Examinando por Materia "Nervous System Diseases"
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Ítem Acceso abierto Clinical manifestations associated with neurological complications from COVID 19 in patients at the Regional Hospital of Ayacucho, 2021(Universidad Privada Norbert Wiener, 2022-11-23) Curiñaupa Alvarez, Katherine Deisy; Granados Carrera, Julio CesarIn early December 2019, a viral atypical pneumonia outbreak was reported in Wuhan, China, caused by the SARS-CoV-2 coronavirus (COVID-19). The infection spread rapidly, reaching South America, and the first confirmed case in Lima, Peru, was in March 2020. The clinical manifestations of COVID-19 patients included fever (88.7%), cough (57.6%), shortness of breath or fatigue (45.6%), muscle pain (myalgia) (44%), sputum production (28%), headache (2.8%), hemoptysis (5%), and diarrhea (3%). Neurological complications at the central nervous system (CNS) level include hemorrhagic stroke, ischemic stroke, encephalopathies, encephalitis, etc.; at the peripheral nervous system (PNS) level, there are alterations in smell and taste, rhabdomyolysis, and Guillain-Barré syndrome (GBS). The objective of this study is to determine whether there is a significant relationship between the clinical manifestations of COVID-19 and neurological complications in patients hospitalized at the Regional Hospital of Ayacucho in 2021. The method was non-experimental, descriptive-correlational-retrospective, using an epidemiological COVID-19 data collection form.Ítem Acceso abierto Effectiveness of prehospital spinal immobilization in polythraumatized patients for the reduction of neurological deterioration(Universidad Privada Norbert Wiener, 2019-08-04) Tinedo Yarma, Gisella; Peña Peña, Claudio Luis; Calsin Pacompia, WilmerObjective: To systematize the evidence on the effectiveness of prehospital spinal immobilization in polytraumatized patients for the reduction of neurological deterioration. Material and method: The type was quantitative, the design was systematic review which is observational and retrospective, 10 articles from the following databases were taken into account. Of the 10 articles, 70% (7/10) correspond to the methodological design of systematic review, and 30% (3/10) are retrospective studies. Results: It was evidenced that some authors agree that with an adequate and timely prehospital spinal immobilization in polytraumatized patients, neurological deterioration can be reduced; with other authors indicating that they were not effective for the reduction of neurological deterioration; therefore, spinal immobilization in polytraumatized patients is essential to minimize spinal cord injury secondary to poor mobilization of the patient during transfer. Conclusions: Of the 10 articles reviewed, 60% of articles demonstrated that prehospital spinal immobilization in polytrauma patients was effective in reducing neurological deterioration; and 40% of articles demonstrated that prehospital spinal immobilization in polytrauma patients was not effective in reducing neurological deterioration.Ítem Acceso abierto Effectiveness of the use of mannitol versus hypertonic solution in neurocritical patients with brain injuries(Universidad Privada Norbert Wiener, 2017-08-05) Maza Chavez, Evelin Flor; Pachas Cordova, Wendy Cecilia; Pérez Siguas, Rosa EvaObjective: To analyze and synthesize the evidence on the efficacy of mannitol versus hypertonic solution in neurocritical patients with brain injuries. Materials and methods: This systematic review is observational and retrospective. Searches were conducted across various databases, but finally, articles with full text were selected and critically reviewed, using the GRADE assessment to identify the level of evidence. Results: Of the 10 articles reviewed, 9/10 articles show that the use of hypertonic solution has greater efficacy in managing neurocritical patients with brain injuries, accounting for 90%. Among these, 10% of the articles do not consider the data sufficient to define the efficacy between these treatments. Conclusions: The systematic review demonstrated that hypertonic solution is more effective in neurocritical patients with brain injuries, showing better cerebral perfusion and increasing the survival rate of the neurocritical patient.Ítem Acceso abierto Factors that influence depression in long-stay geriatric patients(Universidad Privada Norbert Wiener, 2017-08-24) Cancio Nuñez, Virginia Estefania; Cordero Bravo, María Del Carmen; Gómez Gonzales, Walter EdgarObjective: Systematize evidence on the factors that influence depression in long-stay geriatric patients. Results: The articles found, 14 of them, indicate that the factors that influence depression in the elderly are: 1.- Socio-demographic factor (female sex, incomplete primary education, illiteracy, grief, chronic degenerative diseases, entry into residence, fear to death, neurological and psychiatric disorders, marital status, high levels of anxiety, institutionalized less than 1 year), 2.- Economic Factor: low income, type of home, poor social support, dependency economic3.- ABVD factor: functional dependence, sedentary lifestyle, partially dependent women, dependence on some of the ABVD, polypharmacy, urinary incontinence, falls, sleep disorder. Conclusion: The socio-demographic, economic and ABDL factors described in the results influence depression in older adults. The same process of institutionalization has been documented by some authors as a trigger for depressive processes, and some authors propose how institutionalization in residences is associated with factors that favor the appearance of depressive symptoms or symptoms and that can lead to an increase in the prevalence of this process.Ítem Acceso abierto Heminegligence and motor function in post cerebrovascular accident patients at the Callao Rehabilitation Hospital. Perú 2023(Universidad Privada Norbert Wiener, 2023-10-27) Quispe Romero, Jack Simon; Puma Chombo, Jorge EloyHemineglect in stroke occurs when a person has an attentional deficit on the contralesional side, and it is one of the common disorders developed following a stroke; its incidence exceeds 40%, and it is estimated that one-third of patients still experience it after the first year (2,3). Suffering from a brain injury can lead to a decrease in a person's functional capacity, which is associated with greater limitations in functional recovery, as seen in the dependency on activities of daily living.Ítem Acceso abierto Occupational exposure to pesticides as a risk factor for neurological disorders in agribusiness workers(Universidad Privada Norbert Wiener, 2020-02-01) Maldonado Zegarra, Jacqueline Miriam; Nonato Almerco, Edyflor Luz; Cárdenas de Fernández, María HildaObjective: Systematize the evidence of occupational exposure to pesticides as a risk factor for neurological disorders in agroindustrial workers. Material and Methods: The search for quantitative scientific research was carried out, assessing the quality of the information, according to the Grade evaluation system, implicit in the following databases: PubMed, Sciencedirect. The evaluation of the 10 articles indicates that 20% (n= 2/10) are systematic reviews, 40% (n= 4/10) are systematic reviews and meta-analyses, and 40% (n= 4/10) are meta-analysis. They also point out that the origin lies in the countries: Chile (10%), followed by China (10%), United Kingdom (10%), Spain (10%), Belgium (10%), Egypt (10%) and Korea South (10%), Sweden (10%), Italy (10%), United States (10%). Results: 100% of the evidence evaluated indicates that occupational exposure to pesticides is a risk factor for neurological disorders in agroindustrial workers. Conclusion: The evidence indicates that 10 of 10 articles evaluated indicate that occupational exposure to pesticides is a risk factor for neurological disorders in agroindustrial workers, which is why it is recommended to provide information to the worker and investigate the risks in depth.
