Examinando por Materia "Informes de Casos"

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Adverse events derived from nursing care: pressure injury, falls, phlebitis and blood transfusion at the Dos de Mayo National Hospital, period January – December 2018
(Universidad Privada Norbert Wiener, 2019-10-23) Añanca Cruz, Graciela Raquel; Calsin Pacompia, Wilmer
Objective: Determine the frequency of adverse events derived from nursing care: pressure injury, falls, phlebitis and blood transfusion at the Dos de Mayo National Hospital period January - December 2018. Material and method: Descriptive, cross-sectional, retrospective study. in 127 patients registered in the database of the Dos de Mayo National Hospital in the period January - December 2018. The MINSA technical standard that evaluates adverse events was used, which records the severity of the injury according to degrees. registered in the hospital secondary database. The severity of adverse events (no harm, irreversible damage, disability, and death), adverse events (pressure injuries, falls, phlebitis, and blood transfusion), and demographic data such as age and sex were considered. Results: Of the total, a high proportion of pressure injuries was determined with 73 reports (57.5%), followed by phlebitis with 26 reports (20.5%), and falls with 25 reports (19.7%). 55.9% were women, 78.7% (100 cases) had follow-up by the staff, and 71.7% (91 cases) presented no damage, of which 56 (44%) corresponded to pressure injuries and 11.8% (15) corresponded to falls. Conclusions: Pressure injuries were determined, followed by phlebitis and falls as the most frequent adverse events derived from nursing care at the Dos de Mayo National Hospital during the period January - December 2018.
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Burnout syndrome and job satisfaction in health personnel who work in the mental health service of a hospital in Ayacucho, 2021
(Universidad Privada Norbert Wiener, 2022-12-18) Laurente Coronado, Yovana; Arevalo Marcos, Rodolfo Amado
In health personnel, multiple risk components pre-exist that increase the vulnerability of suffering burnout, coping with pain, the death of people based on the performance of their work, as well as the lack of autonomy and in some cases of authority have an impact on the decisions, working quickly and even more so with long hours of work, as well as versatile tasks, exposure to health hazards, inadequate circumstances at work, insufficient wages, as well as little support from society. This research work will be carried out with the purpose of determining the relationship between job satisfaction and burnout syndrome in health personnel who work in the Mental Health service of a Hospital in Ayacucho, 2021. The research has a quantitative approach. basic type, cross-sectional observational design. The population group will be made up of 32 personnel who work in the Mental Health service. For data collection, questionnaires will be used for both variables, prior to this with permission and respective consent of the informed consent of the collaborators, the first questionnaire consists of 27 questions, while the second questionnaire has 22 questions. The results will be compiled and then processed in an Excel program database to later be tabulated using the SPSS version 22 statistical program.
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Determination of the safe disinfectant Orthophthaldehyde versus Glutaraldehyde used by nurses in the High Level Disinfection Process
(Universidad Privada Norbert Wiener, 1905-07-09) Idrogo Maita, Zaida Karina; Ruiz Campos, Deysi; Gómez Gonzales, Walter Edgar
Objectives: Determine the safe disinfectant Orthophthaldehyde vs glutaraldehyde to be used by nurses in the high-level disinfection process. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 articles with full text, and the selected articles were subjected to critical reading. Published and indexed in scientific databases, dating back to the year 2000 and responding to articles published in Spanish, English and Portuguese. In the final selection, 4 articles were chosen, we found that 25% (01) corresponds to England, with 25% (01) to Spain, with 25% (01) to Brazil and while another 25% (01) we find Japan; Two systematic reviews and two cross-sectional studies were included. Results: 80% of the articles reviewed show that glutaraldehyde, compared to orthophthaldehyde, is the one that produces the most cytotoxicity at work, but that orthophthalaldehyde is still toxic. Orthophthaldehyde vs glutaraldehyde, in both cases its greatest adverse reaction when used is in the respiratory tract Conclusion: of the liquid chemical substances used as high-level disinfectants Orthophthaldehyde vs Glutaraldehyde It was evident that Glutaraldehyde is a volatile product that emanates cytotoxic substances causing effects adverse effects on the person who handles it, while Orthophthaldehyde, being exposed through inhalation, turns out to be a sensitizing this. The direct handling of high-level disinfectant substances focuses exposure on the inhalation route, requiring the use of personal protective equipment.
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Determining factors of anemia in 6-month-old infants who attend the growth and development clinic at the Viña San Francisco health post, Santa Anita district, Lima 2019
(Universidad Privada Norbert Wiener, 2020-12-20) Villamar Arce, Sheila Yallily; Fernández Rengifo, Werther Fernando
Introduction: The World Health Organization (WHO) states that anemia affects around 800 million children and women in the world. In Peru, iron deficiency anemia is a serious public health problem affecting 46.6% of children. children at very early ages between 6 months and the first year of life, this situation being the same as that observed in the growth and development clinic of the Viña San Francisco health facility in the Santa Anita district, where the percentage of Anemia in 6-month-old infants reaches 39.8%, a figure that remains high in the first half of 2019 despite the health intervention strategies carried out to reduce cases of anemia in the target population. Objective: Describe the determining factors of anemia in 6-month-old infants. Method: The study has a quantitative approach, descriptive, cross-sectional and prospective, presenting a single main variable, the techniques used were documentary analysis and the interview and the instruments used were the monitoring sheet and the questionnaire applied to the mothers of 6-month-old infants with anemia, the population being the total number of infants, which was 27, constituting a census. Results: During the study period, it was identified that, of the total number of infants with anemia, 70.3% had mild anemia, 25.9% had moderate anemia and 3.7% had severe anemia, with the female sex prevailing with 59.2%. Regarding the determining factors of anemia, present: 25.9% of mothers had a history of anemia during pregnancy, it was identified that 85.1% of infants received iron supplementation at the health facility with timely initiation of the supplement and of them 51.7% consumed it in less than 2 months and 56.5% did not consume it daily, with poor adherence to prophylactic treatment. Regarding the type of feeding, 51.8% of the infants did not receive exclusive breastfeeding, its varieties being mixed, artificial breastfeeding and consumption of cow's milk. 1 infant with a history of prematurity and 2 infants with low birth weight were identified; however, none received prophylactic iron supplementation. 55.5% of infants had their complete vaccination for their age, 70.3% of infants did not have complete growth and development controls for their age. In relation to prevalent diseases, 44.4% of infants with anemia presented diarrheal disease and respiratory infections and of them 3 infants were hospitalized. It has been identified that more than 70% of mothers of infants are unaware of the consequences of anemia during pregnancy, the irreversible effects suffered by the child with anemia in their adult life and the areas of psychomotor development that are affected in the child. with anemia. Conclusions: From the results obtained, it is concluded that the majority of infants in the study had mild or slight anemia, with a predominance of the female sex. A good percentage of the infants began iron supplementation in a timely manner at the health facility. However, More than half of them did not comply with the treatment on a regular basis, identifying difficulties in adherence to treatment. Likewise, infants with a history of prematurity and low birth weight were found who did not receive supplementation despite being infants with a risk factor for anemia, it was found that half of the infants with anemia did not receive exclusive breastfeeding until 6 months, being essential for the prevention of the disease, there is non-compliance with the vaccination schedule and growth and development controls in the infants under study, conditioning the risk of suffering from prevalent diseases such as diarrhea and respiratory infections, as is the case, and at the same time losing the possibility of receiving growth controls and timely nutritional evaluation, it has also been identified that most of mothers interviewed, are unaware of the consequences of anemia in children, which could lead to non-compliance with basic nutritional care in the infant by parents from conception.
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Effectiveness in the prevention of neoplasia with the administration of the human papillomavirus vaccine in men
(Universidad Privada Norbert Wiener, 2020-09-20) Uchuya Chávez, Edgardo Manuel; Arevalo Marcos, Rodolfo Amado
Objective: to systematize the evidence on the effectiveness in preventing neoplasia with the administration of the Human Papillomavirus vaccine in men. Methodology: it is a Systematic Review where it synthesizes some results from various investigations. Likewise, it is an essential part of Evidence-Based Nursing, therefore the search has been restricted to scientific articles with high quality of evidence and with an appropriate strength of recommendation. Results: in the exhaustive selection, at the end, 10 scientific articles were chosen, among which we found systematic reviews, randomized controlled clinical trials and case-control studies where of the total articles collected, 100% affirm that the application of the vaccine against HPV in men is effective in preventing neoplasia and other infections. Conclusions: it was evident that the included investigations show a high degree of immunological effectiveness, therefore, when HPV vaccines are administered it results in prevention of the development of genital warts, pre-cancerous lesions, and most importantly, adequate prevention. of HPV infection, in this sense all of this contributes to a possible decrease in various types of neoplasms related to men.
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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 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 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
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Effectiveness of the use of double gloves as a surgical barrier in the surgical center team
(Universidad Privada Norbert Wiener, 2019-08-25) Julcarima Gonzales, Jeanette del Pilar; Salazar Ricci, Lynda Cintya; Pretell Aguilar, Rosa María
Objective: Analyze and systematize the evidence linked to the effectiveness of the use of double gloves as a surgical barrier in the surgical center team. Material and methods: The systematic review of the 10 scientific articles evidenced on the effectiveness of the use of double gloves as a surgical barrier in the surgical center team. They were analyzed according to the Grade system to determine the strength and quality of the evidence. Of the 10 articles, 40% (4/10) correspond to the methodological design of randomized controlled trials, 20% (2/10) systematic reviews, 10% (1/10) experimental, 30% (3/10 ) are cases and control. 30% of articles come from the US and 10% are found in Nigeria, Canada, China, Spain, Türkiye, the Republic of Macedonia and Ethiopia. Results: According to the evidence found, 100% of the authors demonstrate that the use of double gloves is effective as a surgical barrier in the surgical center team, avoiding the perforation of the gloves during surgical procedures, thus reducing contact with blood and fluids. body fluids. Conclusions: Of the 10 articles reviewed, 10 indicate that the use of double gloves is effective as a surgical barrier for surgical center equipment, preventing perforation of the gloves during surgical procedures and thus reducing proximity to fluids.
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Effectiveness of training in prevention of occupational safety and health in workers
(Universidad Privada Norbert Wiener, 2019-08-18) Tagle Principe, Noelia Milagros; Del Carmen Francia, Rosa Marlene; Basurto Santillán, Ivan Javier
Objective: Systematize evidence on the effectiveness of training in occupational health and safety prevention in workers. Materials and Methods: the systematic review of 10 scientific articles found on the effectiveness of training in prevention of occupational safety and health in workers was carried out in different databases: Scielo, Scandinavian, Dialnet, Medline, BMC Medical Education, Elsevier and Emerald insight. These articles were analyzed based on the Grade scale, in order to establish the quality of the evidence and its respective strength. Results: of ten articles reviewed, 60% have a systematic review methodological design, 10% correspond to the systematic review and meta-analysis, 10% to the descriptive design, 10% are meta-analysis and the final 10% have a study design. control case. Regarding the 10 articles, 90% showed effectiveness in training on occupational health and safety prevention in workers, while 10% found that the effectiveness is not significant. Conclusions: of the 10 articles that were reviewed, (9/10) showed the effectiveness of the training in terms of preventing occupational health and safety of collaborators and (1/10) found that the effectiveness is not significant.
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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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Effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-09-29) Murga Aranda, Oskar Luis; Aliaga Estrada, Judith Yessica; Arevalo Marcos, Rodolfo Amado
Objective: To systematically analyze the available evidence from studies carried out on the “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.” material and method: The systematic review of the 10 scientific articles found; “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.”, were found in the following databases Cochrane, Lilacs, Scielo, Medline Pubmed, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence, Results: Of the 10 articles reviewed correspond to the methodological design of the study, 10% (1/10) randomized controlled trial, 20% (2/10) meta-analysis, 20% (2/10) observational study, 20% (2/10) retrospective study and 30% (3/10) case study. Of the 10 articles systematically reviewed, 90% (9/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit. Conclusions: Of the 10 articles reviewed, 100% (10/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.
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Efficacy of continuous nebulizations with β_agonists in patients with acute asthmatic crisis
(Universidad Privada Norbert Wiener, 1905-07-09) Alfaro Mendivil, Nancy; Perez Fernandez, Ricarti Salin; Rivera Lozada de Bonilla, Oriana
Objective: Systematize and analyze the effectiveness of continuous nebulizations with β_agonists in patients with acute asthma attacks. 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 GRADE method to identify their level of evidence. Results: In the final selection, 10 articles were chosen, systematic reviews, quasi-experimental and case-control studies, and of the total of 10 reviewed articles, 40% (n=4/10) of these show that the effectiveness of Performing nebulizations with β_agonists continuously in patients with acute asthma attacks is positive, especially in cases for the treatment of moderate-severe asthma, it helps with lower administration cost and shorter stay in the emergency room while 60% of the studies analyzed tell us that there is no significant relevance. Conclusions: It is concluded that there is no significant relevance in the effectiveness of continuous nebulizations with β_agonists, since 60% of the studies analyzed support the equivalence of the results of continuous and intermittent nebulization in the treatment of acute asthma.
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Efficacy of exclusive breastfeeding on the nutritional status of the child
(Universidad Privada Norbert Wiener, 1905-07-09) Morales Reaño, Liz Milagros; Gamarra Bustillos, Carlos
Objective: Synthesize evidence on the effectiveness of exclusive breastfeeding on the nutritional status of children. Material and Method: Systematic reviews are the best effort to compile and synthesize scientific evidence on a topic, through a method that ensures that the biases and limitations that we have mentioned in the previous article in this series are minimal. possible, the population constituted by the bibliographic review of 10 scientific articles published and indexed in the databases, which respond to articles published in Spanish. Results: In the final selection, 10 articles were chosen, having (02) systematic reviews, a meta-analysis; an experimental study, 2 case-control studies and 4 cross-sectional descriptive studies. Wherein the total of articles analyzed, 90% affirm that there is an effectiveness between exclusive breastfeeding and the nutritional status of the child, since it protects the child from suffering from obesity until adolescence, lower risk of morbidity-mortality in children under 5 years. Conclusion: Exclusive breastfeeding favors an adequate nutritional status in those children to whom it is provided in the appropriate time and manner.
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Efficacy of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection
(Universidad Privada Norbert Wiener, 2017-08-05) Lugarte Caballero, Giner Valentin; Revatta Beingolea, Hilda; Rivera Lozada de Bonilla, Oriana
The objective of the research is to systematize the evidence on the effectiveness of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection (TUR). 10 scientific articles were reviewed, including controlled, randomized, cohort, case-control, and experimental trials. 50% evidence was found that irrigated patients present hyponatremia, being less with distilled water, 10% evidence that the use of distilled water reduces perioperative hypothermia and tremors, 10% demonstrates in a comparison of the absorption of irrigation fluids (saline solution ) used during rtu, is a non-significant percentage. 10% conclude that glycine solution increases the transparency of the optics, compared to distilled water, 10% demonstrate that irrigation with water in preventing the recurrence of non-muscle invasive bladder cancer is as effective as mitomycin, 10 % conclude that distilled water is an effective solution as an irrigant in procedures such as percutaneous nephrolithotomy. Concluding that both distilled water and glycine produce hydroelectrolyte disorders when used as irrigant in rtu, where the differences are not statistically significant.
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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 buttonhole puncture technique for arteriovenous fistula in hemodialysis
(Universidad Privada Norbert Wiener, 1905-07-09) Bellido Roque, Liz Maria; Bonilla Asalde, César Antonio
Materials and methods: Systemic review type design study. The population is made up of 10 articles no older than 5 years published in English and Spanish in the database: Pubmed, Scielo, Journal Medical and Cochrane Plus, Likelink. Results: Of the total of 10 articles, 50% (n=5) are systematic reviews, 10% (n=1) are randomized controlled clinical trials, 10% (n=1) are cohort, 20% (n=2) They are analytical cross-sectional, 10% (n=1) are cases and controls. Of the 60% (n=06/10) of the articles in general, they show that the buttonhole puncture technique for arteriovenous fistula is effective compared to other techniques, in patients with chronic kidney disease on hemodialysis. Conclusion: 60% (n=06/10) of the articles show that the buttonhole puncture technique is effective, compared to other techniques, in patients with chronic kidney disease and arteriovenous fistula on hemodialysis, of which 20% corresponds to the minor hemostasis time, 29% to a decrease in pain and 11% to a decrease in infections. Of the remaining 40% of the articles, it is observed that the Buttonhole puncture technique has not been shown to be effective, with one of the most notable data referring to the decrease in infections with 27%.
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Efficacy of the prone position used in the patient with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Choque Madueño, Dreysi Eliyana; Campos Taquire, Giovanna Victoria; Avila Vargas Machuca, Jeannette Giselle
Objective: To evaluate the effectiveness of the prone position used in patients with Acute Respiratory Distress Syndrome in the Intensive Care Unit. Materials and Methods: Systematic observational and retrospective review, the search was restricted to articles with full texts and the selected articles were subjected to critical reading. In the final selection, 12 articles were chosen, we found that 42% (05) correspond to the United States, we found 25% (03) in France and 17% (2) in Korea, while only 8% (01) we found Canada and Colombia respectively. . Most of the Meta-analysis studies have been studied with 50%. Among the systematic reviews we find 8.3% in Colombia, controlled clinical trials 33.3% in the United States, France, and we have 8.3% case-control studies belonging to France. Results: In the articles we found that 46.6% (08) affirm that the prone position reduces mortality in patients with Acute Respiratory Distress Syndrome in the prone position, we found 8.3% (01) affirm that the prone position is also safe in patients obese and improves oxygenation more than in non-obese patients and 8.3%(01) affirm that patients with Acute Respiratory Distress Syndrome In the prone position, the cardiac index improved. Conclusions: Of the total number of articles analyzed, 83.3% of the reviewed research affirm that there is effectiveness of the prone position used in patients with acute respiratory distress syndrome in the intensive care unit, there is a better redistribution of gas volume in the lung. , improving the ventilation/perfusion ratio, thus reducing mortality and increasing the survival benefit of patients who were prone.
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Efficacy of the use of self-adhesive mesh versus conventional mesh in the prevention of postoperative complications of inguinal hernioplasty in the general surgery service
(Universidad Privada Norbert Wiener, 1905-07-09) Salazar Malquichagua, Milena Nilsa; Llactahuamán Gómez, Felicita; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of using self-adhesive mesh versus conventional mesh in post-inguinal hernioplasty patients. Methodology/Methods: Systematic reviews are the best effort to compile and synthesize scientific evidence on the topic, through a method that ensures that the biases and limitations that we have mentioned in 8 scientific articles published and indexed in the databases, which corresponds to articles published in Spanish. Results: In the final selection, 8 articles were chosen, we found that 20% (02) correspond to Chile, and 10% (1) in Mexico, Spain, Bolivia, Colombia, USA, Cuba respectively. Among the articles we have (6) experimental, quasi-experimental (1), cases and controls (1). Where the total of articles analyzed 60% affirm that the use of self-adhesive mesh compared to conventional mesh is long-term benefit in hernias inguinal. Conclusions: It was evident in the reviewed research that there is effectiveness of self-adhesive mesh and polypropylene mesh in preventing postoperative complications in inguinal hernia with supposed benefits in reducing surgical time and reducing postoperative pain without increasing the number of complications or recurrences.