internacional del trabajo, estimó cerca de 2 millones de muertes en trabajadores de salud, debido a patologías adquiridas en el desarrollo de sus labores hospitalarias . El profesional de salud que labora en emergencia se encuentra expuesto hasta 3 veces más en comparación a otras áreas a infecciones que se trasmiten por el contacto con sangre, aerosoles a infecciones como el VIH, Hepatitis, TBC, Influenza, entre otros; sin embargo, estas condiciones son altamente prevenibles por un conocimiento y prácticas adecuadas de bioseguridad La bioseguridad hospitalaria y su práctica dependen del nivel de conocimiento de la misma, a pesar de ello, su incidencia aún es alta a pesar de los mecanismos de vigilancia y control hospitalaria; la determinación del nivel de conocimiento y además el entendimiento de las prácticas sobre medidas de bioseguridad y el empleo de esta información es vital, al ser una medida de mejora sobre la ejecución continua de bioseguridad fomentando su relevancia de forma rigurosa y constante en todo el proceso que involucra la atención en salud Un estudio realizado en China en el 2022 en dos centros hospitalarios sobre la práctica respecto a las medidas de bioseguridad en tiempos de pandemia informó que esta fue inadecuada generando alrededor de 3 387 contagios debido al desconocimiento del uso adecuado de medios de protección; mientras que otro grupo de 42 600 de otro hospital salió libre de contagios debido a que mantuvieron medidas de bioseguridad adecuados, esto demostró el impacto de riesgo para la salud de los trabajadores, si el personal no conoce ni práctica medidas de bioseguridad es susceptible a contagios El desconocimiento acerca de las medidas de bioseguridad conlleva a que las prácticas sean insuficientes o estén ausentes en la mayoría de personal, a su vez, esto promueve que las Infecciones Intrahospitalarias incrementen, el Centro de Control de Enfermedades de los Estados Unidos reportó que anualmente mueren 80 mil pacientes por VIH generando mayor estancia hospitalaria y mayores costos al sistema de salud a pesar de ser evitables mediante una adecuada práctica bioseguridad Esta problemática también se traslada a países de Latinoamérica, en Brasil en el 2020, se realizó un estudio que evaluó el nivel de conocimiento y su relación con las prácticas estándar de bioseguridad, los resultados estimaron que el nivel de conocimiento guarda una relación con la disminución del riesgo siendo p<0.01, es decir, si se posee mayor conocimiento de bioseguridad se disminuye el nivel de riesgo de contagio por inadecuadas prácticas de bioseguridad Asimismo, en el Perú el 2020, un estudio realizado en Lima menciona que el desconocimiento sobre bioseguridad y sus medidas son un problema prevalente en el personal en los enfermeros de áreas críticas como el servicio de emergencia, este desconocimiento se atribuyó a la juventud de los investigados dado que eran relativamente nuevos en el servicio y no habían recibido las capacitaciones oportunas sobre bioseguridad, este desconocimiento estuvo presente en el 46,7% del personal enfermero de emergencia, una cifra considerable que demuestra la importancia del abordaje de la presente temática Los estudios sobre bioseguridad en los servicios de emergencia hacen mención que cuando el trabajador debe cumplir sus obligaciones laborales en ambientes inseguros o donde no se permita practicar las medidas de bioseguridad por falta de implementos insumos o desconocimiento, pueden ocurrir accidentes laborales, accidentes que no sólo los hace propensos a contagios de patologías de riesgo como el VIH y tuberculosis, sino que además puede causar su muerte prematura. (9) El servicio de emergencia en relación otros servicios triplica el riesgo de contagio en los trabajadores En servicio de emergencia de la etapa de vida adultos de un Hospital del callao es un espacio crítico de atención y el primer contacto que se establece con los pacientes, es por ende un servicio sumamente vulnerable y de alto peligro de contagio frente a diversas enfermedades infecciosas, el contacto con el paciente y la constante participación en procedimientos que involucran el contacto con fluidos como: sangre, esputo, entre otros; pone en peligro la salud de los enfermeros, teniendo en cuenta la importancia que se da a nivel mundial, nacional y regional, se debe investigar el nivel de conocimiento y prácticas acerca de las medidas de bioseguridad de los enfermeros de emergencia.Ítem Acceso abierto Coping capacity and habituation in relatives of patients hospitalized in the intensive care unit of the San Isidro Labrador hospital, Lima-2021(Universidad Privada Norbert Wiener, 2021-08-22) Rodríguez Cáceres, Yersy Ademir; Cárdenas de Fernández, María HildaThis research proposal has been developed within the line of research of nursing care in the intensive care unit since many times the nurse only focuses on the patient but not on the relatives since the coping support that we have to teach them is essential. to them OBJECTIVE:. Determine the coping and habituation capacity in the relatives of patients hospitalized in the intensive care unit of the San Isidro Labrador hospital, Lima-2021 MATERIALS AND METHODS: the research has a quantitative, applied approach, with a descriptive design. population is made up of 288 relatives of hospitalized adult patients, who are treated in the hospital according to data obtained from the hospital's record books, from the month of August to November The informants in the analysis were direct relatives from the intensive care unit of the Nosocomio san Isidro Labrador- LimaPublicación Acceso abierto Correlación entre el índice de masa corporal y los niveles séricos de transaminasas (ALT y AST) en adultos atendidos en un laboratorio clínico privado de Lima, 2025(Universidad Privada Norbert Wiener, 2025-10-22) Llamacponca Huanacchiri, Yeceña; Astete Medrano, Delia JessicaEl presente estudio tiene como objetivo determinar la correlación entre el índice de masa corporal (IMC) y los niveles séricos de transaminasas ALT y AST en adultos atendidos en un laboratorio clínico privado de Lima durante el primer trimestre de 2025. Se aplica un enfoque cuantitativo, de diseño no experimental, transversal y correlacional. La muestra está conformada por 127 reportes de laboratorio seleccionados mediante muestreo no probabilístico por conveniencia. Los resultados muestran que los valores promedio de ALT (37,43 U/L) y AST (33,85 U/L) se encuentran en el límite superior del rango de referencia, y que el 52,7% de los participantes presenta un IMC correspondiente a sobrepeso u obesidad. Se observa una correlación estadísticamente significativa entre el IMC y los niveles de ambas enzimas hepáticas (r = 0,982; p = 0,001), confirmando la hipótesis planteada. Asimismo, se evidencia que los pacientes con mayor IMC presentan elevaciones más frecuentes de ALT y AST en comparación con los normopeso. Estos hallazgos respaldan el valor clínico del IMC y las transaminasas como herramientas de tamizaje en la identificación precoz de alteraciones hepáticas subclínicas. Se concluye que el sobrepeso y la obesidad influyen en la función hepática, y se recomienda fortalecer la interpretación integral de biomarcadores en el laboratorio clínico, así como implementar estrategias de prevención y educación sanitaria dirigidas a personas con exceso de peso.Ítem Acceso abierto Critic review: nutritional intervention through energy restriction regimens according to schedule patterns, in adults with excess weight.(Universidad Privada Norbert Wiener, 2021-12-21) Noreña Chumbislla, Ivone; León Cáceres, Johanna del CarmenDietary intervention is essential to treat excess weight. The present research is based on a critical review according to the bibliography found in the scientific database, with the objective of identifying those articles that answer the clinical question: Nutritional intervention through energy restriction regimes according to time, in adults with excess weight. The NuBE (Evidence-Based Nutrition) methodology was used. Through the information search, 44 articles were found in PUBMED, Cochrane, MEDLINE, DIMENSIÓN, finally 11 articles were selected and the information was evaluated with the CASPE critical reading tool, finding articles with levels of strong evidence, statements that report that the Dietary therapy of continuous and intermittent restriction in people with excess weight achieve variations convenient for health. The selected article was “Effects of Intermittent and Continuous calorie restriction on body weight and metabolism over 50 Wk.: A randomized controlled trial”. The critical commentary generated concludes that both dietary therapies report results in weight reduction and variation in appropriate metabolic profiles in their implementation, therefore both interventions are positive in excess weight.Ítem Acceso abierto Critical Review: Effect of Covid-19 Confinement on Adult Weight Gain.(Universidad Privada Norbert Wiener, 2022-03-31) Vásquez Palomino, Bertha Doris; Bohórquez Medina, Andrea LisbetSocial isolation and the use of other measures, such as quarantine or confinement during the development of the Covid-19 pandemic, have been shown to affect different aspects of the lives of the global population. Therefore, the present review, is a secondary investigation titled as a systematic critical review, aimed to identify scientific articles for the critical review of the scientific literature that answers clinical questions. In accordance with evidence-based nutrition, a search for information was carried out in SCOPUS, EMBASE, PUBMED, SCIENCE DIRECT, with 151 initial articles, of which 31 were finally selected and evaluated by the reading tool. CASPE review. After the evaluation, the article that best answered the research question was selected, regarding the impact of confinement on lifestyles that may lead to weight gain. COVID-19 had both a negative and positive impact on practices. across Europe and around the world, and negative dietary habits were associated with other poor lifestyle outcomes, such as weight gain, mental health problems and limited physical activity.Ítem Acceso abierto Critical review: Effect of dietary acid load on kidney disease progression in adult outpatients.(Universidad Privada Norbert Wiener, 2022-02-23) Pozo Yauri, Diego Enrique; Dávila Córdova, Jennifer EstefaniaChronic Kidney Disease (CKD) continues to be a public health problem globally. The acid load of the diet has been linked to CKD progression in some studies. However, results have been inconclusive, with varying methodologies and outcomes between studies. This secondary research titled "Critical review: Effect of dietary acid load on the progression of chronic kidney disease in adult outpatient patients" aimed to determine the effect of dietary acid load on CKD progression. The clinical question was: Will dietary acid load influence the progression of chronic kidney disease in adult outpatient patients? The methodology used was Evidence-Based Nutrition (NuBE). Articles were searched in Pubmed, Science Direct, DOAJ, finding a total of 103 articles, 13 of which responded to the clinical question. These were evaluated using the CASPE critical reading tool, with the systematic review and meta-analysis titled "Dietary acid load, kidney function, and risk of chronic kidney disease: a systematic review and meta-analysis of observational studies" being selected. The evidence level was II A, and the recommendation grade was strong. The critical commentary concluded that dietary acid load is related to CKD progression in adult outpatient patients. Some suggestions were made regarding the potential sources of heterogeneity in the studies included in the meta-analysis.Ítem Acceso abierto Critical review: Effect of low-potassium diets on reducing the progression of chronic kidney disease in adult patients(Universidad Privada Norbert Wiener, 2023-03-02) Córdova Alarcón, Miluska Mercedes; Dávila Córdova, Jennifer EstefaniaNutritional intervention is the set of dietary, nutritional and metabolic actions that must be undertaken in a patient before, during and after the treatment of a disease. The present secondary research titled as a critical review: Effect of Low Potassium Diets in Reducing the Progression of Chronic Kidney Disease in Adult Patients, aimed to identify the benefits of dietary potassium restriction in reducing the progression of Chronic Kidney Disease in adult patients. The clinical question was: Will nutritional intervention (low potassium diets) improve nutritional quality (expressed in the reduction of disease progression) in adult patients suffering from Chronic Kidney Disease? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PubMed and Science Direct, finding 137 articles, 10 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the Randomized Clinical Trial titled “Randomized Controlled Trial of the Effect of Potassium Restriction.” in the Diet on Nervous Function in CKD” which has an AI level of evidence and Strong Recommendation Degree, according to the expertise of the researcher. The critical comment allowed us to conclude that studies with larger samples and with characteristics similar to our population are needed to know exactly the existence of the benefits of dietary K restriction in terms of reducing the progression of CKD.Ítem Acceso abierto Critical review: effect of omega-3 fatty acid supplementation in adult patients with hypertriglyceridemia(Universidad Privada Norbert Wiener, 2022-08-22) Espinoza Lázaro, Jhonny Alfredo; Palma Gutiérrez, Edgardo JhoffireAn information search was carried out in the Medline and Cochrane databases, finding 32 articles, 11 being selected, which have been evaluated by the CASPE critical reading tool, finally the selected article allowed us to conclude that supplementation with 2 and 4 g/ omega-3 day for 8 weeks could be useful in reducing hypertriglyceridemia in adult patients.Ítem Acceso abierto Critical review: effect of omega-3 supplementation on indicators of cardiovascular health in adults with diabetes mellitus.(Universidad Privada Norbert Wiener, 2022-08-25) Cachay Barboza, Edwar Paul; Bohórquez Medina, Andrea LisbetHyperglycemia, insulin resistance, and hypertriglyceridemia, characteristic conditions of diabetes mellitus, are closely related to greater cardiovascular damage and this leads to a higher rate of morbidity and mortality, lower quality of life, and higher costs in the health care system. The objective was to analyze the effect of omega-3 supplementation on reducing the risk of developing cardiovascular disease in adults with diabetes mellitus. The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PUBMED, SCIENCE DIRECT, finding 165 articles, 11 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the article “An omega-3 fatty acid plasma index ≥4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment”, which has a level of evidence A I and Grade of Strong Recommendation. In conclusion, supplementation with omega-3 fatty acids in doses between 1 to 4 g/day does not support the recommendations for use in people with diabetes mellitus and/or with a history of coronary heart disease for the prevention or reduction of fatal coronary heart disease. non-fatal myocardial infarction or any other cardiovascular event.Ítem Acceso abierto Critical review: Effect of polyphenol supplementation on cognitive function in older adults.(Universidad Privada Norbert Wiener, 2022-08-08) De Souza Ferreyra Mendoza, Allison Magaly; León Cáceres, Johanna del CarmenPolyphenols have been shown to have neuroprotective effects. The present secondary research titled as a critical review: Effect of polyphenol supplementation on cognitive function in older adults, aimed to identify the benefits of polyphenol supplementation on cognitive function in older adults. The clinical question was: Does polyphenol supplementation improve cognitive function in older adults? The Evidence-Based Nutrition (NuBE) methodology was used. The search was carried out in the descriptors PubMed, Scielo, Dialnet, Science Direct, finding 298 articles. Ten articles were selected and evaluated with the CASPe critical reading tool, finally choosing the article titled “A Randomized, Double-Blinded, Clinical Trial on Effects of a Vitis vinifera Extract on Cognitive Function in Healthy Older Adults.” The critical commentary allowed us to conclude that supplementation with the polyphenols proanthocyanidins and anthocyanidins from the extract of the Vitis vinifera grape variety improves some cognitive domains in older adults; however, further studies are required to clarify the underlying mechanisms and recommended doses.Ítem Acceso abierto Critical review: effect of probiotic supplementation in adult patients with diabetes mellitus II(Universidad Privada Norbert Wiener, 2022-12-13) Laguna Sánchez, Judith; Inocente Camones, Miguel AngelType II Diabetes Mellitus is one of the most prevalent non-communicable diseases worldwide. An appropriate nutritional intervention contributes to mitigating the progression of this chronic disease. This research, titled 'Critical Review: Effect of Probiotic Supplementation in Adult Patients with Type II Diabetes Mellitus,' aimed to identify the benefits of probiotic supplementation in adult patients with Type II Diabetes Mellitus. The Evidence-Based Nutrition (NuBE) methodology was used. Information was searched in PUBMED, COCHRANE, SCIENCE DIRECT, PLOS ONE, DIALNET, and EBSCO, finding 47 articles, of which 9 were selected and evaluated using the CASPE critical reading tool. The randomized clinical trial titled 'Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double-blind, randomized, placebo-controlled study' was chosen, as it has a level of evidence I and a strong recommendation grade. The study concluded that multi-strain probiotic supplementation has beneficial effects on glycemic control in patients with Type 2 Diabetes, particularly in HbA1c levels, making probiotic supplementation a potential complementary treatment for metabolic control of Type 2 Diabetes.Ítem Acceso abierto Critical review: effect of protein restriction and addition of keto-amino acids in improving renal function in adult patients with stage 3 and 4 chronic kidney disease (CKD)(Universidad Privada Norbert Wiener, 2022-04-19) Bellido Vallejo, Milagro; León Cáceres, Johanna del CarmenThe objective was to identify the effects of protein restriction and addition of keto-amino acids on the improvement of renal function in adult patients with chronic kidney disease in stages 3 and 4. The clinical question was: Is protein restriction and addition of keto-amino acids Will amino acids improve kidney function in adult patients with chronic kidney disease in stages 3 and 4? The Evidence-Based Nutrition methodology was used. The information search was carried out in PUBMED, SCOPUS, WOS, Elsevier, Springer, finding 27 articles, 08 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the Randomized Clinical Trial titled: “Effect of essential amino acids ketoanalogs and protein restriction diet on morphogenetic proteins (FGF-23 and Кlotho) in patients with disease chronic kidney disease in stages 3b-4: a randomized pilot study”, which has a level of evidence I and Grade of Recommendation “Strong”, according to the expertise of the researcher. The critical commentary allowed us to conclude that supplemented protein restriction (LPD) with ketoanalogues of essential amino acids (KA) improves the renal function of adult patients with CKD in stages 3 and 4, making its application recommended to delay the progression of CKD.Ítem Acceso abierto Critical review: Effect of serum magnesium on mortality in adult patients with chronic kidney disease(Universidad Privada Norbert Wiener, 2024-09-25) Cabezas Tuesta, Kelly Fanny; Ponce Castillo, MelissaMagnesium plays a role in various metabolic processes, and studies have shown that altered serum levels can be associated with higher mortality in patients with chronic kidney disease. This secondary research, titled "Effect of Serum Magnesium on Mortality in Adult Patients with Chronic Kidney Disease," aimed to explore the effect of serum magnesium concentrations on mortality in adult patients with chronic kidney disease. The clinical question was: What is the effect of serum magnesium on mortality in adult patients with chronic kidney disease? The NuBE methodology was used, and information was gathered from Science Direct, Pubmed, and Dialnet. Of 25 articles found, 10 were selected and evaluated using the CASPE tool. The cohort study titled "Serum Magnesium and Cardiovascular Outcomes and Mortality in CKD: The Chronic Renal Insufficiency Cohort (CRIC)" was selected, with a B-III level of evidence and a strong recommendation grade. Conclusion: Low serum magnesium levels increase the risk of mortality in patients with chronic kidney disease.Ítem Acceso abierto Critical review: Effect of supplementation with whey protein, vitamin D and Leucine, in improving the clinical condition of elderly patients with Sarcopenia(Universidad Privada Norbert Wiener, 2023-11-08) Cruces De La Roca, Ximena; Bohórquez Medina, Sofia LorenaThe "European Working Group on Sarcopenia" defines sarcopenia as low muscle strength and loss or poor muscle quality. The research titled "Critical Review: Effect of Whey Protein Supplementation, Enriched with Vitamin D and Leucine, on the Clinical Condition of Elderly Patients with Sarcopenia" aimed to provide a professional critical commentary. The Evidence-Based Nutrition (EBN) methodology was used, and the selected articles were evaluated using the CASPe critical reading tool, with the chosen systematic review and meta-analysis titled "Effects of Whey Protein, Leucine, and Vitamin D Supplementation in Patients with Sarcopenia: A Systematic Review and Meta-Analysis" having an A-level of evidence and strong recommendation grade. The critical review concluded that supplementation with whey protein enriched with vitamin D and leucine improves clinical patterns in patients, such as increased muscle mass, and when combined with exercise, enhances muscle strength and performance in elderly patients with sarcopenia