Examinando por Materia "India"

Mostrando 1 - 14 de 14

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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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Effectiveness of cleaning and disinfecting the laryngoscope in a surgical center to reduce complications due to infections
(Universidad Privada Norbert Wiener, 2020-02-08) Acuña Guerzoni, Liliana Patricia; Espinoza Cordero, Tula del Carmen; Pretell Aguilar, Rosa María
Objective: Systematize evidence on the Effectiveness of cleaning and disinfection of the laryngoscope in a Surgical Center to reduce complications due to infections. Materials and Methods: The systematic review consists of 10 scientific articles. According to the type of study design, 50% (n=5/10) is a systematic review, 30% (n=3/10) is an experimental study, 10% (n=1/10) is a cohort study and 10% is a cohort study. (n=1/10) descriptive study, which agrees with the expected result in the present study. According to the quality of evidence, it was found to be high in 80%, moderate in 10% and low in another 10%, depending on the country where the investigations were carried out, they were 30% in Brazil, 30% in the United States, 30% India and 10% Turkey. To find these studies, the following scientific research search engines were used: Epistemonikos, Researchgate, Pubmed and Google academic. Results: Of the 10 investigations analyzed, it is evident that 70% (7/10) demonstrate the Effectiveness of cleaning and disinfecting the laryngoscope in the Surgical Center to reduce complications due to infections. Conclusions: According to the research analyzed, it was obtained that 70% (n = 7/10) of the 10 articles demonstrate that there is effectiveness of cleaning and disinfection of the laryngoscope in the Surgical Center for the reduction of complications due to infections and 30% ( n=3/10) show the cleaning and disinfection of the laryngoscope in the Surgical Center as ineffective in reducing complications due to infections, therefore, it is recommends using disposable laryngoscope blades to help reduce the spread of nosocomial infections, thus avoiding complications.
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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 skin-to-skin contact for adaptation to extrauterine life in the newborn
(Universidad Privada Norbert Wiener, 2020-02-08) Anchante Urbina, Erika; Miranda Vidal, Yesmily; Matta Solis, Hernán Hugo
The following work systematizes the effectiveness of skin-to-skin contact for adaptation to extrauterine life in the neonate. Meta-analysis, systematic reviews, randomized controlled trials, a randomized clinical study and a case-control study and Grade evaluation were used to classify the degree of evidence, which were found in the following databases: PubMed, Scielo, Epistemonikos, Sciencedirect. Of the chosen articles belong to the following countries: 1 Uganda, 1 Germany, 1 United States, 1 United Kingdom, 1 India, 1 Italy, 1 Vietnam, 1 Uruguay, 1 Chile, 1 Mexico. Within the evidence reviewed in this work, all support that skin-to-skin contact between the mother and the newborn is effective for their extrauterine adaptation. Coming to the conclusion that skin-to-skin contact is effective for adaptation to extrauterine life in the newborn. Because breastfeeding is promoted, it regulates the temperature of the newborn, maintains blood glucose levels and strengthens the emotional bond. Health personnel in the neonatology area are recommended to put this procedure into practice.
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Effectiveness of transcutaneous bilirubinometry in detecting jaundice in newborns
(Universidad Privada Norbert Wiener, 2019-08-25) Inga Romero, Kathia Milagros; Matta Solis, Eduardo Percy
Objective: 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.
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Efficacy of chlorhexidine gluconate vs povidone iodine to prevent infections in the surgical wound of the surgical patient
(Universidad Privada Norbert Wiener, 1905-07-09) Coronado Vega, Amanda Adelina; Pizango Campos, Verith; Remuzgo Artezano, Anika
Systematic Review, in which 9 articles were selected; those that were analyzed and subjected to evaluation according to the GRADE system to identify their quality of evidence and strength of recommendation; The search strategy was in the Cochrane Group, Lilacs and Pubmed. According to the selected articles, we find that 60% (5/9) are from the United States; 10% (1/9) is from the United Kingdom, India, Brazil and Bolivia respectively. Of the articles analyzed, 70% affirm that chlorhexidine gluconate is more effective in preventing infections in the surgical wound of the surgical patient; However, the other 30% affirm that there is no significant difference between both antiseptics. Conclusion: In the Systematic Reviews it was shown that there is greater effectiveness of chlorhexidine in preventing infections in the surgical wound compared to povidone-iodine.
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Efficacy of Cuff Pressure Control in Patients With Endotracheal Tube
(Universidad Privada Norbert Wiener, 1905-07-09) Aguilar Tafur, Sory Marianita; Socla Cadenas, Paulina Yaqueline; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of cuff pressure control in patients with an endotracheal tube. Methodology: 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 to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 30% (03) correspond to Iran, with 10% (01) we find the United States, France, Switzerland, Spain, India and Venezuela respectively. It has been studied that the majority of these were quasi-experimental studies, with 40%, mainly in the countries of Iran, India, Venezuela and Mexico. A Meta-analysis of France was found, with 10%, with 20% randomized clinical trials, mainly in the countries of the United States and Spain, likewise 20% we have experimental studies and 10% descriptive studies in Iran. Where of the total articles analyzed; 80% affirm that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and the digital palpation technique is not a reliable measure to estimate pressure. Conclusions: It was evident in the reviewed research that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and palpation is not a reliable measure to estimate the pressure, thereby reducing the risk. of tracheal mucosal lesions in patients treated in critical units.
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Efficacy of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients
(Universidad Privada Norbert Wiener, 2018-03-25) Delgado Wong, Melissa Cristina; Paredes Perez, Nardi; Rivera Lozada de Bonilla, Oriana
Objective: Systematize the evidence on the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients. Material and methods: The type of quantitative study, the design was a systematic review. The Population was 57 articles, the sample was 10 scientific articles, the instrument was the following databases: Pub Med, Wolters Kluwer, Ovid insights. After the systematic review of the results obtained, according to the methodological design, 20% (n= 2/10) are systematic review, 20% (n= 2/10) meta-analysis, 20% experimental (n=2/10). ) and 40% (n=4/10) cohort, according to the quality of evidence 60% (n=6/10) high and 40 (n=4/10) moderate, in relationship to the strength of recommendation 60% (n=6/10) strong and 40% (n=4/10) weak. According to the country of origin: London 10%, United Kingdom 20%, China 10%, Ireland 20%, India 10%, Japan 10%, Italy 10%, Norway 10% respectively. Results: 50% (n = 5/10) of the articles demonstrate the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients. Conclusion: It was concluded that 50% (n = 5/10) agree on the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients. Discrepancy was found regarding the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients by 50% (n = 5/10).
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Efficacy of recombinant human epidermal growth factor in preventing amputation in patients with diabetic foot
(Universidad Privada Norbert Wiener, 1905-07-09) Soto Valentín, Silvia Clotilde; Cordova Jaimes, Gabriela Josselvi; Rivera Lozada de Bonilla, Oriana
Objective: To evaluate the effectiveness of recombinant human epidermal growth factor to prevent amputation in patients with diabetic foot. Methodology: It is a systematic review of 10 articles obtained from the Lipecs, Lilacs, Scielo, and Pubmed databases, which were subjected to a critical reading. 50% of the articles are from the country of Cuba, 20% from India, 10% from China, Mexico and Venezuela. 40% of the studies are experimental in design, 20% correspond to the design of systematic reviews, 20% to cohort design and 20% to descriptive design. Results: Of the total number of articles reviewed, 90% affirm the effectiveness of epidermal growth factor. Conclusions: Recombinant human epidermal growth factor is effective in preventing amputation in patients with diabetic foot.
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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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Efficacy of the use of ondansetron compared to dexamethasone for the prevention of nausea and vomiting in post-operative patients
(Universidad Privada Norbert Wiener, 2017-11-12) García de la Cruz, Gliria Nathalia; Hurtado Zarate, Lorena Fiorella; Bonilla Asalde, César Antonio
Materials and Methods: In the final selection, 10 articles were chosen, we found that 30% (03) corresponds to Iran, 20% (02) we find India, while 10% (01) corresponds to China, Pakistan, Taiwan , Mexico and Nepal respectively. Most of the randomized controlled trials have been studied, with 70%, mainly in the countries of India, Nepal, Mexico, Pakistan and Iran. Among systematic reviews we find India, China and Taiwan, with 30%. Results: According to the evidence found, 40% of the authors report that dexamethasone is more effective than ondansetron in preventing nausea and vomiting in the postoperative period. 10% report that ondansetron is more effective than dexamethasone due to its rapid action, but if it is combined with dexamethasone it is more effective than when administered alone and 50% of the authors report that the combination of both drugs is effective for prevention of nausea and vomiting in post-operative patients. Conclusions: It was evident in the reviewed research that there is efficacy of ondansetron, dexamethasone and the administration of both drugs for the prevention of nausea and vomiting in post-operative patients.
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Related factors of pulmonary silicosis in workers in industrial centers
(Universidad Privada Norbert Wiener, 1905-07-09) Palomino Corilloclla, Carolyn Dayana; Peña Chirito, Carla Isabel; Calsin Pacompia, Wilmer
Methodology: systematic observational and retrospective review, the search was restricted to full-text articles, and the selected articles were subjected to a critical reading, using various types of evaluation to identify their degree of evidence. Results: in the final selection, 08 articles were chosen, we found that 40% (03) correspond to China, with 30% (02) to the United States, with 10% (01) we find India, Hong Kong, and a anonymous country. Mostly quasi-experimental studies have been reviewed, 70% being mostly from the country of China. Among systematic reviews we find the countries of China (3), Hong Kong, United States and cross-sectional descriptive studies are from India, United States, anonymous. Conclusions: According to the studies reviewed, various factors related to pulmonary silicosis were identified, the most relevant being the exposure time to either the type of work or agent.
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Risk factors associated with acute myocardial infarction in users of emergency services
(Universidad Privada Norbert Wiener, 1905-07-09) Rodríguez Gómez, Orestes; Guia Quintanilla, Amparo Monica; Gómez Gonzales, Walter Edgar
Objective: Establish the risk factors associated with acute myocardial infarction in users of emergency services. 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 nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: Articles located in the Scielo, Dialnet, Lilacs, Lipecs and Cochrane databases were included in the systematic review, with cross-sectional research designs, 12 scientific articles systematically reviewed on the risk factors associated with acute myocardial infarction in treated users. in emergency, 17% (2) corresponds to Chile, 8% (1) to Colombia, 17% (2) to Mexico, 8% (1) to the United States United States, 8% (1) to India, 17% (2) to Brazil, 8% (1) to Burkina Faso, and 17% (2) to Uruguay, all of them framed in the 12 research articles. Conclusions: Factors such as obesity, hypercholesterolemia, age, overweight (waist-hip ratio) and low HDL concentrations are associated with the presence of Acute Myocardial Infarction in adults treated in Emergency Units, Hypercholesterolemia is the most important risk factor associated with IMA in adults, the factors associated with the presence of IMA are lifestyle and social behavior. In young people, the associated risk factors are tobacco, present in 76.78%, the 12 articles reviewed show us that coronary heart disease and acute myocardial infarction in particular continue to be a very important public health problem in Latin American countries.
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Use of adenosine versus calcium channel antagonists for the care of patients with supraventricular tachycardia in the emergency room
(Universidad Privada Norbert Wiener, 2020-08-02) Castillo Lazo, Gilmer Eduardo; Soto López, Karla Alexandra; Fernández Rengifo, Werther Fernando
Objective: Systematize the evidence on the use of adenosine compared to calcium channel antagonists in the treatment of supraventricular tachycardia in the emergency room. Material and methods: Algorithms were created and a search was carried out in the PubMed, Cochrane, TripdataBase and PlosOne metadata. Results: A total of 1915 studies were found and of them ten were included in the study. Two publications are from the United Kingdom, two from the USA, two from Australia, one belongs to Singapore, another to Uruguay, another from Germany, and the last from India. Conclusion: According to this review, the quality of the evidence is medium and high and the strength of the recommendation is high only in three articles reviewed. The seven studies affirm that the efficacy of adenosine and calcium channel blocker products are similar in effectiveness. Both medications differ in their side effects: Adenosine due to redness, nausea, chest pain and headache. Calcium channel antagonists have been shown to produce hypotension.