Examinando por Materia "Efficacy"

Mostrando 1 - 20 de 204

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Antipyretic efficacy of combined versus individual use of acetaminophen and ibuprofen in febrile pediatric patients.
(Universidad Privada Norbert Wiener, 2018-03-25) Carlos Musayon, Jessica Viviana; Casanova Taya, Betty; Matta Solis, Hernan Hugo
Objective: To systematically analyze the evidence of the combined use of paracetamol and ibuprofen versus their individual use. Material and Method: The systematic review of 10 articles on the antipyretic efficacy of the combined use versus individual use of paracetamol and ibuprofen in febrile pediatric patients in the emergency department was found in the following databases: Cochrane, SciELO, Medline, PubMed, and Elsevier. Of the 10 articles reviewed, 60% (6/10) correspond to the methodological design of randomized clinical trials, 30% (3/10) are systematic reviews, and 10% (1/10) is a simple review. All of them were analyzed according to the GRADE scale to determine their strength and quality of evidence. Results: 80% of the reviewed articles are conclusive, supported by 1 systematic review and 1 simple review, suggesting that combined therapy is better than monotherapy, and 6 randomized clinical trials showing that the combined use of paracetamol and ibuprofen works more effectively and even faster than paracetamol or ibuprofen alone. However, the other 20% recommend that further studies in larger populations are necessary to confirm its efficacy. Conclusions: Of the 10 articles reviewed, 80% (8/10) demonstrate the efficacy of the combined use of paracetamol and ibuprofen in febrile pediatric patients.
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Antipyretic efficacy of combined versus individual use of paracetamol and ibuprofen in febrile pediatric patients.
(Universidad Privada Norbert Wiener, 2018-03-25) Casanova Taya, Betty Roxana; Matta Solis, Hernan Hugo
Objective: To systematically analyze the evidence for the combined use of paracetamol and ibuprofen versus their individual use. Material and method: A systematic review of 10 articles on the antipyretic efficacy of the combined use versus individual use of paracetamol and ibuprofen in febrile pediatric patients in the emergency department was found in the following databases: Cochrane, SciELO, Medline, PubMed, and Elsevier. Of the 10 articles reviewed, 60% (6/10) correspond to the methodological design of a randomized clinical trial, 30% (3/10) are systematic reviews, and 10% (1/10) are simple reviews. All of them were analyzed according to the GRADE scale to determine their strength and quality of evidence. Results: 80% of the reviewed articles are conclusive, supported by 1 systematic review and 1 simple review, which suggest that the use of combination therapy is better than monotherapy, and 6 randomized clinical trials showing that the combined use of paracetamol and ibuprofen acts more effectively and even faster than paracetamol or ibuprofen alone. The other 20%, however, recommend that further studies in larger populations are needed to confirm its efficacy. Conclusions: Of the 10 reviewed articles, 80% (8/10) demonstrate the efficacy of the combined use of paracetamol and ibuprofen in febrile pediatric patients.
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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 Giselle
Objectives 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.
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Critical review: Efficacy of exercise in blood pressure control in adults.
(Universidad Privada Norbert Wiener, 2022-06-16) Olano Yalta, Anthonny Micheel; León Cáceres, Johanna del Carmen
It has been described that not only pharmacological treatment helps in the control of blood pressure, but also physical activity, especially aerobic exercises, which are one of the main effective treatments for regulating and controlling hypertension. This secondary research, titled Critical Review: Effectiveness of Exercise in Blood Pressure Control in Adults, aimed to identify whether exercises are effective in controlling blood pressure in adults. The methodology used was Evidence-Based Nutrition (NuBE). The information search was conducted in PUBMED and SCIENCE DIRECT, finding 36 articles, with 11 selected for critical evaluation using the CASPE tool. Finally, the randomized clinical trial titled Long-term home-based exercise is effective to reduce blood pressure in low-income Brazilian hypertensive patients: A controlled trial was chosen, which has an AI level of evidence and a strong recommendation grade, according to the researcher's expertise. The critical comment concluded that physical activity interventions, including low to moderate intensity walking and stretching exercises, are the only way to improve the patient's quality of life.
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Effectiveness in the consultation of nursing in remote monitoring for the reduction of complications in patients with implantable devices in cardiology
(Universidad Privada Norbert Wiener, 2019-07-14) Paredes Huamán, Clotilde Rosa; Torres Cabrera, Vanessa del Carmen; Avila Vargas Machuca, Jeannette Giselle
Objective: To analyze and systematize the evidence on the effectiveness of remote monitoring in nursing consultations to reduce complications in patients with implantable cardiology devices. Materials and methods: Systematic review, using the GRADE evaluation system. Databases: Cochrane Library, Lilacs, Scielo, Medline Pubmed, Elsevier, Redalyc, Epistemonikos. Of the studies, 50% are systematic reviews, 20% clinical trials, 20% meta-analysis, and 10% cohort studies. 90% of the articles are of high quality and strong strength of evidence, 10% of moderate quality and strong strength of evidence. Of the 10 studies, 40% are from the USA, 20% from Spain, 20% from Mexico, 10% from Australia, and 10% from Uruguay. Results: All the articles systematically reviewed indicate the effectiveness of remote monitoring in nursing consultations to reduce complications in patients with implantable cardiology devices. Conclusions: The studies show that remote monitoring of implantable devices in patients with heart disease is an effective, reliable and safe system that allows the detection of arrhythmias or abnormalities in the device, optimizes patient monitoring and can prevent complications such as infections, device abnormalities, among others. Likewise, they have demonstrated a large number of benefits for the monitoring and care of the patient by the health team, where the specialized nurse trained in remote monitoring consultation has a transcendental management role.
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Effectiveness of adequate office lighting in reducing eye fatigue syndrome in computer workers
(Universidad Privada Norbert Wiener, 2019-09-01) Gómez Huauya, Angie Esthefany; Gamarra Bustillos, Carlos
Objective: Systematize the results obtained from studies regarding the effectiveness of adequate lighting in offices to reduce eye fatigue syndrome in workers who use the computer. Material and Methods: The systematic review of 10 scientific articles found on the effectiveness of adequate lighting in offices to reduce eye fatigue syndrome in workers who use the computer, were cited in the following databases Epistemonikos, Pubmed, Scielo, Lilacs , Google Scholar; All of them were analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed and analyzed, 60% (n=6/10) are systematic reviews and 40% (n= 4/10) are meta-analysis. Of the 10 articles found, 100% point out the effectiveness of good office lighting to reduce eye fatigue syndrome in workers who use computers Conclusion: 10 of 10 articles found point out the effectiveness of good office lighting to reduce the syndrome of eye fatigue in workers who use the computer.
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Effectiveness of an educational intervention in children to improve the level of knowledge, attitudes and practices about washing hands before consuming food
(Universidad Privada Norbert Wiener, 2019-09-29) Francia Niño de Guzmán, Lourdes Durley; Bonilla Asalde, César Antonio
Objective: Analyze the Effectiveness of an educational intervention in children to improve knowledge, attitudes and practices of hand hygiene before consuming food, interventions to improve healthy lifestyles. Materials and Methods: Simple, observational systematic verification of research results, identifying relevant studies to answer specific questions of community practice. The search was based on complete articles, which were used in critical reading, using the grade system to assign the strength of suggestion. The articles are: Israel 10% (01/10), Cuba 10% (01/10) Ethiopia 10% (01/10) Mexico 20% (02/10) Venezuela 10% (01/10) Spain 10% (01 /10) Australia 10% (01/10) Nepal 10% (01/10) and Brazil 10% (01/10). Results: The results related to hand washing before eating food indicate that not all children have the knowledge, adequate practices and hygiene materials required for adequate hygiene, therefore there will not be a complete and effective activity for the practice. healthy. Conclusions: The effectiveness of the level of knowledge, practices and attitudes about hand washing before eating food prevents diseases in children and their caregivers, is reflected in hygiene and hand washing practices.
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Effectiveness of an educational program for the prevention of overweight in children and adolescents.
(Universidad Privada Norbert Wiener, 2018-01-27) Montenegro Ocampo, Lila Maribel; Bonilla Asalde, César Antonio
Materials and Methods: A systematic review of 10 articles on the efficacy of an educational program for preventing overweight in children and adolescents was conducted. These articles were sourced from the following databases: Cochrane, Lilacs, SciELO, Medline, and PubMed. All articles were analyzed using the GRADE scale to determine the strength and quality of the evidence. Results: From the final selection of 10 articles, 50% (5) were from Mexico, 10% (1) from Ecuador, 10% from Argentina, 10% from Chile, 10% from Brazil, and 10% from the United States. Regarding research methodology, most studies were experimental, accounting for 50%, primarily in Mexico, Brazil, and the United States. Of the articles analyzed, 80% confirmed that educational interventions promoting healthy eating contribute to preventing overweight in children and adolescents. Conclusions: Eight out of the 10 systematically analyzed articles demonstrate the efficacy of the educational program in preventing overweight in children and adolescents."
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Effectiveness of antibiotic locking solutions in preventing hemodialysis catheter-associated bacteremia
(Universidad Privada Norbert Wiener, 2017-11-12) Barazorda Pedraza, Nancy; Ramirez Sotelo, Karla Jazmin; Pretell Aguliar, Rosa María
Materials and methods: The search was restricted to full-text articles, and the selected articles were critically reviewed using the GRADE system to identify their level of evidence. A total of 10 scientific articles were selected, of which 80% were systematic reviews and 20% were meta-analyses, all with high-quality evidence and strong recommendations. 40% (n=4/10) are from the United States, 20% (n=2/10) from China, 10% (n=1/10) from Israel, 10% (n=1/10) from Belgium, 10% (n=1/10) from Chile, and 10% (n=1/10) from the Netherlands. Results: Of the total 10 articles reviewed, 80% (8/10) (14-18;21-23) show that antibiotic lock solutions for hemodialysis catheters reduce catheter-related bloodstream infections. On the other hand, 10% (1/10) (20) concludes that the use of antibiotic lock solutions likely decreases the number of bloodstream infections associated with central venous catheters in hemodialysis patients. The other 10% (1/10) (19) claims that the use of antibiotic lock solutions will promote long-term antimicrobial resistance in the hemodialysis population. Conclusions: Antibiotic lock solutions are effective in preventing catheter-related bacteremia in hemodialysis, and will be more effective when used in conjunction with preventive measures such as handwashing, use of masks, caps, and sterile manipulation of the hemodialysis catheter.
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Effectiveness of barrier products in patients with dermatitis associated with incontinence (DAI) in the intensive care unit.
(Universidad Privada Norbert Wiener, 2020-12-27) Carbajal Almerco, Magno Sixto; Matta Solis, Eduardo Percy
Objective: To systematize the evidence on the effectiveness of barrier products in the treatment of (DAI) in patients in the Intensive Care Unit. Methodology: systematic reviews, studies duly selected in response to know the effectiveness of different research related to improving health, choosing 10 articles with scientific databases and meeting selection criteria. Results were obtained mainly in this research, 30% from Belgium, 20% Spain, 10% London, 10% South Korea, 10% Australia, 10% New York, and 10% Germany. Research design 70% corresponding to systematic reviews, 30% to cross-sectional cohort studies. Regarding the evidence, 80% resulted in; an effectiveness of barrier products for the treatment of (DAI), in the ICU. While 20% found no evidence in barrier products in dermatitis associated with incontinence. Conclusion: Barrier products are effective in ICUs (DAI), significantly reducing the presence of erythema, pain, burning, itching or tingling in the affected areas, and are also less expensive since they are used less frequently.
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Effectiveness of Cateterismo for the insertion of the ultrasonido- cuide radial arterial Cateterismo in criticas patients.
(Universidad Privada Norbert Wiener, 2020-02-29) Rabanal Zegarra, Ángel Alexander; Caján Rocca, Etelvina Carmen; Rivera Lozada de Bonilla, Oriana
Objective: To systematize the evidence on catheterization for the insertion of the radial arterial catheter guided by ultrasound in critically ill patients. Materials and methods: This study is a systematic review. The population consisted of a total of 35 articles, of which 10 accredited and indexed scientific studies made up the sample, the instruments were found in the PubMed, Scielo, EBSCO databases. For the study of the articles, the GRADE system was used, this system evaluated the quality of evidence and strength of recommendation in the present study. Results: According to the study evidence in this research, 10 articles were studied, of which: finally at the end of the systematic review of the articles, of 100%, 60% correspond to China and 10% to the USA, the United Kingdom, Denmark and France, each respectively. Regarding the designs and types of studies, 50% correspond to Clinical Trials, 30% to meta-analysis and 20% to systematic review. Conclusions: It is concluded that the 10 articles analyzed show that ultrasound-guided radial arterial catheterization was effective because it was considered to have a lower probability of injury and greater assertiveness when placing a catheter.
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Effectiveness of coaching for strengthening nursing leadership
(Universidad Privada Norbert Wiener, 2018-01-27) Gutiérrez Villagra, Milagros Erika; Mendigure Fernandez, Julio
Systematic, observational, retrospective review. Population of 10 articles in database, full text, no older than 10 years, grade system was used to determine strength and quality of evidence; 40% of articles come from the US, 10% from Australia and the United Kingdom, 20% from Brazil and Peru. 100% of articles agree that the Coaching strategy contributes to strengthening leadership in nurse managers, with transformational leadership predominating. Strengthening leadership favors respect and satisfactory interpersonal relationships with collaborators; self-knowledge, positive attitudinal changes, security, trust, resilience and emotional maturity, contributing to greater commitment, management capacity, communication, decision making, conflict resolution, improving work performance and achievement of institutional objectives.
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Effectiveness of coaching to strengthen nursing leadership
(Universidad Privada Norbert Wiener, 2018-01-27) Cotrina Montenegro, Esther Graciela de los Milagros; Mendigure Fernández, Julio
Systematic, observational, retrospective review. Population of 10 articles in database, full text, no older than 10 years, grade system was used to determine strength and quality of evidence; 40% of articles come from the US, 10% from Australia and the United Kingdom, 20% from Brazil and Peru. 100% of articles agree that the Coaching strategy contributes to strengthening leadership in nurse managers, with transformational leadership predominating. Strengthening leadership favors respect and satisfactory interpersonal relationships with collaborators; self-knowledge, positive attitudinal changes, security, trust, resilience and emotional maturity, contributing to greater commitment, management capacity, communication, decision making, conflict resolution, improving work performance and achievement of institutional objectives.
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Effectiveness of cognitive conductual therapy to decrease symptoms of patients with bipolar disorder
(Universidad Privada Norbert Wiener, 2019-08-04) Rejas Jerónimo, Norly Janett; Ortega Olivas, Sthephany Mirza; Arevalo Marcos, Rodolfo Amado
Objective: To systematize the evidence on the effectiveness of cognitive behavioral therapy to reduce the symptoms of patients with bipolar disorder. Material and Methods: Observational and retrospective systematic review, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of the articles published in the following databases: Sciencedirect, PubMed, Epistemonikos, Researchgate, Scielo. Of the 10 articles systematically reviewed, 30% (n = 3/10) are meta-analyses, 20% (n = 2/10) are systematic reviews, 40% (n = 4/10) are randomized controlled trials and 10% (n = 1/10) are cohort studies and come from the countries of Brazil (40%), followed by China (20%), the United States (20%), Australia (10%) and South Africa (10%). Results: 80% (n=8/10) indicated that cognitive behavioral therapy is effective in reducing the symptoms of patients with bipolar disorder. 20% (n=2/10) indicated that cognitive behavioral therapy is not effective in reducing the symptoms of patients with bipolar disorder. Conclusion: Cognitive behavioral therapy is effective in reducing the symptoms of patients with bipolar disorder.
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Effectiveness of cognitive remediation therapy to improve memory and care of patients with schizophrenia
(Universidad Privada Norbert Wiener, 2019-12-01) Cajahuanca Poma, Rosa Nancy; Terrel Enciso, Jenny Liliana; Gamarra Bustillos, Carlos
Objective: Systematize evidence on the effectiveness of cognitive remediation therapy to improve memory and attention in patients with schizophrenia. Materials and methods: This is a systematic, observational, and retrospective review, subject to critical reading and using the GRADE evaluation system to identify the level of evidence in articles published in the following databases: Scielo, Epistemonikos, Sciencedirect, PubMed, and Researchgate. From the 10 articles reviewed systematically, 20% (n=2/10) were meta-analyses, 10% (n=1/10) was a systematic review, 50% (n=5/10) were randomized controlled trials, and 20% (n=2/10) were quasi-experimental studies. The studies came from China (30%), followed by England (20%), Spain (10%), Uruguay (10%), Chile (10%), and Canada (10%). Results: 100% (n=10/10) of the evidence indicates that cognitive remediation therapy is effective in improving memory and attention in patients with schizophrenia. Conclusion: All 10 out of 10 pieces of evidence affirm that cognitive remediation therapy is effective in improving memory and attention in patients with schizophrenia, and its demonstrated effectiveness suggests it could be recommended.
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Effectiveness of Continuous Infusion versus Bolus Administration of the diuretic Furosemide in the management of Acute Decompensated Heart Failure
(Universidad Privada Norbert Wiener, 2017-12-03) Cabrera Alarcón, Gloria Adela; Cueva Velaisosa, María Susana; Matta Solis, Hernán Hugo
Objective: To systematize the evidence on the effectiveness of continuous infusion versus bolus administration of furosemide in the management of acute decompensated heart failure. Materials and Methods: This is a systematic, observational, and retrospective review of quantitative studies, critically selected, using the Grade evaluation system to determine the level of evidence. The articles were found in the following databases: PubMed, Open Access, Wiley Online Library, Science Direct, BioMed Central, and BMJ. Ten articles were systematically reviewed, of which 30% (n=3/10) were meta-analyses, and 70% (n=7/10) were randomized clinical trials. These studies were from the United States (40%), China (10%), Malaysia (10%), Italy (10%), Spain (10%), India (10%), and Portugal (10%). Results: 60% (n=6/10) indicate that continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure. 40% (n=4/10) report no significant differences in safety or efficacy between continuous administration of furosemide and bolus injection in patients with acute decompensated heart failure. Conclusion: Continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure.
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Effectiveness of Continuous Infusion versus Bolus Administration of the diuretic Furosemide in the management of Acute Decompensated Heart Failure
(Universidad Privada Norbert Wiener, 2017-12-03) Cabrera Alarcón, Gloria Adela; Cueva Velaisosa, María Susana; Matta Solis, Hernán Hugo
Objective: To systematize the evidence on the effectiveness of continuous infusion versus bolus administration of furosemide in the management of acute decompensated heart failure. Materials and Methods: This is a systematic, observational, and retrospective review of quantitative studies, critically selected, using the Grade evaluation system to determine the level of evidence. The articles were found in the following databases: PubMed, Open Access, Wiley Online Library, Science Direct, BioMed Central, and BMJ. Ten articles were systematically reviewed, of which 30% (n=3/10) were meta-analyses, and 70% (n=7/10) were randomized clinical trials. These studies were from the United States (40%), China (10%), Malaysia (10%), Italy (10%), Spain (10%), India (10%), and Portugal (10%). Results: 60% (n=6/10) indicate that continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure. 40% (n=4/10) report no significant differences in safety or efficacy between continuous administration of furosemide and bolus injection in patients with acute decompensated heart failure. Conclusion: Continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure.
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Effectiveness of continuous insulin infusion therapy vs. subcutaneous insulin injection in patients with Diabetes Mellitus.
(Universidad Privada Norbert Wiener, 2018-07-08) Poma Solano, Diana Guisella; Ramirez Herrera, Paulita Mavel; Gamarra Bustillos, Carlos
Objectives: To analyze and systematize the evidence on the effectiveness of continuous insulin infusion vs subcutaneous insulin injection in patients with diabetes mellitus to regulate and maintain glucose levels. Materials and Methods: Systematic review, the search was restricted to full-text articles, and the selected articles underwent critical reading, using the Grade System to identify their level of evidence. In the final selection, 10 articles were chosen, of which 60% (6) are randomized trials, 30% (3) are systematic reviews, and 10% (1) are cohort studies, all of high evidence quality and strong recommendation strength. Results: Of the 10 articles reviewed, 90% indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in patients with Diabetes Mellitus I and II, while 10% of the articles do not specify in which type of diabetes it is more effective. Conclusion: Of the 10 articles reviewed, (n=9/10) indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in Diabetes Mellitus I and II, (n=1/10) does not specify in which type of diabetes continuous insulin infusion is more effective.
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Effectiveness of continuous insulin infusion therapy vs. subcutaneous insulin injection in patients with Diabetes Mellitus.
(Universidad Privada Norbert Wiener, 2018-07-08) Poma Solano, Diana Guisella; Ramirez Herrera, Paulita Mavel; Gamarra Bustillos, Carlos
Objectives: To analyze and systematize the evidence on the effectiveness of continuous insulin infusion vs subcutaneous insulin injection in patients with diabetes mellitus to regulate and maintain glucose levels. Materials and Methods: Systematic review, the search was restricted to full-text articles, and the selected articles underwent critical reading, using the Grade System to identify their level of evidence. In the final selection, 10 articles were chosen, of which 60% (6) are randomized trials, 30% (3) are systematic reviews, and 10% (1) are cohort studies, all of high evidence quality and strong recommendation strength. Results: Of the 10 articles reviewed, 90% indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in patients with Diabetes Mellitus I and II, while 10% of the articles do not specify in which type of diabetes it is more effective. Conclusion: Of the 10 articles reviewed, (n=9/10) indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in Diabetes Mellitus I and II, (n=1/10) does not specify in which type of diabetes continuous insulin infusion is more effective.
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Effectiveness of CPR video recording in learning feedback of health personnel
(Universidad Privada Norbert Wiener, 2019-09-22) Huamaccto Ochante, Emma Flor; Celestino Calle, Luz Verhonica; Matta Solis, Hernán Hugo
Objective: Systematize the evidence on the effectiveness of CPR video recording in learning feedback from health personnel Material and methods: A systematic review of international research is carried out, obtained through databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo, which have been analyzed using the grade system to locate the degree of evidence. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 40% (4/10) of the reviewed articles correspond to the USA, 20% (2/10) correspond to Australia and 40% (4/10) correspond to Belgium, Italy, China and Malaysia respectively. Results: 100% (10/10) of the evidence indicates that video-recorded CPR is effective in learning feedback from health personnel. Conclusions: 10 out of 10 evidence demonstrates CPR video recording is effective in learning feedback from health personnel.