Examinando por Materia "Newborn"

Mostrando 1 - 7 de 7

Acceso abierto
Effectiveness of oropharyngeal colostrum intake in strengthening the immune system in newborns
(Universidad Privada Norbert Wiener, 2018-11-25) Rodriguez Pari, Erika Melissa; Soto Vera, María Eugenia; Millones Gómez, Segundo Germán
Objective: Analyze the evidence on the effectiveness of ingesting colostrum via the oropharynx to strengthen the immune system in the newborn. Material and Methods: The design of a systematic review. The population is made up of 39 articles that were reviewed, of which only 10 scientific articles were chosen as a sample, their instrument was research based on databases: Pubmed, Cochrane, Database. Results: Of the total articles analyzed, 40% (n= 4/10) are randomized controlled trials (RCTs), 30% (3/10) are cohort studies, 20% (n= 2/10) are reviews. systematic, and 10% (n= 1/10) is quasi-experimental, according to the quality of the evidence it was found to be high in 60% and moderate in 40%. According to the strong recommendation strength 60% and weak 40%. According to the country where the investigations were carried out, they correspond to the United States 70%, China 10%, South Korea 10% and Spain 10% respectively. According to the review, it is evident that 80% (n = 8/10) of the articles indicate the effectiveness of ingesting colostrum through the oropharyngeal route to strengthen the immune system in the newborn and 20% (n = 2/10) of the articles indicate non-effectiveness. Conclusion: 8 of 10 reviewed articles indicate the effectiveness of ingesting colostrum through the oropharyngeal route to strengthen the immune system in the newborn. 2 of 10 articles indicate that ingesting colostrum through the oropharyngeal route is not effective in strengthening the immune system in the newborn; since some authors point out that larger studies are needed to describe the benefit of colostrum.
Acceso abierto
Effectiveness of primary closure versus delayed closure surgical techniques in reducing complications in neonates with gastroschisis treated in critical care units
(Universidad Privada Norbert Wiener, 2019-06-30) Contreras Sánchez, Patricia; Quispe Abarca, Alicia Maribel; Calsin Pacompia, Wilmer
Objective: Systematize the evidence on the effectiveness of the primary closure versus delayed closure surgical technique in reducing complications in neonates with gastroschisis treated in critical units. Materials and Methods: The type of research was quantitative, the study design was carried out through systematic review, the population was made up of 86 articles, and the sample was made up of 10 scientific articles published and indexed in scientific databases, the instrument was search in databases: Scielo, Cochrane library, Pubmed, Medline, EBSCO, TRIPDatabase, Dialnet and Lilacs. To evaluate the articles, the GRADE system was used, which evaluated the quality of evidence and the strength of recommendation. Results: The study included 10 scientific articles, of which in the primary closure group better results were evident through a significant reduction in complications such as: early initiation of enteral feeding, duration of parenteral feeding and hospital stay; On the other hand, in the delayed closure group the mechanical ventilation time was significantly shorter. Conclusions: 50% of the authors conclude that the primary closure surgical technique is effective, since fewer complications occur such as: early start of enteral feeding, duration of parenteral feeding is shorter, hospital stay and decreased surgical wound infections take less time; while 30% of the authors conclude that delayed closure is effective because it presents fewer days of mechanical ventilation, and less incidence of intra-abdominal pressure; and 20% of the authors conclude that both techniques are effective since there was a lower incidence in cases of sepsis, a shorter hospital stay, and a faster start of enteral feeding and a shorter time of mechanical ventilation.
Acceso abierto
Efficacy of probiotics in the prevention of the most frequent infections in the preterm newborn.
(Universidad Privada Norbert Wiener, 2018-08-12) Haro Shapiama, Gianina; Guevara López, Lorena Astrick; Calsin Pacompia, Wilmer
90% of the 10 scientific studies demonstrate the effectiveness of the use of probiotics in preventing the most common infections in premature newborns (early sepsis and enterocolitis), while also improving oral tolerance, intestinal maturation, and increasing the weight of preterm neonates. 10% of the studies show that there is no significant difference, highlighting the need for further studies to address the combination of probiotic strains, dosage, and duration to avoid erroneous conclusions, especially in very low birth weight neonates.
Acceso abierto
Efficacy of probiotics in the prevention of the most frequent infections of the premature newborn.
(Universidad Privada Norbert Wiener, 2018-08-12) Guevara Lopez, Lorena Astrick; Calsin Pacompia, Wilmer
90% of the 10 scientific studies demonstrate the effectiveness of probiotics in preventing the most common infections in premature newborns (early sepsis and enterocolitis), while also improving oral tolerance, intestinal maturation, and increasing the weight of preterm neonates. 10% show no significant difference, indicating the need for further studies to address the combination of probiotic strains, dosage, and duration, to avoid drawing erroneous conclusions, especially in very low birth weight neonates.
Acceso abierto
Efficacy of transcutaneous bilirubinometer vs. serum bilirubin to detect pathologic jaundice in newborns from 35 to 42 weeks.
(Universidad Privada Norbert Wiener, 2018-07-08) Avilez Huaranga, Olaria Daniela; Cabanillas Torres, Mariella Isabel; Perez Siguas, Rosa Eva
The objective of the study is to systematize the effectiveness of transcutaneous bilirubinometer vs. serum bilirubin for detecting pathological jaundice in newborns between 35 and 42 weeks. Material and method: A systematic review study with an observational and retrospective design, reviewing ten studies both nationally and internationally. In the results: The systematic review of the 10 articles highlights that 50% of the published samples indicate that both serum bilirubin and transcutaneous bilirubinometer are equally reliable methods for determining pathological jaundice in neonates. On the other hand, the remaining 50% refers to 10% where serum bilirubin is effective but with some toxicity, and 40% indicate that the transcutaneous bilirubinometer method is more reliable and usable in healthcare settings worldwide for detecting neonatal pathological jaundice by healthcare professionals. The conclusions regarding its application and use in hospitals show that the transcutaneous bilirubinometer is the most effective method as a preventive diagnosis for predicting and detecting pathological jaundice in newborns between 35 and 42 weeks, considering transcutaneous bilirubin as effective.
Acceso abierto
Risk factors associated with meconium aspiration syndrome in newborns
(Universidad Privada Norbert Wiener, 2017) Mendoza Quispe, María Luisa; Pari Suca, Mery; Rivera Lozada de Bonilla, Oriana
Objectives: To determine the risk factors associated with meconium aspiration syndrome (MAS): by identifying the appropriate risk factors, the newborn does not experience subsequent complications. Methodology/Methods: A systematic, observational, and retrospective review was conducted. The search was restricted to full-text articles, and the selected articles underwent a critical reading, using the Jover assessment to determine their level of evidence. Results: A total of 10 articles were selected. Of these, 20% (2) were from Peru, another 20% (2) were from India, and 10% (1) came from Argentina, Venezuela, Mexico, South Korea, and Turkey, respectively. The majority of the studies were cohort studies, representing 50%, primarily from Argentina, India, and South Korea. Case-control reviews were conducted in Peru and Cuba, comprising 20%. Additionally, 10% of the studies were clinical trials, cross-sectional analytical, and descriptive studies from Venezuela, Mexico, and Peru. Of the total articles analyzed, 80% stated that the risk factors associated with meconium aspiration syndrome in newborns were clearly identified. Conclusions: The reviewed studies provided evidence of risk factors associated with meconium aspiration syndrome in newborns. Several factors were identified in newborns with meconium aspiration: 20% prenatal care, 10% lactate concentration, 10% term and post-term newborns, 20% low Apgar score (<5), 10% labor complications, 10% dystocic delivery, and 10% gender.
Acceso abierto
Risk factors for meconium aspiration syndrome in the newborn
(Universidad Privada Norbert Wiener, 2017) Gomez Castillo, Sharon Gabriela; Raymundo Capcha, Roxana Milagros; Rivera Lozada de Bonilla, Oriana
Objective: To identify the risk factors associated with meconium aspiration syndrome in newborns. Materials and Methods: Systematic review, observational, and retrospective, limited to full-text articles, critically evaluated using the Jover assessment tool. Results: A total of 10 articles were selected, with 20% (2) from Peru, 20% (2) from Nepal, and 10% each from Cuba, India, Argentina, Mexico, Sudan, and Australia. The majority of studies were analytical cross-sectional studies (70%). Cohort studies were more common in India and Australia (20%), with additional case-control studies from Peru and Cuba. 80% of the studies identified risk factors associated with meconium aspiration syndrome. Conclusions: The risk factors for meconium aspiration syndrome in newborns include gestational age, type of amniotic fluid (thin or thick), male sex, cesarean delivery, and maternal conditions like hypertension and perinatal asphyxia.