Examinando por Materia "Londres"
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Ítem Acceso abierto Efficacy of enteral nutrition by nasojejunal tube compared with nasogastric tube in critically ill patients(Universidad Privada Norbert Wiener, 2017-11-12) Palomino Huaraca, Elvis; Rojas Espinoza, Juan Rommel; Bonilla Asalde, César AntonioMaterials 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 evaluation to identify their level of evidence. Pudmed, Scielo, Bvs, Medline (2002 – 2017) were searched for studies comparing gastric and jejunal feeding in critically ill patients. The 10 scientific articles systematically reviewed correspond to China, Australia, Canada, Georgia, London. Results: In the final selection, a sample was chosen from the total of 10 articles systematically reviewed, we found that 60% (n = 6/10) 6 of the articles show that the placement of the nasojejunal tube reduces gastric residual volume and provides better result in nutritional status, meanwhile 40% of the reviewed articles concluded that there is no variation and significance in the use of the nasojejunal or nasogastric tube, both being equal when providing enteral nutritional support. Conclusions: The systematic review of the 10 scientific articles on the effectiveness of enteral nutrition by nasojejunal tube compared to the nasogastric tube in improving indicators of the nutritional status of critically ill patients, 60% (n=06/10) showed that the Enteral nutrition via nasojejunal tube is more effective compared to nasogastric tube in improving indicators (BMI, kcal per day, serum albumin, pre-albumin, transferrin) of the nutritional status of the critically ill patient.Ítem Acceso abierto 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, OrianaObjective: 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).Ítem Acceso abierto Efficacy of using ultrasound guidance in catheter placement in patients with difficult vascular access(Universidad Privada Norbert Wiener, 2019-08-25) Matos Bonifacio, Yeny; Pretell Aguilar, Rosa MaríaObjective: Systematize the evidence on the effectiveness of the use of ultrasound guidance in the placement of catheters in patients with difficult vascular disease. Materials and Methods: The type and design of the study was quantitative and systematic review respectively, 10 scientific articles made up the population and sample, of 100%, 10% correspond to Spain, 10% correspond to France, 10% London England, 10% Ireland, 30% USA, 10% Great Britain, 10% Canada and 10% Japan. The systematic review of the 10 scientific articles of which according to the type of research design, 10% (n=1/10) are randomized trials, 80% (n=8/10) are a systematic review and meta-analysis, and 10 % (n=1/10) are randomized studies. Results We found in 100% (10/10) of the studies that the use of ultrasound guidance in the placement of catheters in patients with difficult vascular access was effective in older adult patients, children, oncology patients, and diabetic patients who undergo dialysis. Conclusions: 10 of the 10 evidence concluded that the use of ultrasound in the placement of peripheral catheters is effective, because it has significant beneficial effects, being successful on the first attempt, reducing the risk of arterial puncture and hematomas, reducing complications.
