Examinando por Materia "Evidence-Based Medicine"

Mostrando 1 - 6 de 6

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Effectiveness of high-level disinfection as a safe reprocessing method for endoscopes
(Universidad Privada Norbert Wiener, 1905-07-09) Soto Espinoza, Miriam Giovanna; Aranguren Hernandez, Nacy Melania; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes. Materials and Methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 06 scientific articles on the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes correspond to the Lipecs, Lilacs, Scielo and Medline databases. The DAN in an endoscope after having been used when there are traces of organic secretions is not sufficient. Conclusion: Every endoscope, after having been used, when there are organic secretions, must be sterilized after high-level disinfection has been carried out.
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Effectiveness of the use of mobile technological applications to improve the health care of adult patients
(Universidad Privada Norbert Wiener, 1905-07-09) Vásquez Donayre, Elizabeth Esmeralda; Remuzgo Artezano, Anika
Objectives: Determine the effectiveness of the use of mobile technological applications in the health care of adult patients. Methodology/Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. (22) Results: 80% of the articles show that mobile applications promote a healthy lifestyle and improve health behaviors, in addition to being an innovative training tool, 20% of mobile applications are not prepared or adapted for elderly patients. Conclusions: 100% of the articles reviewed show that the use of mobile applications is effective in improving health care, promoting self-management of care for adult patients, and allowing permanent training of professionals, favoring multidisciplinary integration. .
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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, Carlos
Objectives: 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.
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Evidence on the effectiveness of direct-acting antiviral agents to treat hepatitis C in kidney transplant recipients
(Universidad Privada Norbert Wiener, 2020-02-01) Melendez Velasquez, Oscar David; Villalta Pineda, Rosa Lisette; Gamarra Bustillos, Carlos
Materials and methods: A retrospective systematic review, observational, and subject to critical analysis, using the GRADE evaluation method to identify the level of evidence from the published studies in the following databases: Wiley Online Library, PubMed, ScienceDirect, Epistemonikos, and Scielo. Of the 10 articles systematically reviewed, 10% (n=1/10) are systematic reviews, 10% (n=1/10) are meta-analyses, 30% (n=3/10) are randomized controlled trials, and 50% (n=5/10) are cohort studies. These studies come from the United States (30%), Germany (20%), Spain (20%), China (10%), Pakistan (10%), and Austria (10%). Results: 100% (n=10/10) indicate that therapy with direct-acting antiviral agents is effective in treating hepatitis C in renal transplant recipients. Conclusion: Therapy with direct-acting antiviral agents is effective in treating hepatitis C in renal transplant recipients.
Acceso abierto
Factores asociados a conocimientos sobre medicina basada en evidencias en estudiantes de medicina de la Universidad Norbert Wiener, 2024
(Universidad Privada Norbert Wiener, 2025-04-30) Culqui Sifuentes, Milagros Carolina; Quispe Mena, Elard Walter
El estudio presente tiene como objetivo central establecer los elementos que se asocian con el nivel de conocimientos sobre Medicina Basada en Evidencias (MBE) en estudiantes de Medicina de la Universidad Norbert Wiener en 2024. Para ello, se emplea un diseño de estudio observacional, descriptivo y correlacional, con un enfoque cuantitativo. Mediante un muestreo no probabilístico basado en casos consecutivos, se seleccionó una muestra conformada por alumnos de quinto y sexto año de la carrera de Medicina, quienes constituyen la población de estudio. Se recolectaron datos a través de cuestionarios validados que miden conocimientos, actitudes y barreras percibidas hacia la MBE. El análisis estadístico incluyó pruebas U de Mann-Whitney para comparar medianas en grupos categóricos y la correlación de Spearman para evaluar asociaciones entre variables continuas. Los resultados encontrados en 151 alumnos de 5to y 6to año de medicina, evidencian que el acceso a fuentes de información (p=0.031) y las barreras percibidas (r=0.206, p=0.011) se asocian significativamente con el nivel de conocimientos sobre MBE. Sin embargo, la asistencia a cursos de investigación (p=0.282), la participación en grupos de investigación (p=0.075) y la actitud hacia la MBE (r=0.08, p=0.327) no mostraron asociaciones significativas. Se concluye que los factores asociados a conocimientos sobre MBE son el acceso a fuentes de información y las barreras percibidas.
Acceso abierto
Factors associated with abuse and violence in older adults
(Universidad Privada Norbert Wiener, 1905-07-09) Gallo Durán, Ruth Margarita; Díaz Gutierrez, Yessica Yenica; Gómez Gonzales, Walter Edgar
Objective: Establish the factors associated with abuse and violence in the Elderly. Materials and Methods: Systemic research is an observational and retrospective research design that synthesizes the results of multiple primary investigations, which are an essential part of evidence-based medicine. due to its rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 14 scientific articles on the factors associated with abuse and violence in older adults shows that it is the combination of factors psychological, social and economic effects on the part of the aggressor, such as excessive use of alcohol, drug consumption, violent behavior, unemployment and stress. Conclusions: It is evident that the factors present in the aggressor are excessive use of alcohol, drug consumption , violent behavior, unemployment and stress. The children were the main perpetrators of the abuse, followed by the grandchildren, which reveals the inadequate preparation of the family for living with the elderly. This shows that the family dynamic of harmony, attention and dedication to the elderly is practically non-existent. Financial abuse was well identified by the elderly, especially when it comes to preventing them from using and controlling their money.