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Examinando por Materia "Aflicción"

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    Effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in post-surgical patient
    (Universidad Privada Norbert Wiener, 2020-02-16) Villar Valer, Liz Evelin; Isla Urco de Nuñez, Wuendy Brecia; Pretell Aguilar, Rosa María
    Objective: Systematize the evidence on the effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in immediate post-surgical patients. Material and method: The study design is a systematic review consisting of 10 scientific articles that demonstrate the effectiveness in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients, which were obtained from the following database: Epistemonikos, Pubmed, Trandfonline, jors online, Springer, publishers, publishing, Springer. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 100% (n=10/10) are of high quality, 70% (n=7/10) are meta-analysis, 10% (n=1/10) are systematic reviews, the 10% (n = 1/10) are randomized clinical trials and 10% (n = 1/10) are randomized controlled trials. Depending on the country where the research was carried out, 70% correspond to China. (n=7/10), Europe, 10% (n=1/10), Berlin 10% (n=1/10), and the USA 10% (n = 1/10). Results: From the evidence obtained, 100% (n=10/10) (12,13,14,15,16,17,18,19,20,21) demonstrate that lower extremity flexion is effective in Decreased blood loss and improved range of motion after total knee arthroplasty in immediate post-surgical patients. Conclusions: 10 of the 10 articles demonstrate that lower extremity flexion is effective in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients.
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    Effectiveness of the use of polyethylene bags for the prevention of hypothermia in premature and low birth weight newborns
    (Universidad Privada Norbert Wiener, 1905-07-09) Hernández Julca, Bertha Gladys; Pérez Franco, Sandra Jesús; Remuzgo Artezano, Anika
    Objective: Determine the effectiveness of the use of polyethylene bags for the prevention of hypothermia in premature and low birth weight newborns. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, together with the intensive bibliographic search algorithm and the PICO strategy. Results: 10 articles were obtained as a population, of which 100% (10/10) demonstrated that the use of the polyethylene bag to prevent hypothermia in premature and low birth weight newborns is effective; We also point out that of these, 20% correspond to the United States as well as those from Mexico, while 10% are from Uruguay, Canada, Thailand, Zambia, Brazil and England respectively. Therefore, it is concluded to consider the use of polyethylene bags as an additional effective and safe intervention to prevent hypothermia in premature and low birth weight newborns. Conclusions: 100% (10/10) of scientific articles have shown that the use of polyethylene bags is effective in interrupting heat loss through convection, conduction and evaporation mechanisms. Likewise, by preventing hypothermia we not only find stable oxygen saturation but also other vital functions and consequently the most serious complication such as neurological damage is avoided.
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    Efficacy of self-care of arteriovenous fistula in hemodialysis patients
    (Universidad Privada Norbert Wiener, 1905-07-09) Bautista Rodrigez, Carmen Cecilia; Talaverano Gutierrez, Bertha Maria; Mendigure Fernández, Julio
    Objective: Systematize the available evidence on the effectiveness of self-care for arteriovenous fistula in hemodialysis patients. Material and methods: This is a Systematic Review of 20 articles in the database GOOGLE ACADEMICO, SCIELO, MEDLINE, whose search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the evaluation of Jover to identify its degree of evidence. Results: It was found that the patients' level of AVF self-care knowledge was high in 15 articles. In 3 studies it was found that they have a low level of knowledge and in 1 a regular level of knowledge. Through this systematic review it can be stated that the increase in knowledge generates positive and lasting changes in behaviors or care practices for arteriovenous fistula, avoiding the most frequent complications, such as loss of the fistula, infections. It is necessary to emphasize self-care since it allows the person to have autonomy when acting to maintain their health. Conclusion: The effectiveness of self-care of arteriovenous fistula in hemodialysis patients was evidenced since self-care based on an educational intervention program is effective in reducing clinical risks in hemodialysis patients.
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    Hearing protection and its effectiveness in reducing the risk of hearing loss in workers
    (Universidad Privada Norbert Wiener, 2019-11-03) Alvarez Ventocilla, Milagros; Vela Huerta, Konny Estrella; Pretell Aguilar, Rosa Maria
    Objective: To systematize the evidence on the effectiveness of hearing protection to reduce the risk of hearing loss in workers. Materials and Methods: A systematic review of 10 scientific articles on the effectiveness of hearing protection to reduce the risk of hearing loss in workers was conducted. These articles were found in PubMed and Epistemonikos databases and were evaluated using the GRADE scale to determine their strength of recommendation and evidence quality. Results: Of the 10 articles reviewed, 50% (n=5/10) were Systematic Reviews, 20% (n=2/10) were Case-Control studies, 10% (n=1/10) was a Randomized Controlled Trial (RCT), 10% (n=1/10) were Cohort studies, and 10% (n=1/10) was a Cross-sectional study. All 10 articles (100%) indicate the effectiveness of hearing protection in reducing the risk of hearing loss in workers. Conclusion: According to the 10 scientific pieces of evidence reviewed, all the articles confirm the effectiveness of hearing protection in reducing the risk of hearing loss in workers.
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    Risk factors and suicidal behaviors in patients treated in the Emergency service of the María Auxiliadora Hospital, Lima – 2022
    (Universidad Privada Norbert Wiener, 2022-10-23) Soncco Quispe, Zinthia Luz; Pretell Aguilar, Rosa María
    Suicide risk factors can be personal, family and socioeconomic; being a complex problem where other factors such as psychological, environmental and biological also intervene. In adolescents, the influencing factors are family psychiatric history, mental illness, family loss, depression, social isolation, drugs and alcohol. In adults, these are interpersonal relationships, domestic violence, family stress or mental health, alcohol and drugs, problematic family environments, social and family isolation. Objective: Determine the relationship between risk factors and suicidal behaviors in patients treated in the emergency service of the María Auxiliadora Hospital, Lima – 2022. Method: The research will have a quantitative, descriptive, correlational and transectional approach that will allow data to be collected and information that will help respond to the problem raised. The population will be 90 patients treated in the emergency service of the María Auxiliadora Hospital, Lima - 2022, therefore, the study sample will be equal to the total research population with a number of 90 patients treated in the emergency service. of the María Auxiliadora Hospital, Lima – 2022, among men and women between the ages of 16 and 58.
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    Self-care and its relationship with quality of life in patients with type II diabetes mellitus at the Divino Niño Jesús clinic – 2022
    (Universidad Privada Norbert Wiener, 2022-11-04) Vidal Panaifo, Tabita; Fernández Rengifo, Werther Fernando
    Methodology: the research is basic, with a quantitative approach, a cross-sectional non-experimental design, and a correlational descriptive scope. The convenience sample was 81 patients. The technique was the survey applying Peña's SDSCA-Sp self-care questionnaire for self-efficacy and Millán's DQOL quality of life questionnaire for quality of life. The parametric hypothesis test of Pearson's correlation coefficient was used to determine the existence between the study variables. Results: 30.9% presented a low level, 54.3% presented a medium level and 14.8% presented a high level of self-efficacy; and 66.7% had a low quality of life and 33.3% had a good quality of life.
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