Examinando por Materia "Países Bajos"

Mostrando 1 - 12 de 12

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Complications of cervical collar use in trauma patients requiring immobilization
(Universidad Privada Norbert Wiener, 2017-11-12) Montero Crisologo, Diana Carolina; Vega López, Karen Rocio; Gamarra Bustillos, Carlos
Methodology: Systematic, observational and retrospective 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. In the final selection, 10 articles were chosen, we found that 30% (03) correspond to the United States, with 20% (02) in Holland, while with 10% (01) we find England, Iran, Norway, Australia and Iceland respectively. Among the systemic reviews we find the countries of the United States, Norway, England and Iran, which account for 40% of the studies carried out, also with 20% we have prospective studies belonging to Australia and Holland, 20% of retrospective studies carried out in the US and the Netherlands, 10% corresponds to a US randomized controlled trial. Results: Of the 10 articles found, 6 of them mention that one of the first most frequent complications are pressure ulcers, followed by 2 articles that tell us that there is an increase in intracranial pressure caused by excessive adjustment of the cervical collar and 2 articles where the authors agree with the presence of pressure ulcers and increased intracranial pressure. In this way we were able to confirm that there are complications from the use of the cervical collar in traumatized patients who require immobilization. The authors confirm that pressure ulcers are due to the patient's skin type and the length of time the collar is worn. Conclusions: Of the total number of articles analyzed, 100% confirm that the use of the cervical collar produces compilations such as pressure ulcers at primary and secondary level, jugular venous pressure and tissue interface pressure in traumatized patients requiring immobilization.
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Effectiveness of bundles to reduce bloodstream infections in patients with central lines in critical units
(Universidad Privada Norbert Wiener, 2019-09-29) Navarro Asencios, Carlos Alfredo; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of bundles to reduce bloodstream infections in patients with a central line in critical units. Material and methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Sciencedirect, PubMed, Researchgate. Of the 10 articles systematically reviewed, 30% are of high quality as described below: 30% (n= 3/10) are meta-analyses and 70% (n= 7/10) are of medium quality represented by 50% (n= 5/10) are cohort studies and 20% (n= 2/10) are quasi-experimental and come from the countries of the Netherlands (20%), Taiwan (20%) followed by Belgium (10%), Korea (10%), Chile (10%), Australia (10%), Colombia (10%), and Thailand (10%). Conclusion: Bundles are effective in reducing bloodstream infections in patients with central lines in critical units.
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Effectiveness of educational interventions for self-management in the care of epileptic patients in emergency services
(Universidad Privada Norbert Wiener, 2020-02-16) Chumbirayco Garcia, Karen Ana; Cuba Quispe, Janeth Emily; Basurto Santillán, Ivan Javier
Objective: Systematize the evidence on the effectiveness of educational interventions for self-management in the care of epileptic patients in emergency services Material and methods: A systematic review of international research studies is carried out, which have been obtained by searching in database: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo, which have been chosen and analyzed using the grade system to locate the respective degree of evidence. The search has been carried out using the DeCS and MeSH descriptors for the search in Spanish and English respectively. 80% (8/10) of the articles reviewed correspond to England, and the remaining 20% (2/10) correspond to Holland and Germany respectively. Results: 80% (8/10) of the evidence indicates that educational interventions are effective for self-management in the care of epileptic patients in emergency services, and 20% (2/10) indicates that educational interventions are not effective for self-management in the care of epileptic patients in emergency services Conclusions: 8 out of 10 of the evidence indicates that educational interventions are effective for self-management in the care of epileptic patients in emergency services, and 2 out of 10 educational interventions are not effective for self-management in the care of epileptic patients in emergency services
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Effectiveness of Enhanced Recovery Program Versus Conventional Care in Decreasing Hospital Stay in Colorectal Surgery Patients
(Universidad Privada Norbert Wiener, 2020-01-25) Niebles Sotelo, Estefania; Padilla Chacpi, Jackeline Fabiola; Basurto Santillán, Ivan Javier
Material and methods: Systematic retrospective and quantitative observational review, subject to criticism, using the Grade evaluation method to establish the level of evidence, located in the following information sources: Researchgate, Sciencedirect, Epistemonikos, PubMed, Scielo. Of the 10 articles systematically reviewed, 80% are of high quality as described below: 50% (n= 5/10) are meta-analysis, 20% (n= 2/10) systematic review, 10% ( n= 1/10) is a randomized controlled trial and 20% of moderate quality as described below: 20% (n= 2/10) cohort studies. They come from the countries of the United States (20%), England (20%), China (20%), Italy (10%), Norway (10%), New Zealand (10%) and Holland (10%). Results: Of the evidence found, 100% (n=10/10) evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients. Conclusion: 10/10 evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients.
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Effectiveness of implementation strategies to improve adherence to care protocols in emergency services
(Universidad Privada Norbert Wiener, 2019-09-22) Ramos Cavero, Carla Vanessa; Chipa Quispe, Lisbeth; Matta Solis, Hernán Hugo
Objective: Systematize evidence on the effectiveness of implementation strategies to improve adherence to care protocols in emergency services. Material and methods: Systematic review, use of the GRADE evaluation system. Databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 30% (3/10) of the articles reviewed correspond to the USA and Australia respectively, and 20% (2/10) correspond to Holland, Canada and England respectively. Results: 70% (07/10) of the evidence indicates that the implementation of strategies is effective in improving adherence to protocols in the emergency service, and 30% (3/10) indicates that there is insufficient information, heterogeneity of data and the need to adequately verify scientific articles to determine the effectiveness of implementation strategies in improving adherence to care protocols in emergency services. Conclusions: 7 out of 10 evidence demonstrate that implementation strategies are effective in improving adherence to protocols in emergency services, and 3 out of 10 evidence demonstrate that there is insufficient information, heterogeneity of data and the need to verify scientific articles in a manner adequate to determine the effectiveness of the topic under study.
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Effectiveness of intravenous treatment to reduce complications in post-operative patients for venous insufficiency
(Universidad Privada Norbert Wiener, 2021-06-20) Almeida Torres, Felicita Ynés; Rivera Palomino, Cynthia Elizabeth Geraldine; Rivera Lozada de Bonilla, Oriana
Objective: Analyze and systematize the evidence on the effectiveness of intravenous treatment to reduce complications in post-operative patients for venous insufficiency. Materials and Methods: The type of research was quantitative and the study design is a systematic review, the population was a total of 20 scientific articles which only 10 scientific articles published and indexed in scientific databases were sampled, to The GRADE method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: Of 100% of the articles reviewed, 10% correspond to Holland, China, South Korea and Colombia respectively and 20% correspond to Brazil, Chile and Egypt. In relation to the type of study, it was 100% quantitative and the study design corresponds to 10% Cohort, 20% retrospective clinical trial and 70% prospective randomized clinical trial. Conclusions: It is concluded that 90% of the studies show that the effectiveness of intravenous treatment in reducing complications in post-operative patients with venous insufficiency improves short-term results.
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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 Surgical Care Bundles in Reducing the Risk of Surgical Site Infections in Patients Undergoing Colorectal Surgery
(Universidad Privada Norbert Wiener, 2020-08-02) Rodriguez Oro, Kharen Fabiola; Arevalo Marcos, Rodolfo Amado
Objective: Systematize evidence on the effectiveness of surgical care bundles to reduce the risk of surgical site infections in patients undergoing colorectal surgery. Material and methods: Systematic retrospective and observational review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following sources of information. Epistemonikos, Scielo, Sciencedirect Researchgate and PubMed. Of the 10 articles systematically reviewed, 20% of high quality and 80% of moderate quality are described below: 20% (n= 2/10) are meta-analyses and 80% (n= 8/10) are cohort studies respectively and belong to the countries of the United States (60%), Japan (10%), Australia (10%), Holland (10%) and England (10%).Results: 100% (n=10/10) indicate that surgical care bundles are effective in reducing the risk of surgical site infections in patients undergoing colorectal surgery. Conclusion: Surgical care bundles are effective in reducing the risk of surgical site infections in patients undergoing colorectal surgeries.
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Effectiveness of the administration of Omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients
(Universidad Privada Norbert Wiener, 2019-08-25) Rodríguez Zambrano, Johanna Elizabeth; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of the administration of omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients. MATERIAL AND METHOD: The study is quantitative, with a systematic, observational and retrospective review design; of articles with full text, which identified their grade or quality of evidence according to the Grade System. Likewise, the population was made up of 10 most relevant scientific articles that were obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Of which 70% correspond to the methodological design of systematic review and 30% to randomized clinical trials, corresponding to the countries of the United States 20% (02/10), Holland 10% (01/10), Iran 10% (01 /10), Portugal 10% (01/10), Italy 10% (01/10), Colombia 10% (01/10), South Korea 10% (01/10), Mexico 10% (01/10), and Spain 10% (01/10). Results: Of the 10 articles reviewed, (10/10), 100% demonstrate effectiveness of the administration of omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients. Conclusions: 10 of 10 reviewed articles demonstrate evidence of the effectiveness of the administration of omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients; That is, evidence suggests a role for omega-3 fatty acid supplementation in cancer treatment, but they have been shown to preserve muscle mass and function in cancer patients.
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Efficacy of a closed suction system compared with open suction system on hemodynamic changes in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Ganto Yarasca, Rosario; Bonilla Asalde, César Antonio
Objectives: Systematize the evidence on hemodynamic changes in patients with mechanical ventilation as a consequence of the use of the closed aspiration system and the open aspiration system. Methodology: Observational and retrospective systematic review, the research has been restricted to articles with full text, the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: After the review, very diverse related research was obtained. In the final selection, 10 articles were selected corresponding to Brazil and Iran with 3 articles each, Turkey with 2 and Australia and Holland with 1 article each comparatively. Conclusions: It was shown that in the studies analyzed there is evidence on the effectiveness of a system closed suction system compared to the open suction system in the hemodynamic changes of patients with mechanical ventilation, 60% (6/10) demonstrated an incidence in hemodynamic changes, while 40% (4/10) do not accept hemodynamic changes or no significant changes were recorded in the use of both systems. Recommendations from consensus and specialists suggest the importance of monitoring hemodynamic changes that may occur in patients during the aspiration procedure, regardless of whether it is performed with the closed system or the open system to prevent complications. They recommend the closed aspiration system as safer. And they clarify that nursing staff should not perform aspiration as part of a scheduled routine due to possible adverse effects.
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Efficacy of mindfulness-based interventions to reduce ruminative thoughts in adult patients with depression
(Universidad Privada Norbert Wiener, 2019-09-22) Castro Cortez, Marcos Antonio; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize evidence on the effectiveness of mindfulness-based interventions to reduce ruminative thoughts in adult patients with depression. Material and methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, selected from the following databases: Sciencedirect, Wiley Online Library, Dialnet, PubMed. Of the 10 articles systematically reviewed, 40% (n= 4/10) are systematic reviews, 30% (n= 3/10) are randomized controlled trials and 30% (n= 3/10) are meta-analyses. The results obtained from the systematic review carried out in the present study come from the countries of England (10%), United Kingdom (20%), Switzerland (10%), China (10%), Spain (10%), USA ( 20%) and Netherlands (20%). Results: Of the evidence found, 70% (n=7/10) indicate that the intervention based on mindfulness is effective in reducing symptoms of depression. Conclusion: the intervention based on mindfulness is effective in reducing symptoms of depression such as ruminative thoughts.
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Obese recipients increase risk of delayed graft function
(Universidad Privada Norbert Wiener, 1905-07-09) Encalada Borjas, Nadia Peggy; Guivín Munayco, Elizeth del Pilar; Remuzgo Artezano, Anika
Material and methods: The systematic review of 10 selected articles, using the database Pubmed, Advance Access, Redalyc, Open Access, Researchgate, Wiley Online Library, HHS Public Access. The 10 evidence = 100% (n=10/10) is quantitative (16-25) in design; 30% (n=3/10) systematic review and meta-analysis (16-18) and 70% (n=7/10) cohort study. Results: According to the systematic review, shown in the 10 articles, 30% (3) are systematic review - meta-analysis and 70% (7) are cohort studies, which come from the United States (50%), followed by Brazil ( 10%),England(10%),Holland(10%),Italy(10%),France(10%).point out that 100%(n=10)(16 - 25) of the evidence found specify that obese post-kidney transplant recipients have a greater risk of delayed graft function. Conclusion: The 10 articles reviewed, 100% (n=10/10), according to the evidence found, it is concluded that obese recipients do increase the risk of delayed graft function in post-kidney transplantation, accompanied by a significant increase in the risk of several adverse outcomes such as; post-surgical cardiovascular, metabolic (Diabetes mellitus 2) lymphatic complications with longer hospital stay. However; It is evident that kidney transplantation can be performed safely in these obese recipients with survival and graft rates similar to those of non-obese patients.