Examinando por Materia "Canada"
Mostrando 1 - 20 de 28
- Resultados por página
- Opciones de ordenación
Ítem Acceso abierto Aspiration of subglottic secretions as an effective alternative for the prevention of pneumonia in patients with mechanical ventilation(Universidad Privada Norbert Wiener, 2020-02-29) Costa Pisfil, Erika Amavila; Elías Garcia, Karen Pamela; Avila Vargas Machuca, Jeannette GiselleObjectives Systematize evidence on the effectiveness of subglottic aspirations for reducing pneumonia in patients with mechanical ventilation. Materials and Methods: Observational and retrospective systematic review, the search was based exclusively on articles with full text, and the chosen studies were subjected to a critical reading, based on the GRADE evaluation to identify their level of evidence. In the selection, 10 articles were chosen, of which 20% (2/10) correspond to the United States, 20% (2/10) Australia, 10% (1/10) to India, 20% (2/10) ) Canada, 10% (1/10) China, 10% (1/10) France and 10% (1/10) Belgium. Of these there are 2 systematic reviews, 4 meta-analyses, 3 clinical trials and 1 control study, all of high quality. Results: Of the 10 articles reviewed, 100% (10/10) demonstrated that aspiration of subglottic secretions reduces the incidence of pneumonia and edema problems compared to tracheal aspirations. Conclusions: It was shown that aspiration of subglottic secretions is effective in reducing the risk of pneumonia associated with mechanical ventilation.Ítem Acceso abierto Effect of noise intensity on the newborn hospitalized in the neonatal ICU(Universidad Privada Norbert Wiener, 2021-02-28) Checglio Cusi, Jessica Sadith; Santamaría Olivos, Elida; Pretell Aguilar, Rosa MaríaObjective: Systematize the available evidence on the effect of noise intensity on newborns hospitalized in the neonatal ICU. Material and methods: Systematic observational and retrospective review, quantitative, the 10 articles found on the effect of noise intensity in the newborn hospitalized in the neonatal ICU, were found in the databases PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, Epistemonikos. Results: Of the total articles found, 60% were systematic reviews, 10% quasi-experimental, 20% descriptive and 10% experimental and all referred to the effect of noise intensity on newborns hospitalized in the neonatal ICU. 20% corresponds to Colombia and 10% to France, the United States, Spain, Mexico, Canada, Italy, Brazil and Iran with 10% respectively. Of the total evidence, 80% were of high quality and 20% of low quality. The intensity of noise in neonatal intensive care units affects the development of the hospitalized newborn. The evidence also mentions that noise affects the newborn, both physically and neurologically, leaving them hospitalized for several days. Studies indicate that not only the newborn is affected, but also the health personnel since they are the ones who spend most of the day in these units. Conclusion: The 10 articles show that the intensity of noise in the neonatal intensive care unit affects the development of the newborn physically and neurologically, leaving them hospitalized for several days.Ítem Acceso abierto Effectiveness of early-onset prolonged prone position in improving hypoxemia in patients with acute respiratory distress syndrome in the intensive care unit(Universidad Privada Norbert Wiener, 2020-02-29) González Gestro, Rosaluz Elcira; Barrantes Quiñones, Rocío del Pilar; Rivera Lozada de Bonilla, OrianaThe prone position for prolonged periods and early onset improves the risk of hypoxemia in patients with ARDS. In the present work, the existing evidence on the effectiveness in the application of the prone position was systematically analyzed, of which 13 scientific articles with GRADE recommendation and strength of evidence were identified; These respond to different designs: randomized clinical trials; meta-analysis and systematic reviews of the last 10 years in countries such as Spain, the United Kingdom, Great Britain, the United States, Korea, Canada and China. Results: Of the 13 scientific articles, 100% indicate that there is effectiveness in prone positioning therapy, being chosen early and in prolonged periods, improving the hypoxemia compromise in patients with severe lung injury: ARDS. Conclusion: Prolonged prone positioning with early onset improves the risk of hypoxemia in patients with ARDS.Ítem Acceso abierto Effectiveness of implementation strategies to improve adherence to care protocols in emergency services(Universidad Privada Norbert Wiener, 2019-09-22) Ramos Cavero, Carla Vanessa; Chipa Quispe, Lisbeth; Matta Solis, Hernán HugoObjective: Systematize evidence on the effectiveness of implementation strategies to improve adherence to care protocols in emergency services. Material and methods: Systematic review, use of the GRADE evaluation system. Databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 30% (3/10) of the articles reviewed correspond to the USA and Australia respectively, and 20% (2/10) correspond to Holland, Canada and England respectively. Results: 70% (07/10) of the evidence indicates that the implementation of strategies is effective in improving adherence to protocols in the emergency service, and 30% (3/10) indicates that there is insufficient information, heterogeneity of data and the need to adequately verify scientific articles to determine the effectiveness of implementation strategies in improving adherence to care protocols in emergency services. Conclusions: 7 out of 10 evidence demonstrate that implementation strategies are effective in improving adherence to protocols in emergency services, and 3 out of 10 evidence demonstrate that there is insufficient information, heterogeneity of data and the need to verify scientific articles in a manner adequate to determine the effectiveness of the topic under study.Ítem Acceso abierto Effectiveness of palliative care to improve the quality of life of children with cancer(Universidad Privada Norbert Wiener, 2020-01-25) Velasquez Palma, Diana Noemí; Maynaza Machaca, Inés; Uturunco Vera, Milagros LizbethObjective: Systematize evidence on the effectiveness of palliative care to improve the quality of life in children with cancer. MATERIAL AND METHOD: The study is a systematic observational and retrospective review of articles with full text, in which their grade or quality of evidence was identified according to the Grade System. The population was made up of 10 articles obtained from the following databases in Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs search engines. Of which 90% (9/10) correspond to systematic reviews and 10% (1/10) to literature reviews, of these 60% (6/10) correspond to the United States, 10% to the United Kingdom ( 1/10), Germany 10% (1/10), Canada 10% (1/10), and Colombia 10% (1/10). Results: Of the 10 articles reviewed, 100% demonstrate that palliative care is effective in improving the quality of life in children with cancer. Conclusions: 100% of the articles show that palliative care is effective in improving the quality of life in children with cancer; helping in the prevention and relief of pain, anguish, reducing stress levels, anxiety, and fear associated with the disease; raising their quality of life, both for the physical, emotional and spiritual well-being of the child and their family.Ítem Acceso abierto Effectiveness of peripherally inserted central catheter in lower limbs compared to insertion in upper limbs for reducing mechanical complications and infection in neonates in intensive care(Universidad Privada Norbert Wiener, 2020-02-08) Catanaima Ramírez, Yumaris Valentina; Avila Vargas Machuca, Jeannette GiselleObjective: Systematize the evidence on the effectiveness of the PICC in MS compared to insertion in MI in reducing complications in neonates hospitalized in the NICU. Method: The Systematic Review design was used, the search was limited to articles with full text, submitted to a critical reading, using Jover's evaluation to identify its level of evidence. Results: 10 articles were selected corresponding to China 20%, Canada 30%, Australia 10%, Sweden 10% and USA 30% comparatively. 40% of the studies stated that they did not find significant differences in complications that require removal of the PICC, 40% stated that the non-central position is a risk factor for complications and elimination, the tendency for which increases in MS, and 20% stated that the PICC placement in MI is associated with significantly increased risk of complications. Conclusions: Of the 10 articles systematically reviewed, 6/10 showed mechanical complications and infection depending on the insertion site, adding that the location center of the PICC tip can have a significant impact on complications. Only 4/10 articles did not find any difference in complications according to the insertion zone. Recommendations: Greater knowledge about the types of PICC complications according to insertion site: MS or MI, can help focus location-based prevention and surveillance efforts to improve safety and minimize PICC complications in patients. patient in the NICU.Ítem Acceso abierto Effectiveness of physical exercise to reduce fatigue in patients with breast cancer(Universidad Privada Norbert Wiener, 2019-09-01) Asto Cañavi, Miluska; Avila Vargas Machuca, Jeannette GiselleSystematize the evidence on the effectiveness of exercise to reduce fatigue in patients with breast cancer. Material and methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: Pubmed, Liliacs, Scielo, Epistemonikos. Of the 10 articles systematically reviewed, 100% (n= 10/10) are systematic reviews. In relation to the origin of the evidence, 20% (2/10) are from China, 10% (1/10) from Ireland, 10% (1/10) from the United States, 10% (1/10) from Brazil , 10% (1/10) from Costa Rica, 10% (1/10) from Cyprus, 10% (1/10) from Canada, 10% (1/10) from Germany and 10% (1/10) from England. Results: 90% (n=9/10) indicate that exercise is effective in reducing fatigue in patients with breast cancer. 10% (n=1/10) indicate that physical exercise does not seem to reduce fatigue levels in women with breast cancer who present the symptom. Conclusion: Exercise is effective in reducing fatigue in patients with breast cancer.Ítem Acceso abierto Effectiveness of skin antisepsis with chlorhexidine compared to other antiseptics for the prevention of infections in patients requiring a peripheral venous catheter(Universidad Privada Norbert Wiener, 2019-09-22) Martinez Vera, Yasmina Tatiana; Rosales Clemente, Raquel Nelly; Bonilla Asalde, César AntonioObjective: Systematize the patents on the effectiveness of skin antisepsis for the prevention of infection in patients who require the use of a peripheral venous catheter. Materials and Methods: Systematic Reviews are scientific inquiries, where the element of exploration is the unique primary works. It is a fundamental instrument for the synthesis of scientific reference, increasing the value of study results and in turn identifying areas that need to be investigated. It is executed using a strict methodology and high quality control to avoid erroneous conclusions. The investigation is limited to writings with complete content. Those chosen were subjected to a thorough investigation, using the grade system that allowed us to record the strength of recommendation. From the final choice, 10 articles were selected, of which we found that 20% (02) belong to the country of Japan and France, while 10% (01) correspond, respectively, to Canada, Portugal, Singapore, and the United Kingdom. , United States and Ireland. Among the randomized clinical trials we find studies from Canada, the United Kingdom, France with 70% and systematic reviews from Portugal, the United States and Singapore with 30%. Results: Of all the articles analyzed, 80% affirm that chlorhexidine is more effective than the use of other antiseptics in preventing infections. Conclusions: The research reviewed shows that there is effectiveness of skin antisepsis with chlorhexidine compared to other antiseptics in preventing infections in patients requiring a peripheral venous catheter.Ítem Acceso abierto Effectiveness of sucrose for pain control during invasive procedures in the newborn(Universidad Privada Norbert Wiener, 1905-07-09) Quispe Riveros, Rosy; Tarazona Nuñez, Rosa Kelly; Remuzgo Artezano, AnikaObjective: Determine the effectiveness of sucrose for pain control during invasive procedures in the newborn Materials and Methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles underwent a critical reading, using Jover's evaluation to identify its level of evidence. Results: In the final selection, 10 articles were chosen, we found that 30% (03) correspond to the United States, while with 10% (01) we find England, Uruguay, Canada, Mexico, Argentina, Peru, Korea, Arabia Saudi respectively. Most experimental studies have been studied, with 90%, mainly in the countries of England, Uruguay, Canada, Mexico, Argentina, Peru, Korea, Saudi Arabia. Among systematic reviews we find the country of the United States, with 10%. Where, of the total number of articles analyzed, 100% stated that those newborns who received oral sucrose reduced their pain. Conclusions: The effectiveness of sucrose in controlling pain in newborns undergoing invasive procedures was evidenced in the reviewed research. It is recommended to use 24% sucrose in full-term newborns, as an optimal dose: 0.5ml/kg/po maximum 8 times in 24 hours, 2 minutes before the painful procedure.Ítem Acceso abierto Effectiveness of the use of double gloves as a surgical barrier in the surgical center team(Universidad Privada Norbert Wiener, 2019-08-25) Julcarima Gonzales, Jeanette del Pilar; Salazar Ricci, Lynda Cintya; Pretell Aguilar, Rosa MaríaObjective: Analyze and systematize the evidence linked to the effectiveness of the use of double gloves as a surgical barrier in the surgical center team. Material and methods: The systematic review of the 10 scientific articles evidenced on the effectiveness of the use of double gloves as a surgical barrier in the surgical center team. They were analyzed according to the Grade system to determine the strength and quality of the evidence. Of the 10 articles, 40% (4/10) correspond to the methodological design of randomized controlled trials, 20% (2/10) systematic reviews, 10% (1/10) experimental, 30% (3/10 ) are cases and control. 30% of articles come from the US and 10% are found in Nigeria, Canada, China, Spain, Türkiye, the Republic of Macedonia and Ethiopia. Results: According to the evidence found, 100% of the authors demonstrate that the use of double gloves is effective as a surgical barrier in the surgical center team, avoiding the perforation of the gloves during surgical procedures, thus reducing contact with blood and fluids. body fluids. Conclusions: Of the 10 articles reviewed, 10 indicate that the use of double gloves is effective as a surgical barrier for surgical center equipment, preventing perforation of the gloves during surgical procedures and thus reducing proximity to fluids.Ítem Acceso abierto 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, AnikaObjective: 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.Ítem Acceso abierto Effectiveness of training to improve the safety and health of workers(Universidad Privada Norbert Wiener, 2019-09-22) Borja Infantes, Tania Betsy; Cueva Segura, Carol Beverly; Basurto Santillán, Ivan JavierObjective: Systematize evidence on the effectiveness of training to improve the safety and health of workers. Materials and methods: Systematic review of 10 articles extracted from the database: Epistemonikos, Pubmed, NCBI and Cochrane. 80% systematic reviews, 10% randomized controlled trial and 10% cohort study; 60% come from the USA, 20% from Canada, 10% from Italy and 10% from Europe. The GRADE system was carried out, quality of evidence 90% high and 10% moderate, strength of evidence 90% strong and 10% weak. Results: The majority of the articles evidenced the effectiveness of the training to improve the safety and health of workers and the rest indicated that further research is required to determine the mechanism of action of the safety and health interventions, and simultaneously evaluate the worker well-being and the applicability of occupational health and safety. Conclusions: Training favors the acquisition of greater knowledge and the commitment to adopt safe practices in the execution of tasks. In summary, it trains to avoid or act in the event of dangerous incidents and work accidents; Consequently, it guarantees the self-management of the safety and health of workers in their workplace.Ítem Acceso abierto Effectiveness of transcutaneous bilirubinometry in detecting jaundice in newborns(Universidad Privada Norbert Wiener, 2019-08-25) Inga Romero, Kathia Milagros; Matta Solis, Eduardo PercyObjective: Systematize the findings of the effectiveness of transcutaneous bilirubinometry in the detection of jaundice in newborns. Materials and Methods: the design used was a systematic review, which uses original research studies. The population was made up of 20 articles, which through inclusion criteria allowed 10 articles to be selected from indexed scientific bases. Results: of the 10 articles, 7/10 (70%) belong to the Asian continent, 2/10 belong to the American continent (20%) and 1/10 belongs to the African continent, they were systematic reviews, Meta-analysis, Quasi-experimental, Trials Random 8/10 are equivalent to (80%), which are of high quality and strong recommendation; 2/10 are equivalent to (20%) which are Case Studies and weak recommendations. In the final selection, 10 articles were chosen, we found that 70% (n=7) correspond to the Asian continent, China, Japan, India, Arabia and with 30% (n=3) we find Nigeria, the United States, Canada, Most of them have been studied in Systematic and Quasi-experimental Reviews and Meta-Analyses. 8/10 (80%) showed favorable evidence, 2/10 (20%) did not find it. Conclusions: It was evident in the reviewed research that there is effectiveness of transcutaneous bilirubinometry in the detection of jaundice in newborns.Ítem Acceso abierto Efficacy of arteriovenous fistula access compared with indwelling central venous catheter for the prevention of infections in patients with chronic kidney disease(Universidad Privada Norbert Wiener, 2020-07-26) Quispe Huaman, Luis Fernando; Marquez Jara, Elizabeth Victoria; Arevalo Marcos, Rodolfo AmadoObjective: Systematize the effectiveness of arteriovenous fistula access compared to a permanent central venous catheter for the prevention of infections in patients with chronic kidney disease. Material and methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: Decs, PubMed, Cochrane, Lilacs, Scielo, Elsevier. Of the 10 articles systematically reviewed, 50% (n= 5/10) are meta-analyses, 40% (n= 4/10) are cohort studies and 10% (n= 1/10) are case studies and controls. According to the results obtained from the systematic review carried out in the present study, they come from the countries of Brazil (20%), followed by the USA (20%), Taiwan (20%), Georgia (10%), Switzerland (10%). %), Canada (10%) and Greece (10%). Results: Likewise, of the evidence found, 100% (n=10/10) indicate that the prevention of infections in patients with AVF access is more effective than CVCP in patients with chronic kidney disease. Conclusion: Prevention of infections in patients with AVF access is more effective than CVCP in patients with chronic kidney disease.Ítem Acceso abierto Efficacy of Bedside Water Swallow Test in Detecting Aspiration in Stroke Patients(Universidad Privada Norbert Wiener, 2020-02-08) Carbajal Huamán, Shirley Celine; Aldana Puse, Lorena Milagros; Gamarra Bustillos, CarlosObjective: Systematize evidence on the effectiveness of the bedside water swallow test to detect aspiration in patients with stroke. MATERIAL AND METHOD: The study has a systematic, observational and retrospective review design; of articles with full text, which identified their grade or quality of evidence according to the Grade System. Likewise, the sample was made up of 10 articles obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Results: Of which 50% correspond to systematic review design and 50% randomized clinical studies, corresponding to the countries of China 20%, United States 10%, Taiwan 10%, Singapore 10%, Canada 10%, Iran 10% , Greece 10%, Egypt 10% and Spain 10%. Of the 10 articles reviewed, 100% demonstrate that the bedside water swallow test is effective in detecting aspiration in stroke patients. Conclusions: 100% showed that the bedside water swallowing test is effective in detecting aspiration in patients with stroke, due to its diagnostic accuracy it achieves high sensitivity (positive diagnostic test) and specificity (negative diagnostic test). ; It is a clinical detection that is carried out due to the presence of swallowing difficulties or dysphagia; Because they are treated promptly and effectively, they raise the professional image of nursing due to their ability in aspiration management; Likewise, it contributes greatly by being highly accurate and reliable.Ítem Acceso abierto Efficacy of Early Dual Antiplatelet Treatment in Stroke Patients(Universidad Privada Norbert Wiener, 1905-07-09) Flores Mory, Elvis Valeriano; Ramirez Tafur, Maria Alejandra; Gamarra Bustillos, CarlosObjectives: systematize evidence on the effectiveness of early treatment with dual antiplatelet therapy in patients with stroke. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text and synthesizes the results of multiple primary investigations. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies. Results: In the final selection, 10 articles were chosen, we found that 70% (07) correspond to China, with 30% (03) we found Canada, USA, Korea. Most of the quasi-experimental studies have been studied, with 70 %, mainly in China. Conclusions: 80% affirm that dual antiplatelet treatment is effective in stroke. It was evident in the reviewed research that there is efficacy in the combination of acetylsalicylic acid and clopidogrel in the treatment of adult patients with stroke. It was shown to be effective in reducing risks and complications.Ítem Acceso abierto Efficacy of early mobilization in intensive care unit patients(Universidad Privada Norbert Wiener, 1905-07-09) Delgado Marquina, Cecilia; Ruiz Burgos, Laura Isabel; Calsin Pacompia, WilmerThis is a Systematic Review that consists of 10 research articles with full text that describe the results of its application in the early mobilization of patients hospitalized in intensive care units, as well as the benefits that this entails. The selected articles were subjected to a reading. criticism, using the Grade evaluation to identify its level of evidence. 60% (06) of the research found correspond to systematic reviews, the countries being Brazil (20%); USA, Canada, France and Australia with 10% each; and 40% (4) correspond to quantitative scientific articles from the countries Colombia, France, Brazil and Switzerland. Results: 90% (9) of the total of articles reviewed (10) indicated that early mobilization is effective, safe and has beneficial effects for the patient in intensive care units; in addition to having a significantly positive impact on the functional outcomes of patients; reduces associated complications derived from prolonged bed rest and also reduces the length of hospital stay. Conclusion: it was evident that 90% of studies affirm that early mobilization is an effective, safe and beneficial therapy to reduce complications and the stay of hospitalized patients in intensive care units.Ítem Acceso abierto Efficacy of enoxaparin versus unfractionated heparin in the treatment of adult patients with acute coronary syndrome(Universidad Privada Norbert Wiener, 1905-07-09) Villanueva Andrade, Raul Eduardo; Villanueva Torres, Ingrid Estela; Gamarra Bustillos, CarlosObjective: Systematize and analyze the effectiveness of enoxaparin vs unfractionated heparin in the treatment of adult patients with acute coronary syndrome. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles underwent Jover evaluation to identify their level of evidence. Results: In the final selection, 9 articles were chosen, we found that 50% (05) correspond to Canada, with 30% (03) we find the United States, while with 10% (01) we find Korea and France respectively. Most of them are quantitative studies with 100%, mainly in the countries of Canada and the United States. Conclusions: Of the total of 9 articles systematically reviewed, 70% of the articles show that Enoxaparin is more effective than unfractionated heparin in the treatment of adult patients with acute coronary syndrome and 20% of the studies presented in the systematic review concludes that there are no significant differences between enoxaparins and low molecular weight heparin.Ítem Acceso abierto Efficacy of enteral nutrition by nasojejunal tube compared with nasogastric tube in critically ill patients(Universidad Privada Norbert Wiener, 2017-11-12) Palomino Huaraca, Elvis; Rojas Espinoza, Juan Rommel; Bonilla Asalde, César AntonioMaterials 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, using the GRADE evaluation to identify their level of evidence. Pudmed, Scielo, Bvs, Medline (2002 – 2017) were searched for studies comparing gastric and jejunal feeding in critically ill patients. The 10 scientific articles systematically reviewed correspond to China, Australia, Canada, Georgia, London. Results: In the final selection, a sample was chosen from the total of 10 articles systematically reviewed, we found that 60% (n = 6/10) 6 of the articles show that the placement of the nasojejunal tube reduces gastric residual volume and provides better result in nutritional status, meanwhile 40% of the reviewed articles concluded that there is no variation and significance in the use of the nasojejunal or nasogastric tube, both being equal when providing enteral nutritional support. Conclusions: The systematic review of the 10 scientific articles on the effectiveness of enteral nutrition by nasojejunal tube compared to the nasogastric tube in improving indicators of the nutritional status of critically ill patients, 60% (n=06/10) showed that the Enteral nutrition via nasojejunal tube is more effective compared to nasogastric tube in improving indicators (BMI, kcal per day, serum albumin, pre-albumin, transferrin) of the nutritional status of the critically ill patient.Ítem Acceso abierto Efficacy of hand venipuncture versus heel puncture for sampling in the newborn(Universidad Privada Norbert Wiener, 1905-07-09) Cruz Rázuri, Manuela Isabel; Rivera Lozada de Bonilla, OrianaMaterial 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, using Jover's evaluation to identify their degree of evidence. Results: In the final selection, 08 articles were chosen, we found that from the systematic review, 40% correspond to Spain, 40% to Canada and 10% to Japan, and the remaining 10% to the country of Argentina. The majority of quantitative studies have been studied, mainly 70%, while 20% of the Systematic Review has been used by Canada and Spain and the remaining 10% constitutes an observational study also carried out in Spain. Conclusions: It was evident in the reviewed research that venipuncture is 100% more effective for taking blood samples in the newborn, it is less painful and less traumatic compared to heel puncture; The time spent performing it is three times less compared to the heel lance. Its application does not increase false positives. Sweetened elements are used to reduce pain.
