Examinando por Materia "Ensayo Clínico"

Mostrando 1 - 13 de 13

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Effectiveness of an intervention program in early family care for the development of psychomotor capacity and adaptation to the environment in children under 5 years of age
(Universidad Privada Norbert Wiener, 2019-09-29) Miraval Sosa, Carola Margarita; Rojas Collazos, Lady Karina; Bonilla Asalde, César Antonio
Objective: Analyze the scientific evidence about the effectiveness of an intervention program in early family care for the development of psychomotor capacity and adaptation to the environment in children under 5 years of age. Material and methods: It is a systematic review of 10 scientific articles of interest for the study, which were found in databases: Scielo, Lilacs, Cochrane, Pubmed, 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, 3 are systematic reviews (30%), 2 are randomized controlled trials (20%), 2 are cohort studies (20%), 1 meta-analysis (10%), 1 case-control studies (10% ) and 1 randomized clinical trial (10%). All of them point out the effectiveness of an intervention program in early family care to improve psychomotor development and adaptation to the environment. Conclusion: 100% of the articles reviewed show effectiveness in an intervention program in early family care to improve psychomotor development and adaptation to the child's environment, which should be started as soon as possible to improve development, maximizing their abilities. and integrating the family in this process.
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Effectiveness of educational intervention in the control of overweight and obesity in schoolchildren
(Universidad Privada Norbert Wiener, 1905-07-09) México Can, Alicia Nery Milagros; Bonilla Asalde, César Antonio
Methodology: It is a Systematic Review of 10 articles, finding that 30% (3) correspond to Spain, 20% (2) correspond to Peru, 20% (2) correspond to Mexico, 20% (2) correspond to Chile and 10 % (1) corresponds to Colombia. Most of the studies have been quasi-experimental studies, being Peru, Chile and Mexico with 50% respectively, systematic review being Colombia and Spain with 20% respectively, clinical trial Spain with 20% and community trial Peru with 10%. Results: The percentage of overweight and obesity in schoolchildren is observed to have decreased in 80% of the 10 reviews studied with a tendency to improve if it increases in the 2 reviews with physical activities. The 80% reviewed were mixed activities, nutritional educational activities and physical activity, the remaining 20% were only nutritional educational activities. Conclusions: There is sufficient evidence to improve overweight and obesity in schoolchildren. With the mixed activities, I improved by 80% of the 10 reviews found related to the title of the research with educational talks regarding food, nutrition, healthy eating and physical activity. Only 20% were maintained and in some cases improved in BMI.
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Effectiveness of fiber intake to prevent colorectal cancer in adults
(Universidad Privada Norbert Wiener, 2019-08-18) Silva Villajulca, Frida Liz; Alfaro Almonte, Edith Veronica; Gonzales Saldaña, Susan Haydee
Objective: Systematize the evidence about the effectiveness of fiber intake to prevent colorectal cancer in adults. Materials and Methods: It is a Systematic Review that structures the products of various investigations, recognizing the most salient to answer specific questions of daily work. The follow-up was directed to articles with full text submitted to a critical reading, the recommendation will be made using the GRADE system. Results: According to the results obtained from the systematic review carried out on ten scientific articles in the present study, these come from China (40%), followed by the United Kingdom (30%), Italy (10%), Malaysia (10%), Sweden (10%). of the articles are systematic reviews, followed by 40% (4) meta-analysis, randomized clinical trial 10% (1), cohort 10% (1) cases and controls 10% (1). Of the total of 10 articles reviewed, 100% (n=10) recommended fiber intake to prevent colorectal cancer in adults. Conclusions: of the total of 10 articles reviewed, 100% evidence the effectiveness of fiber intake to prevent colorectal cancer in adults.
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Effectiveness of intravenous treatment to reduce complications in post-operative patients for venous insufficiency
(Universidad Privada Norbert Wiener, 2021-06-20) Almeida Torres, Felicita Ynés; Rivera Palomino, Cynthia Elizabeth Geraldine; Rivera Lozada de Bonilla, Oriana
Objective: Analyze and systematize the evidence on the effectiveness of intravenous treatment to reduce complications in post-operative patients for venous insufficiency. Materials and Methods: The type of research was quantitative and the study design is a systematic review, the population was a total of 20 scientific articles which only 10 scientific articles published and indexed in scientific databases were sampled, to The GRADE method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: Of 100% of the articles reviewed, 10% correspond to Holland, China, South Korea and Colombia respectively and 20% correspond to Brazil, Chile and Egypt. In relation to the type of study, it was 100% quantitative and the study design corresponds to 10% Cohort, 20% retrospective clinical trial and 70% prospective randomized clinical trial. Conclusions: It is concluded that 90% of the studies show that the effectiveness of intravenous treatment in reducing complications in post-operative patients with venous insufficiency improves short-term results.
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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 nursing care using the kangaroo mother method to reduce pain in premature neonates
(Universidad Privada Norbert Wiener, 2021-06-13) Serva Arias, Cynthia Victoria; Jimenez Alfaro, Lizet Esperanza; Bastidas Solis, Miriam Cecilia
Objective: To systematize evidence found regarding the effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates. Material and methods: to prepare this work, the systematic review design was used, based on the GRADE evaluation system, with the purpose of evaluating the quality of each article selected from the reviewed databases ScientDirect, PubMed, EBSCO, Scielo. Results: the articles showed that 40% are randomized controlled trials, 20% systematic reviews, 10% clinical trials, 10% descriptive, 10% bibliographic reviews and 10% integrative reviews. On the other hand, in 90% of the articles evidence was found of the effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates. Conclusion: Of the 10 articles systematically reviewed, in (9/10) evidence was found of the effectiveness of nursing care using the kangaroo mother method to reduce pain in premature neonates and in (1/10) no evidence of the effectiveness was found. effectiveness of nursing care through the kangaroo mother method to reduce pain in premature neonates.
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Effectiveness of relaxation therapy to reduce anxiety in adults
(Universidad Privada Norbert Wiener, 2019-09-22) Morales Mendez, Fernando Nicolas; Ramos Yancce, María Angélica; Avila Vargas Machuca, Jeannette Giselle
Objective: Analyze the evidence of the effectiveness of relaxation therapy to reduce anxiety in adults. Material and methods: Quantitative observational and retrospective systematic review, meta-analysis studies, experimental studies, quasi-experimental, qualitative study, randomized controlled longitudinal study, Mixed Approach Control and self-control: Pilot study, descriptive and retrospective study, subjected to a selection, using the Grade evaluation system for identifying the level of evidence, found in the databases: PubMed, Scielo, Elsevier, Cochrane. Of the 10 articles reviewed, 30% (n= 3/10) is a systematic review, 20% (n= 2/10) is a Clinical Trial, 10% (n= 1/10) is a meta-analysis, 20% ( n= 2/10) is quasi-experimental, 10% (n=1/10) is an experimental study and 10% (n= 1/10) is a descriptive study. Results of the study countries of Spain (30%), Germany (20%), USA (20%), Mexico (10%), India (10%) and finally Holland (10%). Results: In the evidence found, 100% (n=10/10) indicate that relaxation therapy is effective in reducing anxiety in adults. Conclusion: we can find that, within relaxation therapy, Jacobson's progressive relaxation techniques and applied relaxation are more effective in reducing anxiety in adults.
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Effectiveness of sedoanalgesia protocols to reduce time on mechanical ventilation in intubated patients in intensive care units
(Universidad Privada Norbert Wiener, 2020-08-02) Sarmiento Villavicencio, Fabiola; Vásquez Vera, Karim Janet; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of the management of sedoanalgesia protocols by nursing to reduce the time on mechanical ventilation in intubated patients in intensive care units (ICU). Material and Method: The systematic review of the 10 scientific articles about the effectiveness of the management of sedoanalgesia protocols by nursing for the reduction of time in mechanical ventilation in intubated patients in the ICU located in the following databases Cochrane, Lilacs, Scielo , Medline Pubmed, Google Scholar being analyzed according to the Grade scale to determine its strength and quality of evidence. Results: Of the 10 articles, 40% (4/10) correspond to systematic reviews (2) and clinical trials (2), 30% (3/10) cohort studies and 30% (3/10) studies control. 80% of the reviewed articles demonstrate the effectiveness of nursing sedation protocol management to reduce time on mechanical ventilation in intubated patients. Conclusions: 80% of the articles demonstrated that the management of sedoanalgesia protocols by nursing is effective in reducing time in mechanical ventilation, highlighting the important role that the nurse plays in this process according to an assertive assessment.
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Effectiveness of the challenge test in steam sterilization of surgical material
(Universidad Privada Norbert Wiener, 2020-12-20) Burgos Aguilar, Cecilia; Litano Torres, Magali; Mori Castro, Jaime Alberto
Objective: Systematize the evidence on the effectiveness of the challenge test in steam sterilization of surgical material. Materials and Methods: Systematic review that synthesizes the results of multiple primary investigations. With a population of 10 items. Results: In the data search, the effectiveness of the challenge test in steam sterilization of surgical material was examined. According to the results obtained from the systematic review, they show that, of the total number of articles reviewed, 20% of these correspond to Brazil, 10% correspond to Cuba, 20% correspond to Argentina, 10% correspond to Mexico. According to the search of the different magazines mentioned Google Academic, DECS, SCIELO, LILACS, SOBECC Magazine. etc Conclusion: The systematic review 10 of 10 scientific articles, of the works were effective in the development of the challenge test in Steam Sterilization of Surgical Material, were found from the following databases PubMed, Sciencedirect, Scielo, all of them correspond to the type and design of systematic review studies, prospective randomized clinical trials and cohort studies. It is concluded that all the studies reviewed in this work indicate that the challenge test is important and effective for the steam sterilization process of surgical material.
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Efficacy of antibiotic prophylaxis in laparoscopic cholecystectomy
(Universidad Privada Norbert Wiener, 1905-07-09) Castillo Mancilla, Janet Leslie; Herrera Vicente, Carolina; Avila Vargas Machuca, Jeannette Giselle
Objective: To evaluate the effectiveness of antibiotic prophylaxis in a laparoscopic cholecystectomy Methodology: It is a Systematic Review of 10 articles with full text, which were subjected to a critical reading, using the GRADE evaluation to identify their level of evidence, obtained on the basis of Scielo, Lipecs, Publimed, etc. data. 1 meta-analysis (17%) carried out in China, 2 systematic reviews (34%) from Chile and Colombia, 7 randomized clinical trials (49%) from Turkey, China, Iran, Japan, Korea and Brazil. Conclusions: Antibiotic prophylaxis is not effective for preventing infections in laparoscopic cholecystectomy. Results: It does not reduce infections, it is unnecessary.
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Efficacy of laparoscopic inguinal hernia surgery versus conventional inguinal hernia in patients who have undergone this surgical intervention
(Universidad Privada Norbert Wiener, 2017-07-02) Vargas Rengifo, Liz Yuliana; Paucar Zuasnabar, Graciela; Remuzgo Artezano, Anika
Materials and Methods: In the final selection, 10 studies were chosen, the systematic review of the 10 scientific articles on the effectiveness of laparoscopic inguinal hernia surgery versus conventional inguinal hernia in patients who have undergone this surgical intervention, were found in the following Lilacs, Scielo, Pubmed, Medline and Cochrane databases, all of them correspond to the type and design of studies Meta-analysis 01, Systematic Review and Meta-analysis 01, Systematic Review 07 and Randomized Clinical Trial 01. Results: The 10 articles systematically reviewed, 80% (n=08/10) of these, show the better effectiveness of laparoscopic inguinal hernia surgery compared to conventional surgery, it has a better result and is a viable and safe strategy for the patient undergoing this surgical intervention, in addition to reducing the days of hospital stay. Conclusion: The evidence confirms that the best intervention for cases of inguinal hernia is laparoscopic surgery.
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Efficacy of the I-Gel Supraglottic Device in Pediatric Patients Based on First Attempt Insertion Success Rate
(Universidad Privada Norbert Wiener, 2020-02-08) Castro Najarro, Kike Renzo; Pumahualca Pérez, Lory Tahuana; Matta Solis, Eduardo Percy
Objective: Systematize the evidence on the effectiveness of the i-gel supraglottic device in pediatric patients according to the insertion success rate on the first attempt. Materials and Methods: the study design was a systematic review, the population consisted of 28 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a database search: Scielo, PubMed, EBSCO and Wiley Online Library, the GRADE method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: According to origin, 10% (1/10) corresponds to the United States, 10% (1/10) Switzerland, 10% (1/10) Japan, 10% (1/10) India, 30% (3/10) 10) South Korea, 30% (3/10) United Kingdom 30% (3/10). According to design, 80% (8/10) is a randomized clinical trial, 20% (2/10) is a systematic review. According to evidence, 100% (10/10) evidence efficacy of the i-gel supraglottic device in pediatric patients according to the insertion success rate on the first attempt. Of the 10 articles reviewed, it is shown that the insertion success rate on the first attempt was 70% to 100%, with an insertion time of 13.5s to 25s, a good vision of the fiber optic of 74%. to 97%, as well as a good insertion of the gastric tube with a value of 90% to 100% and finally obtained a leak pressure of 20cmH2O at 25 cmH2O. Conclusions: There is evidence of the effectiveness of the i-gel supraglottic device in pediatric patients based on the insertion success rate on the first attempt.
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Limiting the volume of gastric residue in critically ill patients with enteral nutrition to prevent interruption of feeding
(Universidad Privada Norbert Wiener, 2020-02-16) Castiglione Rojas, Carmela Virginia; Midolo Novoa, Jennifer Clane; Matta Solis, Eduardo Percy
Objective: Systematize the evidence regarding the limit of the volume of gastric residue in critically ill patients receiving enteral diet to prevent interruption of feeding. MATERIALS AND METHODS: The study design used was a systematic review that are ordered and explicit evaluations that help collect and synthesize scientific evidence on a topic, also knowing that it is an observational and retrospective research design, which abbreviates the results of various investigations. The population is made up of 77 articles whose publication was in scientific databases. which Selection criteria were established such as age, degree and quality of evidence through which 10 articles that represent the sample published in Spanish and English no older than 10 years were selected. Results: the 10 articles found are Systematic Reviews with a 40% of the Countries of Spain (4/10), Colombia (1/10), Germany, France, China, Germany and the United Kingdom (4/10), Single-blind randomized controlled clinical trial with a 40%, the Countries of Spain and France (3/10), Systematic Review Meta analysis with 30% the Countries of Germany, the United Kingdom, China (1/10), and the United States, Colombia and Spain (3/10) , Descriptive Study Therefore, high and low quality is evident. Where the volume limit of gastric residue was observed in critically ill patients receiving enteral diet to prevent interruption of feeding. Conclusions: There is favorable evidence that a gastric volume of 150 to 500ml does not allow the interruption of gastric residue.