Examinando por Materia "GRADE Approach"

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Effective interventions to reduce occupational risks in personnel working in the operating room
(Universidad Privada Norbert Wiener, 2019-09-29) Allende Burga, Esmeralda; Rivera Lozada de Bonilla, Oriana
Objective: Systematize the evidence on effective interventions in reducing occupational risks in personnel who work in the operating room. Materials and Methods: Observational and retrospective systematic review, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the grade system to assign recommendation strength. Results: Of the total number of articles analyzed, 10/10 show effective interventions to reduce and/or prevent risks to which personnel working in a surgical center are subjected. Of which the majority, 6/10, represent systematic review studies, 3/10 represent experimental studies and 1/10 represent a quasi-experimental study. Conclusions: The research reviewed showed that there are effective interventions that prevent risks and should be applied in the surgical center, such as the use of double gloves and blunt needles in surgeries, as well as the use of personal protective equipment, specifically masks. Have special equipment to reduce exposures, and the hepatitis B vaccine (VDP) among others. In this way favoring the prevention of occupational risks to which personnel working in a surgical center are exposed.
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Effective strategies to improve communication among health personnel in a surgical center
(Universidad Privada Norbert Wiener, 1905-07-09) Huarcaya Vaca, Clarissa Domitila; Chung Luna, Jackeline; Remuzgo Artezano, Anika
This is a systematic review of 10 scientific articles that respond to articles published in Spanish, English and Portuguese no older than 5 years. Data collection was carried out through a bibliographic review of both national and international research articles. and where they were found in the following databases Scielo, Pubmed, Elsevier, Scielo, BvsPeru, Lilacs. The main theme was effective strategies to improve communication among surgical center health personnel; Of all the articles that were found, the most important ones were included according to the level of experience and the least relevant ones were excluded. The selected articles were subjected to critical reading, using the grade system to assign the strength of recommendation.
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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 to strengthen knowledge for better self-care in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 1905-07-09) Cardozo Alfaro, Linda Caroline; Napurí Bazalar, Bryan Jesús; Remuzgo Artezano, Anika
Material 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 hierarchy of the grade system to identify their level of evidence. Results: 10 scientific articles have been analyzed, mostly quasi-experimental studies in 80% and 20% systematic reviews. 30% of the research found is from Spain, 10% from Cuba, 10% from Nicaragua, 10% from Australia and 10% from China. 100% of the articles reviewed systematically agree that an educational program is effective to strengthen the self-care of patients with chronic kidney disease. The educational programs promote knowledge by carrying out a systematic and continuous plan to strengthen self-care, so that patients have a better quality of life.
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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 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.
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Effectiveness of dialysate sodium concentration management for blood pressure changes in hemodialysis patients
(Universidad Privada Norbert Wiener, 2020-08-02) Saavedra Quintana, Vanesa Lisette; Taboada Masabel, Daniel Angel; Arevalo Marcos, Rodolfo Amado
Objective: Systematize and analyze the effectiveness of managing the sodium concentration in the dialysate for blood pressure changes in patients with hemodialysis. Material and methods: Observational and retrospective systematic review, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the GRADE system to assign the strength of recommendation, the 10 articles systematically reviewed 20% (n=2/10) are systematic reviews, 30% (3/10) are randomized controlled trials, 50% (5/10) control studies. The results obtained by this study come from; Iran 20%, United States 20%, United Kingdom 10%, England 10%, Italy 10%, Austria 10%, China 10%, New Zealand 10%. Results: The evidence found, 70% (7/10) indicates that the management of sodium concentration in the dialysate is effective for changes in blood pressure in patients with hemodialysis. Conclusions: The management of sodium concentration in dialysate is effective for blood pressure changes in patients with hemodialysis.
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Effectiveness of educational intervention in learning basic cardiopulmonary resuscitation in nursing and the general population
(Universidad Privada Norbert Wiener, 1905-07-09) Antaurco Vergara, Neekens Florencio; Salvador Torre, Eduardo Henry; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of the educational intervention in learning basic cardiopulmonary resuscitation in nursing personnel and the general population. Materials and 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 nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The sampled studies were assessed to determine the quality of evidence using the GRADE System, of which 80% (N=8) of the studies have a medium quality of evidence, 10% (N=1) of the studies have a high quality of evidence and 10% (N=1) study has a low quality of evidence Conclusions: The educational intervention studies sampled demonstrated effectiveness in the level of knowledge about basic CPR maneuver, this shows the importance of Imparting knowledge Theoretical - practical on CPR in community practice spaces as a projection and extension to a university as part of our social responsibility.
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Effectiveness of educational interventions for self-management in the care of epileptic patients in emergency services
(Universidad Privada Norbert Wiener, 2020-02-16) Chumbirayco Garcia, Karen Ana; Cuba Quispe, Janeth Emily; Basurto Santillán, Ivan Javier
Objective: Systematize the evidence on the effectiveness of educational interventions for self-management in the care of epileptic patients in emergency services Material and methods: A systematic review of international research studies is carried out, which have been obtained by searching in database: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo, which have been chosen and analyzed using the grade system to locate the respective degree of evidence. The search has been carried out using the DeCS and MeSH descriptors for the search in Spanish and English respectively. 80% (8/10) of the articles reviewed correspond to England, and the remaining 20% (2/10) correspond to Holland and Germany respectively. Results: 80% (8/10) of the evidence indicates that educational interventions are effective for self-management in the care of epileptic patients in emergency services, and 20% (2/10) indicates that educational interventions are not effective for self-management in the care of epileptic patients in emergency services Conclusions: 8 out of 10 of the evidence indicates that educational interventions are effective for self-management in the care of epileptic patients in emergency services, and 2 out of 10 educational interventions are not effective for self-management in the care of epileptic patients in emergency services
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Effectiveness of educational interventions in the prevention of breast cancer
(Universidad Privada Norbert Wiener, 2019-09-22) Aguirre Pillaca, Sulmit Dionicia; Tarazona Flores, Carlos Liborio; Uturunco Vera, Milagros Lizbeth
Objective: Systematize evidence on the effectiveness of educational interventions in the prevention of breast cancer. Materials and Methods: use of the GRADE system. Databases: Elservier, Cochrane, Google Scholar, Scielo, Medline and Pubmed, studies from Spain 30%, Cuba-20% and studies from Peru, Colombia, Mexico, Brazil and the United Kingdom account for 10% each. quasi-experimental 70% systematic reviews 20% and prospective observational 10%. Results: The articles agree on the effectiveness of educational interventions in the prevention of breast cancer Conclusions: The population must put into practice healthy lifestyles, practice self-care, which entails periodic medical examinations, self-examination, ruling out diseases, participation in health campaigns etc.
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Effectiveness of educational nursing interventions for the prevention and control of bullying
(Universidad Privada Norbert Wiener, 2019-08-25) Rodríguez Romero, Rosa Haydeé; Santa Cruz Suárez, Esther Verónica; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence about the effectiveness of nursing educational interventions for the prevention and control of bullying. Material and methods: Systematic review that synthesizes the results of multiple investigations, identifying the most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. Results: In the final selection, 10 articles were chosen, finding according to the results obtained from the systematic review carried out in the present study, shown in the 10 articles systematically reviewed, 70% (n=7/10) are quasi-experimental and the 30% (n=3/10) are systematic reviews. These studies come from the countries of Brazil (40%), Portugal (20%), Spain (10%), Norway, Scotland and the USA (10%), Colombia (10%), Costa Rica (10%). Conclusions: nursing educational interventions have generated positive effects in prevention, showing that the participation of the nurse is essential, also for the detection and monitoring of cases of bullying.
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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 music therapy for pain management in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-08) Guzmán Moreno, Sisy Cecilia
Material and methods: The PICO instrument was applied and a systematic bibliographic search was carried out through recognized search engines such as LILACS, PubMED, ELSEIVER, etc. Classifying the information through the use of Caspe templates and the level of evidence and degree of recommendation by the GRADE system. Results: 100% of the articles show evidence of the positive influence that music exerts in the different stages of the perioperative period, showing not only the significant decrease in pain but also the decrease in the level of anxiety, 2 articles found showed patients with functional stable vital signs, decreased administration of analgesics and anesthetics, even when the patient is under general anesthesia. Conclusions: Music can be used and implemented as a simple, safe and effective method of reducing potentially harmful physiological responses caused by pain in patients during the perioperative period.
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Effectiveness of music therapy in reducing pain in adult patients after surgery with general anesthesia
(Universidad Privada Norbert Wiener, 2019-08-25) Romero Querevalu, Ginna Consuelo; Pulido Falcon, Maravi Victoria; Pretell Aguilar, Rosa María
Objective: Synthesize the evidence of the effectiveness of music therapy in reducing postoperative pain in adult patients with general anesthesia. Material and methods: The present systematic review consists of 10 scientific articles on the effectiveness of the use of music in adult patients after surgery with general anesthesia. These evidences were obtained from the following databases Pubmed, Epistemonikos, Scielo, Elsevier, Cochrane Plus and Google scholar. According to the Grade System we can show that 100% (10/10) of studies were of high quality. The Systematic Review was the study design used in 90% (9/10) of the investigations; The meta-analysis followed with 10% (1/10). Results: Of the 10 articles reviewed, 100% (10/10) demonstrate that the use of music in post-operative adult patients is effective in reducing post-operative pain. Conclusions: Of the 10 articles reviewed, all 10 show the effectiveness of the use of music therapy in the management of postoperative pain in adult patients with general anesthesia.
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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 Lizbeth
Objective: 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.
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Effectiveness of pillows in reducing cervical thoracic pain and improving sleep in workers
(Universidad Privada Norbert Wiener, 2019-09-22) Sánchez Salazar, Salomé; De la Cruz López, Katherine Lizeth; Calsin Pacompia, Wilmer
Objective: Systematize the evidence on the effectiveness of pillows in reducing cervical thoracic pain and improving sleep in workers. Material and methods: The type of quantitative research, the study design is a systematic review, the population was 176 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a search based on Data: Pubmed, Epistemonikos, MEDLINE For the evaluation of the articles, the GRADE system was used, which evaluated the quality of evidence and the strength of recommendation. Results: The 100% articles correspond to the United States 10%, Thailand 10%, Australia 20%, China 20%, South Korea 20% and Italy 20%. In relation to the designs and types of studies, 90% were randomized controlled trials, 10% were retrospective comparative trials and 10% were systematic reviews. Conclusion: It was concluded that 100% of authors point out the effectiveness of the use of pillows of all types that allow the reduction of cervical thoracic pain and the improvement of sleep in workers within their home, taking into account the shape or latex design. or viscoelastic, made of cool material, the height and dimension of the layers that can provide comfort.
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Effectiveness of Prehospital Spine Motion Restriction in Penetrating Trauma
(Universidad Privada Norbert Wiener, 2019-08-25) Rios Prado, Magali Cristina; Yauri Yauri, Magale Yole; Calsin Pacompia, Wilmer
Objective: Systematize the evidence on the effectiveness of prehospital spinal movement restriction in penetrating trauma to prevent neurological complications. MATERIAL AND METHOD: The study was quantitative, with a systematic, observational and retrospective review design; of articles with full text, which identified their grade or quality of evidence and strength of recommendation according to the GRADE System. Likewise, the population was made up of 25 articles and the sample included 10 most relevant articles, obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Results: Of the articles found, 40% Spain, 40% United States, 10% England, and 10% Iran. Likewise, the systematic review was the study design used in 70% of the investigations; and followed by 30% were retrospective studies. Of the 10 articles reviewed, 60% demonstrate that prehospital spinal movement restriction in penetrating trauma is not effective in preventing neurological complications; and 40% demonstrate that prehospital spinal movement restriction in penetrating trauma is effective in preventing neurological complications. Conclusions: 60% showed that prehospital restriction of movement of the spine in penetrating trauma is not effective in preventing neurological complications, presents harmful effects, increases risks of neurological disability and possible deaths in the short or long term depending on the patient's condition and 40 % showed that prehospital restriction of spinal column movement in penetrating trauma is effective in preventing neurological complications; because during the pre-hospital transfer it avoids or prevents traumatic and neurological injuries, disabilities, sequelae, paraplegics and even the death of the patient.
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Effectiveness of prophylaxis with drainage versus without drainage in abdominal surgery in preventing complications
(Universidad Privada Norbert Wiener, 2019-08-18) Halire Paredes, Ana Maria; Hurtado Quintanilla, Karolina Lourdes; Calsin Pacompia, Wilmer
Objective: Systematize the evidence about the effectiveness of prophylaxis with drainage versus without drainage in abdominal surgery in the prevention of complications. Materials and Methods: The type of research was quantitative, the study design was a systematic review, the population was 23 articles and the sample was 10 articles published in the following databases: Scielo, Pubmed, Elvesier and Medline, using the GRADE system which evaluated the quality of evidence and the strength of recommendation. Results: In the present study it is evident that 100% of the articles reviewed systematically indicate the effectiveness of prophylaxis of the use of drainage in abdominal surgeries in the prevention of complications Conclusions: 10 out of 10 of the studies show the effectiveness of prophylaxis with drainage in abdominal surgeries in the prevention of complications, it is effective because: 50% demonstrate its effectiveness in anastomotic leak, the most serious postoperative complication, 30% demonstrate its effectiveness because it reduces the rate of patient mortality during the postoperative period and 20%, there is a better postoperative recovery, it is a useful procedure and reduces complications in the patient.
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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 Antonio
Objective: 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.
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Effectiveness of sternal closure with absorbable materials in cardiac surgeries through median sternotomy in the prevention of complications
(Universidad Privada Norbert Wiener, 2019-08-18) Condor Rios, Ruth Esperanza; Sánchez Linares, Cyntia Margot; Calsin Pacompia, Wilmer
Objective: To analyze the evidence on the effectiveness of sternal closure with absorbable materials in cardiac surgeries through median sternotomy in the prevention of complications. Materials and Methods: Systematic, quantitative review; Grade system. Population of 19 articles, sample: 10 scientific articles published and indexed in databases: PubMed, EBSCO and Academic Google, Grade system. Results: The studies correspond to 40% control cases, 40% randomized clinical trials and 20% analytical cross-sectional, absorbable materials are fibrin-coated sheet, collagen, bone cement, biological adhesive; They report lower rates of instability compared to conventional sternal closure; use of absorbable L-Poly-Lactide acid pins with or without hydroxyapatite, reports lower rates of sternal displacement, greater bone density and tension force overload to achieve anteroposterior displacement; one study used polyglyconate suture in high-risk patients without finding sternal dehiscence; frozen bone graft has lower rates of sternal instability and infection compared to the control group. Conclusions: 90% of the studies reviewed (n= 9/10) show effectiveness of sternal closure with absorbable materials in cardiac surgeries through median sternotomy, obtaining better rates of instability and sternal dehiscence, sternal displacement, favoring osteogenesis, sternal fusion. 10% of studies show ineffectiveness in sternal closure